{
  "description": "eHN Payer Model to this guide Map",
  "_filename": "ConceptMap-payer2FHIR-eu-lab.json",
  "package_name": "hl7.fhir.eu.laboratory",
  "date": "2025-03-25T12:00:10+01:00",
  "group": [ {
    "source": "http://hl7.eu/fhir/laboratory/StructureDefinition/Payer",
    "target": "http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab",
    "element": [ {
      "code": "Payer.insurance",
      "target": [ {
        "code": "ServiceRequest.insurance",
        "comment": "insurance.ofType(Coverage)",
        "equivalence": "relatedto"
      } ],
      "display": "A.1.3.1 Health insurance information"
    }, {
      "code": "Payer.insurance.identifier",
      "target": [ {
        "code": "ServiceRequest.insurance",
        "comment": "details in Group 2",
        "equivalence": "relatedto"
      } ],
      "display": "A.1.3.1.1 Health insurance code"
    }, {
      "code": "Payer.insurance.name",
      "target": [ {
        "code": "ServiceRequest.insurance",
        "comment": "details in Group 2",
        "equivalence": "relatedto"
      } ],
      "display": "A.1.3.1.2 Health insurance name"
    }, {
      "code": "Payer.insurance.subjectIdentifier",
      "target": [ {
        "code": "ServiceRequest.insurance",
        "comment": "details in Group 2",
        "equivalence": "relatedto"
      } ],
      "display": "A.1.3.1.3 Health insurance number"
    } ]
  }, {
    "source": "http://hl7.eu/fhir/laboratory/StructureDefinition/Payer",
    "target": "http://hl7.org/fhir/StructureDefinition/Coverage",
    "element": [ {
      "code": "Payer.insurance",
      "target": [ {
        "code": "Coverage",
        "equivalence": "relatedto"
      } ],
      "display": "A.1.3.1 Health insurance information"
    }, {
      "code": "Payer.insurance.identifier",
      "target": [ {
        "code": "Coverage.payor.identifier",
        "comment": "payor.ofType(Organization)",
        "equivalence": "equivalent"
      } ],
      "display": "A.1.3.1.1 Health insurance code"
    }, {
      "code": "Payer.insurance.name",
      "target": [ {
        "code": "Coverage.payor.name",
        "comment": "payor.ofType(Organization)",
        "equivalence": "equivalent"
      } ],
      "display": "A.1.3.1.2 Health insurance name"
    }, {
      "code": "Payer.insurance.subjectIdentifier",
      "target": [ {
        "code": "Coverage.policyHolder.identifier",
        "comment": "If it refers to the owner of the policy",
        "equivalence": "equivalent"
      } ],
      "display": "A.1.3.1.3 Health insurance number"
    }, {
      "code": "Payer.insurance.subjectIdentifier",
      "target": [ {
        "code": "Coverage.beneficiary.identifier",
        "comment": "If it refers to the plan beneficiary",
        "equivalence": "equivalent"
      } ],
      "display": "A.1.3.1.3 Health insurance number"
    }, {
      "code": "Payer.insurance.subjectIdentifier",
      "target": [ {
        "code": "Coverage.subscriberId",
        "comment": "If it is the ID assigned to the subscriber",
        "equivalence": "equivalent"
      } ],
      "display": "A.1.3.1.3 Health insurance number"
    }, {
      "code": "Payer.insurance.subjectIdentifier",
      "target": [ {
        "code": "Coverage.subscriber.identifier",
        "comment": "If it refers to the subscriber to the policy and the Subscriber is of type Patient",
        "equivalence": "equivalent"
      } ],
      "display": "A.1.3.1.3 Health insurance number"
    } ]
  }, {
    "source": "http://hl7.eu/fhir/laboratory/StructureDefinition/Payer",
    "target": "http://hl7.eu/fhir/laboratory/StructureDefinition/Patient-eu-lab",
    "element": [ {
      "code": "Payer.insurance",
      "target": [ {
        "equivalence": "unmatched"
      } ],
      "display": "A.1.3.1 Health insurance information"
    }, {
      "code": "Payer.insurance.identifier",
      "target": [ {
        "equivalence": "unmatched"
      } ],
      "display": "A.1.3.1.1 Health insurance code"
    }, {
      "code": "Payer.insurance.name",
      "target": [ {
        "equivalence": "unmatched"
      } ],
      "display": "A.1.3.1.2 Health insurance name"
    }, {
      "code": "Payer.insurance.subjectIdentifier",
      "target": [ {
        "code": "Patient.identifier",
        "comment": "Sometimes the identifier assigned by the payor (e.g. the SSN) is used as one of the Patient Identifiers",
        "equivalence": "relatedto"
      } ],
      "display": "A.1.3.1.3 Health insurance number"
    } ]
  } ],
  "publisher": "HL7 Europe",
  "jurisdiction": [ {
    "coding": [ {
      "code": "150",
      "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "display": "Europe"
    } ]
  } ],
  "purpose": "It shows how the Laboratory Report Payer data set defined by the EU eHN guidelines is mapped into this guide",
  "name": "Payer2Fhir",
  "copyright": "Used by permission of HL7 Europe, all rights reserved Creative Commons License",
  "type": null,
  "experimental": "true",
  "resourceType": "ConceptMap",
  "title": "eHN Payer to this guide Map",
  "package_version": "0.1.1",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger": 2
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode": "informative"
  } ],
  "status": "draft",
  "id": "29e51689-1e02-45cb-adca-8f9c291e695d",
  "kind": null,
  "url": "http://hl7.eu/fhir/laboratory/ConceptMap/payer2FHIR-eu-lab",
  "identifier": {
    "value": "urn:oid:2.16.840.1.113883.2.51.22.1.18.6",
    "system": "urn:ietf:rfc:3986"
  },
  "version": "0.1.1",
  "contact": [ {
    "name": "HL7 Europe",
    "telecom": [ {
      "value": "http://hl7.eu",
      "system": "url"
    } ]
  } ]
}