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: Encounter, Patient, Practitioner, RelatedPerson |
R3 : R4 Conversion maps for ExplanationOfBenefit.
Functional status for this map: 1 test of which 1 fail to execute. (see documentation)
map "http://hl7.org/fhir/StructureMap/ExplanationOfBenefit3to4" = "R3 to R4 Conversions for ExplanationOfBenefit" uses "http://hl7.org/fhir/3.0/StructureDefinition/ExplanationOfBenefit" alias ExplanationOfBenefitR3 as source uses "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit" alias ExplanationOfBenefit as target imports "http://hl7.org/fhir/StructureMap/*3to4" group ExplanationOfBenefit extends DomainResource input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.identifier": for src.identifier make tgt.identifier "ExplanationOfBenefit.status": for src.status make tgt.status "ExplanationOfBenefit.type": for src.type make tgt.type "ExplanationOfBenefit.subType": for src.subType make tgt.subType "ExplanationOfBenefit.use": for src.use make tgt.use "ExplanationOfBenefit.patient": for src.patient make tgt.patient "ExplanationOfBenefit.billablePeriod": for src.billablePeriod make tgt.billablePeriod "ExplanationOfBenefit.created": for src.created make tgt.created "ExplanationOfBenefit.enterer": for src.enterer make tgt.enterer "ExplanationOfBenefit.insurer": for src.insurer make tgt.insurer "ExplanationOfBenefit.provider": for src.provider make tgt.provider "ExplanationOfBenefit.referral": for src.referral make tgt.referral "ExplanationOfBenefit.facility": for src.facility make tgt.facility "ExplanationOfBenefit.claim": for src.claim make tgt.claim "ExplanationOfBenefit.claimResponse": for src.claimResponse make tgt.claimResponse "ExplanationOfBenefit.outcome": for src.outcome make tgt.outcome "ExplanationOfBenefit.disposition": for src.disposition make tgt.disposition "ExplanationOfBenefit.related": for src.related as s make tgt.related as t then ExplanationOfBenefitRelated(s,t) "ExplanationOfBenefit.prescription": for src.prescription make tgt.prescription "ExplanationOfBenefit.originalPrescription": for src.originalPrescription make tgt.originalPrescription "ExplanationOfBenefit.payee": for src.payee as s make tgt.payee as t then ExplanationOfBenefitPayee(s,t) "ExplanationOfBenefit.information": for src.information as s make tgt.information as t then ExplanationOfBenefitInformation(s,t) "ExplanationOfBenefit.careTeam": for src.careTeam as s make tgt.careTeam as t then ExplanationOfBenefitCareTeam(s,t) "ExplanationOfBenefit.diagnosis": for src.diagnosis as s make tgt.diagnosis as t then ExplanationOfBenefitDiagnosis(s,t) "ExplanationOfBenefit.procedure": for src.procedure as s make tgt.procedure as t then ExplanationOfBenefitProcedure(s,t) "ExplanationOfBenefit.precedence": for src.precedence make tgt.precedence "ExplanationOfBenefit.insurance": for src.insurance as s make tgt.insurance as t then ExplanationOfBenefitInsurance(s,t) "ExplanationOfBenefit.accident": for src.accident as s make tgt.accident as t then ExplanationOfBenefitAccident(s,t) "ExplanationOfBenefit.item": for src.item as s make tgt.item as t then ExplanationOfBenefitItem(s,t) "ExplanationOfBenefit.addItem": for src.addItem as s make tgt.addItem as t then ExplanationOfBenefitAddItem(s,t) "ExplanationOfBenefit.total": for src.total as s make tgt.total as t then ExplanationOfBenefitTotal(s,t) "ExplanationOfBenefit.payment": for src.payment as s make tgt.payment as t then ExplanationOfBenefitPayment(s,t) "ExplanationOfBenefit.form": for src.form make tgt.form "ExplanationOfBenefit.processNote": for src.processNote as s make tgt.processNote as t then ExplanationOfBenefitProcessNote(s,t) "ExplanationOfBenefit.benefitBalance": for src.benefitBalance as s make tgt.benefitBalance as t then ExplanationOfBenefitBenefitBalance(s,t) endgroup group ExplanationOfBenefitRelated extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.related.claim": for src.claim make tgt.claim "ExplanationOfBenefit.related.relationship": for src.relationship make tgt.relationship "ExplanationOfBenefit.related.reference": for src.reference make tgt.reference endgroup group ExplanationOfBenefitPayee extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.payee.type": for src.type make tgt.type "ExplanationOfBenefit.payee.resource": for