FHIR IG analytics| Package | hl7.fhir.uv.xver-r4b.r5 |
| Resource Type | ConceptMap |
| Id | ConceptMap-R4B-CoverageEligibilityRequest-element-map-to-R5.json |
| FHIR Version | R5 |
| Source | http://hl7.org/fhir/uv/xver-r4b.r5/0.1.0/ConceptMap-R4B-CoverageEligibilityRequest-element-map-to-R5.html |
| URL | http://hl7.org/fhir/uv/xver/ConceptMap/R4B-CoverageEligibilityRequest-element-map-to-R5 |
| Version | 0.1.0 |
| Status | active |
| Date | 2026-03-17T16:03:51.2009413-05:00 |
| Name | R4BCoverageEligibilityRequestElementMapToR5 |
| Title | Cross-version mapping for FHIR R4B CoverageEligibilityRequest to FHIR R5 CoverageEligibilityRequest |
| Realm | uv |
| Authority | hl7 |
| Description | This ConceptMap represents cross-version mappings for elements from a FHIR R4B CoverageEligibilityRequest to FHIR R5. |
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Note: links and images are rebased to the (stated) source
Generated Narrative: ConceptMap R4B-CoverageEligibilityRequest-element-map-to-R5
Mapping from http://hl7.org/fhir/4.3 to http://hl7.org/fhir/5.0
Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/CoverageEligibilityRequest|4.3.0 to CoverageEligibilityRequestversion: 5.0.0)
| Source Code | Relationship | Target Code | Comment |
| CoverageEligibilityRequest.meta (meta) | is equivalent to | CoverageEligibilityRequest.meta | Element `CoverageEligibilityRequest.meta` is mapped to FHIR R5 element `CoverageEligibilityRequest.meta` as `Equivalent`. |
| CoverageEligibilityRequest.implicitRules (implicitRules) | is equivalent to | CoverageEligibilityRequest.implicitRules | Element `CoverageEligibilityRequest.implicitRules` is mapped to FHIR R5 element `CoverageEligibilityRequest.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. |
| CoverageEligibilityRequest.language (language) | is equivalent to | CoverageEligibilityRequest.language | Element `CoverageEligibilityRequest.language` is mapped to FHIR R5 element `CoverageEligibilityRequest.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). |
| CoverageEligibilityRequest.text (text) | is equivalent to | CoverageEligibilityRequest.text | Element `CoverageEligibilityRequest.text` is mapped to FHIR R5 element `CoverageEligibilityRequest.text` as `Equivalent`. 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. |
| CoverageEligibilityRequest.contained (contained) | is equivalent to | CoverageEligibilityRequest.contained | Element `CoverageEligibilityRequest.contained` is mapped to FHIR R5 element `CoverageEligibilityRequest.contained` as `Equivalent`. 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. |
| CoverageEligibilityRequest.identifier (identifier) | is equivalent to | CoverageEligibilityRequest.identifier | Element `CoverageEligibilityRequest.identifier` is mapped to FHIR R5 element `CoverageEligibilityRequest.identifier` as `Equivalent`. |
| CoverageEligibilityRequest.status (status) | is equivalent to | CoverageEligibilityRequest.status | Element `CoverageEligibilityRequest.status` is mapped to FHIR R5 element `CoverageEligibilityRequest.status` as `Equivalent`. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
| CoverageEligibilityRequest.priority (priority) | is equivalent to | CoverageEligibilityRequest.priority | Element `CoverageEligibilityRequest.priority` is mapped to FHIR R5 element `CoverageEligibilityRequest.priority` as `Equivalent`. |
| CoverageEligibilityRequest.purpose (purpose) | is equivalent to | CoverageEligibilityRequest.purpose | Element `CoverageEligibilityRequest.purpose` is mapped to FHIR R5 element `CoverageEligibilityRequest.purpose` as `Equivalent`. |
| CoverageEligibilityRequest.patient (patient) | is equivalent to | CoverageEligibilityRequest.patient | Element `CoverageEligibilityRequest.patient` is mapped to FHIR R5 element `CoverageEligibilityRequest.patient` as `Equivalent`. 1..1. |
