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 |
{
"resourceType" : "StructureMap",
"id" : "ExplanationOfBenefit4Bto5",
"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/ExplanationOfBenefit4Bto5'</span>\r\n<span style=\"color: #cc00cc\">/// <b>name</b> = </span><span style=\"color: blue\">'ExplanationOfBenefit4Bto5'</span>\r\n<span style=\"color: #cc00cc\">/// <b>title</b> = </span><span style=\"color: blue\">'FML Conversion for ExplanationOfBenefit: R4B to R5'</span>\r\n<span style=\"color: #cc00cc\">/// <b>status</b> = </span><span style=\"color: blue\">'active'</span>\r\n\r\n<b>conceptmap</b><span style=\"color: navy\"> "</span>ClaimOutcome<span style=\"color: navy\">" {\r\n</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\">"\r\n</span><b> prefix </b>t<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>\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>ExplanationOfBenefitStatus<span style=\"color: navy\">" {\r\n</span><b> prefix </b>s<span style=\"color: navy\"> = "</span><a href=\"http://hl7.org/fhir/R4B/codesystem-explanationofbenefit-status.html\" title=\"ExplanationOfBenefitStatus\">http://hl7.org/fhir/4.3/explanationofbenefit-status</a><span style=\"color: navy\">"\r\n</span><b> prefix </b>t<span style=\"color: navy\"> = "</span><a href=\"http://hl7.org/fhir/R5/codesystem-explanationofbenefit-status.html\" title=\"Explanation Of Benefit Status\">http://hl7.org/fhir/explanationofbenefit-status</a><span style=\"color: navy\">"\r\n</span>\r\n s<span style=\"color: navy\">:</span>active <b>-</b> t<span style=\"color: navy\">:</span>active\r\n s<span style=\"color: navy\">:</span>cancelled <b>-</b> t<span style=\"color: navy\">:</span>cancelled\r\n s<span style=\"color: navy\">:</span>draft <b>-</b> t<span style=\"color: navy\">:</span>draft\r\n s<span style=\"color: navy\">:</span>"entered-in-error" <b>-</b> t<span style=\"color: navy\">:</span><span style=\"color: navy\">"</span>entered-in-error<span style=\"color: navy\">"</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>conceptmap</b><span style=\"color: navy\"> "</span>Use<span style=\"color: navy\">" {\r\n</span><b> prefix </b>s<span style=\"color: navy\"> = "</span><a href=\"http://hl7.org/fhir/R4B/codesystem-claim-use.html\" title=\"Use\">http://hl7.org/fhir/4.3/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/R5/codesystem-claim-use.html\" title=\"Use\">http://hl7.org/fhir/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/R4B/explanationofbenefit.html\" title=\"ExplanationOfBenefit\">http://hl7.org/fhir/4.3/StructureDefinition/ExplanationOfBenefit</a><span style=\"color: navy\">" </span><b>alias </b>ExplanationOfBenefitR4B <b>as </b><b>source</b>\r\n<b>uses</b><span style=\"color: navy\"> "</span><a href=\"http://hl7.org/fhir/R5/explanationofbenefit.html\" title=\"ExplanationOfBenefit\">http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit</a><span style=\"color: navy\">" </span><b>alias </b>ExplanationOfBenefitR5 <b>as </b><b>target</b>\r\n\r\n<b>imports</b><span style=\"color: navy\"> "</span>http://hl7.org/fhir/StructureMap/*4Bto5<span style=\"color: navy\">"\r\n</span>\r\n<b>group </b>ExplanationOfBenefit<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span><span style=\"color: navy\"> : </span>ExplanationOfBenefitR4B, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\"> : </span>ExplanationOfBenefitR5<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\">'#ExplanationOfBenefitStatus'</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'code'</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.traceNumber -> tgt.traceNumber;</span>\r\n src.type<span style=\"color: navy\"><b> -> </b></span>tgt.type<span style=\"color: navy\">;</span>\r\n src.subType<span style=\"color: navy\"><b> -> </b></span>tgt.subType<span style=\"color: navy\">;</span>\r\n src.use<b> as </b><span style=\"color: maroon\">v</span><span style=\"color: navy\"><b> -> </b></span>tgt.use = <b>translate</b><span style=\"color: navy\">(</span><span style=\"color: maroon\">v</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'#Use'</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'code'</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.patient<span style=\"color: navy\"><b> -> </b></span>tgt.patient<span style=\"color: navy\">;</span>\r\n src.billablePeriod<span