FHIR IG analytics| Package | hl7.fhir.uv.xver-r4b.r3 |
| Resource Type | ConceptMap |
| Id | ConceptMap-R4B-Coverage-element-map-to-R3.json |
| FHIR Version | R3 |
| Source | http://hl7.org/fhir/uv/xver-r4b.r3/0.1.0/ConceptMap-R4B-Coverage-element-map-to-R3.html |
| URL | http://hl7.org/fhir/uv/xver/ConceptMap/R4B-Coverage-element-map-to-R3 |
| Version | 0.1.0 |
| Status | active |
| Date | 2026-03-17T16:04:29.4977621-05:00 |
| Name | R4BCoverageElementMapToR3 |
| Title | Cross-version mapping for FHIR R4B Coverage to FHIR STU3 Coverage |
| Realm | uv |
| Authority | hl7 |
| Description | This ConceptMap represents cross-version mappings for elements from a FHIR R4B Coverage to FHIR STU3. |
No resources found
| StructureDefinition | ||
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-Coverage.costToBeneficiary | R4B: Patient payments for services/products (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-Coverage.identifier | R4B: Business Identifier for the coverage additional types |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-Coverage.meta | R4B: meta additional types |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-Coverage.period | R4B: period additional types |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-Coverage.subrogation | R4B: Reimbursement to insurer (new) |
| hl7.fhir.uv.xver-r4b.r3#0.1.0 | extension-Coverage.text | R4B: text additional types |
Note: links and images are rebased to the (stated) source
Generated Narrative: ConceptMap R4B-Coverage-element-map-to-R3
Mapping from http://hl7.org/fhir/4.3 to http://hl7.org/fhir/3.0
Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/Coverage|4.3.0 to http://hl7.org/fhir/StructureDefinition/Coverage|3.0.2
| Source Code | Relationship | Target Code | Comment |
| Coverage.meta (meta) | maps to wider concept | Coverage.meta | Element `Coverage.meta` is mapped to FHIR STU3 element `Coverage.meta` as `SourceIsBroaderThanTarget`. The mappings for `Coverage.meta` do not cover the following types: Meta. The mappings for `Coverage.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId. |
| Coverage.implicitRules (implicitRules) | is equivalent to | Coverage.implicitRules | Element `Coverage.implicitRules` is mapped to FHIR STU3 element `Coverage.implicitRules` as `Equivalent`. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. |
| Coverage.language (language) | is equivalent to | Coverage.language | Element `Coverage.language` is mapped to FHIR STU3 element `Coverage.language` as `Equivalent`. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). |
| Coverage.text (text) | maps to wider concept | Coverage.text | Element `Coverage.text` is mapped to FHIR STU3 element `Coverage.text` as `SourceIsBroaderThanTarget`. The mappings for `Coverage.text` do not cover the following types: Narrative. The mappings for `Coverage.text` do not cover the following types based on type expansion: div, status. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. |
| Coverage.contained (contained) | is equivalent to | Coverage.contained | Element `Coverage.contained` is mapped to FHIR STU3 element `Coverage.contained` as `SourceIsBroaderThanTarget`. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. |
| Coverage.identifier (identifier) | maps to wider concept | Coverage.identifier | Element `Coverage.identifier` is mapped to FHIR STU3 element `Coverage.identifier` as `SourceIsBroaderThanTarget`. The mappings for `Coverage.identifier` do not cover the following types: Identifier. The mappings for `Coverage.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. The main (and possibly only) identifier for the coverage - often referred to as a Member Id, Certificate number, Personal Health Number or Case ID. May be constructed as the concatenation of the Coverage.SubscriberID and the Coverage.dependant. |
| Coverage.status (status) | is equivalent to | Coverage.status | Element `Coverage.status` is mapped to FHIR STU3 element `Coverage.status` as `Equivalent`. This element is labeled as a modifier because the status contains the code entered-in-error that marks the coverage as not currently valid. |
| Coverage.type (type) | is equivalent to | Coverage.type | Element `Coverage.type` is mapped to FHIR STU3 element `Coverage.type` as `Equivalent`. |
| Coverage.policyHolder (policyHolder) | maps to wider concept | Coverage.policyHolder | Element `Coverage.policyHolder` is mapped to FHIR STU3 element `Coverage.policyHolder` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Coverage.policyHolder` with unmapped reference targets: Organization, Patient, RelatedPerson. For example: may be an individual, corporation or the subscriber's employer. |