| CoverageEligibilityRequest.serviced[x] (serviced[x]) | is equivalent to | CoverageEligibilityRequest.serviced[x] | Element `CoverageEligibilityRequest.serviced[x]` is mapped to FHIR R5 element `CoverageEligibilityRequest.serviced[x]` as `Equivalent`. The target context `CoverageEligibilityRequest.serviced[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `CoverageEligibilityRequest`. |
| CoverageEligibilityRequest.created (created) | is equivalent to | CoverageEligibilityRequest.created | Element `CoverageEligibilityRequest.created` is mapped to FHIR R5 element `CoverageEligibilityRequest.created` as `Equivalent`. |
| CoverageEligibilityRequest.enterer (enterer) | is equivalent to | CoverageEligibilityRequest.enterer | Element `CoverageEligibilityRequest.enterer` is mapped to FHIR R5 element `CoverageEligibilityRequest.enterer` as `Equivalent`. |
| CoverageEligibilityRequest.provider (provider) | is equivalent to | CoverageEligibilityRequest.provider | Element `CoverageEligibilityRequest.provider` is mapped to FHIR R5 element `CoverageEligibilityRequest.provider` as `Equivalent`. Typically this field would be 1..1 where this party is responsible for the eligibility request but not necessarily professionally responsible for the provision of the individual products and services listed below. |
| CoverageEligibilityRequest.insurer (insurer) | is equivalent to | CoverageEligibilityRequest.insurer | Element `CoverageEligibilityRequest.insurer` is mapped to FHIR R5 element `CoverageEligibilityRequest.insurer` as `Equivalent`. |
| CoverageEligibilityRequest.facility (facility) | is equivalent to | CoverageEligibilityRequest.facility | Element `CoverageEligibilityRequest.facility` is mapped to FHIR R5 element `CoverageEligibilityRequest.facility` as `Equivalent`. |
| CoverageEligibilityRequest.supportingInfo (supportingInfo) | is broader than | CoverageEligibilityRequest.supportingInfo | Element `CoverageEligibilityRequest.supportingInfo` is mapped to FHIR R5 element `CoverageEligibilityRequest.supportingInfo` as `Equivalent`. Often there are multiple jurisdiction specific valuesets which are required. |
| CoverageEligibilityRequest.supportingInfo.sequence (sequence) | is equivalent to | CoverageEligibilityRequest.supportingInfo.sequence | Element `CoverageEligibilityRequest.supportingInfo.sequence` is mapped to FHIR R5 element `CoverageEligibilityRequest.supportingInfo.sequence` as `Equivalent`. |
| CoverageEligibilityRequest.supportingInfo.information (information) | is equivalent to | CoverageEligibilityRequest.supportingInfo.information | Element `CoverageEligibilityRequest.supportingInfo.information` is mapped to FHIR R5 element `CoverageEligibilityRequest.supportingInfo.information` as `Equivalent`. Could be used to provide references to other resources, document. For example could contain a PDF in an Attachment of the Police Report for an Accident. |
| CoverageEligibilityRequest.supportingInfo.appliesToAll (appliesToAll) | is equivalent to | CoverageEligibilityRequest.supportingInfo.appliesToAll | Element `CoverageEligibilityRequest.supportingInfo.appliesToAll` is mapped to FHIR R5 element `CoverageEligibilityRequest.supportingInfo.appliesToAll` as `Equivalent`. |
| CoverageEligibilityRequest.insurance (insurance) | is broader than | CoverageEligibilityRequest.insurance | Element `CoverageEligibilityRequest.insurance` is mapped to FHIR R5 element `CoverageEligibilityRequest.insurance` as `Equivalent`. All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim. |
| CoverageEligibilityRequest.insurance.focal (focal) | is equivalent to | CoverageEligibilityRequest.insurance.focal | Element `CoverageEligibilityRequest.insurance.focal` is mapped to FHIR R5 element `CoverageEligibilityRequest.insurance.focal` as `Equivalent`. A patient may (will) have multiple insurance policies which provide reimburement for healthcare services and products. For example a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for evaluating this request. Other requests would be created to request evaluation against the other listed policies. |
