R4 Ballot #2 (Mixed Normative/Trial use)
FinancialThis page is part of the FHIR Specification (v3.5.0: R4 Ballot #2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
. Page versions: R5 R4B R4
| Financial Management Work Group | Maturity Level: N/A | Ballot Status: Informative | Compartments: Patient, Practitioner |
R3 : R4 Conversion maps for ClaimResponse.
Functional status for this map: 1 test of which 1 fail to execute. (see documentation)
map "http://hl7.org/fhir/StructureMap/ClaimResponse3to4" = "R3 to R4 Conversions for ClaimResponse" uses "http://hl7.org/fhir/3.0/StructureDefinition/ClaimResponse" alias ClaimResponseR3 as source uses "http://hl7.org/fhir/StructureDefinition/ClaimResponse" alias ClaimResponse as target imports "http://hl7.org/fhir/StructureMap/*3to4" group ClaimResponse extends DomainResource input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.identifier": for src.identifier make tgt.identifier "ClaimResponse.status": for src.status make tgt.status "ClaimResponse.type": for src.type make tgt.type "ClaimResponse.subType": for src.subType make tgt.subType "ClaimResponse.use": for src.use make tgt.use "ClaimResponse.patient": for src.patient make tgt.patient "ClaimResponse.created": for src.created make tgt.created "ClaimResponse.insurer": for src.insurer make tgt.insurer "ClaimResponse.requestProvider": for src.requestProvider make tgt.requestProvider "ClaimResponse.request": for src.request make tgt.request "ClaimResponse.outcome": for src.outcome make tgt.outcome "ClaimResponse.disposition": for src.disposition make tgt.disposition "ClaimResponse.payeeType": for src.payeeType make tgt.payeeType "ClaimResponse.item": for src.item as s make tgt.item as t then ClaimResponseItem(s,t) "ClaimResponse.addItem": for src.addItem as s make tgt.addItem as t then ClaimResponseAddItem(s,t) "ClaimResponse.error": for src.error as s make tgt.error as t then ClaimResponseError(s,t) "ClaimResponse.total": for src.total as s make tgt.total as t then ClaimResponseTotal(s,t) "ClaimResponse.payment": for src.payment as s make tgt.payment as t then ClaimResponsePayment(s,t) "ClaimResponse.reserved": for src.reserved make tgt.reserved "ClaimResponse.form": for src.form make tgt.form "ClaimResponse.processNote": for src.processNote as s make tgt.processNote as t then ClaimResponseProcessNote(s,t) "ClaimResponse.communicationRequest": for src.communicationRequest make tgt.communicationRequest "ClaimResponse.insurance": for src.insurance as s make tgt.insurance as t then ClaimResponseInsurance(s,t) endgroup group ClaimResponseItem extends BackboneElement input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.item.itemSequence": for src.itemSequence make tgt.itemSequence "ClaimResponse.item.noteNumber": for src.noteNumber make tgt.noteNumber "ClaimResponse.item.adjudication": for src.adjudication as s make tgt.adjudication as t then ClaimResponseItemAdjudication(s,t) "ClaimResponse.item.detail": for src.detail as s make tgt.detail as t then ClaimResponseItemDetail(s,t) endgroup group ClaimResponseItemAdjudication extends BackboneElement input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.item.adjudication.category": for src.category make tgt.category "ClaimResponse.item.adjudication.reason": for src.reason make tgt.reason "ClaimResponse.item.adjudication.amount": for src.amount make tgt.amount "ClaimResponse.item.adjudication.value": for src.value make tgt.value endgroup group ClaimResponseItemDetail extends BackboneElement input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.item.detail.detailSequence": for src.detailSequence make tgt.detailSequence "ClaimResponse.item.detail.noteNumber": for src.noteNumber make tgt.noteNumber "ClaimResponse.item.detail.adjudication": for src.adjudication make tgt.adjudication "ClaimResponse.item.detail.subDetail": for src.subDetail as s make tgt.subDetail as t then ClaimResponseItemDetailSubDetail(s,t) endgroup group ClaimResponseItemDetailSubDetail extends BackboneElement input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.item.detail.subDetail.subDetailSequence": for src.subDetailSequence make tgt.subDetailSequence "ClaimResponse.item.detail.subDetail.noteNumber": for src.noteNumber make tgt.noteNumber "ClaimResponse.item.detail.subDetail.adjudication": for src.adjudication make tgt.adjudication endgroup group ClaimResponseAddItem extends BackboneElement input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.addItem.itemSequence": for src.itemSequence make tgt.itemSequence "ClaimResponse.addItem.detailSequence": for src.detailSequence make tgt.detailSequence "ClaimResponse.addItem.subdetailSequence": for src.subdetailSequence make tgt.subdetailSequence "ClaimResponse.addItem.service": for src.service make tgt.service "ClaimResponse.addItem.modifier": for src.modifier make tgt.modifier "ClaimResponse.addItem.programCode": for src.programCode make tgt.programCode "ClaimResponse.addItem.serviced": for src.serviced make tgt.serviced "ClaimResponse.addItem.location": for src.location make tgt.location "ClaimResponse.addItem.quantity": for src.quantity make tgt.quantity "ClaimResponse.addItem.unitPrice": for src.unitPrice make tgt.unitPrice "ClaimResponse.addItem.factor": for src.factor make tgt.factor "ClaimResponse.addItem.net": for src.net make tgt.net "ClaimResponse.addItem.bodySite": for src.bodySite make tgt.bodySite "ClaimResponse.addItem.subSite": for src.subSite make tgt.subSite "ClaimResponse.addItem.noteNumber": for src.noteNumber make tgt.noteNumber "ClaimResponse.addItem.adjudication": for src.adjudication make tgt.adjudication "ClaimResponse.addItem.detail": for src.detail as s make tgt.detail as t then ClaimResponseAddItemDetail(s,t) endgroup group ClaimResponseAddItemDetail extends BackboneElement input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.addItem.detail.service": for src.service make tgt.service "ClaimResponse.addItem.detail.modifier": for src.modifier make tgt.modifier "ClaimResponse.addItem.detail.programCode": for src.programCode make tgt.programCode "ClaimResponse.addItem.detail.quantity": for src.quantity make tgt.quantity "ClaimResponse.addItem.detail.unitPrice": for src.unitPrice make tgt.unitPrice "ClaimResponse.addItem.detail.factor": for src.factor make tgt.factor "ClaimResponse.addItem.detail.net": for src.net make tgt.net "ClaimResponse.addItem.detail.noteNumber": for src.noteNumber make tgt.noteNumber "ClaimResponse.addItem.detail.adjudication": for src.adjudication make tgt.adjudication "ClaimResponse.addItem.detail.subDetail": for src.subDetail as s make tgt.subDetail as t then ClaimResponseAddItemDetailSubDetail(s,t) endgroup group ClaimResponseAddItemDetailSubDetail extends BackboneElement input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.addItem.detail.subDetail.service": for src.service make tgt.service "ClaimResponse.addItem.detail.subDetail.modifier": for src.modifier make tgt.modifier "ClaimResponse.addItem.detail.subDetail.programCode": for src.programCode make tgt.programCode "ClaimResponse.addItem.detail.subDetail.quantity": for src.quantity make tgt.quantity "ClaimResponse.addItem.detail.subDetail.unitPrice": for src.unitPrice make tgt.unitPrice "ClaimResponse.addItem.detail.subDetail.factor": for src.factor make tgt.factor "ClaimResponse.addItem.detail.subDetail.net": for src.net make tgt.net "ClaimResponse.addItem.detail.subDetail.noteNumber": for src.noteNumber make tgt.noteNumber "ClaimResponse.addItem.detail.subDetail.adjudication": for src.adjudication make tgt.adjudication endgroup group ClaimResponseError extends BackboneElement input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.error.itemSequence": for src.itemSequence make tgt.itemSequence "ClaimResponse.error.detailSequence": for src.detailSequence make tgt.detailSequence "ClaimResponse.error.subDetailSequence": for src.subDetailSequence make tgt.subDetailSequence "ClaimResponse.error.code": for src.code make tgt.code endgroup group ClaimResponseTotal extends BackboneElement input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.total.category": for src.category make tgt.category "ClaimResponse.total.amount": for src.amount make tgt.amount endgroup group ClaimResponsePayment extends BackboneElement input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.payment.type": for src.type make tgt.type "ClaimResponse.payment.adjustment": for src.adjustment make tgt.adjustment "ClaimResponse.payment.adjustmentReason": for src.adjustmentReason make tgt.adjustmentReason "ClaimResponse.payment.date": for src.date make tgt.date "ClaimResponse.payment.amount": for src.amount make tgt.amount "ClaimResponse.payment.identifier": for src.identifier make tgt.identifier endgroup group ClaimResponseProcessNote extends BackboneElement input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.processNote.number": for src.number make tgt.number "ClaimResponse.processNote.type": for src.type make tgt.type "ClaimResponse.processNote.text": for src.text make tgt.text "ClaimResponse.processNote.language": for src.language make tgt.language endgroup group ClaimResponseInsurance extends BackboneElement input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.insurance.sequence": for src.sequence make tgt.sequence "ClaimResponse.insurance.focal": for src.focal make tgt.focal "ClaimResponse.insurance.coverage": for src.coverage make tgt.coverage "ClaimResponse.insurance.businessArrangement": for src.businessArrangement make tgt.businessArrangement "ClaimResponse.insurance.preAuthRef": for src.preAuthRef make tgt.preAuthRef "ClaimResponse.insurance.claimResponse": for src.claimResponse make tgt.claimResponse endgroup
