Universal API Implementation Guide
1.1.20 - ci-build

Universal API Implementation Guide - Local Development build (v1.1.20) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: UapiCoverageEligibilityResponse - Mappings

Active as of 2020-12-11

Mappings for the uapi-coverage-eligibility-response resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow PatternFiveWs Pattern MappingCanadian Dental Association eclaims standardRIM Mappingdoco
.. CoverageEligibilityResponse
Event
financial.support
  • Entity. Role
  • or Act
... id
... meta
... implicitRules
... text
Act.text?
... contained
N/A
... Slices for extension
.... extension:gpfShipmentMethod
.... extension:statusOutcome
.... extension:priorAuthTAT
.... extension:predAuthTAT
.... extension:pcpReferralRequired
.... extension:preReferralEffectiveDate
.... extension:pcpReferralOnFile
.... extension:pcpReferralRecertificationDate
.... extension:spendDownFrequency
.... extension:peerToPeerAvailable
.... extension:noOfAppealsAllowed
.... extension:appealSubmissionDeadline
.... extension:additionalDocumentsRequired
.... extension:estimatedAppealTAT
.... extension:billingInstructions
.... extension:benefitsSummary
.... extension:specialtyPharmacy
... modifierExtension
N/A
... identifier
Event.identifier
FiveWs.identifier
... status
Event.status
FiveWs.status
... purpose
FiveWs.class
... patient
Event.subject
FiveWs.subject
  • C06
  • C07
  • C08
  • C05
  • C04
... serviced[x]
FiveWs.done[x]
F09
... created
FiveWs.recorded
... requestor
FiveWs.source
B01
... request
Event.basedOn
FiveWs.why[x]
A02|G01
... outcome
... disposition
Event.note
... insurer
... insurance
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... coverage
.... inforce
.... benefitPeriod
.... item
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... category
..... productOrService
...... id
n/a
...... extension
n/a
...... Slices for coding
  • union(.
  • ./translation)
....... coding:productService
  • union(.
  • ./translation)
....... coding:jcode
  • union(.
  • ./translation)
....... coding:preDetermination
  • union(.
  • ./translation)
...... text
./originalText[mediaType/code="text/plain"]/data
..... modifier
..... provider
FiveWs.source
B01
..... excluded
..... name
..... description
..... network
..... unit
..... term
..... benefit
...... id
n/a
...... extension
n/a
...... modifierExtension
N/A
...... type
....... id
n/a
....... extension
n/a
....... coding
  • union(.
  • ./translation)
........ id
n/a
........ extension
n/a
........ system
./codeSystem
........ version
./codeSystemVersion
........ code
./code
........ display
CV.displayName
........ userSelected
CD.codingRationale
....... text
./originalText[mediaType/code="text/plain"]/data
...... allowed[x]
...... used[x]
..... authorizationRequired
..... authorizationSupporting
...... id
n/a
...... extension
n/a
...... coding
  • union(.
  • ./translation)
....... id
n/a
....... extension
n/a
....... system
./codeSystem
....... version
./codeSystemVersion
....... code
./code
....... display
CV.displayName
....... userSelected
CD.codingRationale
...... text
./originalText[mediaType/code="text/plain"]/data
..... authorizationUrl
... preAuthRef
F03
23
... form
G42
... error
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... code

doco Documentation for this format