מדריך למטמיע - טופס 17
1.0.0 - ci-build

This page is part of the T17 IG (v1.0.0: draft-1 Draft) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: T17Response - Mappings

Draft as of 2024-09-01

Mappings for the t17-response resource profile.

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

T17Response
CoverageEligibilityResponseEvent
   identifierEvent.identifier
   statusEvent.status
   patientEvent.subject
   requestEvent.basedOn
   dispositionEvent.note

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

T17Response
CoverageEligibilityResponse
   identifierFiveWs.identifier
   statusFiveWs.status
   purposeFiveWs.class
   patientFiveWs.subject[x], FiveWs.subject
   serviced[x]FiveWs.done[x]
   createdFiveWs.recorded
   requestorFiveWs.source
   requestFiveWs.why[x]
   insurance
      item
         providerFiveWs.source

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

T17Response
CoverageEligibilityResponse
   patientC06,C07,C08, C05, C04
   serviced[x]F09
   requestorB01
   requestA02|G01
   insurance
      item
         providerB01
   preAuthRefF03
   formG42

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

T17Response
CoverageEligibilityResponseEntity. Role, or Act
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   patient
      idn/a
      extensionn/a
      referenceN/A
      typeN/A
      identifier.identifier
         idn/a
         extensionn/a
         useRole.code or implied by context
         typeRole.code or implied by context
         systemII.root or Role.id.root
         valueII.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
         periodRole.effectiveTime or implied by context
         assignerII.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
      displayN/A
   requestor
      idn/a
      extensionn/a
      referenceN/A
      typeN/A
      identifier.identifier
         idn/a
         extensionn/a
         useRole.code or implied by context
         typeRole.code or implied by context
         systemII.root or Role.id.root
         valueII.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
         periodRole.effectiveTime or implied by context
         assignerII.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
      displayN/A
   insurer
      idn/a
      extensionn/a
      referenceN/A
      typeN/A
      identifier.identifier
         idn/a
         extensionn/a
         useRole.code or implied by context
         typeRole.code or implied by context
         systemII.root or Role.id.root
         valueII.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
         periodRole.effectiveTime or implied by context
         assignerII.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
      displayN/A
   insurance
      idn/a
      extensionn/a
      modifierExtensionN/A
      benefitPeriod
         idn/a
         extensionn/a
         start./low
         end./high
      item
         idn/a
         extensionn/a
         modifierExtensionN/A
         productOrService
            idn/a
            extensionn/a
            codingunion(., ./translation)
            coding (moh)union(., ./translation)
               idn/a
               extensionn/a
               system./codeSystem
               version./codeSystemVersion
               code./code
               displayCV.displayName
               userSelectedCD.codingRationale
            text./originalText[mediaType/code="text/plain"]/data
         modifier
            idn/a
            extensionn/a
            codingunion(., ./translation)
            coding (moh)union(., ./translation)
               idn/a
               extensionn/a
               system./codeSystem
               version./codeSystemVersion
               code./code
               displayCV.displayName
               userSelectedCD.codingRationale
            text./originalText[mediaType/code="text/plain"]/data
         benefit
            idn/a
            extensionn/a
            modifierExtensionN/A
   preAuthRef23
   error
      idn/a
      extension
      extension (issue-regards)
         idn/a
         urlN/A
         value[x]N/A
         value[x] (valueCoding)N/A
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
      modifierExtensionN/A