map "http://hl7.org/fhir/StructureMap/ClaimResponse4to3" = "R4 to R3 Conversion for ClaimResponse" uses "http://hl7.org/fhir/StructureDefinition/ClaimResponse" alias ClaimResponse as source uses "http://hl7.org/fhir/3.0/StructureDefinition/ClaimResponse" alias ClaimResponseR3 as target imports "http://hl7.org/fhir/StructureMap/*4to3" group ClaimResponse extends DomainResource input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.identifier": for src.identifier make tgt.identifier "ClaimResponse.status": for src.status make tgt.status "ClaimResponse.type": for src.type make tgt.type "ClaimResponse.subType": for src.subType make tgt.subType "ClaimResponse.use": for src.use make tgt.use "ClaimResponse.patient": for src.patient make tgt.patient "ClaimResponse.created": for src.created make tgt.created "ClaimResponse.insurer": for src.insurer make tgt.insurer "ClaimResponse.requestProvider": for src.requestProvider make tgt.requestProvider "ClaimResponse.request": for src.request make tgt.request "ClaimResponse.outcome": for src.outcome make tgt.outcome "ClaimResponse.disposition": for src.disposition make tgt.disposition "ClaimResponse.payeeType": for src.payeeType make tgt.payeeType "ClaimResponse.item": for src.item as s make tgt.item as t then ClaimResponseItem(s,t) "ClaimResponse.addItem": for src.addItem as s make tgt.addItem as t then ClaimResponseAddItem(s,t) "ClaimResponse.error": for src.error as s make tgt.error as t then ClaimResponseError(s,t) "ClaimResponse.total": for src.total as s make tgt.total as t then ClaimResponseTotal(s,t) "ClaimResponse.payment": for src.payment as s make tgt.payment as t then ClaimResponsePayment(s,t) "ClaimResponse.reserved": for src.reserved make tgt.reserved "ClaimResponse.form": for src.form make tgt.form "ClaimResponse.processNote": for src.processNote as s make tgt.processNote as t then ClaimResponseProcessNote(s,t) "ClaimResponse.communicationRequest": for src.communicationRequest make tgt.communicationRequest "ClaimResponse.insurance": for src.insurance as s make tgt.insurance as t then ClaimResponseInsurance(s,t) endgroup group ClaimResponseItem extends BackboneElement input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.item.itemSequence": for src.itemSequence make tgt.itemSequence "ClaimResponse.item.noteNumber": for src.noteNumber make tgt.noteNumber "ClaimResponse.item.adjudication": for src.adjudication as s make tgt.adjudication as t then ClaimResponseItemAdjudication(s,t) "ClaimResponse.item.detail": for src.detail as s make tgt.detail as t then ClaimResponseItemDetail(s,t) endgroup group ClaimResponseItemAdjudication extends BackboneElement input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.item.adjudication.category": for src.category make tgt.category "ClaimResponse.item.adjudication.reason": for src.reason make tgt.reason "ClaimResponse.item.adjudication.amount": for src.amount make tgt.amount "ClaimResponse.item.adjudication.value": for src.value make tgt.value endgroup group ClaimResponseItemDetail extends BackboneElement input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.item.detail.detailSequence": for src.detailSequence make tgt.detailSequence "ClaimResponse.item.detail.noteNumber": for src.noteNumber make tgt.noteNumber "ClaimResponse.item.detail.adjudication": for src.adjudication make tgt.adjudication "ClaimResponse.item.detail.subDetail": for src.subDetail as s make tgt.subDetail as t then ClaimResponseItemDetailSubDetail(s,t) endgroup group ClaimResponseItemDetailSubDetail extends BackboneElement input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.item.detail.subDetail.subDetailSequence": for src.subDetailSequence make tgt.subDetailSequence "ClaimResponse.item.detail.subDetail.noteNumber": for src.noteNumber make tgt.noteNumber "ClaimResponse.item.detail.subDetail.adjudication": for src.adjudication make tgt.adjudication endgroup group ClaimResponseAddItem extends BackboneElement input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.addItem.itemSequence": for src.itemSequence make tgt.itemSequence "ClaimResponse.addItem.detailSequence": for src.detailSequence make tgt.detailSequence "ClaimResponse.addItem.subdetailSequence": for src.subdetailSequence make tgt.subdetailSequence "ClaimResponse.addItem.service": for src.service make tgt.service "ClaimResponse.addItem.modifier": for src.modifier make tgt.modifier "ClaimResponse.addItem.programCode": for src.programCode make tgt.programCode "ClaimResponse.addItem.serviced": for src.serviced make tgt.serviced "ClaimResponse.addItem.location": for src.location make tgt.location "ClaimResponse.addItem.quantity": for src.quantity