This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version in it's permanent home (it will always be available at this URL). 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 | Standards Status: Informative | Security Category: Patient | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
R4 : R5 Conversion maps for Claim.
Functional status for this map: See Conversions Summary. (see documentation)
map "http://hl7.org/fhir/StructureMap/Claim3to4" = "R3 to R4 Conversions for Claim" conceptmap "Use" { prefix s = "http://hl7.org/fhir/claim-use" prefix t = "http://hl7.org/fhir/claim-use" s:complete - t:claim s:proposed - t:preauthorization s:exploratory - t:predetermination } uses "http://hl7.org/fhir/3.0/StructureDefinition/Claim" alias ClaimR3 as source uses "http://hl7.org/fhir/StructureDefinition/Claim" alias Claim as target imports "http://hl7.org/fhir/StructureMap/*3to4" group Claim(source src : ClaimR3, target tgt : Claim) extends DomainResource <<type+>> { src.identifier -> tgt.identifier; src.status -> tgt.status; src.type -> tgt.type; src.subType -> tgt.subType; src.use as v -> tgt.use = translate(v, '#Use', 'code'); src.patient -> tgt.patient; src.billablePeriod -> tgt.billablePeriod; src.created -> tgt.created; src.enterer -> tgt.enterer; src.insurer -> tgt.insurer; src.provider -> tgt.provider; src.priority -> tgt.priority; src.organization where src.provider.exists().not() -> tgt.provider; src.fundsReserve -> tgt.fundsReserve; src.prescription -> tgt.prescription; src.originalPrescription -> tgt.originalPrescription; src.payee as vs -> tgt.payee as vt then { vs.type -> vt.type; vs.party -> vt.party; }; src.referral -> tgt.referral; src.facility -> tgt.facility; src.careTeam as vs -> tgt.careTeam as vt then { vs.sequence -> vt.sequence; vs.provider -> vt.provider; vs.responsible -> vt.responsible; vs.role -> vt.role; vs.qualification -> vt.qualification; }; src.information as vs -> tgt.supportingInfo as vt then { vs.sequence -> vt.sequence; vs.category -> vt.category; vs.code -> vt.code; vs.timing : date as vs0 -> vt.timing = create('date') as vt0 then date(vs0, vt0); vs.timing : Period as vs0 -> vt.timing as vt0 then Period(vs0, vt0); vs.value : boolean as vs0 -> vt.value = create('boolean') as vt0 then boolean(vs0, vt0); vs.value : string as vs0 -> vt.value = create('string') as vt0 then string(vs0, vt0); vs.value : Quantity as vs0 -> vt.value = create('Quantity') as vt0 then Quantity(vs0, vt0); vs.value : Attachment as vs0 -> vt.value = create('Attachment') as vt0 then Attachment(vs0, vt0); vs.value : Reference as vs0 -> vt.value = create('Reference') as vt0 then Reference(vs0, vt0); vs.reason -> vt.reason; }; src.diagnosis as vs -> tgt.diagnosis as vt then { vs.sequence -> vt.sequence; vs.diagnosis : Reference as vs0 -> vt.diagnosis = create('Reference') as vt0 then Reference(vs0, vt0); vs.diagnosis : CodeableConcept as vs0 -> vt.diagnosis = create('CodeableConcept') as vt0 then CodeableConcept(vs0, vt0); vs.type -> vt.type; vs.packageCode -> vt.packageCode; }; src.insurance as vs -> tgt.insurance as vt then { vs.sequence -> vt.sequence; vs.focal -> vt.focal; vs.coverage -> vt.coverage; vs.businessArrangement -> vt.businessArrangement; vs.preAuthRef -> vt.preAuthRef; vs.claimResponse -> vt.claimResponse; }; src.accident as vs -> tgt.accident as vt then { vs.date -> vt.date; vs.type -> vt.type; vs.location : Address as vs0 -> vt.location = create('Address') as vt0 then Address(vs0, vt0); vs.location : Reference as vs0 -> vt.location = create('Reference') as vt0 then Reference(vs0, vt0); }; src.item as vs -> tgt.item as vt then { vs.sequence -> vt.sequence; vs.careTeamLinkId -> vt.careTeamSequence; vs.diagnosisLinkId -> vt.diagnosisSequence; vs.procedureLinkId -> vt.procedureSequence; vs.informationLinkId -> vt.informationSequence; vs.revenue -> vt.revenue; vs.category -> vt.category; vs.service -> vt.productOrService; vs.modifier -> vt.modifier; vs.programCode -> vt.programCode; vs.serviced : date as vs0 -> vt.serviced = create('date') as vt0 then date(vs0, vt0); vs.serviced : Period as vs0 -> vt.serviced as vt0 then Period(vs0, vt0); vs.location : CodeableConcept as vs0 -> vt.location = create('CodeableConcept') as vt0 then CodeableConcept(vs0, vt0); vs.location : Address as vs0 -> vt.location = create('Address') as vt0 then Address(vs0, vt0); vs.location : Reference as vs0 -> vt.location = create('Reference') as vt0 then Reference(vs0, vt0); vs.quantity -> vt.quantity; vs.unitPrice -> vt.unitPrice; vs.factor -> vt.factor; vs.net -> vt.net; vs.udi -> vt.udi; vs.bodySite -> vt.bodySite; vs.subSite -> vt.subSite; vs.encounter -> vt.encounter; vs.detail as vsd -> vt.detail as vst then { vsd.sequence -> vst.sequence; vsd.revenue -> vst.revenue; vsd.category -> vst.category; vsd.service -> vst.productOrService; vsd.modifier -> vst.modifier; vsd.programCode -> vst.programCode; vsd.quantity -> vst.quantity; vsd.unitPrice -> vst.unitPrice; vsd.factor -> vst.factor; vsd.net -> vst.net; vsd.udi -> vst.udi; vsd.subDetail as vsds -> vst.subDetail as vsts then { vsds.sequence -> vsts.sequence; vsds.revenue -> vsts.revenue; vsds.category -> vsts.category; vsds.service -> vsts.productOrService; vsds.modifier -> vsts.modifier; vsds.programCode -> vsts.programCode; vsds.quantity -> vsts.quantity; vsds.unitPrice -> vsts.unitPrice; vsds.factor -> vsts.factor; vsds.net -> vsts.net; vsds.udi -> vsts.udi; }; }; }; src.total -> tgt.total; }
map "http://hl7.org/fhir/StructureMap/Claim4to3" = "R4 to R3 Conversion for Claim" conceptmap "Use" { prefix s = "http://hl7.org/fhir/claim-use" prefix t = "http://hl7.org/fhir/claim-use" s:claim - t:complete s:preauthorization - t:proposed s:predetermination - t:exploratory } uses "http://hl7.org/fhir/StructureDefinition/Claim" alias Claim as source uses "http://hl7.org/fhir/3.0/StructureDefinition/Claim" alias ClaimR3 as target imports "http://hl7.org/fhir/StructureMap/*4to3" group Claim(source src : Claim, target tgt : ClaimR3) extends DomainResource <<type+>> { src.identifier -> tgt.identifier; src.status -> tgt.status; src.type -> tgt.type; src.subType -> tgt.subType; src.use as v -> tgt.use = translate(v, '#Use', 'code'); src.patient -> tgt.patient; src.billablePeriod -> tgt.billablePeriod; src.created -> tgt.created; src.enterer -> tgt.enterer; src.insurer -> tgt.insurer; src.provider -> tgt.provider; src.priority -> tgt.priority; src.fundsReserve -> tgt.fundsReserve; src.prescription -> tgt.prescription; src.originalPrescription -> tgt.originalPrescription; src.payee as vs -> tgt.payee as vt then { vs.type -> vt.type; vs.party -> vt.party; }; src.referral -> tgt.referral; src.facility -> tgt.facility; src.careTeam as vs -> tgt.careTeam as vt then { vs.sequence -> vt.sequence; vs.provider -> vt.provider; vs.responsible -> vt.responsible; vs.role -> vt.role; vs.qualification -> vt.qualification; }; src.supportingInfo as vs -> tgt.information as vt then { vs.sequence -> vt.sequence; vs.category -> vt.category; vs.code -> vt.code; vs.timing : date as vs0 -> vt.timing = create('date') as vt0 then date(vs0, vt0); vs.timing : Period as vs0 -> vt.timing as vt0 then Period(vs0, vt0); vs.value : boolean as vs0 -> vt.value = create('boolean') as vt0 then boolean(vs0, vt0); vs.value : string as vs0 -> vt.value = create('string') as vt0 then string(vs0, vt0); vs.value : Quantity as vs0 -> vt.value = create('Quantity') as vt0 then Quantity(vs0, vt0); vs.value : Attachment as vs0 -> vt.value = create('Attachment') as vt0 then Attachment(vs0, vt0); vs.value : Reference as vs0 -> vt.value = create('Reference') as vt0 then Reference(vs0, vt0); vs.reason -> vt.reason; }; src.diagnosis as vs -> tgt.diagnosis as vt then { vs.sequence -> vt.sequence; vs.diagnosis : Reference as vs0 -> vt.diagnosis = create('Reference') as vt0 then Reference(vs0, vt0); vs.diagnosis : CodeableConcept as vs0 -> vt.diagnosis = create('CodeableConcept') as vt0 then CodeableConcept(vs0, vt0); vs.type -> vt.type; vs.packageCode -> vt.packageCode; }; src.insurance as vs -> tgt.insurance as vt then { vs.sequence -> vt.sequence; vs.focal -> vt.focal; vs.coverage -> vt.coverage; vs.businessArrangement -> vt.businessArrangement; vs.preAuthRef -> vt.preAuthRef; vs.claimResponse -> vt.claimResponse; }; src.accident as vs -> tgt.accident as vt then { vs.date -> vt.date; vs.type -> vt.type; vs.location : Address as vs0 -> vt.location = create('Address') as vt0 then Address(vs0, vt0); vs.location : Reference as vs0 -> vt.location = create('Reference') as vt0 then Reference(vs0, vt0); }; src.item as vs -> tgt.item as vt then { vs.sequence -> vt.sequence; vs.careTeamSequence -> vt.careTeamLinkId; vs.diagnosisSequence -> vt.diagnosisLinkId; vs.procedureSequence -> vt.procedureLinkId; vs.informationSequence -> vt.informationLinkId; vs.revenue -> vt.revenue; vs.category -> vt.category; vs.productOrService -> vt.service; vs.modifier -> vt.modifier; vs.programCode -> vt.programCode; vs.serviced : date as vs0 -> vt.serviced = create('date') as vt0 then date(vs0, vt0); vs.serviced : Period as vs0 -> vt.serviced as vt0 then Period(vs0, vt0); vs.location : CodeableConcept as vs0 -> vt.location = create('CodeableConcept') as vt0 then CodeableConcept(vs0, vt0); vs.location : Address as vs0 -> vt.location = create('Address') as vt0 then Address(vs0, vt0); vs.location : Reference as vs0 -> vt.location = create('Reference') as vt0 then Reference(vs0, vt0); vs.quantity -> vt.quantity; vs.unitPrice -> vt.unitPrice; vs.factor -> vt.factor; vs.net -> vt.net; vs.udi -> vt.udi; vs.bodySite -> vt.bodySite; vs.subSite -> vt.subSite; vs.encounter -> vt.encounter; vs.detail as vsd -> vt.detail as vst then { vsd.sequence -> vst.sequence; vsd.revenue -> vst.revenue; vsd.category -> vst.category; vsd.productOrService -> vst.service; vsd.modifier -> vst.modifier; vsd.programCode -> vst.programCode; vsd.quantity -> vst.quantity; vsd.unitPrice -> vst.unitPrice; vsd.factor -> vst.factor; vsd.net -> vst.net; vsd.udi -> vst.udi; vsd.subDetail as vsds -> vst.subDetail as vsts then { vsds.sequence -> vsts.sequence; vsds.revenue -> vsts.revenue; vsds.category -> vsts.category; vsds.productOrService -> vsts.service; vsds.modifier -> vsts.modifier; vsds.programCode -> vsts.programCode; vsds.quantity -> vsts.quantity; vsds.unitPrice -> vsts.unitPrice; vsds.factor -> vsts.factor; vsds.net -> vsts.net; vsds.udi -> vsts.udi; }; }; }; src.total -> tgt.total; }
No validation errors - all conversions are clean