style=\"color: navy\"><b> -> </b></span>tgt.billablePeriod<span style=\"color: navy\">;</span>\r\n src.created<span style=\"color: navy\"><b> -> </b></span>tgt.created<span style=\"color: navy\">;</span>\r\n src.enterer<span style=\"color: navy\"><b> -> </b></span>tgt.enterer<span style=\"color: navy\">;</span>\r\n src.insurer<span style=\"color: navy\"><b> -> </b></span>tgt.insurer<span style=\"color: navy\">;</span>\r\n src.provider<span style=\"color: navy\"><b> -> </b></span>tgt.provider<span style=\"color: navy\">;</span>\r\n src.priority<span style=\"color: navy\"><b> -> </b></span>tgt.priority<span style=\"color: navy\">;</span>\r\n src.fundsReserveRequested<span style=\"color: navy\"><b> -> </b></span>tgt.fundsReserveRequested<span style=\"color: navy\">;</span>\r\n src.fundsReserve<span style=\"color: navy\"><b> -> </b></span>tgt.fundsReserve<span style=\"color: navy\">;</span>\r\n src.related<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.related<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ExplanationOfBenefitRelated<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.prescription<span style=\"color: navy\"><b> -> </b></span>tgt.prescription<span style=\"color: navy\">;</span>\r\n src.originalPrescription<span style=\"color: navy\"><b> -> </b></span>tgt.originalPrescription<span style=\"color: navy\">;</span>\r\n src.payee<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.payee<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ExplanationOfBenefitPayee<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.event as s -> tgt.event as t then ExplanationOfBenefitEvent(s,t);</span>\r\n src.referral<span style=\"color: navy\"><b> -> </b></span>tgt.referral<span style=\"color: navy\">;</span>\r\n src.facility<span style=\"color: navy\"><b> -> </b></span>tgt.facility<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.encounter -> tgt.encounter;</span>\r\n src.claim<span style=\"color: navy\"><b> -> </b></span>tgt.claim<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 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\">'#ClaimOutcome'</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.preAuthRefPeriod<span style=\"color: navy\"><b> -> </b></span>tgt.preAuthRefPeriod<span style=\"color: navy\">;</span>\r\n src.careTeam<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.careTeam<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ExplanationOfBenefitCareTeam<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.diagnosisRelatedGroup -> tgt.diagnosisRelatedGroup;</span>\r\n src.supportingInfo<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.supportingInfo<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ExplanationOfBenefitSupportingInfo<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.diagnosis<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.diagnosis<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ExplanationOfBenefitDiagnosis<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.procedure<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.procedure<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ExplanationOfBenefitProcedure<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.precedence<span style=\"color: navy\"><b> -> </b></span>tgt.precedence<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>ExplanationOfBenefitInsurance<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.accident<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.accident<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ExplanationOfBenefitAccident<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.item<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.item<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ExplanationOfBenefitItem<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.patientPaid -> tgt.patientPaid;</span>\r\n src.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>ExplanationOfBenefitAddItem<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>ExplanationOfBenefitTotal<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>ExplanationOfBenefitPayment<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.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>ExplanationOfBenefitProcessNote<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.benefitPeriod<span style=\"color: navy\"><b> -> </b></span>tgt.benefitPeriod<span style=\"color: navy\">;</span>\r\n src.benefitBalance<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.benefitBalance<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ExplanationOfBenefitBenefitBalance<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>ExplanationOfBenefitRelated<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.claim<span style=\"color: navy\"><b> -> </b></span>tgt.claim<span style=\"color: navy\">;</span>\r\n src.relationship<span style=\"color: navy\"><b> -> </b></span>tgt.relationship<span style=\"color: navy\">;</span>\r\n src.reference<span style=\"color: navy\"><b> -> </b></span>tgt.reference<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><span style=\"color: navy\">// </span><span style=\"color: green\">group ExplanationOfBenefitEvent(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>ExplanationOfBenefitPayee<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.type<span style=\"color: navy\"><b> -> </b></span>tgt.type<span style=\"color: navy\">;</span>\r\n src.party<span style=\"color: navy\"><b> -> </b></span>tgt.party<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ExplanationOfBenefitCareTeam<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.sequence<span style=\"color: navy\"><b> -> </b></span>tgt.sequence<span style=\"color: navy\">;</span>\r\n src.provider<span style=\"color: navy\"><b> -> </b></span>tgt.provider<span style=\"color: navy\">;</span>\r\n src.responsible<span style=\"color: navy\"><b> -> </b></span>tgt.responsible<span style=\"color: navy\">;</span>\r\n src.role<span style=\"color: navy\"><b> -> </b></span>tgt.role<span style=\"color: navy\">;</span>\r\n src.qualification<span style=\"color: navy\"><b> -> </b></span>tgt.specialty<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ExplanationOfBenefitSupportingInfo<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.sequence<span style=\"color: navy\"><b> -> </b></span>tgt.sequence<span style=\"color: navy\">;</span>\r\n src.category<span style=\"color: navy\"><b> -> </b></span>tgt.category<span style=\"color: navy\">;</span>\r\n src.code<span style=\"color: navy\"><b> -> </b></span>tgt.code<span style=\"color: navy\">;</span>\r\n src.timing<span style=\"color: navy\"> : </span>date<span style=\"color: navy\"><b> -> </b></span>tgt.timing<span style=\"color: navy\">;</span>\r\n src.timing<span style=\"color: navy\"> : </span>Period<span style=\"color: navy\"><b> -> </b></span>tgt.timing<span style=\"color: navy\">;</span>\r\n src.value<span style=\"color: navy\"> : </span>boolean<span style=\"color: navy\"><b> -> </b></span>tgt.value<span style=\"color: navy\">;</span>\r\n src.value<span style=\"color: navy\"> : </span>string<span style=\"color: navy\"><b> -> </b></span>tgt.value<span style=\"color: navy\">;</span>\r\n src.value<span style=\"color: navy\"> : </span>Quantity<span style=\"color: navy\"><b> -> </b></span>tgt.value<span style=\"color: navy\">;</span>\r\n src.value<span style=\"color: navy\"> : </span>Attachment<span style=\"color: navy\"><b> -> </b></span>tgt.value<span style=\"color: navy\">;</span>\r\n src.value<span style=\"color: navy\"> : </span>Reference<span style=\"color: navy\"><b> -> </b></span>tgt.value<span style=\"color: navy\">;</span>\r\n src.reason<span style=\"color: navy\"><b> -> </b></span>tgt.reason<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.value : Identifier -> tgt.value;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ExplanationOfBenefitDiagnosis<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.sequence<span style=\"color: navy\"><b> -> </b></span>tgt.sequence<span style=\"color: navy\">;</span>\r\n src.diagnosis<span style=\"color: navy\"> : </span>CodeableConcept<span style=\"color: navy\"><b> -> </b></span>tgt.diagnosis<span style=\"color: navy\">;</span>\r\n src.diagnosis<span style=\"color: navy\"> : </span>Reference<span style=\"color: navy\"><b> -> </b></span>tgt.diagnosis<span style=\"color: navy\">;</span>\r\n src.type<span style=\"color: navy\"><b> -> </b></span>tgt.type<span style=\"color: navy\">;</span>\r\n src.onAdmission<span style=\"color: navy\"><b> -> </b></span>tgt.onAdmission<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ExplanationOfBenefitProcedure<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.sequence<span