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7.3.6 Resource Coverage - Mappings

Mappings:

RIM

HL7 v2

Canadian Dental Association eclaims standard

Canadian Pharmacy Associaiton eclaims standard

Mappings for the coverage resource.

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

CoverageCoverage
    issuer
    bin
    period
    type
    subscriberId
    identifier
    group
    plan
    subPlan
    dependent
    sequence
    subscriber
    network
    contract

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

Coverage
    issuerIN1-3-insurance company ID
    bin
    periodIN1-12-plan effective date / IN1-13-plan expiration date
    typeIN1-15-plan type
    subscriberId
    identifierIN1-2-health plan ID
    groupIN1-8-group number
    planIN1-35-company plan code
    subPlanIN1-10-insured's group emp ID
    dependent- No exact V2.x equivalent concept seems to exist; instance relationship can be inferred if ( ( PID-3-patient ID list ??? IN1-49-insured's ID number ) & ( ?? IN2-72-patient's relationship to insured ) )
    sequenceNo V2.x equivalent concept seems to exist
    subscriberIN1-16, 18, 19-name of insured, address, date of birth
    network
    contractIN1-16, 18, 19-name of insured, address, date of birth

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

Coverage
    issuerA05
    bin
    period
    type
    subscriberId
    identifierC02
    groupC11 (Division,Section)
    planC01
    subPlan
    dependentC17
    sequenceD11
    subscriberD01 through D09
    networkD10
    contractD01 through D09

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

Coverage
    issuerC.30
    bin
    period
    type
    subscriberId
    identifierC.32, C.33, C.39
    groupC.31
    plan
    subPlan
    dependent
    sequence
    subscriberC.35
    network
    contractC.35