FHIR Extensions Pack
5.1.0 - 5.1.0 (April 2024)
FHIR Extensions Pack
5.1.0 - 5.1.0 (April 2024)
This page is part of the FHIR Core Extensions Registry (v5.1.0: Release 5.1) based on FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version. For a full list of available versions, see the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 1 |
<StructureMap xmlns="http://hl7.org/fhir">
<id value="CoverageEligibilityResponse4Bto5"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><pre class="fml">
<span style="color: #cc00cc">/// <b>url</b> = </span><span style="color: blue">'http://hl7.org/fhir/StructureMap/CoverageEligibilityResponse4Bto5'</span>
<span style="color: #cc00cc">/// <b>name</b> = </span><span style="color: blue">'CoverageEligibilityResponse4Bto5'</span>
<span style="color: #cc00cc">/// <b>title</b> = </span><span style="color: blue">'FML Conversion for CoverageEligibilityResponse: R4B to R5'</span>
<span style="color: #cc00cc">/// <b>status</b> = </span><span style="color: blue">'active'</span>
<b>conceptmap</b><span style="color: navy"> "</span>EligibilityOutcome<span style="color: navy">" {
</span><b> prefix </b>s<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">"
</span><b> prefix </b>t<span style="color: navy"> = "</span><a href="http://hl7.org/fhir/R5/codesystem-eligibility-outcome.html" title="Claim Processing Codes">http://hl7.org/fhir/eligibility-outcome</a><span style="color: navy">"
</span>
s<span style="color: navy">:</span>queued <b>-</b> t<span style="color: navy">:</span>queued
s<span style="color: navy">:</span>complete <b>-</b> t<span style="color: navy">:</span>complete
s<span style="color: navy">:</span>error <b>-</b> t<span style="color: navy">:</span>error
s<span style="color: navy">:</span>partial <b>-</b> t<span style="color: navy">:</span>partial
<span style="color: navy">}
</span><b>conceptmap</b><span style="color: navy"> "</span>EligibilityResponsePurpose<span style="color: navy">" {
</span><b> prefix </b>s<span style="color: navy"> = "</span><a href="http://hl7.org/fhir/R4B/codesystem-eligibilityresponse-purpose.html" title="EligibilityResponsePurpose">http://hl7.org/fhir/4.3/eligibilityresponse-purpose</a><span style="color: navy">"
</span><b> prefix </b>t<span style="color: navy"> = "</span><a href="http://hl7.org/fhir/R5/codesystem-eligibilityresponse-purpose.html" title="Eligibility Response Purpose">http://hl7.org/fhir/eligibilityresponse-purpose</a><span style="color: navy">"
</span>
s<span style="color: navy">:</span>"auth-requirements" <b>-</b> t<span style="color: navy">:</span><span style="color: navy">"</span>auth-requirements<span style="color: navy">"</span>
s<span style="color: navy">:</span>benefits <b>-</b> t<span style="color: navy">:</span>benefits
s<span style="color: navy">:</span>discovery <b>-</b> t<span style="color: navy">:</span>discovery
s<span style="color: navy">:</span>validation <b>-</b> t<span style="color: navy">:</span>validation
<span style="color: navy">}
</span><b>conceptmap</b><span style="color: navy"> "</span>EligibilityResponseStatus<span style="color: navy">" {
</span><b> prefix </b>s<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">"
</span><b> prefix </b>t<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">"
</span>
s<span style="color: navy">:</span>active <b>-</b> t<span style="color: navy">:</span>active
s<span style="color: navy">:</span>cancelled <b>-</b> t<span style="color: navy">:</span>cancelled
s<span style="color: navy">:</span>draft <b>-</b> t<span style="color: navy">:</span>draft
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>
<span style="color: navy">}
</span><b>uses</b><span style="color: navy"> "</span><a href="http://hl7.org/fhir/R4B/coverageeligibilityresponse.html" title="CoverageEligibilityResponse">http://hl7.org/fhir/4.3/StructureDefinition/CoverageEligibilityResponse</a><span style="color: navy">" </span><b>alias </b>CoverageEligibilityResponseR4B <b>as </b><b>source</b>
<b>uses</b><span style="color: navy"> "</span><a href="http://hl7.org/fhir/R5/coverageeligibilityresponse.html" title="CoverageEligibilityResponse">http://hl7.org/fhir/StructureDefinition/CoverageEligibilityResponse</a><span style="color: navy">" </span><b>alias </b>CoverageEligibilityResponseR5 <b>as </b><b>target</b>
<b>imports</b><span style="color: navy"> "</span>http://hl7.org/fhir/StructureMap/*4Bto5<span style="color: navy">"
</span>
<b>group </b>CoverageEligibilityResponse<span style="color: navy">(</span><b>source</b> <span style="color: maroon">src</span><span style="color: navy"> : </span>CoverageEligibilityResponseR4B, <b>target</b> <span style="color: maroon">tgt</span><span style="color: navy"> : </span>CoverageEligibilityResponseR5<span style="color: navy">)</span><b> extends </b>DomainResource<b> <<type+>></b><span style="color: navy"> {
</span> src.identifier<span style="color: navy"><b> -> </b></span>tgt.identifier<span style="color: navy">;</span>
src.status<b> as </b><span style="color: maroon">v</span><span style="color: navy"><b> -> </b></span>tgt.status = <b>translate</b><span style="color: navy">(</span><span style="color: maroon">v</span><span style="color: navy">, </span><span style="color: blue">'#EligibilityResponseStatus'</span><span style="color: navy">, </span><span style="color: blue">'code'</span><span style="color: navy">)</span><span style="color: navy">;</span>
src.purpose<b> as </b><span style="color: maroon">v</span><span style="color: navy"><b> -> </b></span>tgt.purpose = <b>translate</b><span style="color: navy">(</span><span style="color: maroon">v</span><span style="color: navy">, </span><span style="color: blue">'#EligibilityResponsePurpose'</span><span style="color: navy">, </span><span style="color: blue">'code'</span><span style="color: navy">)</span><span style="color: navy">;</span>
src.patient<span style="color: navy"><b> -> </b></span>tgt.patient<span style="color: navy">;</span>
src.serviced<span style="color: navy"> : </span>date<span style="color: navy"><b> -> </b></span>tgt.serviced<span style="color: navy">;</span> <span style="color: navy">// </span><span style="color: green">src.event as s -> tgt.event as t then CoverageEligibilityResponseEvent(s,t);</span>
src.serviced<span style="color: navy"> : </span>Period<span style="color: navy"><b> -> </b></span>tgt.serviced<span style="color: navy">;</span>
src.created<span style="color: navy"><b> -> </b></span>tgt.created<span style="color: navy">;</span>
src.requestor<span style="color: navy"><b> -> </b></span>tgt.requestor<span style="color: navy">;</span>
src.request<span style="color: navy"><b> -> </b></span>tgt.request<span style="color: navy">;</span>
src.outcome<b> as </b><span style="color: maroon">v</span><span style="color: navy"><b> -> </b></span>tgt.outcome = <b>translate</b><span style="color: navy">(</span><span style="color: maroon">v</span><span style="color: navy">, </span><span style="color: blue">'#EligibilityOutcome'</span><span style="color: navy">, </span><span style="color: blue">'code'</span><span style="color: navy">)</span><span style="color: navy">;</span>
src.disposition<span style="color: navy"><b> -> </b></span>tgt.disposition<span style="color: navy">;</span>
src.insurer<span style="color: navy"><b> -> </b></span>tgt.insurer<span style="color: navy">;</span>
src.insurance<b> as </b><span style="color: maroon">s</span><span style="color: navy"><b> -> </b></span>tgt.insurance<b> as </b><span style="color: maroon">t</span><b> then </b>CoverageEligibilityResponseInsurance<span style="color: navy">(</span><span style="color: maroon">s</span><span style="color: navy">, </span><span style="color: maroon">t</span><span style="color: navy">)</span><span style="color: navy">;</span>
src.preAuthRef<span style="color: navy"><b> -> </b></span>tgt.preAuthRef<span style="color: navy">;</span>
src.form<span style="color: navy"><b> -> </b></span>tgt.form<span style="color: navy">;</span>
src.error<b> as </b><span style="color: maroon">s</span><span style="color: navy"><b> -> </b></span>tgt.error<b> as </b><span style="color: maroon">t</span><b> then </b>CoverageEligibilityResponseError<span style="color: navy">(</span><span style="color: maroon">s</span><span style="color: navy">, </span><span style="color: maroon">t</span><span style="color: navy">)</span><span style="color: navy">;</span>
<span style="color: navy">}
</span><span style="color: navy">// </span><span style="color: green">group CoverageEligibilityResponseEvent(source src, target tgt) extends BackboneElement {</span>
<span style="color: #b36b00" title="This element was not defined prior to R5">// src.type -> tgt.type;</span>
<span style="color: #b36b00" title="This element was not defined prior to R5">// src.when : dateTime -> tgt.when;</span>
<span style="color: #b36b00" title="This element was not defined prior to R5">// src.when : Period -> tgt.when;</span>
<span style="color: navy">// </span><span style="color: green">}</span>
<b>group </b>CoverageEligibilityResponseInsurance<span style="color: navy">(</span><b>source</b> <span style="color: maroon">src</span>, <b>target</b> <span style="color: maroon">tgt</span><span style="color: navy">)</span><b> extends </b>BackboneElement<span style="color: navy"> {
</span> src.coverage<span style="color: navy"><b> -> </b></span>tgt.coverage<span style="color: navy">;</span>
src.inforce<span style="color: navy"><b> -> </b></span>tgt.inforce<span style="color: navy">;</span>
src.benefitPeriod<span style="color: navy"><b> -> </b></span>tgt.benefitPeriod<span style="color: navy">;</span>
src.item<b> as </b><span style="color: maroon">s</span><span style="color: navy"><b> -> </b></span>tgt.item<b> as </b><span style="color: maroon">t</span><b> then </b>CoverageEligibilityResponseInsuranceItem<span style="color: navy">(</span><span style="color: maroon">s</span><span style="color: navy">, </span><span style="color: maroon">t</span><span style="color: navy">)</span><span style="color: navy">;</span>
<span style="color: navy">}
</span><b>group </b>CoverageEligibilityResponseInsuranceItem<span style="color: navy">(</span><b>source</b> <span style="color: maroon">src</span>, <b>target</b> <span style="color: maroon">tgt</span><span style="color: navy">)</span><b> extends </b>BackboneElement<span style="color: navy"> {
</span> src.category<span style="color: navy"><b> -> </b></span>tgt.category<span style="color: navy">;</span>
src.productOrService<span style="color: navy"><b> -> </b></span>tgt.productOrService<span style="color: navy">;</span>
src.modifier<span style="color: navy"><b> -> </b></span>tgt.modifier<span style="color: navy">;</span>
src.provider<span style="color: navy"><b> -> </b></span>tgt.provider<span style="color: navy">;</span>
src.excluded<span style="color: navy"><b> -> </b></span>tgt.excluded<span style="color: navy">;</span>
src.name<span style="color: navy"><b> -> </b></span>tgt.name<span style="color: navy">;</span>
src.description<span style="color: navy"><b> -> </b></span>tgt.description<span style="color: navy">;</span>
src.network<span style="color: navy"><b> -> </b></span>tgt.network<span style="color: navy">;</span>
src.unit<span style="color: navy"><b> -> </b></span>tgt.unit<span style="color: navy">;</span>
src.term<span style="color: navy"><b> -> </b></span>tgt.term<span style="color: navy">;</span>
src.benefit<b> as </b><span style="color: maroon">s</span><span style="color: navy"><b> -> </b></span>tgt.benefit<b> as </b><span style="color: maroon">t</span><b> then </b>CoverageEligibilityResponseInsuranceItemBenefit<span style="color: navy">(</span><span style="color: maroon">s</span><span style="color: navy">, </span><span style="color: maroon">t</span><span style="color: navy">)</span><span style="color: navy">;</span>
src.authorizationRequired<span style="color: navy"><b> -> </b></span>tgt.authorizationRequired<span style="color: navy">;</span>
src.authorizationSupporting<span style="color: navy"><b> -> </b></span>tgt.authorizationSupporting<span style="color: navy">;</span>
src.authorizationUrl<span style="color: navy"><b> -> </b></span>tgt.authorizationUrl<span style="color: navy">;</span>
<span style="color: navy">}
</span><b>group </b>CoverageEligibilityResponseInsuranceItemBenefit<span style="color: navy">(</span><b>source</b> <span style="color: maroon">src</span>, <b>target</b> <span style="color: maroon">tgt</span><span style="color: navy">)</span><b> extends </b>BackboneElement<span style="color: navy"> {
</span> src.type<span style="color: navy"><b> -> </b></span>tgt.type<span style="color: navy">;</span>
src.allowed<span style="color: navy"> : </span>unsignedInt<span style="color: navy"><b> -> </b></span>tgt.allowed<span style="color: navy">;</span>
src.allowed<span style="color: navy"> : </span>string<span style="color: navy"><b> -> </b></span>tgt.allowed<span style="color: navy">;</span>
src.allowed<span style="color: navy"> : </span>Money<span style="color: navy"><b> -> </b></span>tgt.allowed<span style="color: navy">;</span>
src.used<span style="color: navy"> : </span>unsignedInt<span style="color: navy"><b> -> </b></span>tgt.used<span style="color: navy">;</span>
src.used<span style="color: navy"> : </span>string<span style="color: navy"><b> -> </b></span>tgt.used<span style="color: navy">;</span>
src.used<span style="color: navy"> : </span>Money<span style="color: navy"><b> -> </b></span>tgt.used<span style="color: navy">;</span>
<span style="color: navy">}
</span><b>group </b>CoverageEligibilityResponseError<span style="color: navy">(</span><b>source</b> <span style="color: maroon">src</span>, <b>target</b> <span style="color: maroon">tgt</span><span style="color: navy">)</span><b> extends </b>BackboneElement<span style="color: navy"> {
</span> src.code<span style="color: navy"><b> -> </b></span>tgt.code<span style="color: navy">;</span>
<span style="color: navy">}
</span></pre></div>
</text>
<contained>
<ConceptMap>
<id value="EligibilityOutcome"/>
<status value="active"/>
<group>
<source value="http://hl7.org/fhir/4.3/remittance-outcome"/>
<target value="http://hl7.org/fhir/eligibility-outcome"/>
<element>
<code value="queued"/>
<target>
<code value="queued"/>
<relationship value="related-to"/>
</target>
</element>
<element>
<code value="complete"/>
<target>
<code value="complete"/>
<relationship value="related-to"/>
</target>
</element>
<element>
<code value="error"/>
<target>
<code value="error"/>
<relationship value="related-to"/>
</target>
</element>
<element>
<code value="partial"/>
<target>
<code value="partial"/>
