HL7 Version 2 to FHIR
1.0.0 - STU 1

HL7 Version 2 to FHIR - Downloaded Version 1.0.0 See the Directory of published versions

## ConceptMap: Segment IN1 to Coverage Map (Experimental)

Official URL: http://hl7.org/fhir/uv/v2mappings/ConceptMap/segment-in1-to-coverage | Version: 1.0.0
Standards status: Informative | Computable Name: SegmentIN1ToCoverage
Copyright/Legal: Copyright (c) 2025, HL7 International, Inc., All Rights Reserved.

This ConceptMap represents a mapping from the HL7 V2 Segment IN1 to the FHIR Coverage Resource.

This ConceptMap represents the mapping from the HL7 V2 IN1 Segment to the FHIR Coverage Resource. See also the FHIR Shorthand or the CSV Source.

HL7 v2 | Condition (IF True, args) | HL7 FHIR | Comments
--- | --- | --- | ---
Sort Order | Identifier | Name | Data Type | Cardinality - Min | Cardinality - Max | Computable ANTLR | Computable FHIRPath | Narrative | FHIR Attribute | Extension | Data Type | Cardinality - Min | Cardinality - Max | Data Type Mapping | Vocabulary Mapping (IS, ID, CE, CEN, CWE) | Assignment
1 | IN1-1 | Set ID - IN1 | SI | 1 | 1 |  |  |  |  |  |  |  |  |  |  |  |
2 | IN1-2 | Health Plan ID | CWE | 1 | 1 |  |  |  | Identifier |  | Identifier | 0 | -1 | CWE[Identifier] |  |  |
3 | IN1-3 | Insurance Company ID | CX | 1 | -1 |  |  |  |  |  |  |  |  |  |  |  |
4 | IN1-4 | Insurance Company Name | XON | 0 | -1 |  |  |  | Coverage.payor(Coverage.Organization) |  | Reference |  |  | XON[Organization] |  |  |
5 | IN1-5 | Insurance Company Address | XAD | 0 | -1 |  |  |  | Coverage.payer(Coverage.Organization.address) |  | Reference |  |  | XAD[Address] |  |  |
6 | IN1-6 | Insurance Co Contact Person | XPN | 0 | -1 |  |  |  |  |  |  |  |  |  |  |  |
7 | IN1-7 | Insurance Co Phone Number | XTN | 0 | -1 |  |  |  |  |  |  |  |  |  |  |  |
8 | IN1-8 | Group Number | ST | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
9 | IN1-9 | Group Name | XON | 0 | -1 |  |  |  |  |  |  |  |  |  |  |  |
10 | IN1-10 | Insured's Group Emp ID | CX | 0 | -1 | IF CX.5 IS "SN" |  |  | Coverage.extension.url |  | uri |  |  |  |  | "http://hl7.org/fhir/5.0/StructureDefinition/extension-subscriberId" |
10 | IN1-10 | Insured's Group Emp ID | CX | 0 | -1 | IF CX.5 IS "SN" |  |  | Coverage.extension.valueIdentifier |  | Identifier |  |  | CX[Identifier] |  |  |
10 | IN1-10 | Insured's Group Emp ID | CX | 0 | -1 |  |  |  | Coverage.policyHolder(Coverage.Organization.identifier) |  | Identifier | 0 | -1 | CX[Identifier] |  |  | If one has identifiers of other types, one must determine where it fits best.
11 | IN1-11 | Insured's Group Emp Name | XON | 0 | -1 |  |  |  | Coverage.policyHolder(Coverage.Organization) |  | Reference |  |  | XON[Organization] |  |  |
12 | IN1-12 | Plan Effective Date | DT | 0 | 1 |  |  |  | Coverage.period.start |  | dateTime |  |  |  |  |  |
13 | IN1-13 | Plan Expiration Date | DT | 0 | 1 |  |  |  | Coverage.period.end |  | dateTime |  |  |  |  |  |
14 | IN1-14 | Authorization Information | AUI | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
15 | IN1-15 | Plan Type | CWE | 0 | 1 |  |  |  | Coverage.type |  | CodeableConcept |  |  | CWE[CodeableConcept] | PlanId |  | Given variability in use, IN1-15 may or may not be a good match with HL7 Coverage.type. Note however that IN1-47 Coverage Type is not a match to FHIR Coverage.type.
16 | IN1-16 | Name Of Insured | XPN | 0 | -1 | IF IN1-17 IS NOT 'patient' |  |  | Coverage.subscriber(Coverage.RelatedPerson) |  | Reference |  |  |  |  |  |
16 | IN1-16 | Name Of Insured | XPN | 0 | -1 | IF IN1-17 IS 'patient' |  |  | Coverage.subscriber(Coverage.Patient) |  | Reference |  |  |  |  |  |
17 | IN1-17 | Insured's Relationship To Patient | CWE | 0 | 1 |  |  |  | Coverage.relationship |  | CodeableConcept |  |  | CWE[CodeableConcept] | Relationship |  |
18 | IN1-18 | Insured's Date Of Birth | DTM | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
19 | IN1-19 | Insured's Address | XAD | 0 | -1 |  |  |  |  |  |  |  |  |  |  |  |
20 | IN1-20 | Assignment Of Benefits | CWE | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
21 | IN1-21 | Coordination Of Benefits | CWE | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
22 | IN1-22 | Coord Of Ben. Priority | ST | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
23 | IN1-23 | Notice Of Admission Flag | ID | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
24 | IN1-24 | Notice Of Admission Date | DT | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
25 | IN1-25 | Report Of Eligibility Flag | ID | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
26 | IN1-26 | Report Of Eligibility Date | DT | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
27 | IN1-27 | Release Information Code | CWE | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
28 | IN1-28 | Pre-Admit Cert (PAC) | ST | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
29 | IN1-29 | Verification Date/Time | DTM | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
30 | IN1-30 | Verification By | XCN | 0 | -1 |  |  |  |  |  |  |  |  |  |  |  |
31 | IN1-31 | Type Of Agreement Code | CWE | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
32 | IN1-32 | Billing Status | CWE | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
33 | IN1-33 | Lifetime Reserve Days | NM | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
34 | IN1-34 | Delay Before L.R. Day | NM | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
35 | IN1-35 | Company Plan Code | CWE | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
36 | IN1-36 | Policy Number | ST | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
37 | IN1-37 | Policy Deductible | CP | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
38 | IN1-38 | Policy Limit - Amount |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
39 | IN1-39 | Policy Limit - Days | NM | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
40 | IN1-40 | Room Rate - Semi-Private |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
41 | IN1-41 | Room Rate - Private |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
42 | IN1-42 | Insured's Employment Status | CWE | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
43 | IN1-43 | Insured's Administrative Sex | CWE | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
44 | IN1-44 | Insured's Employer's Address | XAD | 0 | -1 |  |  |  |  |  |  |  |  |  |  |  |
45 | IN1-45 | Verification Status | ST | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
46 | IN1-46 | Prior Insurance Plan ID | CWE | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
47 | IN1-47 | Coverage Type | CWE | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
48 | IN1-48 | Handicap | CWE | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
49 | IN1-49 | Insured's ID Number | CX | 0 | -1 |  |  |  | Coverage.extension.url |  | uri |  |  |  |  | "http://hl7.org/fhir/5.0/StructureDefinition/extension-subscriberId" |
49 | IN1-49 | Insured's ID Number | CX | 0 | -1 |  |  |  | Coverage.extension.valueIdentifier |  | Identifier |  |  | CX[Identifier] |  |  |
50 | IN1-50 | Signature Code | CWE | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
51 | IN1-51 | Signature Code Date | DT | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
52 | IN1-52 | Insured's Birth Place | ST | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
53 | IN1-53 | VIP Indicator | CWE | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |
54 | IN1-54 | External Health Plan Identifiers | CX | 0 | -1 |  |  |  |  |  |  |  |  |  |  |  |
55 | IN1-55 | Insurance Action Code | ID | 0 | 1 |  |  |  |  |  |  |  |  |  |  |  |

