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Packagehl7.fhir.us.ndh
Resource TypeConceptMap
IdConceptMap-PlanNetToNdhInsuranceProductTypeCM.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/HL7/fhir-us-ndh/ConceptMap-PlanNetToNdhInsuranceProductTypeCM.html
URLhttp://hl7.org/fhir/us/ndh/ConceptMap/PlanNetToNdhInsuranceProductTypeCM
Version2.0.0-current
Statusactive
Date2026-07-22T20:37:41+00:00
NamePlanNetToNdhInsuranceProductType
TitlePlan-Net to NDH Insurance Product Type ConceptMap
Realmus
Authorityhl7
DescriptionMaps Plan-Net Insurance Product Type codes to NDH Insurance Product Type codes used from THO. This ConceptMap should not be needed, but Plan-Net replicates the codeSystem that is in THO. [FHIR-57453](https://jira.hl7.org/browse/FHIR-57453) requests Plan-Net change. If that is done, then this ConceptMap should be retired.

Resources that use this resource

No resources found


Resources that this resource uses

CodeSystem
hl7.fhir.us.davinci-pdex-plan-net#currentInsuranceProductTypeCSInsurance Product Type
hl7.terminology#currentinsurance-product-typeInsurance Product Type
ValueSet
hl7.fhir.us.davinci-pdex-plan-net#currentInsuranceProductTypeVSInsurance Product Type VS
hl7.terminology#currentinsurance-product-typeInsurance Product Type

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ConceptMap PlanNetToNdhInsuranceProductTypeCM

Mapping from Insurance Product Type VS to Insurance Product Type


Mapping from Insurance Product Type to Insurance Product Type

Source CodeRelationshipTarget Code
commppo (Commercial PPO)is equal tocommppo (Commercial PPO)
commhdhp (Commercial HDHP)is equal tocommhdhp (Commercial HDHP)
commpos (Commercial POS)is equal tocommpos (Commercial POS)
commhmo (Commercial HMO)is equal tocommhmo (Commercial HMO)
commepo (Commercial EPO)is equal tocommepo (Commercial EPO)
medi (Medicaid)is equal tomedi (Medicaid)
medihmo (Medicaid HMO)is equal tomedihmo (Medicaid HMO)
mediadv (Medicare Advantage)is equal tomediadv (Medicare Advantage)
mediadvhmo (Medicare Advantage HMO)is equal tomediadvhmo (Medicare Advantage HMO)
media (Medicare Part A)is equal tomedia (Medicare Part A)
medib (Medicare Part B)is equal tomedib (Medicare Part B)
medid (Medicare Part D)is equal tomedid (Medicare Part D)
mediab (Medicare A/B)is equal tomediab (Medicare A/B)
qhp (Qualified Health Plan)is equal toqhp (Qualified Health Plan)
ihs (Indian Health Service)is equal toihs (Indian Health Service)
fep (Federal Employee Program)is equal tofep (Federal Employee Program)
tri (TRICARE)is equal totri (TRICARE)
va (Veterans Affairs Plan)is equal tova (Veterans Affairs Plan)
dent (Dental Plan)is equal todent (Dental Plan)
denthmo (Dental HMO)is equal todenthmo (Dental HMO)
vis (Vision Plan)is equal tovis (Vision Plan)
vishmo (Vision HMO)is equal tovishmo (Vision HMO)