| CoverageEligibilityRequest.insurance.coverage (coverage) | is equivalent to | CoverageEligibilityRequest.insurance.coverage | Element `CoverageEligibilityRequest.insurance.coverage` is mapped to FHIR R5 element `CoverageEligibilityRequest.insurance.coverage` as `Equivalent`. |
| CoverageEligibilityRequest.insurance.businessArrangement (businessArrangement) | is equivalent to | CoverageEligibilityRequest.insurance.businessArrangement | Element `CoverageEligibilityRequest.insurance.businessArrangement` is mapped to FHIR R5 element `CoverageEligibilityRequest.insurance.businessArrangement` as `Equivalent`. |
| CoverageEligibilityRequest.item (item) | is broader than | CoverageEligibilityRequest.item | Element `CoverageEligibilityRequest.item` is mapped to FHIR R5 element `CoverageEligibilityRequest.item` as `Equivalent`. |
| CoverageEligibilityRequest.item.supportingInfoSequence (supportingInfoSequence) | is equivalent to | CoverageEligibilityRequest.item.supportingInfoSequence | Element `CoverageEligibilityRequest.item.supportingInfoSequence` is mapped to FHIR R5 element `CoverageEligibilityRequest.item.supportingInfoSequence` as `Equivalent`. |
| CoverageEligibilityRequest.item.category (category) | is equivalent to | CoverageEligibilityRequest.item.category | Element `CoverageEligibilityRequest.item.category` is mapped to FHIR R5 element `CoverageEligibilityRequest.item.category` as `Equivalent`. Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage. |
| CoverageEligibilityRequest.item.productOrService (productOrService) | is equivalent to | CoverageEligibilityRequest.item.productOrService | Element `CoverageEligibilityRequest.item.productOrService` is mapped to FHIR R5 element `CoverageEligibilityRequest.item.productOrService` as `Equivalent`. Code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). |
| CoverageEligibilityRequest.item.modifier (modifier) | is equivalent to | CoverageEligibilityRequest.item.modifier | Element `CoverageEligibilityRequest.item.modifier` is mapped to FHIR R5 element `CoverageEligibilityRequest.item.modifier` as `Equivalent`. For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours. |
| CoverageEligibilityRequest.item.provider (provider) | is equivalent to | CoverageEligibilityRequest.item.provider | Element `CoverageEligibilityRequest.item.provider` is mapped to FHIR R5 element `CoverageEligibilityRequest.item.provider` as `Equivalent`. |
| CoverageEligibilityRequest.item.quantity (quantity) | is equivalent to | CoverageEligibilityRequest.item.quantity | Element `CoverageEligibilityRequest.item.quantity` is mapped to FHIR R5 element `CoverageEligibilityRequest.item.quantity` as `Equivalent`. |
| CoverageEligibilityRequest.item.unitPrice (unitPrice) | is equivalent to | CoverageEligibilityRequest.item.unitPrice | Element `CoverageEligibilityRequest.item.unitPrice` is mapped to FHIR R5 element `CoverageEligibilityRequest.item.unitPrice` as `Equivalent`. |
| CoverageEligibilityRequest.item.facility (facility) | is equivalent to | CoverageEligibilityRequest.item.facility | Element `CoverageEligibilityRequest.item.facility` is mapped to FHIR R5 element `CoverageEligibilityRequest.item.facility` as `Equivalent`. |
| CoverageEligibilityRequest.item.diagnosis (diagnosis) | is broader than | CoverageEligibilityRequest.item.diagnosis | Element `CoverageEligibilityRequest.item.diagnosis` is mapped to FHIR R5 element `CoverageEligibilityRequest.item.diagnosis` as `Equivalent`. |
| CoverageEligibilityRequest.item.diagnosis.diagnosis[x] (diagnosis[x]) | is equivalent to | CoverageEligibilityRequest.item.diagnosis.diagnosis[x] | Element `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` is mapped to FHIR R5 element `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` as `Equivalent`. The target context `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `CoverageEligibilityRequest.item.diagnosis`. |
| CoverageEligibilityRequest.item.detail (detail) | is equivalent to | CoverageEligibilityRequest.item.detail | Element `CoverageEligibilityRequest.item.detail` is mapped to FHIR R5 element `CoverageEligibilityRequest.item.detail` as `Equivalent`. |
