TRxHub IG - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Mappings for the trxhub-coverage resource profile.
| Name | Workflow Pattern | RIM Mapping | FiveWs Pattern Mapping | Canadian Dental Association eclaims standard | HL7 v2 Mapping | Canadian Pharmacy Associaiton eclaims standard |
 Coverage |
Event |
Coverage |
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  Coverage / id |
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  Coverage / meta |
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  Coverage / implicitRules |
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  Coverage / language |
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  Coverage / text |
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Act.text? |
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  Coverage / contained |
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N/A |
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  Coverage / extension |
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N/A |
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  Coverage / modifierExtension |
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N/A |
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  Coverage / Slices for identifier |
Event.identifier |
.id |
FiveWs.identifier |
C02 |
IN1-2 |
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   Coverage / Slices for identifier / identifier:veka |
Event.identifier |
.id |
FiveWs.identifier |
C02 |
IN1-2 |
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    Coverage / Slices for identifier / identifier:veka / id |
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n/a |
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    Coverage / Slices for identifier / identifier:veka / extension |
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n/a |
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    Coverage / Slices for identifier / identifier:veka / use |
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Role.code or implied by context |
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N/A |
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    Coverage / Slices for identifier / identifier:veka / type |
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Role.code or implied by context |
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CX.5 |
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    Coverage / Slices for identifier / identifier:veka / system |
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II.root or Role.id.root |
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CX.4 / EI-2-4 |
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    Coverage / Slices for identifier / identifier:veka / value |
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II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
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CX.1 / EI.1 |
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    Coverage / Slices for identifier / identifier:veka / period |
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Role.effectiveTime or implied by context |
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CX.7 + CX.8 |
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    Coverage / Slices for identifier / identifier:veka / assigner |
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II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
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  Coverage / status |
Event.status |
Act.status |
FiveWs.status |
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  Coverage / type |
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FiveWs.class |
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IN1-15 |
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   Coverage / type / id |
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n/a |
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   Coverage / type / extension |
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n/a |
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   Coverage / type / coding |
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    Coverage / type / coding / id |
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n/a |
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    Coverage / type / coding / extension |
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n/a |
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    Coverage / type / coding / system |
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./codeSystem |
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C*E.3 |
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    Coverage / type / coding / version |
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./codeSystemVersion |
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C*E.7 |
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    Coverage / type / coding / code |
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./code |
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C*E.1 |
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    Coverage / type / coding / display |
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CV.displayName |
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C*E.2 - but note this is not well followed |
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    Coverage / type / coding / userSelected |
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CD.codingRationale |
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Sometimes implied by being first |
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   Coverage / type / text |
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./originalText[mediaType/code="text/plain"]/data |
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C*E.9. But note many systems use C*E.2 for this |
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  Coverage / policyHolder |
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FiveWs.subject |
D01 through D09 |
- IN1-16
- 18
- 19-name of insured
- address
- date of birth
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C.35 |
  Coverage / subscriber |
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FiveWs.subject |
D01 through D09 |
- IN1-16
- 18
- 19-name of insured
- address
- date of birth
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C.35 |
  Coverage / subscriberId |
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FiveWs.subject |
D01 through D09 |
- IN1-16
- 18
- 19-name of insured
- address
- date of birth
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C.35 |
  Coverage / beneficiary |
Event.subject |
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FiveWs.subject |
D01 through D09 |
- IN1-16
- 18
- 19-name of insured
- address
- date of birth
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C.35 |
  Coverage / dependent |
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C17 |
- No exact HL7 v2 equivalent concept seems to exist; |
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  Coverage / relationship |
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C03 |
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  Coverage / period |
Event.occurrence[x] |
Act.effectiveTime |
FiveWs.done[x] |
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IN1-12 / IN1-13 |
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  Coverage / Slices for payor |
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FiveWs.author |
A05 |
IN1-3 |
C.30 |
   Coverage / Slices for payor / payor:selfPayer |
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FiveWs.author |
A05 |
IN1-3 |
C.30 |
    Coverage / Slices for payor / payor:selfPayer / id |
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n/a |
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    Coverage / Slices for payor / payor:selfPayer / Slices for extension |
