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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

: FML Conversion for CoverageEligibilityRequest: R4B to R5 - JSON Representation

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{
  "resourceType" : "StructureMap",
  "id" : "CoverageEligibilityRequest4Bto5",
  "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/CoverageEligibilityRequest4Bto5'</span>\r\n<span style=\"color: #cc00cc\">/// <b>name</b> = </span><span style=\"color: blue\">'CoverageEligibilityRequest4Bto5'</span>\r\n<span style=\"color: #cc00cc\">/// <b>title</b> = </span><span style=\"color: blue\">'FML Conversion for CoverageEligibilityRequest: R4B 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\"> &quot;</span>EligibilityRequestPurpose<span style=\"color: navy\">&quot; {\r\n</span><b>  prefix </b>s<span style=\"color: navy\"> = &quot;</span><a href=\"http://hl7.org/fhir/R4B/codesystem-eligibilityrequest-purpose.html\" title=\"EligibilityRequestPurpose\">http://hl7.org/fhir/4.3/eligibilityrequest-purpose</a><span style=\"color: navy\">&quot;\r\n</span><b>  prefix </b>t<span style=\"color: navy\"> = &quot;</span><a href=\"http://hl7.org/fhir/R5/codesystem-eligibilityrequest-purpose.html\" title=\"Eligibility Request Purpose\">http://hl7.org/fhir/eligibilityrequest-purpose</a><span style=\"color: navy\">&quot;\r\n</span>\r\n  s<span style=\"color: navy\">:</span>&quot;auth-requirements&quot; <b>-</b> t<span style=\"color: navy\">:</span><span style=\"color: navy\">&quot;</span>auth-requirements<span style=\"color: navy\">&quot;</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\"> &quot;</span>EligibilityRequestStatus<span style=\"color: navy\">&quot; {\r\n</span><b>  prefix </b>s<span style=\"color: navy\"> = &quot;</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\">&quot;\r\n</span><b>  prefix </b>t<span style=\"color: navy\"> = &quot;</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\">&quot;\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>&quot;entered-in-error&quot; <b>-</b> t<span style=\"color: navy\">:</span><span style=\"color: navy\">&quot;</span>entered-in-error<span style=\"color: navy\">&quot;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>uses</b><span style=\"color: navy\"> &quot;</span><a href=\"http://hl7.org/fhir/R4B/coverageeligibilityrequest.html\" title=\"CoverageEligibilityRequest\">http://hl7.org/fhir/4.3/StructureDefinition/CoverageEligibilityRequest</a><span style=\"color: navy\">&quot; </span><b>alias </b>CoverageEligibilityRequestR4B <b>as </b><b>source</b>\r\n<b>uses</b><span style=\"color: navy\"> &quot;</span><a href=\"http://hl7.org/fhir/R5/coverageeligibilityrequest.html\" title=\"CoverageEligibilityRequest\">http://hl7.org/fhir/StructureDefinition/CoverageEligibilityRequest</a><span style=\"color: navy\">&quot; </span><b>alias </b>CoverageEligibilityRequestR5 <b>as </b><b>target</b>\r\n\r\n<b>imports</b><span style=\"color: navy\"> &quot;</span>http://hl7.org/fhir/StructureMap/*4Bto5<span style=\"color: navy\">&quot;\r\n</span>\r\n<b>group </b>CoverageEligibilityRequest<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span><span style=\"color: navy\"> : </span>CoverageEligibilityRequestR4B, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\"> : </span>CoverageEligibilityRequestR5<span style=\"color: navy\">)</span><b> extends </b>DomainResource<b> &lt;&lt;type+&gt;&gt;</b><span style=\"color: navy\"> {\r\n</span>  src.identifier<span style=\"color: navy\"><b> -&gt; </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> -&gt; </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\">'#EligibilityRequestStatus'</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.priority<span style=\"color: navy\"><b> -&gt; </b></span>tgt.priority<span style=\"color: navy\">;</span>\r\n  src.purpose<b> as </b><span style=\"color: maroon\">v</span><span style=\"color: navy\"><b> -&gt; </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\">'#EligibilityRequestPurpose'</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> -&gt; </b></span>tgt.patient<span style=\"color: navy\">;</span>\r\n  src.serviced<span style=\"color: navy\"> : </span>date<span style=\"color: navy\"><b> -&gt; </b></span>tgt.serviced<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.event as s -&gt; tgt.event as t then CoverageEligibilityRequestEvent(s,t);</span>\r\n  src.serviced<span style=\"color: navy\"> : </span>Period<span style=\"color: navy\"><b> -&gt; </b></span>tgt.serviced<span style=\"color: navy\">;</span>\r\n  src.created<span style=\"color: navy\"><b> -&gt; </b></span>tgt.created<span style=\"color: navy\">;</span>\r\n  src.enterer<span style=\"color: navy\"><b> -&gt; </b></span>tgt.enterer<span style=\"color: navy\">;</span>\r\n  src.provider<span style=\"color: navy\"><b> -&gt; </b></span>tgt.provider<span style=\"color: navy\">;</span>\r\n  src.insurer<span style=\"color: navy\"><b> -&gt; </b></span>tgt.insurer<span style=\"color: navy\">;</span>\r\n  src.facility<span style=\"color: navy\"><b> -&gt; </b></span>tgt.facility<span style=\"color: navy\">;</span>\r\n  src.supportingInfo<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -&gt; </b></span>tgt.supportingInfo<b> as </b><span style=\"color: maroon\">t</span><b> then </b>CoverageEligibilityRequestSupportingInfo<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> -&gt; </b></span>tgt.insurance<b> as </b><span style=\"color: maroon\">t</span><b> then </b>CoverageEligibilityRequestInsurance<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> -&gt; </b></span>tgt.item<b> as </b><span style=\"color: maroon\">t</span><b> then </b>CoverageEligibilityRequestItem<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 CoverageEligibilityRequestEvent(source src, target tgt) extends BackboneElement {</span>\r\n<span style=\"color: #b36b00\" title=\"This element was not defined prior to R5\">// src.type -&gt; tgt.type;</span>\r\n<span style=\"color: #b36b00\" title=\"This element was not defined prior to R5\">// src.when : dateTime -&gt; tgt.when;</span>\r\n<span style=\"color: #b36b00\" title=\"This element was not defined prior to R5\">// src.when : Period -&gt; tgt.when;</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">}</span>\r\n<b>group </b>CoverageEligibilityRequestSupportingInfo<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> -&gt; </b></span>tgt.sequence<span style=\"color: navy\">;</span>\r\n  src.information<span style=\"color: navy\"><b> -&gt; </b></span>tgt.information<span style=\"color: navy\">;</span>\r\n  src.appliesToAll<span style=\"color: navy\"><b> -&gt; </b></span>tgt.appliesToAll<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>CoverageEligibilityRequestInsurance<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.focal<span style=\"color: navy\"><b> -&gt; </b></span>tgt.focal<span style=\"color: navy\">;</span>\r\n  src.coverage<span style=\"color: navy\"><b> -&gt; </b></span>tgt.coverage<span style=\"color: navy\">;</span>\r\n  src.businessArrangement<span style=\"color: navy\"><b> -&gt; </b></span>tgt.businessArrangement<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>CoverageEligibilityRequestItem<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.supportingInfoSequence<span style=\"color: navy\"><b> -&gt; </b></span>tgt.supportingInfoSequence<span style=\"color: navy\">;</span>\r\n  src.category<span style=\"color: navy\"><b> -&gt; </b></span>tgt.category<span style=\"color: navy\">;</span>\r\n  src.productOrService<span style=\"color: navy\"><b> -&gt; </b></span>tgt.productOrService<span style=\"color: navy\">;</span>\r\n  src.modifier<span style=\"color: navy\"><b> -&gt; </b></span>tgt.modifier<span style=\"color: navy\">;</span>\r\n  src.provider<span style=\"color: navy\"><b> -&gt; </b></span>tgt.provider<span style=\"color: navy\">;</span>\r\n  src.quantity<span style=\"color: navy\"><b> -&gt; </b></span>tgt.quantity<span style=\"color: navy\">;</span>\r\n  src.unitPrice<span style=\"color: navy\"><b> -&gt; </b></span>tgt.unitPrice<span style=\"color: navy\">;</span>\r\n  src.facility<span style=\"color: navy\"><b> -&gt; </b></span>tgt.facility<span style=\"color: navy\">;</span>\r\n  src.diagnosis<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -&gt; </b></span>tgt.diagnosis<b> as </b><span style=\"color: maroon\">t</span><b> then </b>CoverageEligibilityRequestItemDiagnosis<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.detail<span style=\"color: navy\"><b> -&gt; </b></span>tgt.detail<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>CoverageEligibilityRequestItemDiagnosis<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.diagnosis<span style=\"color: navy\"> : </span>CodeableConcept<span style=\"color: navy\"><b> -&gt; </b></span>tgt.diagnosis<span style=\"color: navy\">;</span>\r\n  src.diagnosis<span style=\"color: navy\"> : </span>Reference<span style=\"color: navy\"><b> -&gt; </b></span>tgt.diagnosis<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span></pre></div>"
  },
  "contained" : [
    {
      "resourceType" : "ConceptMap",
      "id" : "EligibilityRequestPurpose",
      "status" : "active",
      "group" : [
        {
          "source" : "http://hl7.org/fhir/4.3/eligibilityrequest-purpose",
          "target" : "http://hl7.org/fhir/eligibilityrequest-purpose",
          "element" : [
            {
              "code" : "auth-requirements",
              "target" : [
                {
                  "code" : "auth-requirements",
                  "relationship" : "related-to"
                }
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            },
            {
              "code" : "benefits",
              "target" : [
                {
                  "code" : "benefits",
                  "relationship" : "related-to"
                }
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            },
            {
              "code" : "discovery",
              "target" : [
                {
                  "code" : "discovery",
                  "relationship" : "related-to"
                }
              ]
            },
            {
              "code" : "validation",
              "target" : [
                {
                  "code" : "validation",
                  "relationship" : "related-to"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "resourceType" : "ConceptMap",
      "id" : "EligibilityRequestStatus",
      "status" : "active",
      "group" : [
        {
          "source" : "http://hl7.org/fhir/4.3/fm-status",
          "target" : "http://hl7.org/fhir/fm-status",
          "element" : [
            {
              "code" : "active",
              "target" : [
                {
                  "code" : "active",
                  "relationship" : "related-to"
                }
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            },
            {
              "code" : "cancelled",
              "target" : [
                {
                  "code" : "cancelled",
                  "relationship" : "related-to"
                }
              ]
            },
            {
              "code" : "draft",
              "target" : [
                {
                  "code" : "draft",
                  "relationship" : "related-to"
                }
              ]
            },
            {
              "code" : "entered-in-error",
              "target" : [
                {
                  "code" : "entered-in-error",
                  "relationship" : "related-to"
                }
              ]
            }
          ]
        }
      ]
    }
  ],
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fhir"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 1,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/extensions/ImplementationGuide/hl7.fhir.uv.extensions"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
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            "valueCanonical" : "http://hl7.org/fhir/extensions/ImplementationGuide/hl7.fhir.uv.extensions"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/StructureMap/CoverageEligibilityRequest4Bto5",
  "version" : "5.1.0",
  "name" : "CoverageEligibilityRequest4Bto5",
  "title" : "FML Conversion for CoverageEligibilityRequest: R4B to R5",
  "status" : "active",
  "date" : "2024-04-27T18:40:24+10:00",
  "publisher" : "HL7 International / FHIR Infrastructure",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description" : "FMLConversionforCoverageEligibilityRequestR4BtoR5",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "structure" : [
    {
      "url" : "http://hl7.org/fhir/4.3/StructureDefinition/CoverageEligibilityRequest",
      "mode" : "source",
      "alias" : "CoverageEligibilityRequestR4B"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/CoverageEligibilityRequest",
      "mode" : "target",
      "alias" : "CoverageEligibilityRequestR5"
    }
  ],
  "import" : [
    "http://hl7.org/fhir/StructureMap/*4Bto5"
  ],
  "group" : [
    {
      "name" : "CoverageEligibilityRequest",
      "extends" : "DomainResource",
      "typeMode" : "type-and-types",
      "input" : [
        {
          "name" : "src",
          "type" : "CoverageEligibilityRequestR4B",
          "mode" : "source"
        },
        {
          "name" : "tgt",
          "type" : "CoverageEligibilityRequestR5",
          "mode" : "target"
        }
      ],
      "rule" : [
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          "name" : "identifier",
          "source" : [
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              "element" : "identifier",
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              "variable" : "v"
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          "target" : [
            {
              "context" : "tgt",
              "element" : "status",
              "transform" : "translate",
              "parameter" : [
                {
                  "valueId" : "v"
                },
                {
                  "valueString" : "#EligibilityRequestStatus"
                },
                {
                  "valueString" : "code"
                }
              ]
            }
          ]
        },
        {
          "name" : "priority",
          "source" : [
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              "element" : "priority",
              "variable" : "vvv"
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        {
          "name" : "purpose",
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            }
          ],
          "target" : [
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              "element" : "purpose",
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                  "valueString" : "#EligibilityRequestPurpose"
                },
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                }
              ]
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        {
          "name" : "patient",
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        },
        {
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              ]
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          ],
          "documentation" : "src.event as s -> tgt.event as t then CoverageEligibilityRequestEvent(s,t);"
        },
        {
          "name" : "servicedPeriod",
          "source" : [
            {
              "context" : "src",
              "type" : "Period",
              "element" : "serviced",
              "variable" : "vvv"
            }
          ],
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