FHIR
FHIRsmith{
"resourceType": "ConceptMap",
"id": "R4B-CoverageEligibilityRequest-element-map-to-R5",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fhir"
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{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 0,
"_valueInteger": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r5"
}
]
}
},
{
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"valueCode": "trial-use",
"_valueCode": {
"extension": [
{
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],
"url": "http://hl7.org/fhir/uv/xver/ConceptMap/R4B-CoverageEligibilityRequest-element-map-to-R5",
"version": "0.1.0",
"name": "R4BCoverageEligibilityRequestElementMapToR5",
"title": "Cross-version mapping for FHIR R4B CoverageEligibilityRequest to FHIR R5 CoverageEligibilityRequest",
"status": "active",
"experimental": false,
"date": "2026-03-17T16:03:51.2009413-05:00",
"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 CoverageEligibilityRequest to FHIR R5.",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001",
"display": "World"
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]
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],
"sourceScopeCanonical": "http://hl7.org/fhir/4.3",
"targetScopeUri": "http://hl7.org/fhir/5.0",
"group": [
{
"source": "http://hl7.org/fhir/StructureDefinition/CoverageEligibilityRequest|4.3.0",
"target": "http://hl7.org/fhir/StructureDefinition/CoverageEligibilityRequest|5.0.0",
"element": [
{
"code": "CoverageEligibilityRequest.meta",
"display": "meta",
"target": [
{
"code": "CoverageEligibilityRequest.meta",
"display": "CoverageEligibilityRequest.meta",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.meta` is mapped to FHIR R5 element `CoverageEligibilityRequest.meta` as `Equivalent`."
}
]
},
{
"code": "CoverageEligibilityRequest.implicitRules",
"display": "implicitRules",
"target": [
{
"code": "CoverageEligibilityRequest.implicitRules",
"display": "CoverageEligibilityRequest.implicitRules",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.implicitRules` is mapped to FHIR R5 element `CoverageEligibilityRequest.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": "CoverageEligibilityRequest.language",
"display": "language",
"target": [
{
"code": "CoverageEligibilityRequest.language",
"display": "CoverageEligibilityRequest.language",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.language` is mapped to FHIR R5 element `CoverageEligibilityRequest.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": "CoverageEligibilityRequest.text",
"display": "text",
"target": [
{
"code": "CoverageEligibilityRequest.text",
"display": "CoverageEligibilityRequest.text",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.text` is mapped to FHIR R5 element `CoverageEligibilityRequest.text` as `Equivalent`.\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": "CoverageEligibilityRequest.contained",
"display": "contained",
"target": [
{
"code": "CoverageEligibilityRequest.contained",
"display": "CoverageEligibilityRequest.contained",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.contained` is mapped to FHIR R5 element `CoverageEligibilityRequest.contained` as `Equivalent`.\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": "CoverageEligibilityRequest.identifier",
"display": "identifier",
"target": [
{
"code": "CoverageEligibilityRequest.identifier",
"display": "CoverageEligibilityRequest.identifier",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.identifier` is mapped to FHIR R5 element `CoverageEligibilityRequest.identifier` as `Equivalent`."
}
]
},
{
"code": "CoverageEligibilityRequest.status",
"display": "status",
"target": [
{
"code": "CoverageEligibilityRequest.status",
"display": "CoverageEligibilityRequest.status",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.status` is mapped to FHIR R5 element `CoverageEligibilityRequest.status` as `Equivalent`.\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."
