Coverage Mappings

• Coverage: workflow=Event; rim=Coverage; w5=financial.support
• Coverage.identifier: workflow=Event.identifier; w5=FiveWs.identifier; cdanetv4=C02; rim=.id; cpha3pharm=C.32, C.33, C.39
• Coverage.status: workflow=Event.status; w5=FiveWs.status; rim=Act.status
• Coverage.type: w5=FiveWs.class; v2=IN1-15
• Coverage.policyHolder: w5=FiveWs.subject; cdanetv4=D01 through D09; v2=IN1-16, 18, 19-name of insured, address, date of birth; cpha3pharm=C.35
• Coverage.subscriber: w5=FiveWs.subject; cdanetv4=D01 through D09; v2=IN1-16, 18, 19-name of insured, address, date of birth; cpha3pharm=C.35
• Coverage.subscriberId: w5=FiveWs.subject; cdanetv4=D01 through D09; v2=IN1-16, 18, 19-name of insured, address, date of birth; cpha3pharm=C.35
• Coverage.beneficiary: workflow=Event.subject; w5=FiveWs.subject; cdanetv4=D01 through D09; v2=IN1-16, 18, 19-name of insured, address, date of birth; cpha3pharm=C.35
• Coverage.dependent: cdanetv4=C17; v2=- No exact HL7 V2 equivalent concept seems to exist;
• Coverage.relationship: cdanetv4=C03
• Coverage.period: workflow=Event.occurrence[x]; w5=FiveWs.done[x]; v2=IN1-12 / IN1-13; rim=Act.effectiveTime
• Coverage.class.value: cdanetv4=C11 (Division,Section); v2=IN1-8; v2=IN1-2; cpha3pharm=C.31
• Coverage.class.name: cdanetv4=C11 (Division,Section); v2=IN1-8; cpha3pharm=C.31
• Coverage.network: cdanetv4=D10
• Coverage.costToBeneficiary.value[x]: cdanetv4=C11 (Division,Section); v2=IN1-8; cpha3pharm=C.31
• Coverage.contract: cdanetv4=D01 through D09; v2=IN1-16, 18, 19; rim=n/a; cpha3pharm=C.35