| Coverage.subscriber (subscriber) | maps to wider concept | Coverage.subscriber | Element `Coverage.subscriber` is mapped to FHIR STU3 element `Coverage.subscriber` as `SourceIsBroaderThanTarget`. The mappings for `Coverage.subscriber` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Coverage.subscriber` with unmapped reference targets: Patient, RelatedPerson. May be self or a parent in the case of dependants. |
| Coverage.subscriberId (subscriberId) | is equivalent to | Coverage.subscriberId | Element `Coverage.subscriberId` is mapped to FHIR STU3 element `Coverage.subscriberId` as `Equivalent`. |
| Coverage.beneficiary (beneficiary) | maps to wider concept | Coverage.beneficiary | Element `Coverage.beneficiary` is mapped to FHIR STU3 element `Coverage.beneficiary` as `SourceIsBroaderThanTarget`. The mappings for `Coverage.beneficiary` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Coverage.beneficiary` with unmapped reference targets: Patient. |
| Coverage.dependent (dependent) | is equivalent to | Coverage.dependent | Element `Coverage.dependent` is mapped to FHIR STU3 element `Coverage.dependent` as `Equivalent`. Periodically the member number is constructed from the subscriberId and the dependant number. |
| Coverage.relationship (relationship) | is equivalent to | Coverage.relationship | Element `Coverage.relationship` is mapped to FHIR STU3 element `Coverage.relationship` as `Equivalent`. Typically, an individual uses policies which are theirs (relationship='self') before policies owned by others. |
| Coverage.period (period) | maps to wider concept | Coverage.period | Element `Coverage.period` is mapped to FHIR STU3 element `Coverage.period` as `SourceIsBroaderThanTarget`. The mappings for `Coverage.period` do not cover the following types: Period. The mappings for `Coverage.period` do not cover the following types based on type expansion: end, start. |
| Coverage.payor (payor) | maps to wider concept | Coverage.payor | Element `Coverage.payor` is mapped to FHIR STU3 element `Coverage.payor` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Coverage.payor` with unmapped reference targets: Organization, Patient, RelatedPerson. May provide multiple identifiers such as insurance company identifier or business identifier (BIN number). For selfpay it may provide multiple paying persons and/or organizations. |
| Coverage.class (class) | maps to wider concept | Coverage.grouping | Element `Coverage.class` is mapped to FHIR STU3 element `Coverage.grouping` as `SourceIsBroaderThanTarget`. For example may be used to identify a class of coverage or employer group, Policy, Plan. |
| Coverage.class.type (type) | is equivalent to | Coverage.grouping | Element `Coverage.class.type` is mapped to FHIR STU3 element `Coverage.grouping` as `Equivalent`. |
| Coverage.class.value (value) | is equivalent to | Coverage.grouping | Element `Coverage.class.value` is mapped to FHIR STU3 element `Coverage.grouping` as `Equivalent`. For example, the Group or Plan number. |
| Coverage.class.name (name) | is equivalent to | Coverage.grouping | Element `Coverage.class.name` is mapped to FHIR STU3 element `Coverage.grouping` as `Equivalent`. |
| Coverage.order (order) | is equivalent to | Coverage.order | Element `Coverage.order` is mapped to FHIR STU3 element `Coverage.order` as `Equivalent`. |
| Coverage.network (network) | is equivalent to | Coverage.network | Element `Coverage.network` is mapped to FHIR STU3 element `Coverage.network` as `Equivalent`. |
| Coverage.contract (contract) | maps to wider concept | Coverage.contract | Element `Coverage.contract` is mapped to FHIR STU3 element `Coverage.contract` as `SourceIsBroaderThanTarget`. The mappings for `Coverage.contract` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Coverage.contract` with unmapped reference targets: Contract. |
Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/Coverage|4.3.0 to R4B: meta additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Coverage.meta (meta) | is equivalent to | Extension (R4B: meta additional types) | Element `Coverage.meta` is mapped to FHIR STU3 element `Coverage.meta` as `SourceIsBroaderThanTarget`. The mappings for `Coverage.meta` do not cover the following types: Meta. The mappings for `Coverage.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId. |
Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/Coverage|4.3.0 to R4B: text additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Coverage.text (text) | is equivalent to | Extension (R4B: text additional types) | Element `Coverage.text` is mapped to FHIR STU3 element `Coverage.text` as `SourceIsBroaderThanTarget`. The mappings for `Coverage.text` do not cover the following types: Narrative. The mappings for `Coverage.text` do not cover the following types based on type expansion: div, status. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. |
Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/Coverage|4.3.0 to R4B: Business Identifier for the coverage additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Coverage.identifier (identifier) | is equivalent to | Extension (R4B: Business Identifier for the coverage additional types) | Element `Coverage.identifier` is mapped to FHIR STU3 element `Coverage.identifier` as `SourceIsBroaderThanTarget`. The mappings for `Coverage.identifier` do not cover the following types: Identifier. The mappings for `Coverage.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. The main (and possibly only) identifier for the coverage - often referred to as a Member Id, Certificate number, Personal Health Number or Case ID. May be constructed as the concatenation of the Coverage.SubscriberID and the Coverage.dependant. |
Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/Coverage|4.3.0 to R4B: period additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Coverage.period (period) | is equivalent to | Extension (R4B: period additional types) | Element `Coverage.period` is mapped to FHIR STU3 element `Coverage.period` as `SourceIsBroaderThanTarget`. The mappings for `Coverage.period` do not cover the following types: Period. The mappings for `Coverage.period` do not cover the following types based on type expansion: end, start. |
Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/Coverage|4.3.0 to R4B: Patient payments for services/products (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Coverage.costToBeneficiary (costToBeneficiary) | is equivalent to | Extension (R4B: Patient payments for services/products (new)) | Element `Coverage.costToBeneficiary` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`. Element `Coverage.costToBeneficiary` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). For example by knowing the patient visit co-pay, the provider can collect the amount prior to undertaking treatment. |
| Coverage.costToBeneficiary.type (type) | is equivalent to | Extension.extension:type (R4B: Cost category (new)) | Element `Coverage.costToBeneficiary.type` is part of an existing definition because parent element `Coverage.costToBeneficiary` requires a cross-version extension. Element `Coverage.costToBeneficiary.type` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`. Element `Coverage.costToBeneficiary.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). For example visit, specialist visits, emergency, inpatient care, etc. |
| Coverage.costToBeneficiary.value[x] (value[x]) | is equivalent to | Extension.extension:value (R4B: The amount or percentage due from the beneficiary (new)) | Element `Coverage.costToBeneficiary.value[x]` is part of an existing definition because parent element `Coverage.costToBeneficiary` requires a cross-version extension. Element `Coverage.costToBeneficiary.value[x]` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`. Element `Coverage.costToBeneficiary.value[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Amount may be expressed as a percentage of the service/product cost or a fixed amount of currency. |
| Coverage.costToBeneficiary.exception (exception) | is equivalent to | Extension.extension:exception (R4B: Exceptions for patient payments (new)) | Element `Coverage.costToBeneficiary.exception` is part of an existing definition because parent element `Coverage.costToBeneficiary` requires a cross-version extension. Element `Coverage.costToBeneficiary.exception` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`. Element `Coverage.costToBeneficiary.exception` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
| Coverage.costToBeneficiary.exception.type (type) | is equivalent to | Extension.extension:exception.extension:type (R4B: Exception category (new)) | Element `Coverage.costToBeneficiary.exception.type` is part of an existing definition because parent element `Coverage.costToBeneficiary.exception` requires a cross-version extension. Element `Coverage.costToBeneficiary.exception.type` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`. Element `Coverage.costToBeneficiary.exception.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
