Segment IN1 in FHIR

How segment IN1 (Insurance) becomes FHIR R4 resources, from the HL7 Version 2 to FHIR guide.

HL7 v2 definition
Definition of IN1 in HL7 v2 2.8
Maps
Coverage
Used in messages
ADT_A01ADT_A05ADT_A06OML_O21ORM_O01

To Coverage15 rows

HL7 v2 sourcev2 typeFHIR elementFHIR typeConditions and notes
IN1-2Health Plan Id
CWEidentifierIdentifier
IN1-4Insurance Company Name
XONpayor[1](Organization)Reference
IN1-5Insurance Company Address
XADpayer[1](Organization.address)Reference
IN1-10Insured's Group Emp Id
CXextension[1].urluri
If IF CX.5 IS "SN"Value "http://hl7.org/fhir/5.0/StructureDefinition/extension-subscriberId"
IN1-10Insured's Group Emp Id
CXextension[1].valueIdentifierIdentifier
If IF CX.5 IS "SN"
IN1-10Insured's Group Emp Id
CXpolicyHolder([1]Organization.identifier)Identifier
IN1-11Insured's Group Emp Name
XONpolicyHolder[1](Organization)Reference
IN1-12Plan Effective Date
DTperiod.startdateTime
IN1-13Plan Expiration Date
DTperiod.enddateTime
IN1-15Plan Type
CWEtypeCodeableConcept
IN1-16Name Of Insured
XPNsubscriber(RelatedPerson)Reference
If IF IN1-17 IS NOT 'patient'
IN1-16Name Of Insured
XPNsubscriber(Patient)Reference
If IF IN1-17 IS 'patient'
IN1-17Insured's Relationship To Patient
CWErelationshipCodeableConcept
Code map v3-rolecode
IN1-49Insured's Id Number
CXextension[1].urluri
Value "http://hl7.org/fhir/5.0/StructureDefinition/extension-subscriberId"
IN1-49Insured's Id Number
CXextension[1].valueIdentifierIdentifier