Zambia Immunizations FHIR Implementation Guide, published by Jembi Health Systems. This guide is not an authorized publication; it is the continuous build for version 1.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/jembi/Zambia-Immunizations/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: MedicalInsurance - Mappings

Active as of 2024-09-30

Mappings for the medical-insurance resource profile.

Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

MedicalInsurance
Coverage	Event
identifier	Event.identifier
status	Event.status
beneficiary	Event.subject
period	Event.occurrence[x]

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

MedicalInsurance
Coverage	financial.support
identifier	FiveWs.identifier
status	FiveWs.status
type	FiveWs.class
policyHolder	FiveWs.subject[x]
subscriber	FiveWs.subject[x]
subscriberId	FiveWs.subject[x]
beneficiary	FiveWs.subject[x]
period	FiveWs.done[x]

Mappings for RIM Mapping (http://hl7.org/v3)

MedicalInsurance
Coverage	Entity, Role, or Act,Coverage
text	Act.text?
contained	N/A
extension	N/A
modifierExtension	N/A
identifier	.id
status	Act.status
paymentBy
id	n/a
extension	n/a
modifierExtension	N/A
subscriberId
id	n/a
extension	n/a
use	Role.code or implied by context
type	Role.code or implied by context
system	II.root or Role.id.root
value	II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
period	Role.effectiveTime or implied by context
assigner	II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
period	Act.effectiveTime
class
id	n/a
extension	n/a
modifierExtension	N/A
costToBeneficiary
id	n/a
extension	n/a
modifierExtension	N/A
exception
id	n/a
extension	n/a
modifierExtension	N/A
contract	n/a

Mappings for Canadian Dental Association eclaims standard (http://www.cda-adc.ca/en/services/cdanet/)

MedicalInsurance
Coverage
identifier	C02
policyHolder	D01 through D09
subscriber	D01 through D09
subscriberId	D01 through D09
beneficiary	D01 through D09
dependent	C17
relationship	C03
class
value	C11 (Division,Section)
name	C11 (Division,Section)
network	D10
costToBeneficiary
value[x]	C11 (Division,Section)
contract	D01 through D09

Mappings for Canadian Pharmacy Association eclaims standard (http://www.pharmacists.ca/)

MedicalInsurance
Coverage
identifier	C.32, C.33, C.39
policyHolder	C.35
subscriber	C.35
subscriberId	C.35
beneficiary	C.35
class
value	C.31
name	C.31
costToBeneficiary
value[x]	C.31
contract	C.35

Mappings for HL7 V2 Mapping (http://hl7.org/v2)

MedicalInsurance
Coverage
type	IN1-15
policyHolder	IN1-16, 18, 19-name of insured, address, date of birth
subscriber	IN1-16, 18, 19-name of insured, address, date of birth
subscriberId	IN1-16, 18, 19-name of insured, address, date of birth
use	N/A
type	CX.5
system	CX.4 / EI-2-4
value	CX.1 / EI.1
period	CX.7 + CX.8
assigner	CX.4 / (CX.4,CX.9,CX.10)
beneficiary	IN1-16, 18, 19-name of insured, address, date of birth
dependent	- No exact HL7 V2 equivalent concept seems to exist;
period	IN1-12 / IN1-13
class
value	IN1-2
name	IN1-8
costToBeneficiary
value[x]	IN1-8
contract	IN1-16, 18, 19