src.resource make tgt.resource "ExplanationOfBenefit.payee.party": for src.party make tgt.party endgroup group ExplanationOfBenefitInformation extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.information.sequence": for src.sequence make tgt.sequence "ExplanationOfBenefit.information.category": for src.category make tgt.category "ExplanationOfBenefit.information.code": for src.code make tgt.code "ExplanationOfBenefit.information.timing": for src.timing make tgt.timing "ExplanationOfBenefit.information.value": for src.value make tgt.value "ExplanationOfBenefit.information.reason": for src.reason make tgt.reason endgroup group ExplanationOfBenefitCareTeam extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.careTeam.sequence": for src.sequence make tgt.sequence "ExplanationOfBenefit.careTeam.provider": for src.provider make tgt.provider "ExplanationOfBenefit.careTeam.responsible": for src.responsible make tgt.responsible "ExplanationOfBenefit.careTeam.role": for src.role make tgt.role "ExplanationOfBenefit.careTeam.qualification": for src.qualification make tgt.qualification endgroup group ExplanationOfBenefitDiagnosis extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.diagnosis.sequence": for src.sequence make tgt.sequence "ExplanationOfBenefit.diagnosis.diagnosis": for src.diagnosis make tgt.diagnosis "ExplanationOfBenefit.diagnosis.type": for src.type make tgt.type "ExplanationOfBenefit.diagnosis.packageCode": for src.packageCode make tgt.packageCode endgroup group ExplanationOfBenefitProcedure extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.procedure.sequence": for src.sequence make tgt.sequence "ExplanationOfBenefit.procedure.date": for src.date make tgt.date "ExplanationOfBenefit.procedure.procedure": for src.procedure make tgt.procedure endgroup group ExplanationOfBenefitInsurance extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.insurance.coverage": for src.coverage make tgt.coverage "ExplanationOfBenefit.insurance.preAuthRef": for src.preAuthRef make tgt.preAuthRef endgroup group ExplanationOfBenefitAccident extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.accident.date": for src.date make tgt.date "ExplanationOfBenefit.accident.type": for src.type make tgt.type "ExplanationOfBenefit.accident.location": for src.location make tgt.location endgroup group ExplanationOfBenefitItem extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.item.sequence": for src.sequence make tgt.sequence "ExplanationOfBenefit.item.careTeamSequence": for src.careTeamSequence make tgt.careTeamSequence "ExplanationOfBenefit.item.diagnosisSequence": for src.diagnosisSequence make tgt.diagnosisSequence "ExplanationOfBenefit.item.procedureSequence": for src.procedureSequence make tgt.procedureSequence "ExplanationOfBenefit.item.informationSequence": for src.informationSequence make tgt.informationSequence "ExplanationOfBenefit.item.revenue": for src.revenue make tgt.revenue "ExplanationOfBenefit.item.category": for src.category make tgt.category "ExplanationOfBenefit.item.service": for src.service make tgt.service "ExplanationOfBenefit.item.modifier": for src.modifier make tgt.modifier "ExplanationOfBenefit.item.programCode": for src.programCode make tgt.programCode "ExplanationOfBenefit.item.serviced": for src.serviced make tgt.serviced "ExplanationOfBenefit.item.location": for src.location make tgt.location "ExplanationOfBenefit.item.quantity": for src.quantity make tgt.quantity "ExplanationOfBenefit.item.unitPrice": for src.unitPrice make tgt.unitPrice "ExplanationOfBenefit.item.factor": for src.factor make tgt.factor "ExplanationOfBenefit.item.net": for src.net make tgt.net "ExplanationOfBenefit.item.udi": for src.udi make tgt.udi "ExplanationOfBenefit.item.bodySite": for src.bodySite make tgt.bodySite "ExplanationOfBenefit.item.subSite": for src.subSite make tgt.subSite "ExplanationOfBenefit.item.encounter": for src.encounter make tgt.encounter "ExplanationOfBenefit.item.noteNumber": for src.noteNumber make tgt.noteNumber "ExplanationOfBenefit.item.adjudication": for src.adjudication as s make tgt.adjudication as t then ExplanationOfBenefitItemAdjudication(s,t) "ExplanationOfBenefit.item.detail": for src.detail as s make tgt.detail as t then ExplanationOfBenefitItemDetail(s,t) endgroup