<relationship value="related-to"/>
</target>
</element>
</group>
</ConceptMap>
</contained>
<contained>
<ConceptMap>
<id value="EligibilityResponsePurpose"/>
<status value="active"/>
<group>
<source value="http://hl7.org/fhir/4.3/eligibilityresponse-purpose"/>
<target value="http://hl7.org/fhir/eligibilityresponse-purpose"/>
<element>
<code value="auth-requirements"/>
<target>
<code value="auth-requirements"/>
<relationship value="related-to"/>
</target>
</element>
<element>
<code value="benefits"/>
<target>
<code value="benefits"/>
<relationship value="related-to"/>
</target>
</element>
<element>
<code value="discovery"/>
<target>
<code value="discovery"/>
<relationship value="related-to"/>
</target>
</element>
<element>
<code value="validation"/>
<target>
<code value="validation"/>
<relationship value="related-to"/>
</target>
</element>
</group>
</ConceptMap>
</contained>
<contained>
<ConceptMap>
<id value="EligibilityResponseStatus"/>
<status value="active"/>
<group>
<source value="http://hl7.org/fhir/4.3/fm-status"/>
<target value="http://hl7.org/fhir/fm-status"/>
<element>
<code value="active"/>
<target>
<code value="active"/>
<relationship value="related-to"/>
</target>
</element>
<element>
<code value="cancelled"/>
<target>
<code value="cancelled"/>
<relationship value="related-to"/>
</target>
</element>
<element>
<code value="draft"/>
<target>
<code value="draft"/>
<relationship value="related-to"/>
</target>
</element>
<element>
<code value="entered-in-error"/>
<target>
<code value="entered-in-error"/>
<relationship value="related-to"/>
</target>
</element>
</group>
</ConceptMap>
</contained>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fhir"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="1">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/extensions/ImplementationGuide/hl7.fhir.uv.extensions"/>
</extension>
</valueInteger>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="trial-use">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/extensions/ImplementationGuide/hl7.fhir.uv.extensions"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/StructureMap/CoverageEligibilityResponse4Bto5"/>
<version value="5.1.0"/>
<name value="CoverageEligibilityResponse4Bto5"/>
<title value="FML Conversion for CoverageEligibilityResponse: R4B to R5"/>
<status value="active"/>
<date value="2024-04-27T18:54:50+10:00"/>
<publisher value="HL7 International / FHIR Infrastructure"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/fiwg"/>
</telecom>
</contact>
<description value="FMLConversionforCoverageEligibilityResponseR4BtoR5"/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
</coding>
</jurisdiction>
<structure>
<url
value="http://hl7.org/fhir/4.3/StructureDefinition/CoverageEligibilityResponse"/>
<mode value="source"/>
<alias value="CoverageEligibilityResponseR4B"/>
</structure>
<structure>
<url
value="http://hl7.org/fhir/StructureDefinition/CoverageEligibilityResponse"/>
<mode value="target"/>
<alias value="CoverageEligibilityResponseR5"/>
</structure>
<import value="http://hl7.org/fhir/StructureMap/*4Bto5"/>
<group>
<name value="CoverageEligibilityResponse"/>
<extends value="DomainResource"/>
<typeMode value="type-and-types"/>
<input>
<name value="src"/>
<type value="CoverageEligibilityResponseR4B"/>
<mode value="source"/>
</input>
<input>
<name value="tgt"/>
<type value="CoverageEligibilityResponseR5"/>
<mode value="target"/>
</input>
<rule>
<name value="identifier"/>
<source>
<context value="src"/>
<element value="identifier"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="identifier"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="status"/>
<source>
<context value="src"/>
<element value="status"/>
<variable value="v"/>
</source>
<target>
<context value="tgt"/>
<element value="status"/>
<transform value="translate"/>
<parameter>
<valueId value="v"/>
</parameter>
<parameter>
<valueString value="#EligibilityResponseStatus"/>
</parameter>
<parameter>
<valueString value="code"/>
</parameter>
</target>
</rule>
<rule>
<name value="purpose"/>
<source>
<context value="src"/>
<element value="purpose"/>
<variable value="v"/>
</source>
<target>
<context value="tgt"/>
<element value="purpose"/>
<transform value="translate"/>
<parameter>
<valueId value="v"/>
</parameter>
<parameter>
<valueString value="#EligibilityResponsePurpose"/>
</parameter>
<parameter>
<valueString value="code"/>
</parameter>
</target>
</rule>
<rule>
<name value="patient"/>
<source>
<context value="src"/>
<element value="patient"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="patient"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="servicedDate"/>
<source>
<context value="src"/>
<type value="date"/>
<element value="serviced"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="serviced"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
<documentation
value="src.event as s -> tgt.event as t then CoverageEligibilityResponseEvent(s,t);"/>
</rule>
<rule>
<name value="servicedPeriod"/>
<source>
<context value="src"/>
<type value="Period"/>
<element value="serviced"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="serviced"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="created"/>
<source>
<context value="src"/>
<element value="created"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="created"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="requestor"/>
<source>
<context value="src"/>
<element value="requestor"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="requestor"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="request"/>
<source>
<context value="src"/>
<element value="request"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="request"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="outcome"/>
<source>
<context value="src"/>
<element value="outcome"/>
<variable value="v"/>
</source>
<target>
<context value="tgt"/>
<element value="outcome"/>
<transform value="translate"/>
<parameter>
<valueId value="v"/>
</parameter>
<parameter>
<valueString value="#EligibilityOutcome"/>
</parameter>
<parameter>
<valueString value="code"/>
</parameter>
</target>
</rule>
<rule>
<name value="disposition"/>
<source>
<context value="src"/>
<element value="disposition"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="disposition"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="insurer"/>
<source>
<context value="src"/>
<element value="insurer"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="insurer"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="insurance"/>
<source>
<context value="src"/>
<element value="insurance"/>
<variable value="s"/>
</source>
<target>
<context value="tgt"/>
<element value="insurance"/>
<variable value="t"/>
</target>
<dependent>
<name value="CoverageEligibilityResponseInsurance"/>
<parameter>
<valueId value="s"/>
</parameter>
<parameter>
<valueId value="t"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="preAuthRef"/>
<source>
<context value="src"/>
<element value="preAuthRef"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="preAuthRef"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="form"/>
<source>
<context value="src"/>
<element value="form"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="form"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="error"/>
<source>
<context value="src"/>
<element value="error"/>
<variable value="s"/>
</source>
<target>
<context value="tgt"/>
<element value="error"/>
<variable value="t"/>
</target>
<dependent>
<name value="CoverageEligibilityResponseError"/>
<parameter>
<valueId value="s"/>
</parameter>
<parameter>
<valueId value="t"/>
</parameter>
</dependent>
</rule>
</group>
<group>
<name value="CoverageEligibilityResponseInsurance"/>
<extends value="BackboneElement"/>
<documentation
value="group CoverageEligibilityResponseEvent(source src, target tgt) extends BackboneElement {
src.type -> tgt.type;
src.when : dateTime -> tgt.when;
src.when : Period -> tgt.when;
}"/>
<input>
<name value="src"/>
<mode value="source"/>
</input>
<input>
<name value="tgt"/>
<mode value="target"/>
</input>
<rule>
<name value="coverage"/>
<source>
<context value="src"/>
<element value="coverage"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="coverage"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="inforce"/>
<source>
<context value="src"/>
<element value="inforce"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="inforce"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="benefitPeriod"/>
<source>
<context value="src"/>
<element value="benefitPeriod"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="benefitPeriod"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="item"/>
<source>
<context value="src"/>
<element value="item"/>
<variable value="s"/>
</source>
<target>
<context value="tgt"/>
<element value="item"/>
<variable value="t"/>
</target>
<dependent>
<name value="CoverageEligibilityResponseInsuranceItem"/>
<parameter>
<valueId value="s"/>
</parameter>
<parameter>
<valueId value="t"/>
</parameter>
</dependent>
</rule>
</group>
<group>
<name value="CoverageEligibilityResponseInsuranceItem"/>
<extends value="BackboneElement"/>
<input>
<name value="src"/>
<mode value="source"/>
</input>
<input>
<name value="tgt"/>
<mode value="target"/>
</input>
<rule>
<name value="category"/>
<source>
<context value="src"/>
<element value="category"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="category"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="productOrService"/>
<source>
<context value="src"/>
<element value="productOrService"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="productOrService"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="modifier"/>
<source>
<context value="src"/>
<element value="modifier"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="modifier"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="provider"/>
<source>
<context value="src"/>
<element value="provider"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="provider"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="excluded"/>
<source>
<context value="src"/>
<element value="excluded"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="excluded"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="name"/>
<source>
<context value="src"/>
<element value="name"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="name"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="description"/>
<source>
<context value="src"/>
<element value="description"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="description"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="network"/>
<source>
<context value="src"/>
<element value="network"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="network"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="unit"/>
<source>
<context value="src"/>
<element value="unit"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="unit"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="term"/>
<source>
<context value="src"/>
<element value="term"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="term"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="benefit"/>
<source>
<context value="src"/>
<element value="benefit"/>
<variable value="s"/>
</source>
<target>
<context value="tgt"/>
<element value="benefit"/>
<variable value="t"/>
</target>
<dependent>
<name value="CoverageEligibilityResponseInsuranceItemBenefit"/>
<parameter>
<valueId value="s"/>
</parameter>
<parameter>
<valueId value="t"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="authorizationRequired"/>
<source>
<context value="src"/>
<element value="authorizationRequired"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="authorizationRequired"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="authorizationSupporting"/>
<source>
<context value="src"/>
<element value="authorizationSupporting"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="authorizationSupporting"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="authorizationUrl"/>
<source>
<context value="src"/>
<element value="authorizationUrl"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="authorizationUrl"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
</group>
<group>
<name value="CoverageEligibilityResponseInsuranceItemBenefit"/>
<extends value="BackboneElement"/>
<input>
<name value="src"/>
<mode value="source"/>
</input>
<input>
<name value="tgt"/>
<mode value="target"/>
</input>
<rule>
<name value="type"/>
<source>
<context value="src"/>
<element value="type"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="type"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="allowedUnsignedInt"/>
<source>
<context value="src"/>
<type value="unsignedInt"/>
<element value="allowed"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="allowed"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="allowedString"/>
<source>
<context value="src"/>
<type value="string"/>
<element value="allowed"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="allowed"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="allowedMoney"/>
<source>
<context value="src"/>
<type value="Money"/>
<element value="allowed"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="allowed"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="usedUnsignedInt"/>
<source>
<context value="src"/>
<type value="unsignedInt"/>
<element value="used"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="used"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="usedString"/>
<source>
<context value="src"/>
<type value="string"/>
<element value="used"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="used"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="usedMoney"/>
<source>
<context value="src"/>
<type value="Money"/>
<element value="used"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="used"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
</group>
<group>
<name value="CoverageEligibilityResponseError"/>
<extends value="BackboneElement"/>
<input>
<name value="src"/>
<mode value="source"/>
</input>
<input>
<name value="tgt"/>
<mode value="target"/>
</input>
<rule>
<name value="code"/>
<source>
<context value="src"/>
<element value="code"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="code"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
</group>
</StructureMap>
IG © 2022+ HL7 International / FHIR Infrastructure. Package hl7.fhir.uv.extensions#5.1.0 based on FHIR 5.0.0. Generated 2024-04-27
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