HL7 Europe Laboratory Report
0.1.1 - trial-use 150

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## ConceptMap: A.1.3 - Health insurance and payment information model to this guide (Experimental)

Official URL: http://hl7.eu/fhir/laboratory/ConceptMap/payer2FHIR-eu-lab | Version: 0.1.1
Standards status: Informative | Maturity Level: 2 | Computable Name: Payer2Fhir
Other Identifiers: OID:2.16.840.1.113883.2.51.22.1.18.6
Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License

eHN Payer Model to this guide Map

It shows how the Laboratory Report Payer data set defined by the EU eHN guidelines is mapped into this guide

Generated Narrative: ConceptMap payer2FHIR-eu-lab

Mapping from (not specified) to (not specified)

Group 1 Mapping from A.1.3 - Health insurance and payment information to ServiceRequest: Laboratory Order

Source Code | Relationship | Target Code | Comment
Payer.insurance (A.1.3.1 Health insurance information) | is related to | ServiceRequest.insurance | insurance.ofType(Coverage)
Payer.insurance.identifier (A.1.3.1.1 Health insurance code) | is related to | ServiceRequest.insurance | details in Group 2
Payer.insurance.name (A.1.3.1.2 Health insurance name) | is related to | ServiceRequest.insurance | details in Group 2
Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number) | is related to | ServiceRequest.insurance | details in Group 2

Group 2 Mapping from A.1.3 - Health insurance and payment information to Coverage

Source Code | Relationship | Target Code | Comment
Payer.insurance (A.1.3.1 Health insurance information) | is related to | Coverage |
Payer.insurance.identifier (A.1.3.1.1 Health insurance code) | is equivalent to | Coverage.payor.identifier | payor.ofType(Organization)
Payer.insurance.name (A.1.3.1.2 Health insurance name) | is equivalent to | Coverage.payor.name | payor.ofType(Organization)
Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number) | is equivalent to | Coverage.policyHolder.identifier | If it refers to the owner of the policy
Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number) | is equivalent to | Coverage.beneficiary.identifier | If it refers to the plan beneficiary
Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number) | is equivalent to | Coverage.subscriberId | If it is the ID assigned to the subscriber
Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number) | is equivalent to | Coverage.subscriber.identifier | If it refers to the subscriber to the policy and the Subscriber is of type Patient

Group 3 Mapping from A.1.3 - Health insurance and payment information to Patient: Person

Source Code | Relationship | Target Code | Comment
Payer.insurance (A.1.3.1 Health insurance information) | (not mapped)
Payer.insurance.identifier (A.1.3.1.1 Health insurance code) | (not mapped)
Payer.insurance.name (A.1.3.1.2 Health insurance name) | (not mapped)
Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number) | is related to | Patient.identifier | Sometimes the identifier assigned by the payor (e.g. the SSN) is used as one of the Patient Identifiers