醫療保險理賠實作指引
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Resource Profile: PractitionerRoleiClaim - Mappings

Active as of 2024-07-23

Mappings for the practitionerrole-iclaim resource profile.

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

PractitionerRoleiClaim
PractitionerRolePRD (as one example)
   identifierPRD-7 (or XCN.1)
   activeSTF-7
   periodPRD-8/9 / PRA-5.4
   codeCE/CNE/CWE
   specialtyCE/CNE/CWE
      codingCE/CNE/CWE subset one of the sets of component 1-3 or 4-6
      coding (TWMedicalConsultationDepartmentSCT)CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      coding (TWMedicalTreatmentDepartmentSCT)CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      textC*E.9. But note many systems use C*E.2 for this
   healthcareServiceEDU-2 / AFF-3
   telecom
      systemXTN.3
      valueXTN.1 (or XTN.12)
      useXTN.2 - but often indicated by field
      rankn/a
      periodN/A

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

PractitionerRoleiClaim
PractitionerRoleEntity. Role, or Act, Role
   textAct.text?
   containedN/A
   identifier.id
   active.statusCode
   period.performance[@typeCode <= 'PPRF'].ActDefinitionOrEvent.effectiveTime
   practitioner.player
   organization.scoper
   coden/a, CD
   specialtyn/a, CD
      idn/a
      codingn/a, CV
      coding (TWMedicalConsultationDepartmentSCT)n/a, CV
         idn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      coding (TWMedicalTreatmentDepartmentSCT)n/a, CV
         idn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      text./originalText[mediaType/code="text/plain"]/data
   location.performance.ActDefinitionOrEvent.ServiceDeliveryLocation[@classCode = 'SDLOC']
   healthcareService.player.QualifiedEntity[@classCode = 'QUAL'].code
   telecom.telecom
      idn/a
      extensionn/a
      system./scheme
      value./url
      useunique(./use)
      rankn/a
      period./usablePeriod[type="IVL<TS>"]
   availableTime.effectiveTime
      idn/a
      extensionn/a
      modifierExtensionN/A
      daysOfWeek.effectiveTime
      allDay.effectiveTime
      availableStartTime.effectiveTime
      availableEndTime.effectiveTime
   notAvailable.effectiveTime
      idn/a
      extensionn/a
      modifierExtensionN/A
      descriptionn/a
      during.effectiveTime
   availabilityExceptions.effectiveTime
   endpointn/a

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

PractitionerRoleiClaim
PractitionerRoleServiceSiteProvider
   identifier./Identifiers
   period(ServD maps Practitioners and Organizations via another entity, so this concept is not available)
   location(ServD maps Practitioners and Organizations via another entity, so this concept is not available)<br/> However these are accessed via the Site.ServiceSite.ServiceSiteProvider record. (The Site has the location)
   telecom
      system./ContactPointType
      value./Value
      use./ContactPointPurpose
      period./StartDate and ./EndDate

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

PractitionerRoleiClaim
PractitionerRole
   identifierFiveWs.identifier
   activeFiveWs.status
   periodFiveWs.done[x]
   locationFiveWs.where[x]