}
]
},
{
"code": "CoverageEligibilityRequest.priority",
"display": "priority",
"target": [
{
"code": "CoverageEligibilityRequest.priority",
"display": "CoverageEligibilityRequest.priority",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.priority` is mapped to FHIR R5 element `CoverageEligibilityRequest.priority` as `Equivalent`."
}
]
},
{
"code": "CoverageEligibilityRequest.purpose",
"display": "purpose",
"target": [
{
"code": "CoverageEligibilityRequest.purpose",
"display": "CoverageEligibilityRequest.purpose",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.purpose` is mapped to FHIR R5 element `CoverageEligibilityRequest.purpose` as `Equivalent`."
}
]
},
{
"code": "CoverageEligibilityRequest.patient",
"display": "patient",
"target": [
{
"code": "CoverageEligibilityRequest.patient",
"display": "CoverageEligibilityRequest.patient",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.patient` is mapped to FHIR R5 element `CoverageEligibilityRequest.patient` as `Equivalent`.\n1..1."
}
]
},
{
"code": "CoverageEligibilityRequest.serviced[x]",
"display": "serviced[x]",
"target": [
{
"code": "CoverageEligibilityRequest.serviced[x]",
"display": "CoverageEligibilityRequest.serviced[x]",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.serviced[x]` is mapped to FHIR R5 element `CoverageEligibilityRequest.serviced[x]` as `Equivalent`.\nThe target context `CoverageEligibilityRequest.serviced[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `CoverageEligibilityRequest`."
}
]
},
{
"code": "CoverageEligibilityRequest.created",
"display": "created",
"target": [
{
"code": "CoverageEligibilityRequest.created",
"display": "CoverageEligibilityRequest.created",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.created` is mapped to FHIR R5 element `CoverageEligibilityRequest.created` as `Equivalent`."
}
]
},
{
"code": "CoverageEligibilityRequest.enterer",
"display": "enterer",
"target": [
{
"code": "CoverageEligibilityRequest.enterer",
"display": "CoverageEligibilityRequest.enterer",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.enterer` is mapped to FHIR R5 element `CoverageEligibilityRequest.enterer` as `Equivalent`."
}
]
},
{
"code": "CoverageEligibilityRequest.provider",
"display": "provider",
"target": [
{
"code": "CoverageEligibilityRequest.provider",
"display": "CoverageEligibilityRequest.provider",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.provider` is mapped to FHIR R5 element `CoverageEligibilityRequest.provider` as `Equivalent`.\nTypically this field would be 1..1 where this party is responsible for the eligibility request but not necessarily professionally responsible for the provision of the individual products and services listed below."
}
]
},
{
"code": "CoverageEligibilityRequest.insurer",
"display": "insurer",
"target": [
{
"code": "CoverageEligibilityRequest.insurer",
"display": "CoverageEligibilityRequest.insurer",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.insurer` is mapped to FHIR R5 element `CoverageEligibilityRequest.insurer` as `Equivalent`."
}
]
},
{
"code": "CoverageEligibilityRequest.facility",
"display": "facility",
"target": [
{
"code": "CoverageEligibilityRequest.facility",
"display": "CoverageEligibilityRequest.facility",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.facility` is mapped to FHIR R5 element `CoverageEligibilityRequest.facility` as `Equivalent`."
}
]
},
{
"code": "CoverageEligibilityRequest.supportingInfo",
"display": "supportingInfo",
"target": [
{
"code": "CoverageEligibilityRequest.supportingInfo",
"display": "CoverageEligibilityRequest.supportingInfo",
"relationship": "source-is-broader-than-target",
"comment": "Element `CoverageEligibilityRequest.supportingInfo` is mapped to FHIR R5 element `CoverageEligibilityRequest.supportingInfo` as `Equivalent`.\nOften there are multiple jurisdiction specific valuesets which are required."