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    Coverage / Slices for payor / payor:selfPayer / Slices for extension |
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     Coverage / Slices for payor / payor:selfPayer / Slices for extension / extension:payorRole |
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      Coverage / Slices for payor / payor:selfPayer / Slices for extension / extension:payorRole / id |
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n/a |
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      Coverage / Slices for payor / payor:selfPayer / Slices for extension / extension:payorRole / extension |
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      Coverage / Slices for payor / payor:selfPayer / Slices for extension / extension:payorRole / url |
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N/A |
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      Coverage / Slices for payor / payor:selfPayer / Slices for extension / extension:payorRole / value[x] |
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N/A |
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       Coverage / Slices for payor / payor:selfPayer / Slices for extension / extension:payorRole / value[x] / id |
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n/a |
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       Coverage / Slices for payor / payor:selfPayer / Slices for extension / extension:payorRole / value[x] / extension |
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n/a |
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       Coverage / Slices for payor / payor:selfPayer / Slices for extension / extension:payorRole / value[x] / system |
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./codeSystem |
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C*E.3 |
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       Coverage / Slices for payor / payor:selfPayer / Slices for extension / extension:payorRole / value[x] / version |
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./codeSystemVersion |
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C*E.7 |
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       Coverage / Slices for payor / payor:selfPayer / Slices for extension / extension:payorRole / value[x] / code |
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./code |
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C*E.1 |
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       Coverage / Slices for payor / payor:selfPayer / Slices for extension / extension:payorRole / value[x] / display |
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CV.displayName |
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C*E.2 - but note this is not well followed |
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       Coverage / Slices for payor / payor:selfPayer / Slices for extension / extension:payorRole / value[x] / userSelected |
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CD.codingRationale |
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Sometimes implied by being first |
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    Coverage / Slices for payor / payor:selfPayer / reference |
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N/A |
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    Coverage / Slices for payor / payor:selfPayer / type |
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N/A |
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    Coverage / Slices for payor / payor:selfPayer / identifier |
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.identifier |
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    Coverage / Slices for payor / payor:selfPayer / display |
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N/A |
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   Coverage / Slices for payor / payor:mainInsurance |
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FiveWs.author |
A05 |
IN1-3 |
C.30 |
    Coverage / Slices for payor / payor:mainInsurance / id |
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n/a |
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    Coverage / Slices for payor / payor:mainInsurance / Slices for extension |
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    Coverage / Slices for payor / payor:mainInsurance / Slices for extension |
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     Coverage / Slices for payor / payor:mainInsurance / Slices for extension / extension:payorRole |
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      Coverage / Slices for payor / payor:mainInsurance / Slices for extension / extension:payorRole / id |
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n/a |
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      Coverage / Slices for payor / payor:mainInsurance / Slices for extension / extension:payorRole / extension |
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      Coverage / Slices for payor / payor:mainInsurance / Slices for extension / extension:payorRole / url |
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N/A |
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      Coverage / Slices for payor / payor:mainInsurance / Slices for extension / extension:payorRole / value[x] |
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N/A |
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       Coverage / Slices for payor / payor:mainInsurance / Slices for extension / extension:payorRole / value[x] / id |
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n/a |
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       Coverage / Slices for payor / payor:mainInsurance / Slices for extension / extension:payorRole / value[x] / extension |
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n/a |
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       Coverage / Slices for payor / payor:mainInsurance / Slices for extension / extension:payorRole / value[x] / system |
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./codeSystem |
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C*E.3 |
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       Coverage / Slices for payor / payor:mainInsurance / Slices for extension / extension:payorRole / value[x] / version |
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./codeSystemVersion |
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C*E.7 |
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       Coverage / Slices for payor / payor:mainInsurance / Slices for extension / extension:payorRole / value[x] / code |
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./code |
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C*E.1 |
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       Coverage / Slices for payor / payor:mainInsurance / Slices for extension / extension:payorRole / value[x] / display |
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CV.displayName |
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C*E.2 - but note this is not well followed |
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       Coverage / Slices for payor / payor:mainInsurance / Slices for extension / extension:payorRole / value[x] / userSelected |
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CD.codingRationale |
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Sometimes implied by being first |
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    Coverage / Slices for payor / payor:mainInsurance / reference |
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N/A |
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    Coverage / Slices for payor / payor:mainInsurance / type |
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N/A |
