HL7 Europe Laboratory Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.2.0-ci built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/laboratory/ and changes regularly. See the Directory of published versions
Page standards status: Informative | Maturity Level: 2 |
<ConceptMap xmlns="http://hl7.org/fhir">
<id value="payer2FHIR-eu-lab"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap payer2FHIR-eu-lab</b></p><a name="payer2FHIR-eu-lab"> </a><a name="hcpayer2FHIR-eu-lab"> </a><a name="payer2FHIR-eu-lab-en-US"> </a><p>Mapping from <a href="StructureDefinition-Payer.html">A.1.3 - Health insurance and payment information</a> to <a href="StructureDefinition-Bundle-eu-lab.html">Bundle: Laboratory Report</a></p><br/><p><b>Group 1 </b>Mapping from <a href="StructureDefinition-Payer.html">A.1.3 - Health insurance and payment information</a> to <a href="StructureDefinition-ServiceRequest-eu-lab.html">ServiceRequest: Laboratory Order</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Payer.insurance (A.1.3.1 Health insurance information)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#relatedto" title="relatedto">is related to</a></td><td>ServiceRequest.insurance</td><td>insurance.ofType(Coverage)</td></tr><tr><td>Payer.insurance.identifier (A.1.3.1.1 Health insurance code)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#relatedto" title="relatedto">is related to</a></td><td>ServiceRequest.insurance</td><td>details in Group 2</td></tr><tr><td>Payer.insurance.name (A.1.3.1.2 Health insurance name)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#relatedto" title="relatedto">is related to</a></td><td>ServiceRequest.insurance</td><td>details in Group 2</td></tr><tr><td>Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#relatedto" title="relatedto">is related to</a></td><td>ServiceRequest.insurance</td><td>details in Group 2</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <a href="StructureDefinition-Payer.html">A.1.3 - Health insurance and payment information</a> to <a href="http://hl7.org/fhir/R4/coverage.html">Coverage</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Payer.insurance (A.1.3.1 Health insurance information)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#relatedto" title="relatedto">is related to</a></td><td>Coverage</td><td/></tr><tr><td>Payer.insurance.identifier (A.1.3.1.1 Health insurance code)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Coverage.payor.identifier</td><td>payor.ofType(Organization)</td></tr><tr><td>Payer.insurance.name (A.1.3.1.2 Health insurance name)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Coverage.payor.name</td><td>payor.ofType(Organization)</td></tr><tr><td>Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Coverage.policyHolder.identifier</td><td>If it refers to the owner of the policy</td></tr><tr><td>Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Coverage.beneficiary.identifier</td><td>If it refers to the plan beneficiary</td></tr><tr><td>Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Coverage.subscriberId</td><td>If it is the ID assigned to the subscriber</td></tr><tr><td>Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Coverage.subscriber.identifier</td><td>If it refers to the subscriber to the policy and the Subscriber is of type Patient</td></tr></table><hr/><p><b>Group 3 </b>Mapping from <a href="StructureDefinition-Payer.html">A.1.3 - Health insurance and payment information</a> to <code>http://hl7.eu/fhir/laboratory/StructureDefinition/Patient-eu-lab</code></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Payer.insurance (A.1.3.1 Health insurance information)</td><td colspan="3" style="background-color: #efefef">(not mapped)</td></tr><tr><td>Payer.insurance.identifier (A.1.3.1.1 Health insurance code)</td><td colspan="3" style="background-color: #efefef">(not mapped)</td></tr><tr><td>Payer.insurance.name (A.1.3.1.2 Health insurance name)</td><td colspan="3" style="background-color: #efefef">(not mapped)</td></tr><tr><td>Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#relatedto" title="relatedto">is related to</a></td><td>Patient.identifier</td><td>Sometimes the identifier assigned by the payor (e.g. the SSN) is used as one of the Patient Identifiers</td></tr></table></div>
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url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="2"/>
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<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="informative"/>
</extension>
<url value="http://hl7.eu/fhir/laboratory/ConceptMap/payer2FHIR-eu-lab"/>
<version value="0.2.0-ci"/>
<name value="Payer2Fhir"/>
<title value="eHN Payer to this guide Map"/>
<status value="draft"/>
<experimental value="true"/>
<date value="2024-12-14T06:50:57+00:00"/>
<publisher value="HL7 Europe"/>
<contact>
<name value="HL7 Europe"/>
<telecom>
<system value="url"/>
<value value="http://hl7.eu"/>
</telecom>
</contact>
<description value="eHN Payer Model to this guide Map"/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="150"/>
<display value="Europe"/>
</coding>
</jurisdiction>
<purpose
value="It shows how the Laboratory Report Payer data set defined by the EU eHN guidelines is mapped into this guide"/>
<copyright
value="Used by permission of HL7 Europe, all rights reserved Creative Commons License"/>
<sourceUri value="http://hl7.eu/fhir/laboratory/StructureDefinition/Payer"/>
<targetUri
value="http://hl7.eu/fhir/laboratory/StructureDefinition/Bundle-eu-lab"/>
<group>
<source value="http://hl7.eu/fhir/laboratory/StructureDefinition/Payer"/>
<target
value="http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab"/>
<element>
<code value="Payer.insurance"/>
<display value="A.1.3.1 Health insurance information"/>
<target>
<code value="ServiceRequest.insurance"/>
<equivalence value="relatedto"/>
<comment value="insurance.ofType(Coverage)"/>
</target>
</element>
<element>
<code value="Payer.insurance.identifier"/>
<display value="A.1.3.1.1 Health insurance code"/>
<target>
<code value="ServiceRequest.insurance"/>
<equivalence value="relatedto"/>
<comment value="details in Group 2"/>
</target>
</element>
<element>
<code value="Payer.insurance.name"/>
<display value="A.1.3.1.2 Health insurance name"/>
<target>
<code value="ServiceRequest.insurance"/>
<equivalence value="relatedto"/>
<comment value="details in Group 2"/>
</target>
</element>
<element>
<code value="Payer.insurance.subjectIdentifier"/>
<display value="A.1.3.1.3 Health insurance number"/>
<target>
<code value="ServiceRequest.insurance"/>
<equivalence value="relatedto"/>
<comment value="details in Group 2"/>
</target>
</element>
</group>
<group>
<source value="http://hl7.eu/fhir/laboratory/StructureDefinition/Payer"/>
<target value="http://hl7.org/fhir/StructureDefinition/Coverage"/>
<element>
<code value="Payer.insurance"/>
<display value="A.1.3.1 Health insurance information"/>
<target>
<code value="Coverage"/>
<equivalence value="relatedto"/>
</target>
</element>
<element>
<code value="Payer.insurance.identifier"/>
<display value="A.1.3.1.1 Health insurance code"/>
<target>
<code value="Coverage.payor.identifier"/>
<equivalence value="equivalent"/>
<comment value="payor.ofType(Organization)"/>
</target>
</element>
<element>
<code value="Payer.insurance.name"/>
<display value="A.1.3.1.2 Health insurance name"/>
<target>
<code value="Coverage.payor.name"/>
<equivalence value="equivalent"/>
<comment value="payor.ofType(Organization)"/>
</target>
</element>
<element>
<code value="Payer.insurance.subjectIdentifier"/>
<display value="A.1.3.1.3 Health insurance number"/>
<target>
<code value="Coverage.policyHolder.identifier"/>
<equivalence value="equivalent"/>
<comment value="If it refers to the owner of the policy"/>
</target>
</element>
<element>
<code value="Payer.insurance.subjectIdentifier"/>
<display value="A.1.3.1.3 Health insurance number"/>
<target>
<code value="Coverage.beneficiary.identifier"/>
<equivalence value="equivalent"/>
<comment value="If it refers to the plan beneficiary"/>
</target>
</element>
<element>
<code value="Payer.insurance.subjectIdentifier"/>
<display value="A.1.3.1.3 Health insurance number"/>
<target>
<code value="Coverage.subscriberId"/>
<equivalence value="equivalent"/>
<comment value="If it is the ID assigned to the subscriber"/>
</target>
</element>
<element>
<code value="Payer.insurance.subjectIdentifier"/>
<display value="A.1.3.1.3 Health insurance number"/>
<target>
<code value="Coverage.subscriber.identifier"/>
<equivalence value="equivalent"/>
<comment
value="If it refers to the subscriber to the policy and the Subscriber is of type Patient"/>
</target>
</element>
</group>
<group>
<source value="http://hl7.eu/fhir/laboratory/StructureDefinition/Payer"/>
<target
value="http://hl7.eu/fhir/laboratory/StructureDefinition/Patient-eu-lab"/>
<element>
<code value="Payer.insurance"/>
<display value="A.1.3.1 Health insurance information"/>
<target>
<equivalence value="unmatched"/>
</target>
</element>
<element>
<code value="Payer.insurance.identifier"/>
<display value="A.1.3.1.1 Health insurance code"/>
<target>
<equivalence value="unmatched"/>
</target>
</element>
<element>
<code value="Payer.insurance.name"/>
<display value="A.1.3.1.2 Health insurance name"/>
<target>
<equivalence value="unmatched"/>
</target>
</element>
<element>
<code value="Payer.insurance.subjectIdentifier"/>
<display value="A.1.3.1.3 Health insurance number"/>
<target>
<code value="Patient.identifier"/>
<equivalence value="relatedto"/>
<comment
value="Sometimes the identifier assigned by the payor (e.g. the SSN) is used as one of the Patient Identifiers"/>
</target>
</element>
</group>
</ConceptMap>