}
]
},
{
"code": "CoverageEligibilityRequest.supportingInfo.sequence",
"display": "sequence",
"target": [
{
"code": "CoverageEligibilityRequest.supportingInfo.sequence",
"display": "CoverageEligibilityRequest.supportingInfo.sequence",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.supportingInfo.sequence` is mapped to FHIR R5 element `CoverageEligibilityRequest.supportingInfo.sequence` as `Equivalent`."
}
]
},
{
"code": "CoverageEligibilityRequest.supportingInfo.information",
"display": "information",
"target": [
{
"code": "CoverageEligibilityRequest.supportingInfo.information",
"display": "CoverageEligibilityRequest.supportingInfo.information",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.supportingInfo.information` is mapped to FHIR R5 element `CoverageEligibilityRequest.supportingInfo.information` as `Equivalent`.\nCould be used to provide references to other resources, document. For example could contain a PDF in an Attachment of the Police Report for an Accident."
}
]
},
{
"code": "CoverageEligibilityRequest.supportingInfo.appliesToAll",
"display": "appliesToAll",
"target": [
{
"code": "CoverageEligibilityRequest.supportingInfo.appliesToAll",
"display": "CoverageEligibilityRequest.supportingInfo.appliesToAll",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.supportingInfo.appliesToAll` is mapped to FHIR R5 element `CoverageEligibilityRequest.supportingInfo.appliesToAll` as `Equivalent`."
}
]
},
{
"code": "CoverageEligibilityRequest.insurance",
"display": "insurance",
"target": [
{
"code": "CoverageEligibilityRequest.insurance",
"display": "CoverageEligibilityRequest.insurance",
"relationship": "source-is-broader-than-target",
"comment": "Element `CoverageEligibilityRequest.insurance` is mapped to FHIR R5 element `CoverageEligibilityRequest.insurance` as `Equivalent`.\nAll insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim."
}
]
},
{
"code": "CoverageEligibilityRequest.insurance.focal",
"display": "focal",
"target": [
{
"code": "CoverageEligibilityRequest.insurance.focal",
"display": "CoverageEligibilityRequest.insurance.focal",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.insurance.focal` is mapped to FHIR R5 element `CoverageEligibilityRequest.insurance.focal` as `Equivalent`.\nA patient may (will) have multiple insurance policies which provide reimburement for healthcare services and products. For example a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for evaluating this request. Other requests would be created to request evaluation against the other listed policies."
}
]
},
{
"code": "CoverageEligibilityRequest.insurance.coverage",
"display": "coverage",
"target": [
{
"code": "CoverageEligibilityRequest.insurance.coverage",
"display": "CoverageEligibilityRequest.insurance.coverage",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.insurance.coverage` is mapped to FHIR R5 element `CoverageEligibilityRequest.insurance.coverage` as `Equivalent`."
}
]
},
{
"code": "CoverageEligibilityRequest.insurance.businessArrangement",
"display": "businessArrangement",
"target": [
{
"code": "CoverageEligibilityRequest.insurance.businessArrangement",
"display": "CoverageEligibilityRequest.insurance.businessArrangement",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.insurance.businessArrangement` is mapped to FHIR R5 element `CoverageEligibilityRequest.insurance.businessArrangement` as `Equivalent`."
}
]
},
{
"code": "CoverageEligibilityRequest.item",
"display": "item",
"target": [
{
"code": "CoverageEligibilityRequest.item",
"display": "CoverageEligibilityRequest.item",
"relationship": "source-is-broader-than-target",
"comment": "Element `CoverageEligibilityRequest.item` is mapped to FHIR R5 element `CoverageEligibilityRequest.item` as `Equivalent`."
}
]
},
{
"code": "CoverageEligibilityRequest.item.supportingInfoSequence",
"display": "supportingInfoSequence",
"target": [
{
"code": "CoverageEligibilityRequest.item.supportingInfoSequence",
"display": "CoverageEligibilityRequest.item.supportingInfoSequence",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.item.supportingInfoSequence` is mapped to FHIR R5 element `CoverageEligibilityRequest.item.supportingInfoSequence` as `Equivalent`."
