Table : Payers Tab of the MASS HIE Mapping Spreadsheet (excerpt) Data unique Element CDA CDA Data element ID Type Section Template XPath ([context]/XPath) Notes [CDA Body] CDA /ClinicalDocument/component/ structuredBody Payer Information 7 IDE Payers Payers [CDA Body] Section //component/section/templateId [@root="2.16.840.1.113883.10.20 .22.2.18"] [Coverage CDA Payers Coverage [Payers Section] A Coverage Activity Activity] Activity groups the policy and authorization .113883.10.20.22.4.60"] acts within a Payers Section to order the payment sources. [Policy CDA Payers Policy [Coverage Activity] A policy activity Activity] Activity //entryRelationship[@typeCode= represents the policy "COMP"]/act/templateId[@root= or program "2.16.840.1.113883.10.20.22.4.61"] providing the coverage. Standard 7.1 Insurance Data set [Payer CDA Payers Policy [Policy Activty] Performer] Activity //performer/templateId[@root= "2.16.840.1.113883.10.20.22.4.87"] Insurance SID Payers Policy [Payer Performer] Name Activity //assignedEntity/represented Organization/name Insurance SID Payers Policy [Payer Performer] Phone # Activity //assignedEntity/telecom Insurance SID Payers Policy [Policy Activty] //id This id is a unique Group # Activity identifier for the policy or program providing the coverage Insurance SID Payers Policy [Policy Activty] //code See IG for allowed Type Activity codes. Each column contains specific information: Data element: This column is the description of the IMPACT data element and related CDA element. uniqueID: The numbers in this column correspond to the numbers on the “1-Merged Final Dataset (10-20)” in the spreadsheet.
Table : Payers Tab of the MASS HIE Mapping Spreadsheet (excerpt) Data element unique ID Data Element Type CDA Section CDA Template XPath ([context]/XPath) Notes [CDA Body] CDA /ClinicalDocument/component/ structuredBody Payer Information 7 IDE Payers Payers Section [CDA Body] //component/section/templateId [@root="2.16.840.1.113883.10.20 .22.2.18"] [Coverage Activity] CDA Payers Coverage Activity [Payers Section] .113883.10.20.22.4.60"] A Coverage Activity groups the policy and authorization acts within a Payers Section to order the payment sources. [Policy Activity] CDA Payers Policy Activity [Coverage Activity] //entryRelationship[@typeCode= "COMP"]/act/templateId[@root= "2.16.840.1.113883.10.20.22.4.61"] A policy activity represents the policy or program providing the coverage. Standard Insurance Data set 7.1 [Payer Performer] CDA Payers Policy Activity [Policy Activty] //performer/templateId[@root= "2.16.840.1.113883.10.20.22.4.87"] Insurance Name SID Payers Policy Activity [Payer Performer] //assignedEntity/represented Organization/name Insurance Phone # SID Payers Policy Activity [Payer Performer] //assignedEntity/telecom Insurance Group # SID Payers Policy Activity [Policy Activty] //id This id is a unique identifier for the policy or program providing the coverage Insurance Type SID Payers Policy Activity [Policy Activty] //code See IG for allowed codes. Each column contains specific information: Data element: This column is the description of the IMPACT data element and related CDA element. uniqueID: The numbers in this column correspond to the numbers on the “1-Merged Final Dataset (10-20)” in the spreadsheet.