group ExplanationOfBenefitItemAdjudication extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.item.adjudication.category": for src.category make tgt.category "ExplanationOfBenefit.item.adjudication.reason": for src.reason make tgt.reason "ExplanationOfBenefit.item.adjudication.amount": for src.amount make tgt.amount "ExplanationOfBenefit.item.adjudication.value": for src.value make tgt.value endgroup group ExplanationOfBenefitItemDetail extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.item.detail.sequence": for src.sequence make tgt.sequence "ExplanationOfBenefit.item.detail.revenue": for src.revenue make tgt.revenue "ExplanationOfBenefit.item.detail.category": for src.category make tgt.category "ExplanationOfBenefit.item.detail.service": for src.service make tgt.service "ExplanationOfBenefit.item.detail.modifier": for src.modifier make tgt.modifier "ExplanationOfBenefit.item.detail.programCode": for src.programCode make tgt.programCode "ExplanationOfBenefit.item.detail.quantity": for src.quantity make tgt.quantity "ExplanationOfBenefit.item.detail.unitPrice": for src.unitPrice make tgt.unitPrice "ExplanationOfBenefit.item.detail.factor": for src.factor make tgt.factor "ExplanationOfBenefit.item.detail.net": for src.net make tgt.net "ExplanationOfBenefit.item.detail.udi": for src.udi make tgt.udi "ExplanationOfBenefit.item.detail.noteNumber": for src.noteNumber make tgt.noteNumber "ExplanationOfBenefit.item.detail.adjudication": for src.adjudication make tgt.adjudication "ExplanationOfBenefit.item.detail.subDetail": for src.subDetail as s make tgt.subDetail as t then ExplanationOfBenefitItemDetailSubDetail(s,t) endgroup group ExplanationOfBenefitItemDetailSubDetail extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.item.detail.subDetail.sequence": for src.sequence make tgt.sequence "ExplanationOfBenefit.item.detail.subDetail.revenue": for src.revenue make tgt.revenue "ExplanationOfBenefit.item.detail.subDetail.category": for src.category make tgt.category "ExplanationOfBenefit.item.detail.subDetail.service": for src.service make tgt.service "ExplanationOfBenefit.item.detail.subDetail.modifier": for src.modifier make tgt.modifier "ExplanationOfBenefit.item.detail.subDetail.programCode": for src.programCode make tgt.programCode "ExplanationOfBenefit.item.detail.subDetail.quantity": for src.quantity make tgt.quantity "ExplanationOfBenefit.item.detail.subDetail.unitPrice": for src.unitPrice make tgt.unitPrice "ExplanationOfBenefit.item.detail.subDetail.factor": for src.factor make tgt.factor "ExplanationOfBenefit.item.detail.subDetail.net": for src.net make tgt.net "ExplanationOfBenefit.item.detail.subDetail.udi": for src.udi make tgt.udi "ExplanationOfBenefit.item.detail.subDetail.noteNumber": for src.noteNumber make tgt.noteNumber "ExplanationOfBenefit.item.detail.subDetail.adjudication": for src.adjudication make tgt.adjudication endgroup group ExplanationOfBenefitAddItem extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.addItem.itemSequence": for src.itemSequence make tgt.itemSequence "ExplanationOfBenefit.addItem.detailSequence": for src.detailSequence make tgt.detailSequence "ExplanationOfBenefit.addItem.subDetailSequence": for src.subDetailSequence make tgt.subDetailSequence "ExplanationOfBenefit.addItem.service": for src.service make tgt.service "ExplanationOfBenefit.addItem.modifier": for src.modifier make tgt.modifier "ExplanationOfBenefit.addItem.programCode": for src.programCode make tgt.programCode "ExplanationOfBenefit.addItem.serviced": for src.serviced make tgt.serviced "ExplanationOfBenefit.addItem.location": for src.location make tgt.location "ExplanationOfBenefit.addItem.quantity": for src.quantity make tgt.quantity "ExplanationOfBenefit.addItem.unitPrice": for src.unitPrice make tgt.unitPrice "ExplanationOfBenefit.addItem.factor": for src.factor make tgt.factor "ExplanationOfBenefit.addItem.net": for src.net make tgt.net "ExplanationOfBenefit.addItem.bodySite": for src.bodySite make tgt.bodySite "ExplanationOfBenefit.addItem.subSite": for src.subSite make tgt.subSite "ExplanationOfBenefit.addItem.noteNumber": for src.noteNumber make tgt.noteNumber "ExplanationOfBenefit.addItem.adjudication": for src.adjudication make tgt.adjudication "ExplanationOfBenefit.addItem.detail": for