| Coverage.costToBeneficiary.exception.period (period) | is equivalent to | Extension.extension:exception.extension:period (R4B: The effective period of the exception (new)) | Element `Coverage.costToBeneficiary.exception.period` is part of an existing definition because parent element `Coverage.costToBeneficiary.exception` requires a cross-version extension. Element `Coverage.costToBeneficiary.exception.period` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`. Element `Coverage.costToBeneficiary.exception.period` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/Coverage|4.3.0 to R4B: Reimbursement to insurer (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Coverage.subrogation (subrogation) | is equivalent to | Extension (R4B: Reimbursement to insurer (new)) | Element `Coverage.subrogation` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`. Element `Coverage.subrogation` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Typically, automotive and worker's compensation policies would be flagged with 'subrogation=true' to enable healthcare payors to collect against accident claims. |
{
"resourceType": "ConceptMap",
"id": "R4B-Coverage-element-map-to-R3",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fhir"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 0,
"_valueInteger": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use",
"_valueCode": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3"
}
]
}
}
],
"url": "http://hl7.org/fhir/uv/xver/ConceptMap/R4B-Coverage-element-map-to-R3",
"version": "0.1.0",
"name": "R4BCoverageElementMapToR3",
"title": "Cross-version mapping for FHIR R4B Coverage to FHIR STU3 Coverage",
"status": "active",
"experimental": false,
"date": "2026-03-17T16:04:29.4977621-05:00",
"contact": [
{
"name": "FHIR Infrastructure",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/fiwg"
}
]
}
],
"description": "This ConceptMap represents cross-version mappings for elements from a FHIR R4B Coverage to FHIR STU3.",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001",
"display": "World"
}
]
}
],
"sourceUri": "http://hl7.org/fhir/4.3",
"targetUri": "http://hl7.org/fhir/3.0",
"group": [
{
"source": "http://hl7.org/fhir/StructureDefinition/Coverage",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/StructureDefinition/Coverage",
"targetVersion": "3.0.2",
"element": [
{
"code": "Coverage.meta",
"display": "meta",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Coverage.meta",
"display": "Coverage.meta",
"equivalence": "wider",
"comment": "Element `Coverage.meta` is mapped to FHIR STU3 element `Coverage.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `Coverage.meta` do not cover the following types: Meta.\nThe mappings for `Coverage.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId."
}
]
},
{
"code": "Coverage.implicitRules",
"display": "implicitRules",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Coverage.implicitRules",
"display": "Coverage.implicitRules",
"equivalence": "equivalent",
"comment": "Element `Coverage.implicitRules` is mapped to FHIR STU3 element `Coverage.implicitRules` as `Equivalent`.\nAsserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."
}
]
},
{
"code": "Coverage.language",
"display": "language",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Coverage.language",
"display": "Coverage.language",
"equivalence": "equivalent",
"comment": "Element `Coverage.language` is mapped to FHIR STU3 element `Coverage.language` as `Equivalent`.\nLanguage is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."
}
]
},
{
"code": "Coverage.text",
"display": "text",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Coverage.text",
"display": "Coverage.text",
"equivalence": "wider",
"comment": "Element `Coverage.text` is mapped to FHIR STU3 element `Coverage.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `Coverage.text` do not cover the following types: Narrative.\nThe mappings for `Coverage.text` do not cover the following types based on type expansion: div, status.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later."
}
]
},
{
"code": "Coverage.contained",
"display": "contained",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Coverage.contained",
"display": "Coverage.contained",
"equivalence": "equivalent",
"comment": "Element `Coverage.contained` is mapped to FHIR STU3 element `Coverage.contained` as `SourceIsBroaderThanTarget`.\nThis should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."