Source1

{
  "resourceType": "ConceptMap",
  "id": "PlanNetToNdhInsuranceProductTypeCM",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "pa"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 4,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/us/ndh/ImplementationGuide/hl7.fhir.us.ndh"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/us/ndh/ImplementationGuide/hl7.fhir.us.ndh"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/us/ndh/ConceptMap/PlanNetToNdhInsuranceProductTypeCM",
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:oid:2.16.840.1.113883.4.642.40.43.18.6"
  },
  "version": "2.0.0-current",
  "name": "PlanNetToNdhInsuranceProductType",
  "title": "Plan-Net to NDH Insurance Product Type ConceptMap",
  "status": "active",
  "experimental": false,
  "date": "2026-07-22T20:37:41+00:00",
  "publisher": "HL7 International / Patient Administration",
  "contact": [
    {
      "name": "HL7 International / Patient Administration",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/pafm"
        },
        {
          "system": "email",
          "value": "pafm@lists.hl7.org"
        }
      ]
    }
  ],
  "description": "Maps Plan-Net Insurance Product Type codes to NDH Insurance Product Type codes used from THO.\n\nThis ConceptMap should not be needed, but Plan-Net replicates the codeSystem that is in THO. [FHIR-57453](https://jira.hl7.org/browse/FHIR-57453) requests Plan-Net change. If that is done, then this ConceptMap should be retired.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US",
          "display": "United States of America"
        }
      ]
    }
  ],
  "sourceUri": "http://hl7.org/fhir/us/davinci-pdex-plan-net/ValueSet/InsuranceProductTypeVS",
  "targetUri": "http://terminology.hl7.org/ValueSet/insurance-product-type",
  "group": [
    {
      "source": "http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsuranceProductTypeCS",
      "target": "http://terminology.hl7.org/CodeSystem/insurance-product-type",
      "element": [
        {
          "code": "commppo",
          "target": [
            {
              "code": "commppo",
              "equivalence": "equal"
            }
          ]
        },
        {
          "code": "commhdhp",
          "target": [
            {
              "code": "commhdhp",
              "equivalence": "equal"
            }
          ]
        },
        {
          "code": "commpos",
          "target": [
            {
              "code": "commpos",
              "equivalence": "equal"
            }
          ]
        },
        {
          "code": "commhmo",
          "target": [
            {
              "code": "commhmo",
              "equivalence": "equal"
            }
          ]
        },
        {
          "code": "commepo",
          "target": [
            {
              "code": "commepo",
              "equivalence": "equal"
            }
          ]
        },
        {
          "code": "medi",
          "target": [
            {
              "code": "medi",
              "equivalence": "equal"
            }
          ]
        },
        {
          "code": "medihmo",
          "target": [
            {
              "code": "medihmo",
              "equivalence": "equal"
            }
          ]
        },
        {
          "code": "mediadv",
          "target": [
            {
              "code": "mediadv",
              "equivalence": "equal"
            }
          ]
        },
        {
          "code": "mediadvhmo",
          "target": [
            {
              "code": "mediadvhmo",
              "equivalence": "equal"
            }
          ]
        },
        {
          "code": "media",
          "target": [
            {
              "code": "media",
              "equivalence": "equal"
            }
          ]
        },
        {
          "code": "medib",
          "target": [
            {
              "code": "medib",
              "equivalence": "equal"
            }
          ]
        },
        {
          "code": "medid",
          "target": [
            {
              "code": "medid",
              "equivalence": "equal"
            }
          ]
        },
        {
          "code": "mediab",
          "target": [
            {
              "code": "mediab",
              "equivalence": "equal"
            }
          ]
        },
        {
          "code": "qhp",
          "target": [
            {
              "code": "qhp",
              "equivalence": "equal"
            }
          ]
        },
        {
          "code": "ihs",
          "target": [
            {
              "code": "ihs",
              "equivalence": "equal"
            }
          ]
        },
        {
          "code": "fep",
          "target": [
            {
              "code": "fep",
              "equivalence": "equal"
            }
          ]
        },
        {
          "code": "tri",
          "target": [
            {
              "code": "tri",
              "equivalence": "equal"
            }
          ]
        },
        {
          "code": "va",
          "target": [
            {
              "code": "va",
              "equivalence": "equal"
            }
          ]
        },
        {
          "code": "dent",
          "target": [
            {
              "code": "dent",
              "equivalence": "equal"
            }
          ]
        },
        {
          "code": "denthmo",
          "target": [
            {
              "code": "denthmo",
              "equivalence": "equal"
            }
          ]
        },
        {
          "code": "vis",
          "target": [
            {
              "code": "vis",
              "equivalence": "equal"
            }
          ]
        },
        {
          "code": "vishmo",
          "target": [
            {
              "code": "vishmo",
              "equivalence": "equal"
            }
          ]
        }
      ]
    }
  ]
}