FHIR Extensions Pack
5.1.0-ballot1 - Ballot for Release 5.1.0
FHIR Extensions Pack
5.1.0-ballot1 - Ballot for Release 5.1.0
This page is part of the FHIR Core Extensions Registry (v5.1.0-ballot: Releases Ballot 4) based on FHIR (HL7® FHIR® Standard) v5.0.0. The current version which supersedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 1 |
{
"resourceType" : "StructureMap",
"id" : "ClaimResponse4to5",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><pre class=\"fml\">\r\n<span style=\"color: #cc00cc\">/// <b>url</b> = </span><span style=\"color: blue\">'http://hl7.org/fhir/StructureMap/ClaimResponse4to5'</span>\r\n<span style=\"color: #cc00cc\">/// <b>name</b> = </span><span style=\"color: blue\">'ClaimResponse4to5'</span>\r\n<span style=\"color: #cc00cc\">/// <b>title</b> = </span><span style=\"color: blue\">'FML Conversion for ClaimResponse: R4 to R5'</span>\r\n<span style=\"color: #cc00cc\">/// <b>status</b> = </span><span style=\"color: blue\">'active'</span>\r\n\r\n<b>conceptmap</b><span style=\"color: navy\"> "</span>ClaimResponseStatus<span style=\"color: navy\">" {\r\n</span><b> prefix </b>s<span style=\"color: navy\"> = "</span><a href=\"http://hl7.org/fhir/R4/codesystem-fm-status.html\" title=\"Financial Resource Status Codes\">http://hl7.org/fhir/4.0/fm-status</a><span style=\"color: navy\">"\r\n</span><b> prefix </b>t<span style=\"color: navy\"> = "</span><a href=\"http://hl7.org/fhir/R5/codesystem-fm-status.html\" title=\"Financial Resource Status Codes\">http://hl7.org/fhir/fm-status</a><span style=\"color: navy\">"\r\n</span>\r\n s<span style=\"color: navy\">:</span>active <b>-</b> t<span style=\"color: navy\">:</span>active\r\n s<span style=\"color: navy\">:</span>cancelled <b>-</b> t<span style=\"color: navy\">:</span>cancelled\r\n s<span style=\"color: navy\">:</span>draft <b>-</b> t<span style=\"color: navy\">:</span>draft\r\n s<span style=\"color: navy\">:</span>"entered-in-error" <b>-</b> t<span style=\"color: navy\">:</span><span style=\"color: navy\">"</span>entered-in-error<span style=\"color: navy\">"</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>conceptmap</b><span style=\"color: navy\"> "</span>RemittanceOutcome<span style=\"color: navy\">" {\r\n</span><b> prefix </b>s<span style=\"color: navy\"> = "</span><a href=\"http://hl7.org/fhir/R4/codesystem-remittance-outcome.html\" title=\"Claim Processing Codes\">http://hl7.org/fhir/4.0/remittance-outcome</a><span style=\"color: navy\">"\r\n</span><b> prefix </b>t<span style=\"color: navy\"> = "</span><a href=\"http://hl7.org/fhir/R5/codesystem-claim-outcome.html\" title=\"Claim Processing Outcome Codes\">http://hl7.org/fhir/claim-outcome</a><span style=\"color: navy\">"\r\n</span>\r\n s<span style=\"color: navy\">:</span>queued <b>-</b> t<span style=\"color: navy\">:</span>queued\r\n s<span style=\"color: navy\">:</span>complete <b>-</b> t<span style=\"color: navy\">:</span>complete\r\n s<span style=\"color: navy\">:</span>error <b>-</b> t<span style=\"color: navy\">:</span>error\r\n s<span style=\"color: navy\">:</span>partial <b>-</b> t<span style=\"color: navy\">:</span>partial\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>conceptmap</b><span style=\"color: navy\"> "</span>Use<span style=\"color: navy\">" {\r\n</span><b> prefix </b>s<span style=\"color: navy\"> = "</span><a href=\"http://hl7.org/fhir/R4/codesystem-claim-use.html\" title=\"Use\">http://hl7.org/fhir/4.0/claim-use</a><span style=\"color: navy\">"\r\n</span><b> prefix </b>t<span style=\"color: navy\"> = "</span><a href=\"http://hl7.org/fhir/R5/codesystem-claim-use.html\" title=\"Use\">http://hl7.org/fhir/claim-use</a><span style=\"color: navy\">"\r\n</span>\r\n s<span style=\"color: navy\">:</span>claim <b>-</b> t<span style=\"color: navy\">:</span>claim\r\n s<span style=\"color: navy\">:</span>preauthorization <b>-</b> t<span style=\"color: navy\">:</span>preauthorization\r\n s<span style=\"color: navy\">:</span>predetermination <b>-</b> t<span style=\"color: navy\">:</span>predetermination\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>uses</b><span style=\"color: navy\"> "</span><a href=\"http://hl7.org/fhir/R4/claimresponse.html\" title=\"ClaimResponse\">http://hl7.org/fhir/4.0/StructureDefinition/ClaimResponse</a><span style=\"color: navy\">" </span><b>alias </b>ClaimResponseR4 <b>as </b><b>source</b>\r\n<b>uses</b><span style=\"color: navy\"> "</span><a href=\"http://hl7.org/fhir/R5/claimresponse.html\" title=\"ClaimResponse\">http://hl7.org/fhir/StructureDefinition/ClaimResponse</a><span style=\"color: navy\">" </span><b>alias </b>ClaimResponseR5 <b>as </b><b>target</b>\r\n\r\n<b>imports</b><span style=\"color: navy\"> "</span>http://hl7.org/fhir/StructureMap/*4to5<span style=\"color: navy\">"\r\n</span>\r\n<b>group </b>ClaimResponse<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span><span style=\"color: navy\"> : </span>ClaimResponseR4, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\"> : </span>ClaimResponseR5<span style=\"color: navy\">)</span><b> extends </b>DomainResource<b> <<type+>></b><span style=\"color: navy\"> {\r\n</span> src.identifier<span style=\"color: navy\"><b> -> </b></span>tgt.identifier<span style=\"color: navy\">;</span>\r\n src.status<b> as </b><span style=\"color: maroon\">v</span><span style=\"color: navy\"><b> -> </b></span>tgt.status = <b>translate</b><span style=\"color: navy\">(</span><span style=\"color: maroon\">v</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'#ClaimResponseStatus'</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'code'</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.traceNumber -> tgt.traceNumber;</span>\r\n src.type<span style=\"color: navy\"><b> -> </b></span>tgt.type<span style=\"color: navy\">;</span>\r\n src.subType<span style=\"color: navy\"><b> -> </b></span>tgt.subType<span style=\"color: navy\">;</span>\r\n src.use<b> as </b><span style=\"color: maroon\">v</span><span style=\"color: navy\"><b> -> </b></span>tgt.use = <b>translate</b><span style=\"color: navy\">(</span><span style=\"color: maroon\">v</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'#Use'</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'code'</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.patient<span style=\"color: navy\"><b> -> </b></span>tgt.patient<span style=\"color: navy\">;</span>\r\n src.created<span style=\"color: navy\"><b> -> </b></span>tgt.created<span style=\"color: navy\">;</span>\r\n src.insurer<span style=\"color: navy\"><b> -> </b></span>tgt.insurer<span style=\"color: navy\">;</span>\r\n src.requestor<span style=\"color: navy\"><b> -> </b></span>tgt.requestor<span style=\"color: navy\">;</span>\r\n src.request<span style=\"color: navy\"><b> -> </b></span>tgt.request<span style=\"color: navy\">;</span>\r\n src.outcome<b> as </b><span style=\"color: maroon\">v</span><span style=\"color: navy\"><b> -> </b></span>tgt.outcome = <b>translate</b><span style=\"color: navy\">(</span><span style=\"color: maroon\">v</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'#RemittanceOutcome'</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'code'</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.disposition<span style=\"color: navy\"><b> -> </b></span>tgt.disposition<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.decision -> tgt.decision;</span>\r\n src.preAuthRef<span style=\"color: navy\"><b> -> </b></span>tgt.preAuthRef<span style=\"color: navy\">;</span>\r\n src.preAuthPeriod<span style=\"color: navy\"><b> -> </b></span>tgt.preAuthPeriod<span style=\"color: navy\">;</span>\r\n src.payeeType<span style=\"color: navy\"><b> -> </b></span>tgt.payeeType<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.event as s -> tgt.event as t then ClaimResponseEvent(s,t);</span>\r\n src.item<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.item<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseItem<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.encounter -> tgt.encounter;</span>\r\n src.addItem<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.addItem<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseAddItem<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.total<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.total<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseTotal<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.payment<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.payment<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponsePayment<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.fundsReserve<span style=\"color: navy\"><b> -> </b></span>tgt.fundsReserve<span style=\"color: navy\">;</span>\r\n src.formCode<span style=\"color: navy\"><b> -> </b></span>tgt.formCode<span style=\"color: navy\">;</span>\r\n src.form<span style=\"color: navy\"><b> -> </b></span>tgt.form<span style=\"color: navy\">;</span>\r\n src.processNote<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.processNote<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseProcessNote<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.communicationRequest<span style=\"color: navy\"><b> -> </b></span>tgt.communicationRequest<span style=\"color: navy\">;</span>\r\n src.insurance<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.insurance<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseInsurance<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.error<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.error<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseError<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><span style=\"color: navy\">// </span><span style=\"color: green\">group ClaimResponseEvent(source src, target tgt) extends BackboneElement {</span>\r\n<span style=\"color: #b36b00\" title=\"This element was not defined prior to R5\">// src.type -> tgt.type;</span>\r\n<span style=\"color: #b36b00\" title=\"This element was not defined prior to R5\">// src.when : dateTime -> tgt.when;</span>\r\n<span style=\"color: #b36b00\" title=\"This element was not defined prior to R5\">// src.when : Period -> tgt.when;</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">}</span>\r\n<b>group </b>ClaimResponseItem<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.itemSequence<span style=\"color: navy\"><b> -> </b></span>tgt.itemSequence<span style=\"color: navy\">;</span>\r\n src.noteNumber<span style=\"color: navy\"><b> -> </b></span>tgt.noteNumber<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.traceNumber -> tgt.traceNumber;</span>\r\n src.adjudication<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.adjudication<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseItemAdjudication<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.reviewOutcome as s -> tgt.reviewOutcome as t then ClaimResponseItemReviewOutcome(s,t);</span>\r\n src.detail<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.detail<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseItemDetail<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><span style=\"color: navy\">// </span><span style=\"color: green\">group ClaimResponseItemReviewOutcome(source src, target tgt) extends BackboneElement {</span>\r\n<span style=\"color: #b36b00\" title=\"This element was not defined prior to R5\">// src.decision -> tgt.decision;</span>\r\n<span style=\"color: #b36b00\" title=\"This element was not defined prior to R5\">// src.reason -> tgt.reason;</span>\r\n<span style=\"color: #b36b00\" title=\"This element was not defined prior to R5\">// src.preAuthRef -> tgt.preAuthRef;</span>\r\n<span style=\"color: #b36b00\" title=\"This element was not defined prior to R5\">// src.preAuthPeriod -> tgt.preAuthPeriod;</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">}</span>\r\n<b>group </b>ClaimResponseItemAdjudication<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.category<span style=\"color: navy\"><b> -> </b></span>tgt.category<span style=\"color: navy\">;</span>\r\n src.reason<span style=\"color: navy\"><b> -> </b></span>tgt.reason<span style=\"color: navy\">;</span>\r\n src.amount<span style=\"color: navy\"><b> -> </b></span>tgt.amount<span style=\"color: navy\">;</span>\r\n src.value<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span> tgt.quantity<b> as </b><span style=\"color: maroon\">t</span><span style=\"color: navy\">, </span> t.value = <span style=\"color: maroon\">s</span><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseItemDetail<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.detailSequence<span style=\"color: navy\"><b> -> </b></span>tgt.detailSequence<span style=\"color: navy\">;</span>\r\n src.noteNumber<span style=\"color: navy\"><b> -> </b></span>tgt.noteNumber<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.traceNumber -> tgt.traceNumber;</span>\r\n src.subDetail<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.subDetail<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseItemDetailSubDetail<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseItemDetailSubDetail<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.subDetailSequence<span style=\"color: navy\"><b> -> </b></span>tgt.subDetailSequence<span style=\"color: navy\">;</span>\r\n src.noteNumber<span style=\"color: navy\"><b> -> </b></span>tgt.noteNumber<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.traceNumber -> tgt.traceNumber;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseAddItem<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.itemSequence<span style=\"color: navy\"><b> -> </b></span>tgt.itemSequence<span style=\"color: navy\">;</span>\r\n src.detailSequence<span style=\"color: navy\"><b> -> </b></span>tgt.detailSequence<span style=\"color: navy\">;</span>\r\n src.subdetailSequence<span style=\"color: navy\"><b> -> </b></span>tgt.subdetailSequence<span style=\"color: navy\">;</span>\r\n src.provider<span style=\"color: navy\"><b> -> </b></span>tgt.provider<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.traceNumber -> tgt.traceNumber;</span>\r\n src.productOrService<span style=\"color: navy\"><b> -> </b></span>tgt.productOrService<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.revenue -> tgt.revenue;</span>\r\n src.modifier<span style=\"color: navy\"><b> -> </b></span>tgt.modifier<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.productOrServiceEnd -> tgt.productOrServiceEnd;</span>\r\n src.programCode<span style=\"color: navy\"><b> -> </b></span>tgt.programCode<span style=\"color: navy\">;</span>\r\n src.serviced<span style=\"color: navy\"> : </span>date<span style=\"color: navy\"><b> -> </b></span>tgt.serviced<span style=\"color: navy\">;</span>\r\n src.serviced<span style=\"color: navy\"> : </span>Period<span style=\"color: navy\"><b> -> </b></span>tgt.serviced<span style=\"color: navy\">;</span>\r\n src.location<span style=\"color: navy\"> : </span>CodeableConcept<span style=\"color: navy\"><b> -> </b></span>tgt.location<span style=\"color: navy\">;</span>\r\n src.location<span style=\"color: navy\"> : </span>Address<span style=\"color: navy\"><b> -> </b></span>tgt.location<span style=\"color: navy\">;</span>\r\n src.location<span style=\"color: navy\"> : </span>Reference<span style=\"color: navy\"><b> -> </b></span>tgt.location<span style=\"color: navy\">;</span>\r\n src.quantity<span style=\"color: navy\"><b> -> </b></span>tgt.quantity<span style=\"color: navy\">;</span>\r\n src.unitPrice<span style=\"color: navy\"><b> -> </b></span>tgt.unitPrice<span style=\"color: navy\">;</span>\r\n src.factor<span style=\"color: navy\"><b> -> </b></span>tgt.factor<span style=\"color: navy\">;</span>\r\n src.net<span style=\"color: navy\"><b> -> </b></span>tgt.net<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.tax -> tgt.tax;</span>\r\n src.bodySite<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span> tgt.bodySite<b> as </b><span style=\"color: maroon\">t</span><span style=\"color: navy\">, </span> t.site = <span style=\"color: maroon\">s</span><span style=\"color: navy\">;</span>\r\n src.noteNumber<span style=\"color: navy\"><b> -> </b></span>tgt.noteNumber<span style=\"color: navy\">;</span>\r\n src.detail<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.detail<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseAddItemDetail<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><span style=\"color: navy\">// </span><span style=\"color: green\">group ClaimResponseAddItemBodySite(source src, target tgt) extends BackboneElement {</span>\r\n<span style=\"color: #b36b00\" title=\"This element was not defined prior to R5\">// src.site -> tgt.site;</span>\r\n<span style=\"color: #b36b00\" title=\"This element was not defined prior to R5\">// src.subSite -> tgt.subSite;</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">}</span>\r\n<b>group </b>ClaimResponseAddItemDetail<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.productOrService<span style=\"color: navy\"><b> -> </b></span>tgt.productOrService<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.traceNumber -> tgt.traceNumber;</span>\r\n src.modifier<span style=\"color: navy\"><b> -> </b></span>tgt.modifier<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.productOrServiceEnd -> tgt.productOrServiceEnd;</span>\r\n src.quantity<span style=\"color: navy\"><b> -> </b></span>tgt.quantity<span style=\"color: navy\">;</span>\r\n src.unitPrice<span style=\"color: navy\"><b> -> </b></span>tgt.unitPrice<span style=\"color: navy\">;</span>\r\n src.factor<span style=\"color: navy\"><b> -> </b></span>tgt.factor<span style=\"color: navy\">;</span>\r\n src.net<span style=\"color: navy\"><b> -> </b></span>tgt.net<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.tax -> tgt.tax;</span>\r\n src.noteNumber<span style=\"color: navy\"><b> -> </b></span>tgt.noteNumber<span style=\"color: navy\">;</span>\r\n src.subDetail<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.subDetail<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseAddItemDetailSubDetail<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseAddItemDetailSubDetail<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.productOrService<span style=\"color: navy\"><b> -> </b></span>tgt.productOrService<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.traceNumber -> tgt.traceNumber;</span>\r\n src.modifier<span style=\"color: navy\"><b> -> </b></span>tgt.modifier<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.productOrServiceEnd -> tgt.productOrServiceEnd;</span>\r\n src.quantity<span style=\"color: navy\"><b> -> </b></span>tgt.quantity<span style=\"color: navy\">;</span>\r\n src.unitPrice<span style=\"color: navy\"><b> -> </b></span>tgt.unitPrice<span style=\"color: navy\">;</span>\r\n src.factor<span style=\"color: navy\"><b> -> </b></span>tgt.factor<span style=\"color: navy\">;</span>\r\n src.net<span style=\"color: navy\"><b> -> </b></span>tgt.net<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.tax -> tgt.tax;</span>\r\n src.noteNumber<span style=\"color: navy\"><b> -> </b></span>tgt.noteNumber<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseTotal<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.category<span style=\"color: navy\"><b> -> </b></span>tgt.category<span style=\"color: navy\">;</span>\r\n src.amount<span style=\"color: navy\"><b> -> </b></span>tgt.amount<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponsePayment<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.type<span style=\"color: navy\"><b> -> </b></span>tgt.type<span style=\"color: navy\">;</span>\r\n src.adjustment<span style=\"color: navy\"><b> -> </b></span>tgt.adjustment<span style=\"color: navy\">;</span>\r\n src.adjustmentReason<span style=\"color: navy\"><b> -> </b></span>tgt.adjustmentReason<span style=\"color: navy\">;</span>\r\n src.date<span style=\"color: navy\"><b> -> </b></span>tgt.date<span style=\"color: navy\">;</span>\r\n src.amount<span style=\"color: navy\"><b> -> </b></span>tgt.amount<span style=\"color: navy\">;</span>\r\n src.identifier<span style=\"color: navy\"><b> -> </b></span>tgt.identifier<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseProcessNote<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.number<span style=\"color: navy\"><b> -> </b></span>tgt.number<span style=\"color: navy\">;</span>\r\n src.type<b> as </b><span style=\"color: maroon\">s</span><b> where </b>code = 'display'<span style=\"color: navy\"><b> -> </b></span> tgt.type = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'CodeableConcept'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">tc</span><span style=\"color: navy\">, </span> tc.coding = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Coding'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">tcc</span><span style=\"color: navy\">, </span> tcc.system = <span style=\"color: blue\">'http://hl7.org/fhir/note-type'</span><span style=\"color: navy\">, </span> tcc.code = <span style=\"color: blue\">'display'</span><span style=\"color: navy\">, </span> tcc.display = <span style=\"color: blue\">'display'</span><span style=\"color: navy\">;</span>\r\n src.type<b> as </b><span style=\"color: maroon\">s</span><b> where </b>code = 'print'<span style=\"color: navy\"><b> -> </b></span> tgt.type = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'CodeableConcept'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">tc</span><span style=\"color: navy\">, </span> tc.coding = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Coding'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">tcc</span><span style=\"color: navy\">, </span> tcc.system = <span style=\"color: blue\">'http://hl7.org/fhir/note-type'</span><span style=\"color: navy\">, </span> tcc.code = <span style=\"color: blue\">'print'</span><span style=\"color: navy\">, </span> tcc.display = <span style=\"color: blue\">'Print (Form)'</span><span style=\"color: navy\">;</span>\r\n src.type<b> as </b><span style=\"color: maroon\">s</span><b> where </b>code = 'printoper'<span style=\"color: navy\"><b> -> </b></span> tgt.type = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'CodeableConcept'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">tc</span><span style=\"color: navy\">, </span> tc.coding = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Coding'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">tcc</span><span style=\"color: navy\">, </span> tcc.system = <span style=\"color: blue\">'http://hl7.org/fhir/note-type'</span><span style=\"color: navy\">, </span> tcc.code = <span style=\"color: blue\">'printoper'</span><span style=\"color: navy\">, </span> tcc.display = <span style=\"color: blue\">'Print (Operator)'</span><span style=\"color: navy\">;</span>\r\n src.text<span style=\"color: navy\"><b> -> </b></span>tgt.text<span style=\"color: navy\">;</span>\r\n src.language<span style=\"color: navy\"><b> -> </b></span>tgt.language<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseInsurance<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.sequence<span style=\"color: navy\"><b> -> </b></span>tgt.sequence<span style=\"color: navy\">;</span>\r\n src.focal<span style=\"color: navy\"><b> -> </b></span>tgt.focal<span style=\"color: navy\">;</span>\r\n src.coverage<span style=\"color: navy\"><b> -> </b></span>tgt.coverage<span style=\"color: navy\">;</span>\r\n src.businessArrangement<span style=\"color: navy\"><b> -> </b></span>tgt.businessArrangement<span style=\"color: navy\">;</span>\r\n src.claimResponse<span style=\"color: navy\"><b> -> </b></span>tgt.claimResponse<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseError<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.itemSequence<span style=\"color: navy\"><b> -> </b></span>tgt.itemSequence<span style=\"color: navy\">;</span>\r\n src.detailSequence<span style=\"color: navy\"><b> -> </b></span>tgt.detailSequence<span style=\"color: navy\">;</span>\r\n src.subDetailSequence<span style=\"color: navy\"><b> -> </b></span>tgt.subDetailSequence<span style=\"color: navy\">;</span>\r\n src.code<span style=\"color: navy\"><b> -> </b></span>tgt.code<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span></pre></div>"
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"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "focal",
"source" : [
{
"context" : "src",
"element" : "focal",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "focal",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "coverage",
"source" : [
{
"context" : "src",
"element" : "coverage",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "coverage",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "businessArrangement",
"source" : [
{
"context" : "src",
"element" : "businessArrangement",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "businessArrangement",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "claimResponse",
"source" : [
{
"context" : "src",
"element" : "claimResponse",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "claimResponse",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
}
]
},
{
"name" : "ClaimResponseError",
"extends" : "BackboneElement",
"input" : [
{
"name" : "src",
"mode" : "source"
},
{
"name" : "tgt",
"mode" : "target"
}
],
"rule" : [
{
"name" : "itemSequence",
"source" : [
{
"context" : "src",
"element" : "itemSequence",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "itemSequence",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "detailSequence",
"source" : [
{
"context" : "src",
"element" : "detailSequence",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "detailSequence",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "subDetailSequence",
"source" : [
{
"context" : "src",
"element" : "subDetailSequence",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "subDetailSequence",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "code",
"source" : [
{
"context" : "src",
"element" : "code",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "code",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
}
]
}
]
}
IG © 2022+ HL7 International / FHIR Infrastructure. Package hl7.fhir.uv.extensions#5.1.0-ballot1 based on FHIR 5.0.0. Generated 2023-12-19
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