src.detail as s make tgt.detail as t then ExplanationOfBenefitAddItemDetail(s,t) endgroup group ExplanationOfBenefitAddItemDetail extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.addItem.detail.service": for src.service make tgt.service "ExplanationOfBenefit.addItem.detail.modifier": for src.modifier make tgt.modifier "ExplanationOfBenefit.addItem.detail.programCode": for src.programCode make tgt.programCode "ExplanationOfBenefit.addItem.detail.quantity": for src.quantity make tgt.quantity "ExplanationOfBenefit.addItem.detail.unitPrice": for src.unitPrice make tgt.unitPrice "ExplanationOfBenefit.addItem.detail.factor": for src.factor make tgt.factor "ExplanationOfBenefit.addItem.detail.net": for src.net make tgt.net "ExplanationOfBenefit.addItem.detail.noteNumber": for src.noteNumber make tgt.noteNumber "ExplanationOfBenefit.addItem.detail.adjudication": for src.adjudication make tgt.adjudication "ExplanationOfBenefit.addItem.detail.subDetail": for src.subDetail as s make tgt.subDetail as t then ExplanationOfBenefitAddItemDetailSubDetail(s,t) endgroup group ExplanationOfBenefitAddItemDetailSubDetail extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.addItem.detail.subDetail.service": for src.service make tgt.service "ExplanationOfBenefit.addItem.detail.subDetail.modifier": for src.modifier make tgt.modifier "ExplanationOfBenefit.addItem.detail.subDetail.programCode": for src.programCode make tgt.programCode "ExplanationOfBenefit.addItem.detail.subDetail.quantity": for src.quantity make tgt.quantity "ExplanationOfBenefit.addItem.detail.subDetail.unitPrice": for src.unitPrice make tgt.unitPrice "ExplanationOfBenefit.addItem.detail.subDetail.factor": for src.factor make tgt.factor "ExplanationOfBenefit.addItem.detail.subDetail.net": for src.net make tgt.net "ExplanationOfBenefit.addItem.detail.subDetail.noteNumber": for src.noteNumber make tgt.noteNumber "ExplanationOfBenefit.addItem.detail.subDetail.adjudication": for src.adjudication make tgt.adjudication endgroup group ExplanationOfBenefitTotal extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.total.category": for src.category make tgt.category "ExplanationOfBenefit.total.amount": for src.amount make tgt.amount endgroup group ExplanationOfBenefitPayment extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.payment.type": for src.type make tgt.type "ExplanationOfBenefit.payment.adjustment": for src.adjustment make tgt.adjustment "ExplanationOfBenefit.payment.adjustmentReason": for src.adjustmentReason make tgt.adjustmentReason "ExplanationOfBenefit.payment.date": for src.date make tgt.date "ExplanationOfBenefit.payment.amount": for src.amount make tgt.amount "ExplanationOfBenefit.payment.identifier": for src.identifier make tgt.identifier endgroup group ExplanationOfBenefitProcessNote extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.processNote.number": for src.number make tgt.number "ExplanationOfBenefit.processNote.type": for src.type make tgt.type "ExplanationOfBenefit.processNote.text": for src.text make tgt.text "ExplanationOfBenefit.processNote.language": for src.language make tgt.language endgroup group ExplanationOfBenefitBenefitBalance extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.benefitBalance.category": for src.category make tgt.category "ExplanationOfBenefit.benefitBalance.excluded": for src.excluded make tgt.excluded "ExplanationOfBenefit.benefitBalance.name": for src.name make tgt.name "ExplanationOfBenefit.benefitBalance.description": for src.description make tgt.description "ExplanationOfBenefit.benefitBalance.network": for src.network make tgt.network "ExplanationOfBenefit.benefitBalance.unit": for src.unit make tgt.unit "ExplanationOfBenefit.benefitBalance.term": for src.term make tgt.term "ExplanationOfBenefit.benefitBalance.financial": for src.financial as s make tgt.financial as t then ExplanationOfBenefitBenefitBalanceFinancial(s,t) endgroup group ExplanationOfBenefitBenefitBalanceFinancial extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.benefitBalance.financial.type": for src.type make tgt.type "ExplanationOfBenefit.benefitBalance.financial.allowed": for src.allowed make tgt.allowed "ExplanationOfBenefit.benefitBalance.financial.used": for src.used make tgt.used endgroup