make tgt.quantity "ClaimResponse.addItem.unitPrice": for src.unitPrice make tgt.unitPrice "ClaimResponse.addItem.factor": for src.factor make tgt.factor "ClaimResponse.addItem.net": for src.net make tgt.net "ClaimResponse.addItem.bodySite": for src.bodySite make tgt.bodySite "ClaimResponse.addItem.subSite": for src.subSite make tgt.subSite "ClaimResponse.addItem.noteNumber": for src.noteNumber make tgt.noteNumber "ClaimResponse.addItem.adjudication": for src.adjudication make tgt.adjudication "ClaimResponse.addItem.detail": for src.detail as s make tgt.detail as t then ClaimResponseAddItemDetail(s,t) endgroup group ClaimResponseAddItemDetail extends BackboneElement input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.addItem.detail.service": for src.service make tgt.service "ClaimResponse.addItem.detail.modifier": for src.modifier make tgt.modifier "ClaimResponse.addItem.detail.programCode": for src.programCode make tgt.programCode "ClaimResponse.addItem.detail.quantity": for src.quantity make tgt.quantity "ClaimResponse.addItem.detail.unitPrice": for src.unitPrice make tgt.unitPrice "ClaimResponse.addItem.detail.factor": for src.factor make tgt.factor "ClaimResponse.addItem.detail.net": for src.net make tgt.net "ClaimResponse.addItem.detail.noteNumber": for src.noteNumber make tgt.noteNumber "ClaimResponse.addItem.detail.adjudication": for src.adjudication make tgt.adjudication "ClaimResponse.addItem.detail.subDetail": for src.subDetail as s make tgt.subDetail as t then ClaimResponseAddItemDetailSubDetail(s,t) endgroup group ClaimResponseAddItemDetailSubDetail extends BackboneElement input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.addItem.detail.subDetail.service": for src.service make tgt.service "ClaimResponse.addItem.detail.subDetail.modifier": for src.modifier make tgt.modifier "ClaimResponse.addItem.detail.subDetail.programCode": for src.programCode make tgt.programCode "ClaimResponse.addItem.detail.subDetail.quantity": for src.quantity make tgt.quantity "ClaimResponse.addItem.detail.subDetail.unitPrice": for src.unitPrice make tgt.unitPrice "ClaimResponse.addItem.detail.subDetail.factor": for src.factor make tgt.factor "ClaimResponse.addItem.detail.subDetail.net": for src.net make tgt.net "ClaimResponse.addItem.detail.subDetail.noteNumber": for src.noteNumber make tgt.noteNumber "ClaimResponse.addItem.detail.subDetail.adjudication": for src.adjudication make tgt.adjudication endgroup group ClaimResponseError extends BackboneElement input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.error.itemSequence": for src.itemSequence make tgt.itemSequence "ClaimResponse.error.detailSequence": for src.detailSequence make tgt.detailSequence "ClaimResponse.error.subDetailSequence": for src.subDetailSequence make tgt.subDetailSequence "ClaimResponse.error.code": for src.code make tgt.code endgroup group ClaimResponseTotal extends BackboneElement input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.total.category": for src.category make tgt.category "ClaimResponse.total.amount": for src.amount make tgt.amount endgroup group ClaimResponsePayment extends BackboneElement input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.payment.type": for src.type make tgt.type "ClaimResponse.payment.adjustment": for src.adjustment make tgt.adjustment "ClaimResponse.payment.adjustmentReason": for src.adjustmentReason make tgt.adjustmentReason "ClaimResponse.payment.date": for src.date make tgt.date "ClaimResponse.payment.amount": for src.amount make tgt.amount "ClaimResponse.payment.identifier": for src.identifier make tgt.identifier endgroup group ClaimResponseProcessNote extends BackboneElement input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.processNote.number": for src.number make tgt.number "ClaimResponse.processNote.type": for src.type make tgt.type "ClaimResponse.processNote.text": for src.text make tgt.text "ClaimResponse.processNote.language": for src.language make tgt.language endgroup group ClaimResponseInsurance extends BackboneElement input src : ClaimResponseR3 as source input tgt : ClaimResponse as target "ClaimResponse.insurance.sequence": for src.sequence make tgt.sequence "ClaimResponse.insurance.focal": for src.focal make tgt.focal "ClaimResponse.insurance.coverage": for src.coverage make tgt.coverage "ClaimResponse.insurance.businessArrangement": for src.businessArrangement make tgt.businessArrangement "ClaimResponse.insurance.preAuthRef": for src.preAuthRef make tgt.preAuthRef "ClaimResponse.insurance.claimResponse": for src.claimResponse make tgt.claimResponse endgroup
®© HL7.org 2011+. FHIR Mixed Nomative/Trial Use Ballot #2 (v3.5.0-14907) generated on Sun, Aug 19, 2018 21:52+1000. QA Page
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