MyHealth@Eu Laboratory Report
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: 1.2 Health insurance and payment information model to this guide - JSON Representation

Draft as of 2024-11-21

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{
  "resourceType" : "ConceptMap",
  "id" : "payer2FHIR-lab-myhealtheu",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap payer2FHIR-lab-myhealtheu</b></p><a name=\"payer2FHIR-lab-myhealtheu\"> </a><a name=\"hcpayer2FHIR-lab-myhealtheu\"> </a><a name=\"payer2FHIR-lab-myhealtheu-en-US\"> </a><p>Mapping from <a href=\"StructureDefinition-Payer.html\">Health insurance and payment information</a> to <a href=\"StructureDefinition-Bundle-lab-myhealtheu.html\">Bundle: Laboratory</a></p><br/><p><b>Group 1 </b>Mapping from <a href=\"StructureDefinition-Payer.html\">Health insurance and payment information</a> to <a href=\"StructureDefinition-ServiceRequest-lab-myhealtheu.html\">ServiceRequest: Laboratory</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 (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 (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 (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 (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\">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 (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 (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 (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 (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 (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 (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 (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\">Health insurance and payment information</a> to <a href=\"StructureDefinition-Patient-lab-myhealtheu.html\">Patient: Laboratory</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 (Health insurance information)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>Payer.insurance.identifier (Health insurance code)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>Payer.insurance.name (Health insurance name)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>Payer.insurance.subjectIdentifier (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>"
  },
  "url" : "http://fhir.ehdsi.eu/laboratory/ConceptMap/payer2FHIR-lab-myhealtheu",
  "version" : "0.0.1",
  "name" : "Payer2Fhir",
  "title" : "MyHealth@EUPayer to this guide Map",
  "status" : "draft",
  "experimental" : true,
  "date" : "2024-11-21T06:45:21+00:00",
  "publisher" : "MyHealth@Eu",
  "contact" : [
    {
      "name" : "MyHealth@Eu",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://health.ec.europa.eu/other-pages/basic-page/myhealtheu-flyer-addressed-patients-and-health-professionals_en"
        }
      ]
    }
  ],
  "description" : "MyHealth@EUPayer Model to this guide Map",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "150",
          "display" : "Europe"
        }
      ]
    }
  ],
  "purpose" : "It shows how the Laboratory Report Payer data set defined by the EU MyHealth@EUguidelines is mapped into this guide",
  "sourceUri" : "http://fhir.ehdsi.eu/laboratory/StructureDefinition/Payer",
  "targetUri" : "http://fhir.ehdsi.eu/laboratory/StructureDefinition/Bundle-lab-myhealtheu",
  "group" : [
    {
      "source" : "http://fhir.ehdsi.eu/laboratory/StructureDefinition/Payer",
      "target" : "http://fhir.ehdsi.eu/laboratory/StructureDefinition/ServiceRequest-lab-myhealtheu",
      "element" : [
        {
          "code" : "Payer.insurance",
          "display" : "Health insurance information",
          "target" : [
            {
              "code" : "ServiceRequest.insurance",
              "equivalence" : "relatedto",
              "comment" : "insurance.ofType(Coverage)"
            }
          ]
        },
        {
          "code" : "Payer.insurance.identifier",
          "display" : "Health insurance code",
          "target" : [
            {
              "code" : "ServiceRequest.insurance",
              "equivalence" : "relatedto",
              "comment" : "details in Group 2"
            }
          ]
        },
        {
          "code" : "Payer.insurance.name",
          "display" : "Health insurance name",
          "target" : [
            {
              "code" : "ServiceRequest.insurance",
              "equivalence" : "relatedto",
              "comment" : "details in Group 2"
            }
          ]
        },
        {
          "code" : "Payer.insurance.subjectIdentifier",
          "display" : "Health insurance number",
          "target" : [
            {
              "code" : "ServiceRequest.insurance",
              "equivalence" : "relatedto",
              "comment" : "details in Group 2"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://fhir.ehdsi.eu/laboratory/StructureDefinition/Payer",
      "target" : "http://hl7.org/fhir/StructureDefinition/Coverage",
      "element" : [
        {
          "code" : "Payer.insurance",
          "display" : "Health insurance information",
          "target" : [
            {
              "code" : "Coverage",
              "equivalence" : "relatedto"
            }
          ]
        },
        {
          "code" : "Payer.insurance.identifier",
          "display" : "Health insurance code",
          "target" : [
            {
              "code" : "Coverage.payor.identifier",
              "equivalence" : "equivalent",
              "comment" : "payor.ofType(Organization)"
            }
          ]
        },
        {
          "code" : "Payer.insurance.name",
          "display" : "Health insurance name",
          "target" : [
            {
              "code" : "Coverage.payor.name",
              "equivalence" : "equivalent",
              "comment" : "payor.ofType(Organization)"
            }
          ]
        },
        {
          "code" : "Payer.insurance.subjectIdentifier",
          "display" : "Health insurance number",
          "target" : [
            {
              "code" : "Coverage.policyHolder.identifier",
              "equivalence" : "equivalent",
              "comment" : "If it refers to the owner of the policy"
            }
          ]
        },
        {
          "code" : "Payer.insurance.subjectIdentifier",
          "display" : "Health insurance number",
          "target" : [
            {
              "code" : "Coverage.beneficiary.identifier",
              "equivalence" : "equivalent",
              "comment" : "If it refers to the plan beneficiary"
            }
          ]
        },
        {
          "code" : "Payer.insurance.subjectIdentifier",
          "display" : "Health insurance number",
          "target" : [
            {
              "code" : "Coverage.subscriberId",
              "equivalence" : "equivalent",
              "comment" : "If it is the ID assigned to the subscriber"
            }
          ]
        },
        {
          "code" : "Payer.insurance.subjectIdentifier",
          "display" : "Health insurance number",
          "target" : [
            {
              "code" : "Coverage.subscriber.identifier",
              "equivalence" : "equivalent",
              "comment" : "If it refers to the subscriber to the policy and the Subscriber is of type Patient"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://fhir.ehdsi.eu/laboratory/StructureDefinition/Payer",
      "target" : "http://fhir.ehdsi.eu/laboratory/StructureDefinition/Patient-lab-myhealtheu",
      "element" : [
        {
          "code" : "Payer.insurance",
          "display" : "Health insurance information",
          "target" : [
            {
              "equivalence" : "unmatched"
            }
          ]
        },
        {
          "code" : "Payer.insurance.identifier",
          "display" : "Health insurance code",
          "target" : [
            {
              "equivalence" : "unmatched"
            }
          ]
        },
        {
          "code" : "Payer.insurance.name",
          "display" : "Health insurance name",
          "target" : [
            {
              "equivalence" : "unmatched"
            }
          ]
        },
        {
          "code" : "Payer.insurance.subjectIdentifier",
          "display" : "Health insurance number",
          "target" : [
            {
              "code" : "Patient.identifier",
              "equivalence" : "relatedto",
              "comment" : "Sometimes the identifier assigned by the payor (e.g. the SSN) is used as one of the Patient Identifiers"
            }
          ]
        }
      ]
    }
  ]
}