map "http://hl7.org/fhir/StructureMap/ExplanationOfBenefit4to3" = "R4 to R3 Conversion for ExplanationOfBenefit" uses "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit" alias ExplanationOfBenefit as source uses "http://hl7.org/fhir/3.0/StructureDefinition/ExplanationOfBenefit" alias ExplanationOfBenefitR3 as target imports "http://hl7.org/fhir/StructureMap/*4to3" group ExplanationOfBenefit extends DomainResource input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.identifier": for src.identifier make tgt.identifier "ExplanationOfBenefit.status": for src.status make tgt.status "ExplanationOfBenefit.type": for src.type make tgt.type "ExplanationOfBenefit.subType": for src.subType make tgt.subType "ExplanationOfBenefit.use": for src.use make tgt.use "ExplanationOfBenefit.patient": for src.patient make tgt.patient "ExplanationOfBenefit.billablePeriod": for src.billablePeriod make tgt.billablePeriod "ExplanationOfBenefit.created": for src.created make tgt.created "ExplanationOfBenefit.enterer": for src.enterer make tgt.enterer "ExplanationOfBenefit.insurer": for src.insurer make tgt.insurer "ExplanationOfBenefit.provider": for src.provider make tgt.provider "ExplanationOfBenefit.referral": for src.referral make tgt.referral "ExplanationOfBenefit.facility": for src.facility make tgt.facility "ExplanationOfBenefit.claim": for src.claim make tgt.claim "ExplanationOfBenefit.claimResponse": for src.claimResponse make tgt.claimResponse "ExplanationOfBenefit.outcome": for src.outcome make tgt.outcome "ExplanationOfBenefit.disposition": for src.disposition make tgt.disposition "ExplanationOfBenefit.related": for src.related as s make tgt.related as t then ExplanationOfBenefitRelated(s,t) "ExplanationOfBenefit.prescription": for src.prescription make tgt.prescription "ExplanationOfBenefit.originalPrescription": for src.originalPrescription make tgt.originalPrescription "ExplanationOfBenefit.payee": for src.payee as s make tgt.payee as t then ExplanationOfBenefitPayee(s,t) "ExplanationOfBenefit.information": for src.information as s make tgt.information as t then ExplanationOfBenefitInformation(s,t) "ExplanationOfBenefit.careTeam": for src.careTeam as s make tgt.careTeam as t then ExplanationOfBenefitCareTeam(s,t) "ExplanationOfBenefit.diagnosis": for src.diagnosis as s make tgt.diagnosis as t then ExplanationOfBenefitDiagnosis(s,t) "ExplanationOfBenefit.procedure": for src.procedure as s make tgt.procedure as t then ExplanationOfBenefitProcedure(s,t) "ExplanationOfBenefit.precedence": for src.precedence make tgt.precedence "ExplanationOfBenefit.insurance": for src.insurance as s make tgt.insurance as t then ExplanationOfBenefitInsurance(s,t) "ExplanationOfBenefit.accident": for src.accident as s make tgt.accident as t then ExplanationOfBenefitAccident(s,t) "ExplanationOfBenefit.item": for src.item as s make tgt.item as t then ExplanationOfBenefitItem(s,t) "ExplanationOfBenefit.addItem": for src.addItem as s make tgt.addItem as t then ExplanationOfBenefitAddItem(s,t) "ExplanationOfBenefit.total": for src.total as s make tgt.total as t then ExplanationOfBenefitTotal(s,t) "ExplanationOfBenefit.payment": for src.payment as s make tgt.payment as t then ExplanationOfBenefitPayment(s,t) "ExplanationOfBenefit.form": for src.form make tgt.form "ExplanationOfBenefit.processNote": for src.processNote as s make tgt.processNote as t then ExplanationOfBenefitProcessNote(s,t) "ExplanationOfBenefit.benefitBalance": for src.benefitBalance as s make tgt.benefitBalance as t then ExplanationOfBenefitBenefitBalance(s,t) endgroup group ExplanationOfBenefitRelated extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.related.claim": for src.claim make tgt.claim "ExplanationOfBenefit.related.relationship": for src.relationship make tgt.relationship "ExplanationOfBenefit.related.reference": for src.reference make tgt.reference endgroup group ExplanationOfBenefitPayee extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.payee.type": for src.type make tgt.type "ExplanationOfBenefit.payee.resource": for src.resource make tgt.resource "ExplanationOfBenefit.payee.party": for src.party make tgt.party endgroup group ExplanationOfBenefitInformation extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.information.sequence": for src.sequence