FHIR Extensions Pack
5.1.0 - 5.1.0 (April 2024)
FHIR Extensions Pack
5.1.0 - 5.1.0 (April 2024)
This page is part of the FHIR Core Extensions Registry (v5.1.0: Release 5.1) based on FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 1 |
{
"resourceType" : "StructureMap",
"id" : "Claim5to4B",
"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/Claim5to4B'</span>\r\n<span style=\"color: #cc00cc\">/// <b>name</b> = </span><span style=\"color: blue\">'Claim5to4B'</span>\r\n<span style=\"color: #cc00cc\">/// <b>title</b> = </span><span style=\"color: blue\">'FML Conversion for Claim: R5 to R4B'</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>ClaimStatus<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/R4B/codesystem-fm-status.html\" title=\"Financial Resource Status Codes\">http://hl7.org/fhir/4.3/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>Use<span style=\"color: navy\">" {\r\n</span><b> prefix </b>s<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><b> prefix </b>t<span style=\"color: navy\"> = "</span><a href=\"http://hl7.org/fhir/R4B/codesystem-claim-use.html\" title=\"Use\">http://hl7.org/fhir/4.3/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/R5/claim.html\" title=\"Claim\">http://hl7.org/fhir/StructureDefinition/Claim</a><span style=\"color: navy\">" </span><b>alias </b>ClaimR5 <b>as </b><b>source</b>\r\n<b>uses</b><span style=\"color: navy\"> "</span><a href=\"http://hl7.org/fhir/R4B/claim.html\" title=\"Claim\">http://hl7.org/fhir/4.3/StructureDefinition/Claim</a><span style=\"color: navy\">" </span><b>alias </b>ClaimR4B <b>as </b><b>target</b>\r\n\r\n<b>imports</b><span style=\"color: navy\"> "</span>http://hl7.org/fhir/StructureMap/*5to4B<span style=\"color: navy\">"\r\n</span>\r\n<b>group </b>Claim<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span><span style=\"color: navy\"> : </span>ClaimR5, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\"> : </span>ClaimR4B<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\">'#ClaimStatus'</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.billablePeriod<span style=\"color: navy\"><b> -> </b></span>tgt.billablePeriod<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.enterer<span style=\"color: navy\"><b> -> </b></span>tgt.enterer<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.provider<span style=\"color: navy\"><b> -> </b></span>tgt.provider<span style=\"color: navy\">;</span>\r\n src.priority<span style=\"color: navy\"><b> -> </b></span>tgt.priority<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.related<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.related<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimRelated<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.prescription<span style=\"color: navy\"><b> -> </b></span>tgt.prescription<span style=\"color: navy\">;</span>\r\n src.originalPrescription<span style=\"color: navy\"><b> -> </b></span>tgt.originalPrescription<span style=\"color: navy\">;</span>\r\n src.payee<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.payee<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimPayee<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.referral<span style=\"color: navy\"><b> -> </b></span>tgt.referral<span style=\"color: navy\">;</span>\r\n src.facility<span style=\"color: navy\"><b> -> </b></span>tgt.facility<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.encounter -> tgt.encounter;</span>\r\n src.careTeam<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.careTeam<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimCareTeam<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.diagnosisRelatedGroup -> tgt.diagnosisRelatedGroup;</span>\r\n src.supportingInfo<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.supportingInfo<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimSupportingInfo<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.diagnosis<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.diagnosis<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimDiagnosis<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.procedure<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.procedure<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimProcedure<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.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>ClaimInsurance<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.accident<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.accident<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimAccident<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.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>ClaimItem<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.patientPaid -> tgt.patientPaid;</span>\r\n src.total<span style=\"color: navy\"><b> -> </b></span>tgt.total<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimRelated<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.claim<span style=\"color: navy\"><b> -> </b></span>tgt.claim<span style=\"color: navy\">;</span>\r\n src.relationship<span style=\"color: navy\"><b> -> </b></span>tgt.relationship<span style=\"color: navy\">;</span>\r\n src.reference<span style=\"color: navy\"><b> -> </b></span>tgt.reference<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimPayee<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.party<span style=\"color: navy\"><b> -> </b></span>tgt.party<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 ClaimEvent(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>ClaimCareTeam<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.provider<span style=\"color: navy\"><b> -> </b></span>tgt.provider<span style=\"color: navy\">;</span>\r\n src.responsible<span style=\"color: navy\"><b> -> </b></span>tgt.responsible<span style=\"color: navy\">;</span>\r\n src.role<span style=\"color: navy\"><b> -> </b></span>tgt.role<span style=\"color: navy\">;</span>\r\n src.specialty<span style=\"color: navy\"><b> -> </b></span>tgt.qualification<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimSupportingInfo<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.category<span style=\"color: navy\"><b> -> </b></span>tgt.category<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 src.timing<span style=\"color: navy\"> : </span>date<span style=\"color: navy\"><b> -> </b></span>tgt.timing<span style=\"color: navy\">;</span>\r\n src.timing<span style=\"color: navy\"> : </span>Period<span style=\"color: navy\"><b> -> </b></span>tgt.timing<span style=\"color: navy\">;</span>\r\n src.value<span style=\"color: navy\"> : </span>boolean<span style=\"color: navy\"><b> -> </b></span>tgt.value<span style=\"color: navy\">;</span>\r\n src.value<span style=\"color: navy\"> : </span>string<span style=\"color: navy\"><b> -> </b></span>tgt.value<span style=\"color: navy\">;</span>\r\n src.value<span style=\"color: navy\"> : </span>Quantity<span style=\"color: navy\"><b> -> </b></span>tgt.value<span style=\"color: navy\">;</span>\r\n src.value<span style=\"color: navy\"> : </span>Attachment<span style=\"color: navy\"><b> -> </b></span>tgt.value<span style=\"color: navy\">;</span>\r\n src.value<span style=\"color: navy\"> : </span>Reference<span style=\"color: navy\"><b> -> </b></span>tgt.value<span style=\"color: navy\">;</span>\r\n src.reason<span style=\"color: navy\"><b> -> </b></span>tgt.reason<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.value : Identifier -> tgt.value;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimDiagnosis<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.diagnosis<span style=\"color: navy\"> : </span>CodeableConcept<span style=\"color: navy\"><b> -> </b></span>tgt.diagnosis<span style=\"color: navy\">;</span>\r\n src.diagnosis<span style=\"color: navy\"> : </span>Reference<span style=\"color: navy\"><b> -> </b></span>tgt.diagnosis<span style=\"color: navy\">;</span>\r\n src.type<span style=\"color: navy\"><b> -> </b></span>tgt.type<span style=\"color: navy\">;</span>\r\n src.onAdmission<span style=\"color: navy\"><b> -> </b></span>tgt.onAdmission<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimProcedure<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.type<span style=\"color: navy\"><b> -> </b></span>tgt.type<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.procedure<span style=\"color: navy\"> : </span>CodeableConcept<span style=\"color: navy\"><b> -> </b></span>tgt.procedure<span style=\"color: navy\">;</span>\r\n src.procedure<span style=\"color: navy\"> : </span>Reference<span style=\"color: navy\"><b> -> </b></span>tgt.procedure<span style=\"color: navy\">;</span>\r\n src.udi<span style=\"color: navy\"><b> -> </b></span>tgt.udi<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimInsurance<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.identifier<span style=\"color: navy\"><b> -> </b></span>tgt.identifier<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.preAuthRef<span style=\"color: navy\"><b> -> </b></span>tgt.preAuthRef<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>ClaimAccident<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.date<span style=\"color: navy\"><b> -> </b></span>tgt.date<span style=\"color: navy\">;</span>\r\n src.type<span style=\"color: navy\"><b> -> </b></span>tgt.type<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<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimItem<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.careTeamSequence<span style=\"color: navy\"><b> -> </b></span>tgt.careTeamSequence<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.traceNumber -> tgt.traceNumber;</span>\r\n src.diagnosisSequence<span style=\"color: navy\"><b> -> </b></span>tgt.diagnosisSequence<span style=\"color: navy\">;</span>\r\n src.procedureSequence<span style=\"color: navy\"><b> -> </b></span>tgt.procedureSequence<span style=\"color: navy\">;</span>\r\n src.informationSequence<span style=\"color: navy\"><b> -> </b></span>tgt.informationSequence<span style=\"color: navy\">;</span>\r\n src.revenue<span style=\"color: navy\"><b> -> </b></span>tgt.revenue<span style=\"color: navy\">;</span>\r\n 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> <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> <span style=\"color: navy\">// </span><span style=\"color: green\">src.patientPaid -> tgt.patientPaid;</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.udi<span style=\"color: navy\"><b> -> </b></span>tgt.udi<span style=\"color: navy\">;</span>\r\n src.bodySite<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.bodySite = <span style=\"color: maroon\">s.site</span><span style=\"color: navy\">;</span>\r\n src.encounter<span style=\"color: navy\"><b> -> </b></span>tgt.encounter<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>ClaimItemDetail<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 ClaimItemBodySite(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>ClaimItemDetail<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.revenue<span style=\"color: navy\"><b> -> </b></span>tgt.revenue<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.traceNumber -> tgt.traceNumber;</span>\r\n 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> <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.quantity<span style=\"color: navy\"><b> -> </b></span>tgt.quantity<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.patientPaid -> tgt.patientPaid;</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.udi<span style=\"color: navy\"><b> -> </b></span>tgt.udi<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>ClaimItemDetailSubDetail<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>ClaimItemDetailSubDetail<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.revenue<span style=\"color: navy\"><b> -> </b></span>tgt.revenue<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.traceNumber -> tgt.traceNumber;</span>\r\n 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> <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.quantity<span style=\"color: navy\"><b> -> </b></span>tgt.quantity<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.patientPaid -> tgt.patientPaid;</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.udi<span style=\"color: navy\"><b> -> </b></span>tgt.udi<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span></pre></div>"
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