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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. For a full list of available versions, see the Directory of published versions

: FML Conversion for Claim: R5 to R4 - JSON Representation

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{
  "resourceType" : "StructureMap",
  "id" : "Claim5to4",
  "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/Claim5to4'</span>\r\n<span style=\"color: #cc00cc\">/// <b>name</b> = </span><span style=\"color: blue\">'Claim5to4'</span>\r\n<span style=\"color: #cc00cc\">/// <b>title</b> = </span><span style=\"color: blue\">'FML Conversion for Claim: 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\"> &quot;</span>ClaimStatus<span style=\"color: navy\">&quot; {\r\n</span><b>  prefix </b>s<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><b>  prefix </b>t<span style=\"color: navy\"> = &quot;</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\">&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>conceptmap</b><span style=\"color: navy\"> &quot;</span>Use<span style=\"color: navy\">&quot; {\r\n</span><b>  prefix </b>s<span style=\"color: navy\"> = &quot;</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\">&quot;\r\n</span><b>  prefix </b>t<span style=\"color: navy\"> = &quot;</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\">&quot;\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\"> &quot;</span><a href=\"http://hl7.org/fhir/R5/claim.html\" title=\"Claim\">http://hl7.org/fhir/StructureDefinition/Claim</a><span style=\"color: navy\">&quot; </span><b>alias </b>ClaimR5 <b>as </b><b>source</b>\r\n<b>uses</b><span style=\"color: navy\"> &quot;</span><a href=\"http://hl7.org/fhir/R4/claim.html\" title=\"Claim\">http://hl7.org/fhir/4.0/StructureDefinition/Claim</a><span style=\"color: navy\">&quot; </span><b>alias </b>ClaimR4 <b>as </b><b>target</b>\r\n\r\n<b>imports</b><span style=\"color: navy\"> &quot;</span>http://hl7.org/fhir/StructureMap/*5to4<span style=\"color: navy\">&quot;\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>ClaimR4<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\">'#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 -&gt; tgt.traceNumber;</span>\r\n  src.type<span style=\"color: navy\"><b> -&gt; </b></span>tgt.type<span style=\"color: navy\">;</span>\r\n  src.subType<span style=\"color: navy\"><b> -&gt; </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> -&gt; </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> -&gt; </b></span>tgt.patient<span style=\"color: navy\">;</span>\r\n  src.billablePeriod<span style=\"color: navy\"><b> -&gt; </b></span>tgt.billablePeriod<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.insurer<span style=\"color: navy\"><b> -&gt; </b></span>tgt.insurer<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.priority<span style=\"color: navy\"><b> -&gt; </b></span>tgt.priority<span style=\"color: navy\">;</span>\r\n  src.fundsReserve<span style=\"color: navy\"><b> -&gt; </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> -&gt; </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> -&gt; </b></span>tgt.prescription<span style=\"color: navy\">;</span>\r\n  src.originalPrescription<span style=\"color: navy\"><b> -&gt; </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> -&gt; </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> -&gt; </b></span>tgt.referral<span style=\"color: navy\">;</span>\r\n  src.facility<span style=\"color: navy\"><b> -&gt; </b></span>tgt.facility<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.encounter -&gt; tgt.encounter;</span>\r\n  src.careTeam<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -&gt; </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 -&gt; tgt.diagnosisRelatedGroup;</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>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> -&gt; </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> -&gt; </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> -&gt; </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> -&gt; </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> -&gt; </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 -&gt; tgt.patientPaid;</span>\r\n  src.total<span style=\"color: navy\"><b> -&gt; </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> -&gt; </b></span>tgt.claim<span style=\"color: navy\">;</span>\r\n  src.relationship<span style=\"color: navy\"><b> -&gt; </b></span>tgt.relationship<span style=\"color: navy\">;</span>\r\n  src.reference<span style=\"color: navy\"><b> -&gt; </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> -&gt; </b></span>tgt.type<span style=\"color: navy\">;</span>\r\n  src.party<span style=\"color: navy\"><b> -&gt; </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 -&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>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> -&gt; </b></span>tgt.sequence<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.responsible<span style=\"color: navy\"><b> -&gt; </b></span>tgt.responsible<span style=\"color: navy\">;</span>\r\n  src.role<span style=\"color: navy\"><b> -&gt; </b></span>tgt.role<span style=\"color: navy\">;</span>\r\n  src.specialty<span style=\"color: navy\"><b> -&gt; </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> -&gt; </b></span>tgt.sequence<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.code<span style=\"color: navy\"><b> -&gt; </b></span>tgt.code<span style=\"color: navy\">;</span>\r\n  src.timing<span style=\"color: navy\"> : </span>date<span style=\"color: navy\"><b> -&gt; </b></span>tgt.timing<span style=\"color: navy\">;</span>\r\n  src.timing<span style=\"color: navy\"> : </span>Period<span style=\"color: navy\"><b> -&gt; </b></span>tgt.timing<span style=\"color: navy\">;</span>\r\n  src.value<span style=\"color: navy\"> : </span>boolean<span style=\"color: navy\"><b> -&gt; </b></span>tgt.value<span style=\"color: navy\">;</span>\r\n  src.value<span style=\"color: navy\"> : </span>string<span style=\"color: navy\"><b> -&gt; </b></span>tgt.value<span style=\"color: navy\">;</span>\r\n  src.value<span style=\"color: navy\"> : </span>Quantity<span style=\"color: navy\"><b> -&gt; </b></span>tgt.value<span style=\"color: navy\">;</span>\r\n  src.value<span style=\"color: navy\"> : </span>Attachment<span style=\"color: navy\"><b> -&gt; </b></span>tgt.value<span style=\"color: navy\">;</span>\r\n  src.value<span style=\"color: navy\"> : </span>Reference<span style=\"color: navy\"><b> -&gt; </b></span>tgt.value<span style=\"color: navy\">;</span>\r\n  src.reason<span style=\"color: navy\"><b> -&gt; </b></span>tgt.reason<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.value : Identifier -&gt; 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> -&gt; </b></span>tgt.sequence<span style=\"color: navy\">;</span>\r\n  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  src.type<span style=\"color: navy\"><b> -&gt; </b></span>tgt.type<span style=\"color: navy\">;</span>\r\n  src.onAdmission<span style=\"color: navy\"><b> -&gt; </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> -&gt; </b></span>tgt.sequence<span style=\"color: navy\">;</span>\r\n  src.type<span style=\"color: navy\"><b> -&gt; </b></span>tgt.type<span style=\"color: navy\">;</span>\r\n  src.date<span style=\"color: navy\"><b> -&gt; </b></span>tgt.date<span style=\"color: navy\">;</span>\r\n  src.procedure<span style=\"color: navy\"> : </span>CodeableConcept<span style=\"color: navy\"><b> -&gt; </b></span>tgt.procedure<span style=\"color: navy\">;</span>\r\n  src.procedure<span style=\"color: navy\"> : </span>Reference<span style=\"color: navy\"><b> -&gt; </b></span>tgt.procedure<span style=\"color: navy\">;</span>\r\n  src.udi<span style=\"color: navy\"><b> -&gt; </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> -&gt; </b></span>tgt.sequence<span style=\"color: navy\">;</span>\r\n  src.focal<span style=\"color: navy\"><b> -&gt; </b></span>tgt.focal<span style=\"color: navy\">;</span>\r\n  src.identifier<span style=\"color: navy\"><b> -&gt; </b></span>tgt.identifier<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  src.preAuthRef<span style=\"color: navy\"><b> -&gt; </b></span>tgt.preAuthRef<span style=\"color: navy\">;</span>\r\n  src.claimResponse<span style=\"color: navy\"><b> -&gt; </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> -&gt; </b></span>tgt.date<span style=\"color: navy\">;</span>\r\n  src.type<span style=\"color: navy\"><b> -&gt; </b></span>tgt.type<span style=\"color: navy\">;</span>\r\n  src.location<span style=\"color: navy\"> : </span>Address<span style=\"color: navy\"><b> -&gt; </b></span>tgt.location<span style=\"color: navy\">;</span>\r\n  src.location<span style=\"color: navy\"> : </span>Reference<span style=\"color: navy\"><b> -&gt; </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> -&gt; </b></span>tgt.sequence<span style=\"color: navy\">;</span>\r\n  src.careTeamSequence<span style=\"color: navy\"><b> -&gt; </b></span>tgt.careTeamSequence<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.traceNumber -&gt; tgt.traceNumber;</span>\r\n  src.diagnosisSequence<span style=\"color: navy\"><b> -&gt; </b></span>tgt.diagnosisSequence<span style=\"color: navy\">;</span>\r\n  src.procedureSequence<span style=\"color: navy\"><b> -&gt; </b></span>tgt.procedureSequence<span style=\"color: navy\">;</span>\r\n  src.informationSequence<span style=\"color: navy\"><b> -&gt; </b></span>tgt.informationSequence<span style=\"color: navy\">;</span>\r\n  src.revenue<span style=\"color: navy\"><b> -&gt; </b></span>tgt.revenue<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> <span style=\"color: navy\">// </span><span style=\"color: green\">src.productOrServiceEnd -&gt; tgt.productOrServiceEnd;</span>\r\n  src.programCode<span style=\"color: navy\"><b> -&gt; </b></span>tgt.programCode<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>\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.location<span style=\"color: navy\"> : </span>CodeableConcept<span style=\"color: navy\"><b> -&gt; </b></span>tgt.location<span style=\"color: navy\">;</span>\r\n  src.location<span style=\"color: navy\"> : </span>Address<span style=\"color: navy\"><b> -&gt; </b></span>tgt.location<span style=\"color: navy\">;</span>\r\n  src.location<span style=\"color: navy\"> : </span>Reference<span style=\"color: navy\"><b> -&gt; </b></span>tgt.location<span style=\"color: navy\">;</span>\r\n  src.quantity<span style=\"color: navy\"><b> -&gt; </b></span>tgt.quantity<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.patientPaid -&gt; tgt.patientPaid;</span>\r\n  src.unitPrice<span style=\"color: navy\"><b> -&gt; </b></span>tgt.unitPrice<span style=\"color: navy\">;</span>\r\n  src.factor<span style=\"color: navy\"><b> -&gt; </b></span>tgt.factor<span style=\"color: navy\">;</span>\r\n  src.net<span style=\"color: navy\"><b> -&gt; </b></span>tgt.net<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.tax -&gt; tgt.tax;</span>\r\n  src.udi<span style=\"color: navy\"><b> -&gt; </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> -&gt; </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> -&gt; </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> -&gt; </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 -&gt; tgt.site;</span>\r\n<span style=\"color: #b36b00\" title=\"This element was not defined prior to R5\">// src.subSite -&gt; 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> -&gt; </b></span>tgt.sequence<span style=\"color: navy\">;</span>\r\n  src.revenue<span style=\"color: navy\"><b> -&gt; </b></span>tgt.revenue<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.traceNumber -&gt; tgt.traceNumber;</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> <span style=\"color: navy\">// </span><span style=\"color: green\">src.productOrServiceEnd -&gt; tgt.productOrServiceEnd;</span>\r\n  src.programCode<span style=\"color: navy\"><b> -&gt; </b></span>tgt.programCode<span style=\"color: navy\">;</span>\r\n  src.quantity<span style=\"color: navy\"><b> -&gt; </b></span>tgt.quantity<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.patientPaid -&gt; tgt.patientPaid;</span>\r\n  src.unitPrice<span style=\"color: navy\"><b> -&gt; </b></span>tgt.unitPrice<span style=\"color: navy\">;</span>\r\n  src.factor<span style=\"color: navy\"><b> -&gt; </b></span>tgt.factor<span style=\"color: navy\">;</span>\r\n  src.net<span style=\"color: navy\"><b> -&gt; </b></span>tgt.net<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.tax -&gt; tgt.tax;</span>\r\n  src.udi<span style=\"color: navy\"><b> -&gt; </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> -&gt; </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> -&gt; </b></span>tgt.sequence<span style=\"color: navy\">;</span>\r\n  src.revenue<span style=\"color: navy\"><b> -&gt; </b></span>tgt.revenue<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.traceNumber -&gt; tgt.traceNumber;</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> <span style=\"color: navy\">// </span><span style=\"color: green\">src.productOrServiceEnd -&gt; tgt.productOrServiceEnd;</span>\r\n  src.programCode<span style=\"color: navy\"><b> -&gt; </b></span>tgt.programCode<span style=\"color: navy\">;</span>\r\n  src.quantity<span style=\"color: navy\"><b> -&gt; </b></span>tgt.quantity<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.patientPaid -&gt; tgt.patientPaid;</span>\r\n  src.unitPrice<span style=\"color: navy\"><b> -&gt; </b></span>tgt.unitPrice<span style=\"color: navy\">;</span>\r\n  src.factor<span style=\"color: navy\"><b> -&gt; </b></span>tgt.factor<span style=\"color: navy\">;</span>\r\n  src.net<span style=\"color: navy\"><b> -&gt; </b></span>tgt.net<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.tax -&gt; tgt.tax;</span>\r\n  src.udi<span style=\"color: navy\"><b> -&gt; </b></span>tgt.udi<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span></pre></div>"
  },
  "contained" : [
    {
      "resourceType" : "ConceptMap",
      "id" : "ClaimStatus",
      "status" : "active",
      "group" : [
        {
          "source" : "http://hl7.org/fhir/fm-status",
          "target" : "http://hl7.org/fhir/4.0/fm-status",
          "element" : [
            {
              "code" : "active",
              "target" : [
                {
                  "code" : "active",
                  "relationship" : "related-to"
                }
              ]
            },
            {
              "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"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "resourceType" : "ConceptMap",
      "id" : "Use",
      "status" : "active",
      "group" : [
        {
          "source" : "http://hl7.org/fhir/claim-use",
          "target" : "http://hl7.org/fhir/4.0/claim-use",
          "element" : [
            {
              "code" : "claim",
              "target" : [
                {
                  "code" : "claim",
                  "relationship" : "related-to"
                }
              ]
            },
            {
              "code" : "preauthorization",
              "target" : [
                {
                  "code" : "preauthorization",
                  "relationship" : "related-to"
                }
              ]
            },
            {
              "code" : "predetermination",
              "target" : [
                {
                  "code" : "predetermination",
                  "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" : [
          {
            "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/StructureMap/Claim5to4",
  "version" : "5.1.0",
  "name" : "Claim5to4",
  "title" : "FML Conversion for Claim: R5 to R4",
  "status" : "active",
  "date" : "2024-04-27T18:54:50+10:00",
  "publisher" : "HL7 International / FHIR Infrastructure",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description" : "FMLConversionforClaimR5toR4",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "structure" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/Claim",
      "mode" : "source",
      "alias" : "ClaimR5"
    },
    {
      "url" : "http://hl7.org/fhir/4.0/StructureDefinition/Claim",
      "mode" : "target",
      "alias" : "ClaimR4"
    }
  ],
  "import" : [
    "http://hl7.org/fhir/StructureMap/*5to4"
  ],
  "group" : [
    {
      "name" : "Claim",
      "extends" : "DomainResource",
      "typeMode" : "type-and-types",
      "input" : [
        {
          "name" : "src",
          "type" : "ClaimR5",
          "mode" : "source"
        },
        {
          "name" : "tgt",
          "type" : "ClaimR4",
          "mode" : "target"
        }
      ],
      "rule" : [
        {
          "name" : "identifier",
          "source" : [
            {
              "context" : "src",
              "element" : "identifier",
              "variable" : "vvv"
            }
          ],
          "target" : [
            {
              "context" : "tgt",
              "element" : "identifier",
              "variable" : "vvv",
              "transform" : "create"
            }
          ],
          "dependent" : [
            {
              "name" : "DefaultMappingGroupAnonymousAlias",
              "parameter" : [
                {
                  "valueId" : "vvv"
                },
                {
                  "valueId" : "vvv"
                }
              ]
            }
          ]
        },
        {
          "name" : "status",
          "source" : [
            {
              "context" : "src",
              "element" : "status",
              "variable" : "v"
            }
          ],
          "target" : [
            {
              "context" : "tgt",
              "element" : "status",
              "transform" : "translate",
              "parameter" : [
                {
                  "valueId" : "v"
                },
                {
                  "valueString" : "#ClaimStatus"
                },
                {
                  "valueString" : "code"
                }
              ]
            }
          ],
          "documentation" : "src.traceNumber -> tgt.traceNumber;"
        },
        {
          "name" : "type",
          "source" : [
            {
              "context" : "src",
              "element" : "type",
              "variable" : "vvv"
            }
          ],
          "target" : [
            {
              "context" : "tgt",
              "element" : "type",
              "variable" : "vvv",
              "transform" : "create"
            }
          ],
          "dependent" : [
            {
              "name" : "DefaultMappingGroupAnonymousAlias",
              "parameter" : [
                {
                  "valueId" : "vvv"
                },
                {
                  "valueId" : "vvv"
                }
              ]
            }
          ]
        },
        {
          "name" : "subType",
          "source" : [
            {
              "context" : "src",
              "element" : "subType",
              "variable" : "vvv"
            }
          ],
          "target" : [
            {
              "context" : "tgt",
              "element" : "subType",
              "variable" : "vvv",
              "transform" : "create"
            }
          ],
          "dependent" : [
            {
              "name" : "DefaultMappingGroupAnonymousAlias",
              "parameter" : [
                {
                  "valueId" : "vvv"
                },
                {
                  "valueId" : "vvv"
                }
              ]
            }
          ]
        },
        {
          "name" : "use",
          "source" : [
            {
              "context" : "src",
              "element" : "use",
              "variable" : "v"
            }
          ],
          "target" : [
            {
              "context" : "tgt",
              "element" : "use",
              "transform" : "translate",
              "parameter" : [
                {
                  "valueId" : "v"
                },
                {
                  "valueString" : "#Use"
                },
                {
                  "valueString" : "code"
                }
              ]
            }
          ]
        },
        {
          "name" : "patient",
          "source" : [
            {
              "context" : "src",
              "element" : "patient",
              "variable" : "vvv"
            }
          ],
          "target" : [
            {
              "context" : "tgt",
              "element" : "patient",
              "variable" : "vvv",
              "transform" : "create"
            }
          ],
          "dependent" : [
            {
              "name" : "DefaultMappingGroupAnonymousAlias",
              "parameter" : [
                {
                  "valueId" : "vvv"
                },
                {
                  "valueId" : "vvv"
                }
              ]
            }
          ]
        },
        {
          "name" : "billablePeriod",
          "source" : [
            {
              "context" : "src",
              "element" : "billablePeriod",
              "variable" : "vvv"
            }
          ],
          "target" : [
            {
              "context" : "tgt",
              "element" : "billablePeriod",
              "variable" : "vvv",
              "transform" : "create"
            }
          ],
          "dependent" : [
            {
              "name" : "DefaultMappingGroupAnonymousAlias",
              "parameter" : [
                {
                  "valueId" : "vvv"
                },
                {
                  "valueId" : "vvv"
                }
              ]
            }
          ]
        },
        {
          "name" : "created",
          "source" : [
            {
              "context" : "src",
              "element" : "created",
              "variable" : "vvv"
            }
          ],
          "target" : [
            {
              "context" : "tgt",
              "element" : "created",
              "variable" : "vvv",
              "transform" : "create"
            }
          ],
          "dependent" : [
            {
              "name" : "DefaultMappingGroupAnonymousAlias",
              "parameter" : [
                {
                  "valueId" : "vvv"
                },
                {
                  "valueId" : "vvv"
                }
              ]
            }
          ]
        },
        {
          "name" : "enterer",
          "source" : [
            {
              "context" : "src",
              "element" : "enterer",
              "variable" : "vvv"
            }
          ],
          "target" : [
            {
              "context" : "tgt",
              "element" : "enterer",
              "variable" : "vvv",
              "transform" : "create"
            }
          ],
          "dependent" : [
            {
              "name" : "DefaultMappingGroupAnonymousAlias",
              "parameter" : [
                {
                  "valueId" : "vvv"
                },
                {
                  "valueId" : "vvv"
                }
              ]
            }
          ]
        },
        {
          "name" : "insurer",
          "source" : [
            {
              "context" : "src",
              "element" : "insurer",
              "variable" : "vvv"
            }
          ],
          "target" : [
            {
              "context" : "tgt",
              "element" : "insurer",
              "variable" : "vvv",
              "transform" : "create"
            }
          ],
          "dependent" : [
            {
              "name" : "DefaultMappingGroupAnonymousAlias",
              "parameter" : [
                {
                  "valueId" : "vvv"
                },
                {
                  "valueId" : "vvv"
                }
              ]
            }
          ]
        },
        {
          "name" : "provider",
          "source" : [
            {
              "context" : "src",
              "element" : "provider",
              "variable" : "vvv"
            }
          ],
          "target" : [
            {
              "context" : "tgt",
              "element" : "provider",
              "variable" : "vvv",
              "transform" : "create"
            }
          ],
          "dependent" : [
            {
              "name" : "DefaultMappingGroupAnonymousAlias",
              "parameter" : [
                {
                  "valueId" : "vvv"
                },
                {
                  "valueId" : "vvv"
                }
              ]
            }
          ]
        },
        {
          "name" : "priority",
          "source" : [
            {
              "context" : "src",
              "element" : "priority",
              "variable" : "vvv"
            }
          ],
          "target" : [
            {
              "context" : "tgt",
              "element" : "priority",
              "variable" : "vvv",
              "transform" : "create"
            }
          ],
          "dependent" : [
            {
              "name" : "DefaultMappingGroupAnonymousAlias",
              "parameter" : [
                {
                  "valueId" : "vvv"
                },
                {
                  "valueId" : "vvv"
                }
              ]
            }
          ]
        },
        {
          "name" : "fundsReserve",
          "source" : [
            {
              "context" : "src",
              "element" : "fundsReserve",
              "variable" : "vvv"
            }
          ],
          "target" : [
            {
              "context" : "tgt",
              "element" : "fundsReserve",
              "variable" : "vvv",
              "transform" : "create"
            }
          ],
          "dependent" : [
            {
              "name" : "DefaultMappingGroupAnonymousAlias",
              "parameter" : [
                {
                  "valueId" : "vvv"
                },
                {
                  "valueId" : "vvv"
                }
              ]
            }
          ]
        },
        {
          "name" : "related",
          "source" : [
            {
              "context" : "src",
              "element" : "related",
              "variable" : "s"
            }
          ],
          "target" : [
            {
              "context" : "tgt",
              "element" : "related",
              "variable" : "t"
            }
          ],
          "dependent" : [
            {
              "name" : "ClaimRelated",
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