make tgt.sequence "ExplanationOfBenefit.information.category": for src.category make tgt.category "ExplanationOfBenefit.information.code": for src.code make tgt.code "ExplanationOfBenefit.information.timing": for src.timing make tgt.timing "ExplanationOfBenefit.information.value": for src.value make tgt.value "ExplanationOfBenefit.information.reason": for src.reason make tgt.reason endgroup group ExplanationOfBenefitCareTeam extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.careTeam.sequence": for src.sequence make tgt.sequence "ExplanationOfBenefit.careTeam.provider": for src.provider make tgt.provider "ExplanationOfBenefit.careTeam.responsible": for src.responsible make tgt.responsible "ExplanationOfBenefit.careTeam.role": for src.role make tgt.role "ExplanationOfBenefit.careTeam.qualification": for src.qualification make tgt.qualification endgroup group ExplanationOfBenefitDiagnosis extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.diagnosis.sequence": for src.sequence make tgt.sequence "ExplanationOfBenefit.diagnosis.diagnosis": for src.diagnosis make tgt.diagnosis "ExplanationOfBenefit.diagnosis.type": for src.type make tgt.type "ExplanationOfBenefit.diagnosis.packageCode": for src.packageCode make tgt.packageCode endgroup group ExplanationOfBenefitProcedure extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.procedure.sequence": for src.sequence make tgt.sequence "ExplanationOfBenefit.procedure.date": for src.date make tgt.date "ExplanationOfBenefit.procedure.procedure": for src.procedure make tgt.procedure endgroup group ExplanationOfBenefitInsurance extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.insurance.coverage": for src.coverage make tgt.coverage "ExplanationOfBenefit.insurance.preAuthRef": for src.preAuthRef make tgt.preAuthRef endgroup group ExplanationOfBenefitAccident extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.accident.date": for src.date make tgt.date "ExplanationOfBenefit.accident.type": for src.type make tgt.type "ExplanationOfBenefit.accident.location": for src.location make tgt.location endgroup group ExplanationOfBenefitItem extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.item.sequence": for src.sequence make tgt.sequence "ExplanationOfBenefit.item.careTeamSequence": for src.careTeamSequence make tgt.careTeamSequence "ExplanationOfBenefit.item.diagnosisSequence": for src.diagnosisSequence make tgt.diagnosisSequence "ExplanationOfBenefit.item.procedureSequence": for src.procedureSequence make tgt.procedureSequence "ExplanationOfBenefit.item.informationSequence": for src.informationSequence make tgt.informationSequence "ExplanationOfBenefit.item.revenue": for src.revenue make tgt.revenue "ExplanationOfBenefit.item.category": for src.category make tgt.category "ExplanationOfBenefit.item.service": for src.service make tgt.service "ExplanationOfBenefit.item.modifier": for src.modifier make tgt.modifier "ExplanationOfBenefit.item.programCode": for src.programCode make tgt.programCode "ExplanationOfBenefit.item.serviced": for src.serviced make tgt.serviced "ExplanationOfBenefit.item.location": for src.location make tgt.location "ExplanationOfBenefit.item.quantity": for src.quantity make tgt.quantity "ExplanationOfBenefit.item.unitPrice": for src.unitPrice make tgt.unitPrice "ExplanationOfBenefit.item.factor": for src.factor make tgt.factor "ExplanationOfBenefit.item.net": for src.net make tgt.net "ExplanationOfBenefit.item.udi": for src.udi make tgt.udi "ExplanationOfBenefit.item.bodySite": for src.bodySite make tgt.bodySite "ExplanationOfBenefit.item.subSite": for src.subSite make tgt.subSite "ExplanationOfBenefit.item.encounter": for src.encounter make tgt.encounter "ExplanationOfBenefit.item.noteNumber": for src.noteNumber make tgt.noteNumber "ExplanationOfBenefit.item.adjudication": for src.adjudication as s make tgt.adjudication as t then ExplanationOfBenefitItemAdjudication(s,t) "ExplanationOfBenefit.item.detail": for src.detail as s make tgt.detail as t then ExplanationOfBenefitItemDetail(s,t) endgroup group ExplanationOfBenefitItemAdjudication extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.item.adjudication.category": for src.category make tgt.category "ExplanationOfBenefit.item.adjudication.reason": for src.reason make tgt.reason "ExplanationOfBenefit.item.adjudication.amount": for src.amount make tgt.amount "ExplanationOfBenefit.item.adjudication.value": for src.value make tgt.value endgroup group ExplanationOfBenefitItemDetail extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.item.detail.sequence": for src.sequence make tgt.sequence "ExplanationOfBenefit.item.detail.revenue": for src.revenue make tgt.revenue "ExplanationOfBenefit.item.detail.category": for src.category make tgt.category "ExplanationOfBenefit.item.detail.service": for src.service make tgt.service "ExplanationOfBenefit.item.detail.modifier": for src.modifier make tgt.modifier "ExplanationOfBenefit.item.detail.programCode": for src.programCode make tgt.programCode "ExplanationOfBenefit.item.detail.quantity": for src.quantity make tgt.quantity "ExplanationOfBenefit.item.detail.unitPrice": for src.unitPrice make tgt.unitPrice "ExplanationOfBenefit.item.detail.factor": for src.factor make tgt.factor "ExplanationOfBenefit.item.detail.net": for src.net make tgt.net "ExplanationOfBenefit.item.detail.udi": for src.udi make tgt.udi "ExplanationOfBenefit.item.detail.noteNumber": for src.noteNumber make tgt.noteNumber "ExplanationOfBenefit.item.detail.adjudication": for src.adjudication make tgt.adjudication "ExplanationOfBenefit.item.detail.subDetail": for src.subDetail as s make tgt.subDetail as t then ExplanationOfBenefitItemDetailSubDetail(s,t) endgroup group ExplanationOfBenefitItemDetailSubDetail extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.item.detail.subDetail.sequence": for src.sequence make tgt.sequence "ExplanationOfBenefit.item.detail.subDetail.revenue": for src.revenue make tgt.revenue "ExplanationOfBenefit.item.detail.subDetail.category": for src.category make tgt.category "ExplanationOfBenefit.item.detail.subDetail.service": for src.service make tgt.service "ExplanationOfBenefit.item.detail.subDetail.modifier": for src.modifier make tgt.modifier "ExplanationOfBenefit.item.detail.subDetail.programCode": for src.programCode make tgt.programCode "ExplanationOfBenefit.item.detail.subDetail.quantity": for src.quantity make tgt.quantity "ExplanationOfBenefit.item.detail.subDetail.unitPrice": for src.unitPrice make tgt.unitPrice "ExplanationOfBenefit.item.detail.subDetail.factor": for src.factor make tgt.factor "ExplanationOfBenefit.item.detail.subDetail.net": for src.net make tgt.net "ExplanationOfBenefit.item.detail.subDetail.udi": for src.udi make tgt.udi "ExplanationOfBenefit.item.detail.subDetail.noteNumber": for src.noteNumber make tgt.noteNumber "ExplanationOfBenefit.item.detail.subDetail.adjudication": for src.adjudication make tgt.adjudication endgroup group ExplanationOfBenefitAddItem extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.addItem.itemSequence": for src.itemSequence make tgt.itemSequence "ExplanationOfBenefit.addItem.detailSequence": for src.detailSequence make tgt.detailSequence "ExplanationOfBenefit.addItem.subDetailSequence": for src.subDetailSequence make tgt.subDetailSequence "ExplanationOfBenefit.addItem.service": for src.service make tgt.service "ExplanationOfBenefit.addItem.modifier": for src.modifier make tgt.modifier "ExplanationOfBenefit.addItem.programCode": for src.programCode make tgt.programCode "ExplanationOfBenefit.addItem.serviced": for src.serviced make tgt.serviced "ExplanationOfBenefit.addItem.location": for src.location make tgt.location "ExplanationOfBenefit.addItem.quantity": for src.quantity make tgt.quantity "ExplanationOfBenefit.addItem.unitPrice": for src.unitPrice make tgt.unitPrice "ExplanationOfBenefit.addItem.factor": for src.factor make tgt.factor "ExplanationOfBenefit.addItem.net": for src.net make tgt.net "ExplanationOfBenefit.addItem.bodySite": for src.bodySite make tgt.bodySite "ExplanationOfBenefit.addItem.subSite": for src.subSite make tgt.subSite "ExplanationOfBenefit.addItem.noteNumber": for src.noteNumber make tgt.noteNumber "ExplanationOfBenefit.addItem.adjudication": for src.adjudication make tgt.adjudication "ExplanationOfBenefit.addItem.detail": for src.detail as s make tgt.detail as t then ExplanationOfBenefitAddItemDetail(s,t) endgroup group ExplanationOfBenefitAddItemDetail extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.addItem.detail.service": for src.service make