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: Patient, Practitioner |
R4 : R5 Conversion maps for CoverageEligibilityResponse.
Functional status for this map: See Conversions Summary. (see documentation)
map "http://hl7.org/fhir/StructureMap/EligibilityResponse3to4" = "R3 to R4 Conversions for (Coverage)EligibilityResponse" uses "http://hl7.org/fhir/3.0/StructureDefinition/EligibilityResponse" alias EligibilityResponseR3 as source uses "http://hl7.org/fhir/StructureDefinition/CoverageEligibilityResponse" alias EligibilityResponse as target imports "http://hl7.org/fhir/StructureMap/*3to4" group EligibilityResponse(source src : EligibilityResponseR3, target tgt : CoverageEligibilityResponse) extends DomainResource <<type+>> { src.identifier -> tgt.identifier; src.status -> tgt.status; src.patient -> tgt.patient; src.serviced -> tgt.serviced; src.created -> tgt.created; src.requestProvider -> tgt.requestor; src.request -> tgt.request; src.outcome as vs then { vs.coding as c where code in ('complete' | 'error' | 'partial') then { c.code -> tgt.outcome; }; }; src.disposition -> tgt.disposition; src.insurer -> tgt.insurer; src.insurance as s -> tgt.insurance as t then EligibilityResponseInsurance(s, t); src.preAuthRef -> tgt.preAuthRef; src.form -> tgt.form; src.error as s -> tgt.error as t then EligibilityResponseError(s, t); } group EligibilityResponseInsurance(source src, target tgt) extends BackboneElement { src.coverage -> tgt.coverage; src.contract : Reference as s -> tgt.extension as ext, ext.url = 'http://hl7.org/fhir/3.0/StructureDefinition/extension-CoverageEligibilityResponse.insurance.contract', ext.value = s; src where (src.inforce = true) -> tgt.inforce = true "inforce"; src.detail as s -> tgt.detail as t then EligibilityResponseInsuranceDetail(s, t); } group EligibilityResponseInsuranceDetail(source src, target tgt) extends BackboneElement { src.category -> tgt.category; src.service -> tgt.service; src.modifier -> tgt.modifier; src.provider -> tgt.provider; src.excluded -> tgt.excluded; src.name -> tgt.name; src.description -> tgt.description; src.network -> tgt.network; src.unit -> tgt.unit; src.term -> tgt.term; src.benefit as s -> tgt.benefit as t then EligibilityResponseInsuranceDetailBenefit(s, t); src.authorizationRequired -> tgt.authorizationRequired; src.authorizationSupporting -> tgt.authorizationSupporting; src.authorizationUrl -> tgt.authorizationUrl; } group EligibilityResponseError(source src, target tgt) extends BackboneElement { src.code -> tgt.code; }
map "http://hl7.org/fhir/StructureMap/CoverageEligibilityResponse4to3" = "R4 to R3 Conversion for (Coverage)EligibilityResponse" uses "http://hl7.org/fhir/StructureDefinition/CoverageEligibilityResponse" alias CoverageEligibilityResponse as source uses "http://hl7.org/fhir/3.0/StructureDefinition/EligibilityResponse" alias EligibilityResponseR3 as target imports "http://hl7.org/fhir/StructureMap/*4to3" group CoverageEligibilityResponse(source src : CoverageEligibilityResponseR3, target tgt : EligibilityResponse) extends DomainResource <<type+>> { src.identifier -> tgt.identifier; src.status -> tgt.status; src.patient -> tgt.patient; src.serviced -> tgt.serviced; src.created -> tgt.created; src.requestor -> tgt.requestProvider; src.request -> tgt.request; src.outcome as vs where value in ('complete' | 'error' | 'partial') -> tgt.outcome as vt, vt.coding as c, c.system = 'http://hl7.org/fhir/remittance-outcome', c.code = vs; src.disposition -> tgt.disposition; src.insurer -> tgt.insurer; src.insurance as s -> tgt.insurance as t then CoverageEligibilityResponseInsurance(s, t); src.preAuthRef -> tgt.preAuthRef; src.form -> tgt.form; src.error as s -> tgt.error as t then CoverageEligibilityResponseError(s, t); } group CoverageEligibilityResponseInsurance(source src, target tgt) extends BackboneElement { src.coverage -> tgt.coverage; src.extension as e where url = 'http://hl7.org/fhir/3.0/StructureDefinition/extension-CoverageEligibilityResponse.insurance.contract' then { e.value -> tgt.contract; }; src.item as s -> tgt.benefitBalance as t then CoverageEligibilityResponseInsuranceDetail(s, t); } group CoverageEligibilityResponseInsuranceDetail(source src, target tgt) extends BackboneElement { src.category -> tgt.category; src.service -> tgt.service; src.modifier -> tgt.modifier; src.provider -> tgt.provider; src.excluded -> tgt.excluded; src.name -> tgt.name; src.description -> tgt.description; src.network -> tgt.network; src.unit -> tgt.unit; src.term -> tgt.term; src.benefit as s -> tgt.benefit as t then CoverageEligibilityResponseInsuranceDetailBenefit(s, t); src.authorizationRequired -> tgt.authorizationRequired; src.authorizationSupporting -> tgt.authorizationSupporting; src.authorizationUrl -> tgt.authorizationUrl; } group CoverageEligibilityResponseInsuranceDetailBenefit(source src, target tgt) extends BackboneElement { src.type -> tgt.type; src.allowed -> tgt.allowed; src.used -> tgt.used; } group CoverageEligibilityResponseError(source src, target tgt) extends BackboneElement { src.code -> tgt.code; }
n/a