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

Draft as of 2024-11-21

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<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="payer2FHIR-lab-myhealtheu"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url
       value="http://fhir.ehdsi.eu/laboratory/ConceptMap/payer2FHIR-lab-myhealtheu"/>
  <version value="0.0.1"/>
  <name value="Payer2Fhir"/>
  <title value="MyHealth@EUPayer to this guide Map"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2024-11-21T06:45:21+00:00"/>
  <publisher value="MyHealth@Eu"/>
  <contact>
    <name value="MyHealth@Eu"/>
    <telecom>
      <system value="url"/>
      <value
             value="https://health.ec.europa.eu/other-pages/basic-page/myhealtheu-flyer-addressed-patients-and-health-professionals_en"/>
    </telecom>
  </contact>
  <description value="MyHealth@EUPayer 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 MyHealth@EUguidelines is mapped into this guide"/>
  <sourceUri
             value="http://fhir.ehdsi.eu/laboratory/StructureDefinition/Payer"/>
  <targetUri
             value="http://fhir.ehdsi.eu/laboratory/StructureDefinition/Bundle-lab-myhealtheu"/>
  <group>
    <source
            value="http://fhir.ehdsi.eu/laboratory/StructureDefinition/Payer"/>
    <target
            value="http://fhir.ehdsi.eu/laboratory/StructureDefinition/ServiceRequest-lab-myhealtheu"/>
    <element>
      <code value="Payer.insurance"/>
      <display value="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="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="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="Health insurance number"/>
      <target>
        <code value="ServiceRequest.insurance"/>
        <equivalence value="relatedto"/>
        <comment value="details in Group 2"/>
      </target>
    </element>
  </group>
  <group>
    <source
            value="http://fhir.ehdsi.eu/laboratory/StructureDefinition/Payer"/>
    <target value="http://hl7.org/fhir/StructureDefinition/Coverage"/>
    <element>
      <code value="Payer.insurance"/>
      <display value="Health insurance information"/>
      <target>
        <code value="Coverage"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="Payer.insurance.identifier"/>
      <display value="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="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="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="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="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="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://fhir.ehdsi.eu/laboratory/StructureDefinition/Payer"/>
    <target
            value="http://fhir.ehdsi.eu/laboratory/StructureDefinition/Patient-lab-myhealtheu"/>
    <element>
      <code value="Payer.insurance"/>
      <display value="Health insurance information"/>
      <target>
        <equivalence value="unmatched"/>
      </target>
    </element>
    <element>
      <code value="Payer.insurance.identifier"/>
      <display value="Health insurance code"/>
      <target>
        <equivalence value="unmatched"/>
      </target>
    </element>
    <element>
      <code value="Payer.insurance.name"/>
      <display value="Health insurance name"/>
      <target>
        <equivalence value="unmatched"/>
      </target>
    </element>
    <element>
      <code value="Payer.insurance.subjectIdentifier"/>
      <display value="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>