電子カルテ情報共有サービス2文書５情報+患者サマリー　FHIR実装ガイド JP-CLINS（CLinical Information Sharing ImplementationGuide） v1.10.0-20250522 - Local Development build (v1.10.0-20250522) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Content
• Detailed Descriptions
• JSON

Resource Profile: JP_Coverage_eCS_insurance - Mappings

Active as of 2024-09-14

Mappings for the JP-Coverage-eCS-insurance resource profile.

Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

JP_Coverage_eCS_insurance
Coverage	Event
identifier	Event.identifier
status	Event.status
beneficiary	Event.subject
period	Event.occurrence[x]

Mappings for RIM Mapping (http://hl7.org/v3)

JP_Coverage_eCS_insurance
Coverage	Entity. Role, or Act, Coverage
meta
id	n/a
extension	n/a
text	Act.text?
extension	N/A
extension (insuredPersonSymbol)	n/a, N/A
id	n/a
url	N/A
value[x]	N/A
extension (insuredPersonNumber)	n/a, N/A
id	n/a
url	N/A
value[x]	N/A
extension (insuredPersonSubNumber)	n/a, N/A
id	n/a
url	N/A
value[x]	N/A
modifierExtension	N/A
identifier	.id
status	Act.status
type
id	n/a
extension	n/a
coding	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
beneficiary
id	n/a
extension	n/a
reference	N/A
type	N/A
identifier	.identifier
display	N/A
relationship
id	n/a
extension	n/a
coding	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
period	Act.effectiveTime
id	n/a
extension	n/a
start	./low
end	./high
payor
payor (insurer)
id	n/a
extension	n/a
reference	N/A
type	N/A
identifier	.identifier
display	N/A
payor (selfPayment)
id	n/a
extension	n/a
reference	N/A
type	N/A
identifier	.identifier
display	N/A
costToBeneficiary
id	n/a
extension	n/a
modifierExtension	N/A
type
id	n/a
extension	n/a
coding	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
value[x]
id	n/a
extension	n/a
value	PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
unit	PQ.unit
system	CO.codeSystem, PQ.translation.codeSystem
code	PQ.code, MO.currency, PQ.translation.code

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

JP_Coverage_eCS_insurance
Coverage
identifier	FiveWs.identifier
status	FiveWs.status
type	FiveWs.class
beneficiary	FiveWs.subject[x], FiveWs.subject
period	FiveWs.done[x]
payor	FiveWs.author
payor (insurer)	FiveWs.author
payor (selfPayment)	FiveWs.author

Mappings for Canadian Dental Association eclaims standard (http://www.cda-adc.ca/en/services/cdanet/)

JP_Coverage_eCS_insurance
Coverage
identifier	C02
beneficiary	D01 through D09
dependent	C17
relationship	C03
payor	A05
payor (insurer)	A05
payor (selfPayment)	A05
costToBeneficiary
value[x]	C11 (Division,Section)

Mappings for HL7 v2 Mapping (http://hl7.org/v2)

JP_Coverage_eCS_insurance
Coverage
identifier	IN1-2
type	IN1-15
coding	C*E.1-8, C*E.10-22
system	C*E.3
version	C*E.7
code	C*E.1
display	C*E.2 - but note this is not well followed
beneficiary	IN1-16, 18, 19-name of insured, address, date of birth
dependent	- No exact HL7 v2 equivalent concept seems to exist;
relationship
coding	C*E.1-8, C*E.10-22
system	C*E.3
version	C*E.7
code	C*E.1
display	C*E.2 - but note this is not well followed
period	IN1-12 / IN1-13
start	DR.1
end	DR.2
payor	IN1-3
payor (insurer)	IN1-3
payor (selfPayment)	IN1-3
costToBeneficiary
type
coding	C*E.1-8, C*E.10-22
system	C*E.3
version	C*E.7
code	C*E.1
display	C*E.2 - but note this is not well followed
userSelected	Sometimes implied by being first
value[x]	IN1-8
value	SN.2 / CQ - N/A
unit	(see OBX.6 etc.) / CQ.2
system	(see OBX.6 etc.) / CQ.2
code	(see OBX.6 etc.) / CQ.2

Mappings for Canadian Pharmacy Associaiton eclaims standard (http://www.pharmacists.ca/)

JP_Coverage_eCS_insurance
Coverage
identifier	C.32, C.33, C.39
beneficiary	C.35
payor	C.30
payor (insurer)	C.30
payor (selfPayment)	C.30
costToBeneficiary
value[x]	C.31