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    Coverage / Slices for payor / payor:mainInsurance / identifier |
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.identifier |
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    Coverage / Slices for payor / payor:mainInsurance / display |
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N/A |
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   Coverage / Slices for payor / payor:supplementaryInsurance |
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FiveWs.author |
A05 |
IN1-3 |
C.30 |
    Coverage / Slices for payor / payor:supplementaryInsurance / id |
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n/a |
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    Coverage / Slices for payor / payor:supplementaryInsurance / Slices for extension |
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    Coverage / Slices for payor / payor:supplementaryInsurance / Slices for extension |
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     Coverage / Slices for payor / payor:supplementaryInsurance / Slices for extension / extension:payorRole |
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      Coverage / Slices for payor / payor:supplementaryInsurance / Slices for extension / extension:payorRole / id |
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n/a |
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      Coverage / Slices for payor / payor:supplementaryInsurance / Slices for extension / extension:payorRole / extension |
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      Coverage / Slices for payor / payor:supplementaryInsurance / Slices for extension / extension:payorRole / url |
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N/A |
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      Coverage / Slices for payor / payor:supplementaryInsurance / Slices for extension / extension:payorRole / value[x] |
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N/A |
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       Coverage / Slices for payor / payor:supplementaryInsurance / Slices for extension / extension:payorRole / value[x] / id |
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n/a |
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       Coverage / Slices for payor / payor:supplementaryInsurance / Slices for extension / extension:payorRole / value[x] / extension |
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n/a |
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       Coverage / Slices for payor / payor:supplementaryInsurance / Slices for extension / extension:payorRole / value[x] / system |
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./codeSystem |
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C*E.3 |
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       Coverage / Slices for payor / payor:supplementaryInsurance / Slices for extension / extension:payorRole / value[x] / version |
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./codeSystemVersion |
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C*E.7 |
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       Coverage / Slices for payor / payor:supplementaryInsurance / Slices for extension / extension:payorRole / value[x] / code |
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./code |
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C*E.1 |
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       Coverage / Slices for payor / payor:supplementaryInsurance / Slices for extension / extension:payorRole / value[x] / display |
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CV.displayName |
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C*E.2 - but note this is not well followed |
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       Coverage / Slices for payor / payor:supplementaryInsurance / Slices for extension / extension:payorRole / value[x] / userSelected |
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CD.codingRationale |
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Sometimes implied by being first |
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    Coverage / Slices for payor / payor:supplementaryInsurance / reference |
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N/A |
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    Coverage / Slices for payor / payor:supplementaryInsurance / type |
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N/A |
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    Coverage / Slices for payor / payor:supplementaryInsurance / identifier |
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.identifier |
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    Coverage / Slices for payor / payor:supplementaryInsurance / display |
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N/A |
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  Coverage / class |
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   Coverage / class / id |
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n/a |
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   Coverage / class / extension |
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n/a |
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   Coverage / class / modifierExtension |
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N/A |
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   Coverage / class / type |
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   Coverage / class / value |
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IN1-8 |
C.31 |
   Coverage / class / name |
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IN1-8 |
C.31 |
  Coverage / order |
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- No exact HL7 v2 equivalent concept seems to exist; |
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  Coverage / network |
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D10 |
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  Coverage / costToBeneficiary |
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   Coverage / costToBeneficiary / id |
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n/a |
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   Coverage / costToBeneficiary / extension |
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n/a |
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   Coverage / costToBeneficiary / modifierExtension |
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N/A |
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   Coverage / costToBeneficiary / type |
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   Coverage / costToBeneficiary / value[x] |
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IN1-8 |
C.31 |
   Coverage / costToBeneficiary / exception |
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    Coverage / costToBeneficiary / exception / id |
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n/a |
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    Coverage / costToBeneficiary / exception / extension |
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n/a |
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    Coverage / costToBeneficiary / exception / modifierExtension |
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N/A |
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    Coverage / costToBeneficiary / exception / type |
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    Coverage / costToBeneficiary / exception / period |
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  Coverage / subrogation |
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  Coverage / contract |
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n/a |
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D01 through D09 |
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C.35 |
Documentation for this format |