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" : "CoverageEligibilityResponse5to4",
"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/CoverageEligibilityResponse5to4'</span>\r\n<span style=\"color: #cc00cc\">/// <b>name</b> = </span><span style=\"color: blue\">'CoverageEligibilityResponse5to4'</span>\r\n<span style=\"color: #cc00cc\">/// <b>title</b> = </span><span style=\"color: blue\">'FML Conversion for CoverageEligibilityResponse: R5 to R4'</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>EligibilityOutcome<span style=\"color: navy\">" {\r\n</span><b> prefix </b>s<span style=\"color: navy\"> = "</span><a href=\"http://hl7.org/fhir/R5/codesystem-eligibility-outcome.html\" title=\"Claim Processing Codes\">http://hl7.org/fhir/eligibility-outcome</a><span style=\"color: navy\">"\r\n</span><b> prefix </b>t<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>\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>EligibilityResponsePurpose<span style=\"color: navy\">" {\r\n</span><b> prefix </b>s<span style=\"color: navy\"> = "</span><a href=\"http://hl7.org/fhir/R5/codesystem-eligibilityresponse-purpose.html\" title=\"Eligibility Response Purpose\">http://hl7.org/fhir/eligibilityresponse-purpose</a><span style=\"color: navy\">"\r\n</span><b> prefix </b>t<span style=\"color: navy\"> = "</span><a href=\"http://hl7.org/fhir/R4/codesystem-eligibilityresponse-purpose.html\" title=\"EligibilityResponsePurpose\">http://hl7.org/fhir/4.0/eligibilityresponse-purpose</a><span style=\"color: navy\">"\r\n</span>\r\n s<span style=\"color: navy\">:</span>"auth-requirements" <b>-</b> t<span style=\"color: navy\">:</span><span style=\"color: navy\">"</span>auth-requirements<span style=\"color: navy\">"</span>\r\n s<span style=\"color: navy\">:</span>benefits <b>-</b> t<span style=\"color: navy\">:</span>benefits\r\n s<span style=\"color: navy\">:</span>discovery <b>-</b> t<span style=\"color: navy\">:</span>discovery\r\n s<span style=\"color: navy\">:</span>validation <b>-</b> t<span style=\"color: navy\">:</span>validation\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>conceptmap</b><span style=\"color: navy\"> "</span>EligibilityResponseStatus<span style=\"color: navy\">" {\r\n</span><b> prefix </b>s<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><b> prefix </b>t<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>\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>uses</b><span style=\"color: navy\"> "</span><a href=\"http://hl7.org/fhir/R5/coverageeligibilityresponse.html\" title=\"CoverageEligibilityResponse\">http://hl7.org/fhir/StructureDefinition/CoverageEligibilityResponse</a><span style=\"color: navy\">" </span><b>alias </b>CoverageEligibilityResponseR5 <b>as </b><b>source</b>\r\n<b>uses</b><span style=\"color: navy\"> "</span><a href=\"http://hl7.org/fhir/R4/coverageeligibilityresponse.html\" title=\"CoverageEligibilityResponse\">http://hl7.org/fhir/4.0/StructureDefinition/CoverageEligibilityResponse</a><span style=\"color: navy\">" </span><b>alias </b>CoverageEligibilityResponseR4 <b>as </b><b>target</b>\r\n\r\n<b>imports</b><span style=\"color: navy\"> "</span>http://hl7.org/fhir/StructureMap/*5to4<span style=\"color: navy\">"\r\n</span>\r\n<b>group </b>CoverageEligibilityResponse<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span><span style=\"color: navy\"> : </span>CoverageEligibilityResponseR5, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\"> : </span>CoverageEligibilityResponseR4<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\">'#EligibilityResponseStatus'</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.purpose<b> as </b><span style=\"color: maroon\">v</span><span style=\"color: navy\"><b> -> </b></span>tgt.purpose = <b>translate</b><span style=\"color: navy\">(</span><span style=\"color: maroon\">v</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'#EligibilityResponsePurpose'</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.serviced<span style=\"color: navy\"> : </span>date<span style=\"color: navy\"><b> -> </b></span>tgt.serviced<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.event as s -> tgt.event as t then CoverageEligibilityResponseEvent(s,t);</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.created<span style=\"color: navy\"><b> -> </b></span>tgt.created<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\">'#EligibilityOutcome'</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>\r\n src.insurer<span style=\"color: navy\"><b> -> </b></span>tgt.insurer<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>CoverageEligibilityResponseInsurance<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.preAuthRef<span style=\"color: navy\"><b> -> </b></span>tgt.preAuthRef<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.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>CoverageEligibilityResponseError<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 CoverageEligibilityResponseEvent(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>CoverageEligibilityResponseInsurance<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.coverage<span style=\"color: navy\"><b> -> </b></span>tgt.coverage<span style=\"color: navy\">;</span>\r\n src.inforce<span style=\"color: navy\"><b> -> </b></span>tgt.inforce<span style=\"color: navy\">;</span>\r\n src.benefitPeriod<span style=\"color: navy\"><b> -> </b></span>tgt.benefitPeriod<span style=\"color: navy\">;</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>CoverageEligibilityResponseInsuranceItem<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>CoverageEligibilityResponseInsuranceItem<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.productOrService<span style=\"color: navy\"><b> -> </b></span>tgt.productOrService<span style=\"color: navy\">;</span>\r\n src.modifier<span style=\"color: navy\"><b> -> </b></span>tgt.modifier<span style=\"color: navy\">;</span>\r\n src.provider<span style=\"color: navy\"><b> -> </b></span>tgt.provider<span style=\"color: navy\">;</span>\r\n src.excluded<span style=\"color: navy\"><b> -> </b></span>tgt.excluded<span style=\"color: navy\">;</span>\r\n src.name<span style=\"color: navy\"><b> -> </b></span>tgt.name<span style=\"color: navy\">;</span>\r\n src.description<span style=\"color: navy\"><b> -> </b></span>tgt.description<span style=\"color: navy\">;</span>\r\n src.network<span style=\"color: navy\"><b> -> </b></span>tgt.network<span style=\"color: navy\">;</span>\r\n src.unit<span style=\"color: navy\"><b> -> </b></span>tgt.unit<span style=\"color: navy\">;</span>\r\n src.term<span style=\"color: navy\"><b> -> </b></span>tgt.term<span style=\"color: navy\">;</span>\r\n src.benefit<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.benefit<b> as </b><span style=\"color: maroon\">t</span><b> then </b>CoverageEligibilityResponseInsuranceItemBenefit<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.authorizationRequired<span style=\"color: navy\"><b> -> </b></span>tgt.authorizationRequired<span style=\"color: navy\">;</span>\r\n src.authorizationSupporting<span style=\"color: navy\"><b> -> </b></span>tgt.authorizationSupporting<span style=\"color: navy\">;</span>\r\n src.authorizationUrl<span style=\"color: navy\"><b> -> </b></span>tgt.authorizationUrl<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>CoverageEligibilityResponseInsuranceItemBenefit<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.allowed<span style=\"color: navy\"> : </span>unsignedInt<span style=\"color: navy\"><b> -> </b></span>tgt.allowed<span style=\"color: navy\">;</span>\r\n src.allowed<span style=\"color: navy\"> : </span>string<span style=\"color: navy\"><b> -> </b></span>tgt.allowed<span style=\"color: navy\">;</span>\r\n src.allowed<span style=\"color: navy\"> : </span>Money<span style=\"color: navy\"><b> -> </b></span>tgt.allowed<span style=\"color: navy\">;</span>\r\n src.used<span style=\"color: navy\"> : </span>unsignedInt<span style=\"color: navy\"><b> -> </b></span>tgt.used<span style=\"color: navy\">;</span>\r\n src.used<span style=\"color: navy\"> : </span>string<span style=\"color: navy\"><b> -> </b></span>tgt.used<span style=\"color: navy\">;</span>\r\n src.used<span style=\"color: navy\"> : </span>Money<span style=\"color: navy\"><b> -> </b></span>tgt.used<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>CoverageEligibilityResponseError<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.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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"resourceType" : "ConceptMap",
"id" : "EligibilityOutcome",
"status" : "active",
"group" : [
{
"source" : "http://hl7.org/fhir/eligibility-outcome",
"target" : "http://hl7.org/fhir/4.0/remittance-outcome",
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"source" : "http://hl7.org/fhir/eligibilityresponse-purpose",
"target" : "http://hl7.org/fhir/4.0/eligibilityresponse-purpose",
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"code" : "auth-requirements",
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{
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}
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}
]
},
{
"resourceType" : "ConceptMap",
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"status" : "active",
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{
"source" : "http://hl7.org/fhir/fm-status",
"target" : "http://hl7.org/fhir/4.0/fm-status",
"element" : [
{
"code" : "active",
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{
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{
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"relationship" : "related-to"
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},
{
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"relationship" : "related-to"
}
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},
{
"code" : "entered-in-error",
"target" : [
{
"code" : "entered-in-error",
"relationship" : "related-to"
}
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}
]
}
]
}
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],
"url" : "http://hl7.org/fhir/StructureMap/CoverageEligibilityResponse5to4",
"version" : "5.1.0-ballot1",
"name" : "CoverageEligibilityResponse5to4",
"title" : "FML Conversion for CoverageEligibilityResponse: R5 to R4",
"status" : "active",
"date" : "2023-12-19T08:40:03+11:00",
"publisher" : "HL7 International / FHIR Infrastructure",
"contact" : [
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"value" : "http://www.hl7.org/Special/committees/fiwg"
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"description" : "FMLConversionforCoverageEligibilityResponseR5toR4",
"jurisdiction" : [
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"coding" : [
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"code" : "001"
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"structure" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/CoverageEligibilityResponse",
"mode" : "source",
"alias" : "CoverageEligibilityResponseR5"
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{
"url" : "http://hl7.org/fhir/4.0/StructureDefinition/CoverageEligibilityResponse",
"mode" : "target",
"alias" : "CoverageEligibilityResponseR4"
}
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"import" : [
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],
"group" : [
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"name" : "CoverageEligibilityResponse",
"extends" : "DomainResource",
"typeMode" : "type-and-types",
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"context" : "tgt",
"element" : "status",
"transform" : "translate",
"parameter" : [
{
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},
{
"valueString" : "#EligibilityResponseStatus"
},
{
"valueString" : "code"
}
]
}
]
},
{
"name" : "purpose",
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{
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