}
]
},
{
"code": "Coverage.identifier",
"display": "identifier",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Coverage.identifier",
"display": "Coverage.identifier",
"equivalence": "wider",
"comment": "Element `Coverage.identifier` is mapped to FHIR STU3 element `Coverage.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `Coverage.identifier` do not cover the following types: Identifier.\nThe mappings for `Coverage.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.\nThe main (and possibly only) identifier for the coverage - often referred to as a Member Id, Certificate number, Personal Health Number or Case ID. May be constructed as the concatenation of the Coverage.SubscriberID and the Coverage.dependant."
}
]
},
{
"code": "Coverage.status",
"display": "status",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Coverage.status",
"display": "Coverage.status",
"equivalence": "equivalent",
"comment": "Element `Coverage.status` is mapped to FHIR STU3 element `Coverage.status` as `Equivalent`.\nThis element is labeled as a modifier because the status contains the code entered-in-error that marks the coverage as not currently valid."
}
]
},
{
"code": "Coverage.type",
"display": "type",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Coverage.type",
"display": "Coverage.type",
"equivalence": "equivalent",
"comment": "Element `Coverage.type` is mapped to FHIR STU3 element `Coverage.type` as `Equivalent`."
}
]
},
{
"code": "Coverage.policyHolder",
"display": "policyHolder",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Coverage.policyHolder",
"display": "Coverage.policyHolder",
"equivalence": "wider",
"comment": "Element `Coverage.policyHolder` is mapped to FHIR STU3 element `Coverage.policyHolder` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Coverage.policyHolder` with unmapped reference targets: Organization, Patient, RelatedPerson.\nFor example: may be an individual, corporation or the subscriber's employer."
}
]
},
{
"code": "Coverage.subscriber",
"display": "subscriber",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Coverage.subscriber",
"display": "Coverage.subscriber",
"equivalence": "wider",
"comment": "Element `Coverage.subscriber` is mapped to FHIR STU3 element `Coverage.subscriber` as `SourceIsBroaderThanTarget`.\nThe mappings for `Coverage.subscriber` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Coverage.subscriber` with unmapped reference targets: Patient, RelatedPerson.\nMay be self or a parent in the case of dependants."
}
]
},
{
"code": "Coverage.subscriberId",
"display": "subscriberId",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Coverage.subscriberId",
"display": "Coverage.subscriberId",
"equivalence": "equivalent",
"comment": "Element `Coverage.subscriberId` is mapped to FHIR STU3 element `Coverage.subscriberId` as `Equivalent`."
}
]
},
{
"code": "Coverage.beneficiary",
"display": "beneficiary",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Coverage.beneficiary",
"display": "Coverage.beneficiary",
"equivalence": "wider",
"comment": "Element `Coverage.beneficiary` is mapped to FHIR STU3 element `Coverage.beneficiary` as `SourceIsBroaderThanTarget`.\nThe mappings for `Coverage.beneficiary` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Coverage.beneficiary` with unmapped reference targets: Patient."
}
]
},
{
"code": "Coverage.dependent",
"display": "dependent",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Coverage.dependent",
"display": "Coverage.dependent",
"equivalence": "equivalent",
"comment": "Element `Coverage.dependent` is mapped to FHIR STU3 element `Coverage.dependent` as `Equivalent`.\nPeriodically the member number is constructed from the subscriberId and the dependant number."
}
]
},
{
"code": "Coverage.relationship",
"display": "relationship",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Coverage.relationship",
"display": "Coverage.relationship",
"equivalence": "equivalent",
"comment": "Element `Coverage.relationship` is mapped to FHIR STU3 element `Coverage.relationship` as `Equivalent`.\nTypically, an individual uses policies which are theirs (relationship='self') before policies owned by others."