Mapping from (not specified) to (not specified)

Group 1 Mapping from `unspecified code system` to `unspecified code system`

Source Concept Details | Relationship | Target Concept Details | Comment
Codes from | ComputableANTLR |  | Codes from |
IN1-2 | Health Plan ID |  | is equivalent to | identifier | identifier |
IN1-4 | Insurance Company Name |  | is equivalent to | payor[1](Organization) | payor[1](Organization) |
IN1-5 | Insurance Company Address |  | is equivalent to | payer[1](Organization.address) | payer[1](Organization.address) |
IN1-10 | Insured's Group Emp ID | IF CX.5 IS "SN" | is equivalent to | extension[1].url | extension[1].url |
IN1-10 | Insured's Group Emp ID | IF CX.5 IS "SN" | is equivalent to | extension[1].valueIdentifier | extension[1].valueIdentifier |
IN1-10 | Insured's Group Emp ID |  | is equivalent to | policyHolder([1]Organization.identifier) | policyHolder([1]Organization.identifier) | If one has identifiers of other types, one must determine where it fits best.
IN1-11 | Insured's Group Emp Name |  | is equivalent to | policyHolder[1](Organization) | policyHolder[1](Organization) |
IN1-12 | Plan Effective Date |  | is equivalent to | period.start | period.start |
IN1-13 | Plan Expiration Date |  | is equivalent to | period.end | period.end |
IN1-15 | Plan Type |  | is equivalent to | type | type | Given variability in use, IN1-15 may or may not be a good match with HL7 Coverage.type. Note however that IN1-47 Coverage Type is not a match to FHIR Coverage.type.
IN1-16 | Name Of Insured | IF IN1-17 IS NOT 'patient' | is equivalent to | subscriber(RelatedPerson) | subscriber(RelatedPerson) |
IN1-16 | Name Of Insured | IF IN1-17 IS 'patient' | is equivalent to | subscriber(Patient) | subscriber(Patient) |
IN1-17 | Insured's Relationship To Patient |  | is equivalent to | relationship | relationship |
IN1-49 | Insured's ID Number |  | is equivalent to | extension[1].url | extension[1].url |
IN1-49 | Insured's ID Number |  | is equivalent to | extension[1].valueIdentifier | extension[1].valueIdentifier |

### Notes: