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
Page standards status: Trial-use | Maturity Level: 1 |
{
"resourceType" : "StructureMap",
"id" : "ClaimResponse5to4B",
"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/ClaimResponse5to4B'</span>\r\n<span style=\"color: #cc00cc\">/// <b>name</b> = </span><span style=\"color: blue\">'ClaimResponse5to4B'</span>\r\n<span style=\"color: #cc00cc\">/// <b>title</b> = </span><span style=\"color: blue\">'FML Conversion for ClaimResponse: 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>ClaimResponseStatus<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>RemittanceOutcome<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-outcome.html\" title=\"Claim Processing Outcome Codes\">http://hl7.org/fhir/claim-outcome</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-remittance-outcome.html\" title=\"RemittanceOutcome\">http://hl7.org/fhir/4.3/remittance-outcome</a><span style=\"color: navy\">"\r\n</span>\r\n s<span style=\"color: navy\">:</span>queued <b>-</b> t<span style=\"color: navy\">:</span>queued\r\n s<span style=\"color: navy\">:</span>complete <b>-</b> t<span style=\"color: navy\">:</span>complete\r\n s<span style=\"color: navy\">:</span>error <b>-</b> t<span style=\"color: navy\">:</span>error\r\n s<span style=\"color: navy\">:</span>partial <b>-</b> t<span style=\"color: navy\">:</span>partial\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>conceptmap</b><span style=\"color: navy\"> "</span>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/claimresponse.html\" title=\"ClaimResponse\">http://hl7.org/fhir/StructureDefinition/ClaimResponse</a><span style=\"color: navy\">" </span><b>alias </b>ClaimResponseR5 <b>as </b><b>source</b>\r\n<b>uses</b><span style=\"color: navy\"> "</span><a href=\"http://hl7.org/fhir/R4B/claimresponse.html\" title=\"ClaimResponse\">http://hl7.org/fhir/4.3/StructureDefinition/ClaimResponse</a><span style=\"color: navy\">" </span><b>alias </b>ClaimResponseR4B <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>ClaimResponse<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span><span style=\"color: navy\"> : </span>ClaimResponseR5, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\"> : </span>ClaimResponseR4B<span style=\"color: navy\">)</span><b> extends </b>DomainResource<b> <<type+>></b><span style=\"color: navy\"> {\r\n</span> src.identifier<span style=\"color: navy\"><b> -> </b></span>tgt.identifier<span style=\"color: navy\">;</span>\r\n src.status<b> as </b><span style=\"color: maroon\">v</span><span style=\"color: navy\"><b> -> </b></span>tgt.status = <b>translate</b><span style=\"color: navy\">(</span><span style=\"color: maroon\">v</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'#ClaimResponseStatus'</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'code'</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.traceNumber -> tgt.traceNumber;</span>\r\n src.type<span style=\"color: navy\"><b> -> </b></span>tgt.type<span style=\"color: navy\">;</span>\r\n src.subType<span style=\"color: navy\"><b> -> </b></span>tgt.subType<span style=\"color: navy\">;</span>\r\n src.use<b> as </b><span style=\"color: maroon\">v</span><span style=\"color: navy\"><b> -> </b></span>tgt.use = <b>translate</b><span style=\"color: navy\">(</span><span style=\"color: maroon\">v</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'#Use'</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'code'</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.patient<span style=\"color: navy\"><b> -> </b></span>tgt.patient<span style=\"color: navy\">;</span>\r\n src.created<span style=\"color: navy\"><b> -> </b></span>tgt.created<span style=\"color: navy\">;</span>\r\n src.insurer<span style=\"color: navy\"><b> -> </b></span>tgt.insurer<span style=\"color: navy\">;</span>\r\n src.requestor<span style=\"color: navy\"><b> -> </b></span>tgt.requestor<span style=\"color: navy\">;</span>\r\n src.request<span style=\"color: navy\"><b> -> </b></span>tgt.request<span style=\"color: navy\">;</span>\r\n src.outcome<b> as </b><span style=\"color: maroon\">v</span><span style=\"color: navy\"><b> -> </b></span>tgt.outcome = <b>translate</b><span style=\"color: navy\">(</span><span style=\"color: maroon\">v</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'#RemittanceOutcome'</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'code'</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.disposition<span style=\"color: navy\"><b> -> </b></span>tgt.disposition<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.decision -> tgt.decision;</span>\r\n src.preAuthRef<span style=\"color: navy\"><b> -> </b></span>tgt.preAuthRef<span style=\"color: navy\">;</span>\r\n src.preAuthPeriod<span style=\"color: navy\"><b> -> </b></span>tgt.preAuthPeriod<span style=\"color: navy\">;</span>\r\n src.payeeType<span style=\"color: navy\"><b> -> </b></span>tgt.payeeType<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.event as s -> tgt.event as t then ClaimResponseEvent(s,t);</span>\r\n src.item<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.item<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseItem<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.encounter -> tgt.encounter;</span>\r\n src.addItem<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.addItem<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseAddItem<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.total<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.total<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseTotal<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.payment<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.payment<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponsePayment<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.fundsReserve<span style=\"color: navy\"><b> -> </b></span>tgt.fundsReserve<span style=\"color: navy\">;</span>\r\n src.formCode<span style=\"color: navy\"><b> -> </b></span>tgt.formCode<span style=\"color: navy\">;</span>\r\n src.form<span style=\"color: navy\"><b> -> </b></span>tgt.form<span style=\"color: navy\">;</span>\r\n src.processNote<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.processNote<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseProcessNote<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.communicationRequest<span style=\"color: navy\"><b> -> </b></span>tgt.communicationRequest<span style=\"color: navy\">;</span>\r\n src.insurance<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.insurance<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseInsurance<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.error<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.error<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseError<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><span style=\"color: navy\">// </span><span style=\"color: green\">group ClaimResponseEvent(source src, target tgt) extends BackboneElement {</span>\r\n<span style=\"color: #b36b00\" title=\"This element was not defined prior to R5\">// src.type -> tgt.type;</span>\r\n<span style=\"color: #b36b00\" title=\"This element was not defined prior to R5\">// src.when : dateTime -> tgt.when;</span>\r\n<span style=\"color: #b36b00\" title=\"This element was not defined prior to R5\">// src.when : Period -> tgt.when;</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">}</span>\r\n<b>group </b>ClaimResponseItem<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.itemSequence<span style=\"color: navy\"><b> -> </b></span>tgt.itemSequence<span style=\"color: navy\">;</span>\r\n src.noteNumber<span style=\"color: navy\"><b> -> </b></span>tgt.noteNumber<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.traceNumber -> tgt.traceNumber;</span>\r\n src.adjudication<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.adjudication<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseItemAdjudication<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.reviewOutcome as s -> tgt.reviewOutcome as t then ClaimResponseItemReviewOutcome(s,t);</span>\r\n src.detail<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.detail<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseItemDetail<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><span style=\"color: navy\">// </span><span style=\"color: green\">group ClaimResponseItemReviewOutcome(source src, target tgt) extends BackboneElement {</span>\r\n<span style=\"color: #b36b00\" title=\"This element was not defined prior to R5\">// src.decision -> tgt.decision;</span>\r\n<span style=\"color: #b36b00\" title=\"This element was not defined prior to R5\">// src.reason -> tgt.reason;</span>\r\n<span style=\"color: #b36b00\" title=\"This element was not defined prior to R5\">// src.preAuthRef -> tgt.preAuthRef;</span>\r\n<span style=\"color: #b36b00\" title=\"This element was not defined prior to R5\">// src.preAuthPeriod -> tgt.preAuthPeriod;</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">}</span>\r\n<b>group </b>ClaimResponseItemAdjudication<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.category<span style=\"color: navy\"><b> -> </b></span>tgt.category<span style=\"color: navy\">;</span>\r\n src.reason<span style=\"color: navy\"><b> -> </b></span>tgt.reason<span style=\"color: navy\">;</span>\r\n src.amount<span style=\"color: navy\"><b> -> </b></span>tgt.amount<span style=\"color: navy\">;</span>\r\n src.quantity<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span><span style=\"color: maroon\">tgt</span><b> then</b><span style=\"color: navy\"> {\r\n</span> s.value<span style=\"color: navy\"><b> -> </b></span>tgt.value<span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseItemDetail<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.detailSequence<span style=\"color: navy\"><b> -> </b></span>tgt.detailSequence<span style=\"color: navy\">;</span>\r\n src.noteNumber<span style=\"color: navy\"><b> -> </b></span>tgt.noteNumber<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.traceNumber -> tgt.traceNumber;</span>\r\n src.subDetail<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.subDetail<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseItemDetailSubDetail<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseItemDetailSubDetail<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.subDetailSequence<span style=\"color: navy\"><b> -> </b></span>tgt.subDetailSequence<span style=\"color: navy\">;</span>\r\n src.noteNumber<span style=\"color: navy\"><b> -> </b></span>tgt.noteNumber<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.traceNumber -> tgt.traceNumber;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseAddItem<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.itemSequence<span style=\"color: navy\"><b> -> </b></span>tgt.itemSequence<span style=\"color: navy\">;</span>\r\n src.detailSequence<span style=\"color: navy\"><b> -> </b></span>tgt.detailSequence<span style=\"color: navy\">;</span>\r\n src.subdetailSequence<span style=\"color: navy\"><b> -> </b></span>tgt.subdetailSequence<span style=\"color: navy\">;</span>\r\n src.provider<span style=\"color: navy\"><b> -> </b></span>tgt.provider<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.traceNumber -> tgt.traceNumber;</span>\r\n src.productOrService<span style=\"color: navy\"><b> -> </b></span>tgt.productOrService<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.revenue -> tgt.revenue;</span>\r\n src.modifier<span style=\"color: navy\"><b> -> </b></span>tgt.modifier<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.productOrServiceEnd -> tgt.productOrServiceEnd;</span>\r\n src.programCode<span style=\"color: navy\"><b> -> </b></span>tgt.programCode<span style=\"color: navy\">;</span>\r\n src.serviced<span style=\"color: navy\"> : </span>date<span style=\"color: navy\"><b> -> </b></span>tgt.serviced<span style=\"color: navy\">;</span>\r\n src.serviced<span style=\"color: navy\"> : </span>Period<span style=\"color: navy\"><b> -> </b></span>tgt.serviced<span style=\"color: navy\">;</span>\r\n src.location<span style=\"color: navy\"> : </span>CodeableConcept<span style=\"color: navy\"><b> -> </b></span>tgt.location<span style=\"color: navy\">;</span>\r\n src.location<span style=\"color: navy\"> : </span>Address<span style=\"color: navy\"><b> -> </b></span>tgt.location<span style=\"color: navy\">;</span>\r\n src.location<span style=\"color: navy\"> : </span>Reference<span style=\"color: navy\"><b> -> </b></span>tgt.location<span style=\"color: navy\">;</span>\r\n src.quantity<span style=\"color: navy\"><b> -> </b></span>tgt.quantity<span style=\"color: navy\">;</span>\r\n src.unitPrice<span style=\"color: navy\"><b> -> </b></span>tgt.unitPrice<span style=\"color: navy\">;</span>\r\n src.factor<span style=\"color: navy\"><b> -> </b></span>tgt.factor<span style=\"color: navy\">;</span>\r\n src.net<span style=\"color: navy\"><b> -> </b></span>tgt.net<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.tax -> tgt.tax;</span>\r\n src.bodySite<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.bodySite = <span style=\"color: maroon\">s.site</span><span style=\"color: navy\">;</span>\r\n src.noteNumber<span style=\"color: navy\"><b> -> </b></span>tgt.noteNumber<span style=\"color: navy\">;</span>\r\n src.detail<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.detail<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseAddItemDetail<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><span style=\"color: navy\">// </span><span style=\"color: green\">group ClaimResponseAddItemBodySite(source src, target tgt) extends BackboneElement {</span>\r\n<span style=\"color: #b36b00\" title=\"This element was not defined prior to R5\">// src.site -> tgt.site;</span>\r\n<span style=\"color: #b36b00\" title=\"This element was not defined prior to R5\">// src.subSite -> tgt.subSite;</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">}</span>\r\n<b>group </b>ClaimResponseAddItemDetail<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.productOrService<span style=\"color: navy\"><b> -> </b></span>tgt.productOrService<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.traceNumber -> tgt.traceNumber;</span>\r\n src.modifier<span style=\"color: navy\"><b> -> </b></span>tgt.modifier<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.productOrServiceEnd -> tgt.productOrServiceEnd;</span>\r\n src.quantity<span style=\"color: navy\"><b> -> </b></span>tgt.quantity<span style=\"color: navy\">;</span>\r\n src.unitPrice<span style=\"color: navy\"><b> -> </b></span>tgt.unitPrice<span style=\"color: navy\">;</span>\r\n src.factor<span style=\"color: navy\"><b> -> </b></span>tgt.factor<span style=\"color: navy\">;</span>\r\n src.net<span style=\"color: navy\"><b> -> </b></span>tgt.net<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.tax -> tgt.tax;</span>\r\n src.noteNumber<span style=\"color: navy\"><b> -> </b></span>tgt.noteNumber<span style=\"color: navy\">;</span>\r\n src.subDetail<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.subDetail<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseAddItemDetailSubDetail<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseAddItemDetailSubDetail<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.productOrService<span style=\"color: navy\"><b> -> </b></span>tgt.productOrService<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.traceNumber -> tgt.traceNumber;</span>\r\n src.modifier<span style=\"color: navy\"><b> -> </b></span>tgt.modifier<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.productOrServiceEnd -> tgt.productOrServiceEnd;</span>\r\n src.quantity<span style=\"color: navy\"><b> -> </b></span>tgt.quantity<span style=\"color: navy\">;</span>\r\n src.unitPrice<span style=\"color: navy\"><b> -> </b></span>tgt.unitPrice<span style=\"color: navy\">;</span>\r\n src.factor<span style=\"color: navy\"><b> -> </b></span>tgt.factor<span style=\"color: navy\">;</span>\r\n src.net<span style=\"color: navy\"><b> -> </b></span>tgt.net<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.tax -> tgt.tax;</span>\r\n src.noteNumber<span style=\"color: navy\"><b> -> </b></span>tgt.noteNumber<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseTotal<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.category<span style=\"color: navy\"><b> -> </b></span>tgt.category<span style=\"color: navy\">;</span>\r\n src.amount<span style=\"color: navy\"><b> -> </b></span>tgt.amount<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponsePayment<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.type<span style=\"color: navy\"><b> -> </b></span>tgt.type<span style=\"color: navy\">;</span>\r\n src.adjustment<span style=\"color: navy\"><b> -> </b></span>tgt.adjustment<span style=\"color: navy\">;</span>\r\n src.adjustmentReason<span style=\"color: navy\"><b> -> </b></span>tgt.adjustmentReason<span style=\"color: navy\">;</span>\r\n src.date<span style=\"color: navy\"><b> -> </b></span>tgt.date<span style=\"color: navy\">;</span>\r\n src.amount<span style=\"color: navy\"><b> -> </b></span>tgt.amount<span style=\"color: navy\">;</span>\r\n src.identifier<span style=\"color: navy\"><b> -> </b></span>tgt.identifier<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseProcessNote<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.number<span style=\"color: navy\"><b> -> </b></span>tgt.number<span style=\"color: navy\">;</span>\r\n src.type<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span><span style=\"color: maroon\">tgt</span><b> then</b><span style=\"color: navy\"> {\r\n</span> s.coding<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span><span style=\"color: maroon\">tgt</span><b> then</b><span style=\"color: navy\"> {\r\n</span> s.code<span style=\"color: navy\"><b> -> </b></span>tgt.type<span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n src.text<span style=\"color: navy\"><b> -> </b></span>tgt.text<span style=\"color: navy\">;</span>\r\n src.language<span style=\"color: navy\"><b> -> </b></span>tgt.language<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseInsurance<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.sequence<span style=\"color: navy\"><b> -> </b></span>tgt.sequence<span style=\"color: navy\">;</span>\r\n src.focal<span style=\"color: navy\"><b> -> </b></span>tgt.focal<span style=\"color: navy\">;</span>\r\n src.coverage<span style=\"color: navy\"><b> -> </b></span>tgt.coverage<span style=\"color: navy\">;</span>\r\n src.businessArrangement<span style=\"color: navy\"><b> -> </b></span>tgt.businessArrangement<span style=\"color: navy\">;</span>\r\n src.claimResponse<span style=\"color: navy\"><b> -> </b></span>tgt.claimResponse<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseError<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.itemSequence<span style=\"color: navy\"><b> -> </b></span>tgt.itemSequence<span style=\"color: navy\">;</span>\r\n src.detailSequence<span style=\"color: navy\"><b> -> </b></span>tgt.detailSequence<span style=\"color: navy\">;</span>\r\n src.subDetailSequence<span style=\"color: navy\"><b> -> </b></span>tgt.subDetailSequence<span style=\"color: navy\">;</span>\r\n src.code<span style=\"color: navy\"><b> -> </b></span>tgt.code<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span></pre></div>"
},
"contained" : [
{
"resourceType" : "ConceptMap",
"id" : "ClaimResponseStatus",
"status" : "active",
"group" : [
{
"source" : "http://hl7.org/fhir/fm-status",
"target" : "http://hl7.org/fhir/4.3/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" : "RemittanceOutcome",
"status" : "active",
"group" : [
{
"source" : "http://hl7.org/fhir/claim-outcome",
"target" : "http://hl7.org/fhir/4.3/remittance-outcome",
"element" : [
{
"code" : "queued",
"target" : [
{
"code" : "queued",
"relationship" : "related-to"
}
]
},
{
"code" : "complete",
"target" : [
{
"code" : "complete",
"relationship" : "related-to"
}
]
},
{
"code" : "error",
"target" : [
{
"code" : "error",
"relationship" : "related-to"
}
]
},
{
"code" : "partial",
"target" : [
{
"code" : "partial",
"relationship" : "related-to"
}
]
}
]
}
]
},
{
"resourceType" : "ConceptMap",
"id" : "Use",
"status" : "active",
"group" : [
{
"source" : "http://hl7.org/fhir/claim-use",
"target" : "http://hl7.org/fhir/4.3/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/ClaimResponse5to4B",
"version" : "5.1.0",
"name" : "ClaimResponse5to4B",
"title" : "FML Conversion for ClaimResponse: R5 to R4B",
"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" : "FMLConversionforClaimResponseR5toR4B",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001"
}
]
}
],
"structure" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
"mode" : "source",
"alias" : "ClaimResponseR5"
},
{
"url" : "http://hl7.org/fhir/4.3/StructureDefinition/ClaimResponse",
"mode" : "target",
"alias" : "ClaimResponseR4B"
}
],
"import" : [
"http://hl7.org/fhir/StructureMap/*5to4B"
],
"group" : [
{
"name" : "ClaimResponse",
"extends" : "DomainResource",
"typeMode" : "type-and-types",
"input" : [
{
"name" : "src",
"type" : "ClaimResponseR5",
"mode" : "source"
},
{
"name" : "tgt",
"type" : "ClaimResponseR4B",
"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" : "#ClaimResponseStatus"
},
{
"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" : "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" : "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" : "requestor",
"source" : [
{
"context" : "src",
"element" : "requestor",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "requestor",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "request",
"source" : [
{
"context" : "src",
"element" : "request",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "request",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "outcome",
"source" : [
{
"context" : "src",
"element" : "outcome",
"variable" : "v"
}
],
"target" : [
{
"context" : "tgt",
"element" : "outcome",
"transform" : "translate",
"parameter" : [
{
"valueId" : "v"
},
{
"valueString" : "#RemittanceOutcome"
},
{
"valueString" : "code"
}
]
}
]
},
{
"name" : "disposition",
"source" : [
{
"context" : "src",
"element" : "disposition",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "disposition",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
],
"documentation" : "src.decision -> tgt.decision;"
},
{
"name" : "preAuthRef",
"source" : [
{
"context" : "src",
"element" : "preAuthRef",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "preAuthRef",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "preAuthPeriod",
"source" : [
{
"context" : "src",
"element" : "preAuthPeriod",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "preAuthPeriod",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "payeeType",
"source" : [
{
"context" : "src",
"element" : "payeeType",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "payeeType",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
],
"documentation" : "src.event as s -> tgt.event as t then ClaimResponseEvent(s,t);"
},
{
"name" : "item",
"source" : [
{
"context" : "src",
"element" : "item",
"variable" : "s"
}
],
"target" : [
{
"context" : "tgt",
"element" : "item",
"variable" : "t"
}
],
"dependent" : [
{
"name" : "ClaimResponseItem",
"parameter" : [
{
"valueId" : "s"
},
{
"valueId" : "t"
}
]
}
],
"documentation" : "src.encounter -> tgt.encounter;"
},
{
"name" : "addItem",
"source" : [
{
"context" : "src",
"element" : "addItem",
"variable" : "s"
}
],
"target" : [
{
"context" : "tgt",
"element" : "addItem",
"variable" : "t"
}
],
"dependent" : [
{
"name" : "ClaimResponseAddItem",
"parameter" : [
{
"valueId" : "s"
},
{
"valueId" : "t"
}
]
}
]
},
{
"name" : "total",
"source" : [
{
"context" : "src",
"element" : "total",
"variable" : "s"
}
],
"target" : [
{
"context" : "tgt",
"element" : "total",
"variable" : "t"
}
],
"dependent" : [
{
"name" : "ClaimResponseTotal",
"parameter" : [
{
"valueId" : "s"
},
{
"valueId" : "t"
}
]
}
]
},
{
"name" : "payment",
"source" : [
{
"context" : "src",
"element" : "payment",
"variable" : "s"
}
],
"target" : [
{
"context" : "tgt",
"element" : "payment",
"variable" : "t"
}
],
"dependent" : [
{
"name" : "ClaimResponsePayment",
"parameter" : [
{
"valueId" : "s"
},
{
"valueId" : "t"
}
]
}
]
},
{
"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" : "formCode",
"source" : [
{
"context" : "src",
"element" : "formCode",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "formCode",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "form",
"source" : [
{
"context" : "src",
"element" : "form",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "form",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "processNote",
"source" : [
{
"context" : "src",
"element" : "processNote",
"variable" : "s"
}
],
"target" : [
{
"context" : "tgt",
"element" : "processNote",
"variable" : "t"
}
],
"dependent" : [
{
"name" : "ClaimResponseProcessNote",
"parameter" : [
{
"valueId" : "s"
},
{
"valueId" : "t"
}
]
}
]
},
{
"name" : "communicationRequest",
"source" : [
{
"context" : "src",
"element" : "communicationRequest",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "communicationRequest",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "insurance",
"source" : [
{
"context" : "src",
"element" : "insurance",
"variable" : "s"
}
],
"target" : [
{
"context" : "tgt",
"element" : "insurance",
"variable" : "t"
}
],
"dependent" : [
{
"name" : "ClaimResponseInsurance",
"parameter" : [
{
"valueId" : "s"
},
{
"valueId" : "t"
}
]
}
]
},
{
"name" : "error",
"source" : [
{
"context" : "src",
"element" : "error",
"variable" : "s"
}
],
"target" : [
{
"context" : "tgt",
"element" : "error",
"variable" : "t"
}
],
"dependent" : [
{
"name" : "ClaimResponseError",
"parameter" : [
{
"valueId" : "s"
},
{
"valueId" : "t"
}
]
}
]
}
]
},
{
"name" : "ClaimResponseItem",
"extends" : "BackboneElement",
"documentation" : "group ClaimResponseEvent(source src, target tgt) extends BackboneElement {\r\nsrc.type -> tgt.type;\r\nsrc.when : dateTime -> tgt.when;\r\nsrc.when : Period -> tgt.when;\r\n}",
"input" : [
{
"name" : "src",
"mode" : "source"
},
{
"name" : "tgt",
"mode" : "target"
}
],
"rule" : [
{
"name" : "itemSequence",
"source" : [
{
"context" : "src",
"element" : "itemSequence",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "itemSequence",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "noteNumber",
"source" : [
{
"context" : "src",
"element" : "noteNumber",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "noteNumber",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
],
"documentation" : "src.traceNumber -> tgt.traceNumber;"
},
{
"name" : "adjudication",
"source" : [
{
"context" : "src",
"element" : "adjudication",
"variable" : "s"
}
],
"target" : [
{
"context" : "tgt",
"element" : "adjudication",
"variable" : "t"
}
],
"dependent" : [
{
"name" : "ClaimResponseItemAdjudication",
"parameter" : [
{
"valueId" : "s"
},
{
"valueId" : "t"
}
]
}
],
"documentation" : "src.reviewOutcome as s -> tgt.reviewOutcome as t then ClaimResponseItemReviewOutcome(s,t);"
},
{
"name" : "detail",
"source" : [
{
"context" : "src",
"element" : "detail",
"variable" : "s"
}
],
"target" : [
{
"context" : "tgt",
"element" : "detail",
"variable" : "t"
}
],
"dependent" : [
{
"name" : "ClaimResponseItemDetail",
"parameter" : [
{
"valueId" : "s"
},
{
"valueId" : "t"
}
]
}
]
}
]
},
{
"name" : "ClaimResponseItemAdjudication",
"extends" : "BackboneElement",
"documentation" : "group ClaimResponseItemReviewOutcome(source src, target tgt) extends BackboneElement {\r\nsrc.decision -> tgt.decision;\r\nsrc.reason -> tgt.reason;\r\nsrc.preAuthRef -> tgt.preAuthRef;\r\nsrc.preAuthPeriod -> tgt.preAuthPeriod;\r\n}",
"input" : [
{
"name" : "src",
"mode" : "source"
},
{
"name" : "tgt",
"mode" : "target"
}
],
"rule" : [
{
"name" : "category",
"source" : [
{
"context" : "src",
"element" : "category",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "category",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "reason",
"source" : [
{
"context" : "src",
"element" : "reason",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "reason",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "amount",
"source" : [
{
"context" : "src",
"element" : "amount",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "amount",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "quantity",
"source" : [
{
"context" : "src",
"element" : "quantity",
"variable" : "s"
}
],
"target" : [
{
"transform" : "copy",
"parameter" : [
{
"valueId" : "tgt"
}
]
}
],
"rule" : [
{
"name" : "value",
"source" : [
{
"context" : "s",
"element" : "value",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "value",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
}
]
}
]
},
{
"name" : "ClaimResponseItemDetail",
"extends" : "BackboneElement",
"input" : [
{
"name" : "src",
"mode" : "source"
},
{
"name" : "tgt",
"mode" : "target"
}
],
"rule" : [
{
"name" : "detailSequence",
"source" : [
{
"context" : "src",
"element" : "detailSequence",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "detailSequence",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "noteNumber",
"source" : [
{
"context" : "src",
"element" : "noteNumber",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "noteNumber",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
],
"documentation" : "src.traceNumber -> tgt.traceNumber;"
},
{
"name" : "subDetail",
"source" : [
{
"context" : "src",
"element" : "subDetail",
"variable" : "s"
}
],
"target" : [
{
"context" : "tgt",
"element" : "subDetail",
"variable" : "t"
}
],
"dependent" : [
{
"name" : "ClaimResponseItemDetailSubDetail",
"parameter" : [
{
"valueId" : "s"
},
{
"valueId" : "t"
}
]
}
]
}
]
},
{
"name" : "ClaimResponseItemDetailSubDetail",
"extends" : "BackboneElement",
"input" : [
{
"name" : "src",
"mode" : "source"
},
{
"name" : "tgt",
"mode" : "target"
}
],
"rule" : [
{
"name" : "subDetailSequence",
"source" : [
{
"context" : "src",
"element" : "subDetailSequence",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "subDetailSequence",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "noteNumber",
"source" : [
{
"context" : "src",
"element" : "noteNumber",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "noteNumber",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
],
"documentation" : "src.traceNumber -> tgt.traceNumber;"
}
]
},
{
"name" : "ClaimResponseAddItem",
"extends" : "BackboneElement",
"input" : [
{
"name" : "src",
"mode" : "source"
},
{
"name" : "tgt",
"mode" : "target"
}
],
"rule" : [
{
"name" : "itemSequence",
"source" : [
{
"context" : "src",
"element" : "itemSequence",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "itemSequence",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "detailSequence",
"source" : [
{
"context" : "src",
"element" : "detailSequence",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "detailSequence",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "subdetailSequence",
"source" : [
{
"context" : "src",
"element" : "subdetailSequence",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "subdetailSequence",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "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"
}
]
}
],
"documentation" : "src.traceNumber -> tgt.traceNumber;"
},
{
"name" : "productOrService",
"source" : [
{
"context" : "src",
"element" : "productOrService",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "productOrService",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
],
"documentation" : "src.revenue -> tgt.revenue;"
},
{
"name" : "modifier",
"source" : [
{
"context" : "src",
"element" : "modifier",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "modifier",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
],
"documentation" : "src.productOrServiceEnd -> tgt.productOrServiceEnd;"
},
{
"name" : "programCode",
"source" : [
{
"context" : "src",
"element" : "programCode",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "programCode",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "servicedDate",
"source" : [
{
"context" : "src",
"type" : "date",
"element" : "serviced",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "serviced",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "servicedPeriod",
"source" : [
{
"context" : "src",
"type" : "Period",
"element" : "serviced",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "serviced",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "locationCodeableConcept",
"source" : [
{
"context" : "src",
"type" : "CodeableConcept",
"element" : "location",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "location",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "locationAddress",
