醫療保險理賠實作指引 - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: PractitioneriClaim - Mappings

Active as of 2024-07-23

Mappings for the practitioner-iclaim resource profile.

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

PractitioneriClaim
Practitioner	PRD (as one example)
identifier	PRD-7 (or XCN.1)
identifier (idCardNumber)	PRD-7 (or XCN.1)
use	N/A
type	CE/CNE/CWE
coding	CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
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
text	C*E.9. But note many systems use C*E.2 for this
system	CX.4 / EI-2-4
value	CX.1 / EI.1
period	CX.7 + CX.8
assigner	CX.4 / (CX.4,CX.9,CX.10)
identifier (passportNumber)	PRD-7 (or XCN.1)
use	N/A
type	CE/CNE/CWE
coding	CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
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
text	C*E.9. But note many systems use C*E.2 for this
system	CX.4 / EI-2-4
value	CX.1 / EI.1
period	CX.7 + CX.8
assigner	CX.4 / (CX.4,CX.9,CX.10)
identifier (residentNumber)	PRD-7 (or XCN.1)
use	N/A
type	CE/CNE/CWE
coding	CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
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
text	C*E.9. But note many systems use C*E.2 for this
system	CX.4 / EI-2-4
value	CX.1 / EI.1
period	CX.7 + CX.8
assigner	CX.4 / (CX.4,CX.9,CX.10)
identifier (medicalLicenseNumber)	PRD-7 (or XCN.1)
use	N/A
type	CE/CNE/CWE
coding	CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
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
text	C*E.9. But note many systems use C*E.2 for this
system	CX.4 / EI-2-4
value	CX.1 / EI.1
period	CX.7 + CX.8
assigner	CX.4 / (CX.4,CX.9,CX.10)
name	XCN Components
use	XPN.7, but often indicated by which field contains the name
text	implied by XPN.11
family	XPN.1/FN.1
given	XPN.2 + XPN.3
prefix	XPN.5
suffix	XPN/4
period	XPN.13 + XPN.14
telecom	PRT-15, STF-10, ROL-12
system	XTN.3
value	XTN.1 (or XTN.12)
use	XTN.2 - but often indicated by field
rank	n/a
period	N/A
address	XAD
gender	STF-5
birthDate	STF-6
qualification	CER?
code	CE/CNE/CWE
communication	CE/CNE/CWE

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

PractitioneriClaim
Practitioner	Entity. Role, or Act, Role
text	Act.text?
contained	N/A
identifier	./id
identifier (idCardNumber)	./id
id	n/a
extension	n/a
use	Role.code or implied by context
type	n/a, CD
id	n/a
coding	n/a, CV
id	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
system	II.root or Role.id.root
value	II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
period	Role.effectiveTime or implied by context
assigner	II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
identifier (passportNumber)	./id
id	n/a
extension	n/a
use	Role.code or implied by context
type	n/a, CD
id	n/a
coding	n/a, CV
id	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
system	II.root or Role.id.root
value	II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
period	Role.effectiveTime or implied by context
assigner	II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
identifier (residentNumber)	./id
id	n/a
extension	n/a
use	Role.code or implied by context
type	n/a, CD
id	n/a
coding	n/a, CV
id	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
system	II.root or Role.id.root
value	II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
period	Role.effectiveTime or implied by context
assigner	II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
identifier (medicalLicenseNumber)	./id
id	n/a
extension	n/a
use	Role.code or implied by context
type	n/a, CD
id	n/a
coding	n/a, CV
id	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
system	II.root or Role.id.root
value	II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
period	Role.effectiveTime or implied by context
assigner	II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
active	./statusCode
name	./name
id	n/a
extension	n/a
use	unique(./use)
text	./formatted
family	./part[partType = FAM]
given	./part[partType = GIV]
prefix	./part[partType = PFX]
suffix	./part[partType = SFX]
period	./usablePeriod[type="IVL<TS>"]
telecom	./telecom
id	n/a
extension	n/a
system	./scheme
value	./url
use	unique(./use)
rank	n/a
period	./usablePeriod[type="IVL<TS>"]
address	n/a, AD
gender	./administrativeGender
birthDate	./birthTime
photo	./subjectOf/ObservationEvent[code="photo"]/value
qualification	.playingEntity.playingRole[classCode=QUAL].code
id	n/a
extension	n/a
modifierExtension	N/A
identifier	.playingEntity.playingRole[classCode=QUAL].id
code	n/a, CD
period	.playingEntity.playingRole[classCode=QUAL].effectiveTime
issuer	.playingEntity.playingRole[classCode=QUAL].scoper
communication	n/a, CD

Mappings for ServD (http://www.omg.org/spec/ServD/1.0/)

PractitioneriClaim
Practitioner	Provider
identifier	./Identifiers
identifier (idCardNumber)	./Identifiers
system	./IdentifierType
value	./Value
period	./StartDate and ./EndDate
assigner	./IdentifierIssuingAuthority
identifier (passportNumber)	./Identifiers
system	./IdentifierType
value	./Value
period	./StartDate and ./EndDate
assigner	./IdentifierIssuingAuthority
identifier (residentNumber)	./Identifiers
system	./IdentifierType
value	./Value
period	./StartDate and ./EndDate
assigner	./IdentifierIssuingAuthority
identifier (medicalLicenseNumber)	./Identifiers
system	./IdentifierType
value	./Value
period	./StartDate and ./EndDate
assigner	./IdentifierIssuingAuthority
name	./PreferredName (GivenNames, FamilyName, TitleCode)
use	./NamePurpose
family	./FamilyName
given	./GivenNames
prefix	./TitleCode
period	./StartDate and ./EndDate
telecom	./ContactPoints
system	./ContactPointType
value	./Value
use	./ContactPointPurpose
period	./StartDate and ./EndDate
address	Address
gender	./GenderCode
birthDate	(not represented in ServD)
photo	./ImageURI (only supports the URI reference)
qualification	./Qualifications
period	./Qualifications.StartDate and ./Qualifications.EndDate

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

PractitioneriClaim
Practitioner
identifier	FiveWs.identifier
identifier (idCardNumber)	FiveWs.identifier
identifier (passportNumber)	FiveWs.identifier
identifier (residentNumber)	FiveWs.identifier
identifier (medicalLicenseNumber)	FiveWs.identifier
active	FiveWs.status