Nictiz FHIR NL STU3 Zib2017 - Local Development build (v1.3.15) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Zib Payer - Mappings

Active as of 2024-04-09

Mappings for the zib-Payer resource profile.

Mappings for HCIM Payer-v1.2(2015EN) (https://zibs.nl/wiki/Payer-v1.2(2015EN))

Zib Payer
Coverage	NL-CM:1.1.8, NL-CM:1.1.1	Insurance , Payer
type	NL-CM:1.1.15	InsuranceType
subscriberId	NL-CM:1.1.6	InsurantNumber
period
start	NL-CM:1.1.13	StartDateTime
end	NL-CM:1.1.14	EndDateTime
payor	NL-CM:1.1.2, NL-CM:1.1.3	PayerPerson is Patient or RelatedPerson , InsuranceCompany
extension
extension (bankInformation)	NL-CM:1.1.4	BankInformation
extension (BankName)	NL-CM:1.1.9	BankName
extension (AccountNumber)	NL-CM:1.1.11	AccountNumber
extension (Bankcode)	NL-CM:1.1.10	BankCode

Mappings for HCIM Payer-v3.0(2016EN) (https://zibs.nl/wiki/Payer-v3.0(2016EN))

Zib Payer
Coverage	NL-CM:1.1.8, NL-CM:1.1.1	Insurance , Payer
type	NL-CM:1.1.15	InsuranceType
subscriberId	NL-CM:1.1.6	InsurantNumber
period
start	NL-CM:1.1.13	StartDateTime
end	NL-CM:1.1.14	EndDateTime
payor	NL-CM:1.1.2, NL-CM:1.1.3	PayerPerson , InsuranceCompany
extension
extension (bankInformation)	NL-CM:1.1.4	BankInformation
extension (BankName)	NL-CM:1.1.9	BankName
extension (AccountNumber)	NL-CM:1.1.11	AccountNumber
extension (Bankcode)	NL-CM:1.1.10	BankCode

Mappings for HCIM Payer-v3.1(2017EN) (https://zibs.nl/wiki/Payer-v3.1(2017EN))

Zib Payer
Coverage	NL-CM:1.1.8, NL-CM:1.1.1	Insurance , Payer
type	NL-CM:1.1.15	InsuranceType
subscriberId	NL-CM:1.1.6	InsurantNumber
period
start	NL-CM:1.1.13	StartDateTime
end	NL-CM:1.1.14	EndDateTime
payor	NL-CM:1.1.2, NL-CM:1.1.3	PayerPerson , InsuranceCompany
extension
extension (bankInformation)	NL-CM:1.1.4	BankInformation
extension (BankName)	NL-CM:1.1.9	BankName
extension (AccountNumber)	NL-CM:1.1.11	AccountNumber
extension (Bankcode)	NL-CM:1.1.10	BankCode

Mappings for HCIM BasicElements-v1.0(2017EN) (https://zibs.nl/wiki/BasicElements-v1.0(2017EN))

Zib Payer
Coverage
beneficiary	NL-CM:0.0.11	Subject
period	NL-CM:0.0.14	DateTime

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

Zib Payer
Coverage	Event
identifier	Event.identifier
status	Event.status
beneficiary	Event.subject
period	Event.occurrence

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

Zib Payer
Coverage	Entity. Role, or Act, Coverage
text	Act.text?
contained	N/A
extension	N/A
modifierExtension	N/A
period
id	n/a
extension	n/a
start	./low
end	./high
payor
id	n/a
extension
extension (bankInformation)
id	n/a
extension
extension (BankName)
id	n/a
extension	n/a
url	N/A
value[x]	N/A
value[x] (valueString)	N/A
extension (AccountNumber)
id	n/a
extension	n/a
url	N/A
value[x]	N/A
value[x] (valueString)	N/A
extension (Bankcode)
id	n/a
extension	n/a
url	N/A
value[x]	N/A
value[x] (valueString)	N/A
url	N/A
reference	N/A
identifier	.identifier
display	N/A
grouping
id	n/a
extension	n/a
modifierExtension	N/A

Mappings for W5 Mapping (http://hl7.org/fhir/w5)

Zib Payer
Coverage	financial.support
identifier	id
status	status
type	class
policyHolder	who.focus
subscriber	who.focus
subscriberId	who.focus
beneficiary	who.focus
period	when.done
payor	who.author

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

Zib Payer
Coverage
identifier	C02
policyHolder	D01 through D09
subscriber	D01 through D09
subscriberId	D01 through D09
beneficiary	D01 through D09
relationship	C03
payor	A05
grouping
group	C11 (Division,Section)
groupDisplay	C11 (Division,Section)
plan	C01
planDisplay	C01
class	C01
classDisplay	C01
subClass	C01
subClassDisplay	C01
dependent	C17
sequence	D11
network	D10
contract	D01 through D09

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

Zib Payer
Coverage
identifier	IN1-2
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
beneficiary	IN1-16, 18, 19-name of insured, address, date of birth
period	IN1-12 / IN1-13
start	DR.1
end	DR.2
payor	IN1-3
grouping
group	IN1-8
groupDisplay	IN1-8
subGroup	IN1-8
subGroupDisplay	IN1-8
plan	IN1-35
planDisplay	IN1-35
subPlan	IN1-10
subPlanDisplay	IN1-10
class	IN1-35
classDisplay	IN1-35
subClass	IN1-35
subClassDisplay	IN1-35
dependent	- No exact HL7 v2 equivalent concept seems to exist;
sequence	No HL7 v2 equivalent concept seems to exist
order	- No exact HL7 v2 equivalent concept seems to exist;
contract	IN1-16, 18, 19

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

Zib Payer
Coverage
identifier	C.32, C.33, C.39
policyHolder	C.35
subscriber	C.35
subscriberId	C.35
beneficiary	C.35
payor	C.30
grouping
group	C.31
groupDisplay	C.31
contract	C.35