tgt.service "ExplanationOfBenefit.addItem.detail.modifier": for src.modifier make tgt.modifier "ExplanationOfBenefit.addItem.detail.programCode": for src.programCode make tgt.programCode "ExplanationOfBenefit.addItem.detail.quantity": for src.quantity make tgt.quantity "ExplanationOfBenefit.addItem.detail.unitPrice": for src.unitPrice make tgt.unitPrice "ExplanationOfBenefit.addItem.detail.factor": for src.factor make tgt.factor "ExplanationOfBenefit.addItem.detail.net": for src.net make tgt.net "ExplanationOfBenefit.addItem.detail.noteNumber": for src.noteNumber make tgt.noteNumber "ExplanationOfBenefit.addItem.detail.adjudication": for src.adjudication make tgt.adjudication "ExplanationOfBenefit.addItem.detail.subDetail": for src.subDetail as s make tgt.subDetail as t then ExplanationOfBenefitAddItemDetailSubDetail(s,t) endgroup group ExplanationOfBenefitAddItemDetailSubDetail extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.addItem.detail.subDetail.service": for src.service make tgt.service "ExplanationOfBenefit.addItem.detail.subDetail.modifier": for src.modifier make tgt.modifier "ExplanationOfBenefit.addItem.detail.subDetail.programCode": for src.programCode make tgt.programCode "ExplanationOfBenefit.addItem.detail.subDetail.quantity": for src.quantity make tgt.quantity "ExplanationOfBenefit.addItem.detail.subDetail.unitPrice": for src.unitPrice make tgt.unitPrice "ExplanationOfBenefit.addItem.detail.subDetail.factor": for src.factor make tgt.factor "ExplanationOfBenefit.addItem.detail.subDetail.net": for src.net make tgt.net "ExplanationOfBenefit.addItem.detail.subDetail.noteNumber": for src.noteNumber make tgt.noteNumber "ExplanationOfBenefit.addItem.detail.subDetail.adjudication": for src.adjudication make tgt.adjudication endgroup group ExplanationOfBenefitTotal extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.total.category": for src.category make tgt.category "ExplanationOfBenefit.total.amount": for src.amount make tgt.amount endgroup group ExplanationOfBenefitPayment extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.payment.type": for src.type make tgt.type "ExplanationOfBenefit.payment.adjustment": for src.adjustment make tgt.adjustment "ExplanationOfBenefit.payment.adjustmentReason": for src.adjustmentReason make tgt.adjustmentReason "ExplanationOfBenefit.payment.date": for src.date make tgt.date "ExplanationOfBenefit.payment.amount": for src.amount make tgt.amount "ExplanationOfBenefit.payment.identifier": for src.identifier make tgt.identifier endgroup group ExplanationOfBenefitProcessNote extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.processNote.number": for src.number make tgt.number "ExplanationOfBenefit.processNote.type": for src.type make tgt.type "ExplanationOfBenefit.processNote.text": for src.text make tgt.text "ExplanationOfBenefit.processNote.language": for src.language make tgt.language endgroup group ExplanationOfBenefitBenefitBalance extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.benefitBalance.category": for src.category make tgt.category "ExplanationOfBenefit.benefitBalance.excluded": for src.excluded make tgt.excluded "ExplanationOfBenefit.benefitBalance.name": for src.name make tgt.name "ExplanationOfBenefit.benefitBalance.description": for src.description make tgt.description "ExplanationOfBenefit.benefitBalance.network": for src.network make tgt.network "ExplanationOfBenefit.benefitBalance.unit": for src.unit make tgt.unit "ExplanationOfBenefit.benefitBalance.term": for src.term make tgt.term "ExplanationOfBenefit.benefitBalance.financial": for src.financial as s make tgt.financial as t then ExplanationOfBenefitBenefitBalanceFinancial(s,t) endgroup group ExplanationOfBenefitBenefitBalanceFinancial extends BackboneElement input src : ExplanationOfBenefitR3 as source input tgt : ExplanationOfBenefit as target "ExplanationOfBenefit.benefitBalance.financial.type": for src.type make tgt.type "ExplanationOfBenefit.benefitBalance.financial.allowed": for src.allowed make tgt.allowed "ExplanationOfBenefit.benefitBalance.financial.used": for src.used make tgt.used endgroup
®© HL7.org 2011+. FHIR Mixed Nomative/Trial Use Ballot #2 (v3.5.0-14907) generated on Sun, Aug 19, 2018 21:53+1000. QA Page
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