}
]
},
{
"code": "Coverage.period",
"display": "period",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Coverage.period",
"display": "Coverage.period",
"equivalence": "wider",
"comment": "Element `Coverage.period` is mapped to FHIR STU3 element `Coverage.period` as `SourceIsBroaderThanTarget`.\nThe mappings for `Coverage.period` do not cover the following types: Period.\nThe mappings for `Coverage.period` do not cover the following types based on type expansion: end, start."
}
]
},
{
"code": "Coverage.payor",
"display": "payor",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Coverage.payor",
"display": "Coverage.payor",
"equivalence": "wider",
"comment": "Element `Coverage.payor` is mapped to FHIR STU3 element `Coverage.payor` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Coverage.payor` with unmapped reference targets: Organization, Patient, RelatedPerson.\nMay provide multiple identifiers such as insurance company identifier or business identifier (BIN number).\nFor selfpay it may provide multiple paying persons and/or organizations."
}
]
},
{
"code": "Coverage.class",
"display": "class",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Coverage.grouping",
"display": "Coverage.grouping",
"equivalence": "wider",
"comment": "Element `Coverage.class` is mapped to FHIR STU3 element `Coverage.grouping` as `SourceIsBroaderThanTarget`.\nFor example may be used to identify a class of coverage or employer group, Policy, Plan."
}
]
},
{
"code": "Coverage.class.type",
"display": "type",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Coverage.grouping",
"display": "Coverage.grouping",
"equivalence": "equivalent",
"comment": "Element `Coverage.class.type` is mapped to FHIR STU3 element `Coverage.grouping` as `Equivalent`."
}
]
},
{
"code": "Coverage.class.value",
"display": "value",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Coverage.grouping",
"display": "Coverage.grouping",
"equivalence": "equivalent",
"comment": "Element `Coverage.class.value` is mapped to FHIR STU3 element `Coverage.grouping` as `Equivalent`.\nFor example, the Group or Plan number."
}
]
},
{
"code": "Coverage.class.name",
"display": "name",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Coverage.grouping",
"display": "Coverage.grouping",
"equivalence": "equivalent",
"comment": "Element `Coverage.class.name` is mapped to FHIR STU3 element `Coverage.grouping` as `Equivalent`."
}
]
},
{
"code": "Coverage.order",
"display": "order",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Coverage.order",
"display": "Coverage.order",
"equivalence": "equivalent",
"comment": "Element `Coverage.order` is mapped to FHIR STU3 element `Coverage.order` as `Equivalent`."
}
]
},
{
"code": "Coverage.network",
"display": "network",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Coverage.network",
"display": "Coverage.network",
"equivalence": "equivalent",
"comment": "Element `Coverage.network` is mapped to FHIR STU3 element `Coverage.network` as `Equivalent`."
}
]
},
{
"code": "Coverage.contract",
"display": "contract",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Coverage.contract",
"display": "Coverage.contract",
"equivalence": "wider",
"comment": "Element `Coverage.contract` is mapped to FHIR STU3 element `Coverage.contract` as `SourceIsBroaderThanTarget`.\nThe mappings for `Coverage.contract` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Coverage.contract` with unmapped reference targets: Contract."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/Coverage",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Coverage.meta",
"targetVersion": "0.1.0",
"element": [
{
"code": "Coverage.meta",
"display": "meta",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `Coverage.meta` is mapped to FHIR STU3 element `Coverage.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `Coverage.meta` do not cover the following types: Meta.\nThe mappings for `Coverage.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/Coverage",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Coverage.text",
"targetVersion": "0.1.0",
"element": [
{
"code": "Coverage.text",
"display": "text",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `Coverage.text` is mapped to FHIR STU3 element `Coverage.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `Coverage.text` do not cover the following types: Narrative.\nThe mappings for `Coverage.text` do not cover the following types based on type expansion: div, status.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/Coverage",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Coverage.identifier",
"targetVersion": "0.1.0",
"element": [
{
"code": "Coverage.identifier",
"display": "identifier",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `Coverage.identifier` is mapped to FHIR STU3 element `Coverage.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `Coverage.identifier` do not cover the following types: Identifier.\nThe mappings for `Coverage.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.\nThe main (and possibly only) identifier for the coverage - often referred to as a Member Id, Certificate number, Personal Health Number or Case ID. May be constructed as the concatenation of the Coverage.SubscriberID and the Coverage.dependant."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/Coverage",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Coverage.period",
"targetVersion": "0.1.0",
"element": [
{
"code": "Coverage.period",
"display": "period",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `Coverage.period` is mapped to FHIR STU3 element `Coverage.period` as `SourceIsBroaderThanTarget`.\nThe mappings for `Coverage.period` do not cover the following types: Period.\nThe mappings for `Coverage.period` do not cover the following types based on type expansion: end, start."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/Coverage",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Coverage.costToBeneficiary",
"targetVersion": "0.1.0",
"element": [
{
"code": "Coverage.costToBeneficiary",
"display": "costToBeneficiary",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `Coverage.costToBeneficiary` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`.\nElement `Coverage.costToBeneficiary` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nFor example by knowing the patient visit co-pay, the provider can collect the amount prior to undertaking treatment."
