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
Mappings for the practitioner-iclaim resource profile.
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 |
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 |
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 |