"source" : [
{
"context" : "src",
"type" : "Address",
"element" : "location",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "location",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "locationReference",
"source" : [
{
"context" : "src",
"type" : "Reference",
"element" : "location",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "location",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "quantity",
"source" : [
{
"context" : "src",
"element" : "quantity",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "quantity",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "unitPrice",
"source" : [
{
"context" : "src",
"element" : "unitPrice",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "unitPrice",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "factor",
"source" : [
{
"context" : "src",
"element" : "factor",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "factor",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "net",
"source" : [
{
"context" : "src",
"element" : "net",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "net",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
],
"documentation" : "src.tax -> tgt.tax;"
},
{
"name" : "bodySite",
"source" : [
{
"context" : "src",
"element" : "bodySite",
"variable" : "s"
}
],
"target" : [
{
"context" : "tgt",
"element" : "bodySite",
"transform" : "copy",
"parameter" : [
{
"valueId" : "s.site"
}
]
}
]
},
{
"name" : "noteNumber",
"source" : [
{
"context" : "src",
"element" : "noteNumber",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "noteNumber",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "detail",
"source" : [
{
"context" : "src",
"element" : "detail",
"variable" : "s"
}
],
"target" : [
{
"context" : "tgt",
"element" : "detail",
"variable" : "t"
}
],
"dependent" : [
{
"name" : "ClaimResponseAddItemDetail",
"parameter" : [
{
"valueId" : "s"
},
{
"valueId" : "t"
}
]
}
]
}
]
},
{
"name" : "ClaimResponseAddItemDetail",
"extends" : "BackboneElement",
"documentation" : "group ClaimResponseAddItemBodySite(source src, target tgt) extends BackboneElement {\r\nsrc.site -> tgt.site;\r\nsrc.subSite -> tgt.subSite;\r\n}",
"input" : [
{
"name" : "src",
"mode" : "source"
},
{
"name" : "tgt",
"mode" : "target"
}
],
"rule" : [
{
"name" : "productOrService",
"source" : [
{
"context" : "src",
"element" : "productOrService",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "productOrService",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
],
"documentation" : "src.traceNumber -> tgt.traceNumber;"
},
{
"name" : "modifier",
"source" : [
{
"context" : "src",
"element" : "modifier",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "modifier",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
],
"documentation" : "src.productOrServiceEnd -> tgt.productOrServiceEnd;"
},
{
"name" : "quantity",
"source" : [
{
"context" : "src",
"element" : "quantity",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "quantity",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "unitPrice",
"source" : [
{
"context" : "src",
"element" : "unitPrice",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "unitPrice",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "factor",
"source" : [
{
"context" : "src",
"element" : "factor",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "factor",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "net",
"source" : [
{
"context" : "src",
"element" : "net",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "net",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
],
"documentation" : "src.tax -> tgt.tax;"
},
{
"name" : "noteNumber",
"source" : [
{
"context" : "src",
"element" : "noteNumber",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "noteNumber",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "subDetail",
"source" : [
{
"context" : "src",
"element" : "subDetail",
"variable" : "s"
}
],
"target" : [
{
"context" : "tgt",
"element" : "subDetail",
"variable" : "t"
}
],
"dependent" : [
{
"name" : "ClaimResponseAddItemDetailSubDetail",
"parameter" : [
{
"valueId" : "s"
},
{
"valueId" : "t"
}
]
}
]
}
]
},
{
"name" : "ClaimResponseAddItemDetailSubDetail",
"extends" : "BackboneElement",
"input" : [
{
"name" : "src",
"mode" : "source"
},
{
"name" : "tgt",
"mode" : "target"
}
],
"rule" : [
{
"name" : "productOrService",
"source" : [
{
"context" : "src",
"element" : "productOrService",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "productOrService",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
],
"documentation" : "src.traceNumber -> tgt.traceNumber;"
},
{
"name" : "modifier",
"source" : [
{
"context" : "src",
"element" : "modifier",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "modifier",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
],
"documentation" : "src.productOrServiceEnd -> tgt.productOrServiceEnd;"
},
{
"name" : "quantity",
"source" : [
{
"context" : "src",
"element" : "quantity",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "quantity",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "unitPrice",
"source" : [
{
"context" : "src",
"element" : "unitPrice",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "unitPrice",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "factor",
"source" : [
{
"context" : "src",
"element" : "factor",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "factor",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "net",
"source" : [
{
"context" : "src",
"element" : "net",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "net",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
],
"documentation" : "src.tax -> tgt.tax;"
},
{
"name" : "noteNumber",
"source" : [
{
"context" : "src",
"element" : "noteNumber",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "noteNumber",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
}
]
},
{
"name" : "ClaimResponseTotal",
"extends" : "BackboneElement",
"input" : [
{
"name" : "src",
"mode" : "source"
},
{
"name" : "tgt",
"mode" : "target"
}
],
"rule" : [
{
"name" : "category",
"source" : [
{
"context" : "src",
"element" : "category",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "category",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "amount",
"source" : [
{
"context" : "src",
"element" : "amount",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "amount",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
}
]
},
{
"name" : "ClaimResponsePayment",
"extends" : "BackboneElement",
"input" : [
{
"name" : "src",
"mode" : "source"
},
{
"name" : "tgt",
"mode" : "target"
}
],
"rule" : [
{
"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" : "adjustment",
"source" : [
{
"context" : "src",
"element" : "adjustment",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "adjustment",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "adjustmentReason",
"source" : [
{
"context" : "src",
"element" : "adjustmentReason",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "adjustmentReason",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "date",
"source" : [
{
"context" : "src",
"element" : "date",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "date",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "amount",
"source" : [
{
"context" : "src",
"element" : "amount",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "amount",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"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" : "ClaimResponseProcessNote",
"extends" : "BackboneElement",
"input" : [
{
"name" : "src",
"mode" : "source"
},
{
"name" : "tgt",
"mode" : "target"
}
],
"rule" : [
{
"name" : "number",
"source" : [
{
"context" : "src",
"element" : "number",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "number",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "type",
"source" : [
{
"context" : "src",
"element" : "type",
"variable" : "s"
}
],
"target" : [
{
"transform" : "copy",
"parameter" : [
{
"valueId" : "tgt"
}
]
}
],
"rule" : [
{
"name" : "coding",
"source" : [
{
"context" : "s",
"element" : "coding",
"variable" : "s"
}
],
"target" : [
{
"transform" : "copy",
"parameter" : [
{
"valueId" : "tgt"
}
]
}
],
"rule" : [
{
"name" : "code",
"source" : [
{
"context" : "s",
"element" : "code",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "type",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
}
]
}
]
},
{
"name" : "text",
"source" : [
{
"context" : "src",
"element" : "text",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "text",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "language",
"source" : [
{
"context" : "src",
"element" : "language",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "language",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
}
]
},
{
"name" : "ClaimResponseInsurance",
"extends" : "BackboneElement",
"input" : [
{
"name" : "src",
"mode" : "source"
},
{
"name" : "tgt",
"mode" : "target"
}
],
"rule" : [
{
"name" : "sequence",
"source" : [
{
"context" : "src",
"element" : "sequence",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "sequence",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "focal",
"source" : [
{
"context" : "src",
"element" : "focal",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "focal",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "coverage",
"source" : [
{
"context" : "src",
"element" : "coverage",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "coverage",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "businessArrangement",
"source" : [
{
"context" : "src",
"element" : "businessArrangement",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "businessArrangement",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "claimResponse",
"source" : [
{
"context" : "src",
"element" : "claimResponse",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "claimResponse",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
}
]
},
{
"name" : "ClaimResponseError",
"extends" : "BackboneElement",
"input" : [
{
"name" : "src",
"mode" : "source"
},
{
"name" : "tgt",
"mode" : "target"
}
],
"rule" : [
{
"name" : "itemSequence",
"source" : [
{
"context" : "src",
"element" : "itemSequence",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "itemSequence",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "detailSequence",
"source" : [
{
"context" : "src",
"element" : "detailSequence",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "detailSequence",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "subDetailSequence",
"source" : [
{
"context" : "src",
"element" : "subDetailSequence",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "subDetailSequence",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "code",
"source" : [
{
"context" : "src",
"element" : "code",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "code",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
}
]
}
]
}