}
]
},
{
"code": "CoverageEligibilityRequest.item.category",
"display": "category",
"target": [
{
"code": "CoverageEligibilityRequest.item.category",
"display": "CoverageEligibilityRequest.item.category",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.item.category` is mapped to FHIR R5 element `CoverageEligibilityRequest.item.category` as `Equivalent`.\nExamples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage."
}
]
},
{
"code": "CoverageEligibilityRequest.item.productOrService",
"display": "productOrService",
"target": [
{
"code": "CoverageEligibilityRequest.item.productOrService",
"display": "CoverageEligibilityRequest.item.productOrService",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.item.productOrService` is mapped to FHIR R5 element `CoverageEligibilityRequest.item.productOrService` as `Equivalent`.\nCode to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI)."
}
]
},
{
"code": "CoverageEligibilityRequest.item.modifier",
"display": "modifier",
"target": [
{
"code": "CoverageEligibilityRequest.item.modifier",
"display": "CoverageEligibilityRequest.item.modifier",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.item.modifier` is mapped to FHIR R5 element `CoverageEligibilityRequest.item.modifier` as `Equivalent`.\nFor example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours."
}
]
},
{
"code": "CoverageEligibilityRequest.item.provider",
"display": "provider",
"target": [
{
"code": "CoverageEligibilityRequest.item.provider",
"display": "CoverageEligibilityRequest.item.provider",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.item.provider` is mapped to FHIR R5 element `CoverageEligibilityRequest.item.provider` as `Equivalent`."
}
]
},
{
"code": "CoverageEligibilityRequest.item.quantity",
"display": "quantity",
"target": [
{
"code": "CoverageEligibilityRequest.item.quantity",
"display": "CoverageEligibilityRequest.item.quantity",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.item.quantity` is mapped to FHIR R5 element `CoverageEligibilityRequest.item.quantity` as `Equivalent`."
}
]
},
{
"code": "CoverageEligibilityRequest.item.unitPrice",
"display": "unitPrice",
"target": [
{
"code": "CoverageEligibilityRequest.item.unitPrice",
"display": "CoverageEligibilityRequest.item.unitPrice",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.item.unitPrice` is mapped to FHIR R5 element `CoverageEligibilityRequest.item.unitPrice` as `Equivalent`."
}
]
},
{
"code": "CoverageEligibilityRequest.item.facility",
"display": "facility",
"target": [
{
"code": "CoverageEligibilityRequest.item.facility",
"display": "CoverageEligibilityRequest.item.facility",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.item.facility` is mapped to FHIR R5 element `CoverageEligibilityRequest.item.facility` as `Equivalent`."
}
]
},
{
"code": "CoverageEligibilityRequest.item.diagnosis",
"display": "diagnosis",
"target": [
{
"code": "CoverageEligibilityRequest.item.diagnosis",
"display": "CoverageEligibilityRequest.item.diagnosis",
"relationship": "source-is-broader-than-target",
"comment": "Element `CoverageEligibilityRequest.item.diagnosis` is mapped to FHIR R5 element `CoverageEligibilityRequest.item.diagnosis` as `Equivalent`."
}
]
},
{
"code": "CoverageEligibilityRequest.item.diagnosis.diagnosis[x]",
"display": "diagnosis[x]",
"target": [
{
"code": "CoverageEligibilityRequest.item.diagnosis.diagnosis[x]",
"display": "CoverageEligibilityRequest.item.diagnosis.diagnosis[x]",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` is mapped to FHIR R5 element `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` as `Equivalent`.\nThe target context `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `CoverageEligibilityRequest.item.diagnosis`."
}
]
},
{
"code": "CoverageEligibilityRequest.item.detail",
"display": "detail",
"target": [
{
"code": "CoverageEligibilityRequest.item.detail",
"display": "CoverageEligibilityRequest.item.detail",
"relationship": "equivalent",
"comment": "Element `CoverageEligibilityRequest.item.detail` is mapped to FHIR R5 element `CoverageEligibilityRequest.item.detail` as `Equivalent`."
}
]
}
]
}
]
}