}
]
},
{
"code": "Coverage.costToBeneficiary.type",
"display": "type",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension.extension:type",
"equivalence": "equivalent",
"comment": "Element `Coverage.costToBeneficiary.type` is part of an existing definition because parent element `Coverage.costToBeneficiary` requires a cross-version extension.\nElement `Coverage.costToBeneficiary.type` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`.\nElement `Coverage.costToBeneficiary.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nFor example visit, specialist visits, emergency, inpatient care, etc."
}
]
},
{
"code": "Coverage.costToBeneficiary.value[x]",
"display": "value[x]",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension.extension:value",
"equivalence": "equivalent",
"comment": "Element `Coverage.costToBeneficiary.value[x]` is part of an existing definition because parent element `Coverage.costToBeneficiary` requires a cross-version extension.\nElement `Coverage.costToBeneficiary.value[x]` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`.\nElement `Coverage.costToBeneficiary.value[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nAmount may be expressed as a percentage of the service/product cost or a fixed amount of currency."
}
]
},
{
"code": "Coverage.costToBeneficiary.exception",
"display": "exception",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension.extension:exception",
"equivalence": "equivalent",
"comment": "Element `Coverage.costToBeneficiary.exception` is part of an existing definition because parent element `Coverage.costToBeneficiary` requires a cross-version extension.\nElement `Coverage.costToBeneficiary.exception` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`.\nElement `Coverage.costToBeneficiary.exception` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
}
]
},
{
"code": "Coverage.costToBeneficiary.exception.type",
"display": "type",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension.extension:exception.extension:type",
"equivalence": "equivalent",
"comment": "Element `Coverage.costToBeneficiary.exception.type` is part of an existing definition because parent element `Coverage.costToBeneficiary.exception` requires a cross-version extension.\nElement `Coverage.costToBeneficiary.exception.type` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`.\nElement `Coverage.costToBeneficiary.exception.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
}
]
},
{
"code": "Coverage.costToBeneficiary.exception.period",
"display": "period",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension.extension:exception.extension:period",
"equivalence": "equivalent",
"comment": "Element `Coverage.costToBeneficiary.exception.period` is part of an existing definition because parent element `Coverage.costToBeneficiary.exception` requires a cross-version extension.\nElement `Coverage.costToBeneficiary.exception.period` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`.\nElement `Coverage.costToBeneficiary.exception.period` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/Coverage",
"sourceVersion": "4.3.0",
"target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Coverage.subrogation",
"targetVersion": "0.1.0",
"element": [
{
"code": "Coverage.subrogation",
"display": "subrogation",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `Coverage.subrogation` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`.\nElement `Coverage.subrogation` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nTypically, automotive and worker's compensation policies would be flagged with 'subrogation=true' to enable healthcare payors to collect against accident claims."
}
]
}
]
}
]
}