style=\"color: navy\"><b> -> </b></span>tgt.sequence<span style=\"color: navy\">;</span>\r\n src.type<span style=\"color: navy\"><b> -> </b></span>tgt.type<span style=\"color: navy\">;</span>\r\n src.date<span style=\"color: navy\"><b> -> </b></span>tgt.date<span style=\"color: navy\">;</span>\r\n src.procedure<span style=\"color: navy\"> : </span>CodeableConcept<span style=\"color: navy\"><b> -> </b></span>tgt.procedure<span style=\"color: navy\">;</span>\r\n src.procedure<span style=\"color: navy\"> : </span>Reference<span style=\"color: navy\"><b> -> </b></span>tgt.procedure<span style=\"color: navy\">;</span>\r\n src.udi<span style=\"color: navy\"><b> -> </b></span>tgt.udi<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ExplanationOfBenefitInsurance<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.focal<span style=\"color: navy\"><b> -> </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.preAuthRef<span style=\"color: navy\"><b> -> </b></span>tgt.preAuthRef<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ExplanationOfBenefitAccident<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.date<span style=\"color: navy\"><b> -> </b></span>tgt.date<span style=\"color: navy\">;</span>\r\n src.type<span style=\"color: navy\"><b> -> </b></span>tgt.type<span style=\"color: navy\">;</span>\r\n src.location<span style=\"color: navy\"> : </span>Address<span style=\"color: navy\"><b> -> </b></span>tgt.location<span style=\"color: navy\">;</span>\r\n src.location<span style=\"color: navy\"> : </span>Reference<span style=\"color: navy\"><b> -> </b></span>tgt.location<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ExplanationOfBenefitItem<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.sequence<span style=\"color: navy\"><b> -> </b></span>tgt.sequence<span style=\"color: navy\">;</span>\r\n src.careTeamSequence<span style=\"color: navy\"><b> -> </b></span>tgt.careTeamSequence<span style=\"color: navy\">;</span>\r\n src.diagnosisSequence<span style=\"color: navy\"><b> -> </b></span>tgt.diagnosisSequence<span style=\"color: navy\">;</span>\r\n src.procedureSequence<span style=\"color: navy\"><b> -> </b></span>tgt.procedureSequence<span style=\"color: navy\">;</span>\r\n src.informationSequence<span style=\"color: navy\"><b> -> </b></span>tgt.informationSequence<span style=\"color: navy\">;</span>\r\n src.revenue<span style=\"color: navy\"><b> -> </b></span>tgt.revenue<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.traceNumber -> tgt.traceNumber;</span>\r\n src.category<span style=\"color: navy\"><b> -> </b></span>tgt.category<span style=\"color: navy\">;</span>\r\n src.productOrService<span style=\"color: navy\"><b> -> </b></span>tgt.productOrService<span style=\"color: navy\">;</span>\r\n src.modifier<span style=\"color: navy\"><b> -> </b></span>tgt.modifier<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.productOrServiceEnd -> tgt.productOrServiceEnd;</span>\r\n src.programCode<span style=\"color: navy\"><b> -> </b></span>tgt.programCode<span style=\"color: navy\">;</span>\r\n src.serviced<span style=\"color: navy\"> : </span>date<span style=\"color: navy\"><b> -> </b></span>tgt.serviced<span style=\"color: navy\">;</span>\r\n src.serviced<span style=\"color: navy\"> : </span>Period<span style=\"color: navy\"><b> -> </b></span>tgt.serviced<span style=\"color: navy\">;</span>\r\n src.location<span style=\"color: navy\"> : </span>CodeableConcept<span style=\"color: navy\"><b> -> </b></span>tgt.location<span style=\"color: navy\">;</span>\r\n src.location<span style=\"color: navy\"> : </span>Address<span style=\"color: navy\"><b> -> </b></span>tgt.location<span style=\"color: navy\">;</span>\r\n src.location<span style=\"color: navy\"> : </span>Reference<span style=\"color: navy\"><b> -> </b></span>tgt.location<span style=\"color: navy\">;</span>\r\n src.quantity<span style=\"color: navy\"><b> -> </b></span>tgt.quantity<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.patientPaid -> tgt.patientPaid;</span>\r\n src.unitPrice<span style=\"color: navy\"><b> -> </b></span>tgt.unitPrice<span style=\"color: navy\">;</span>\r\n src.factor<span style=\"color: navy\"><b> -> </b></span>tgt.factor<span style=\"color: navy\">;</span>\r\n src.net<span style=\"color: navy\"><b> -> </b></span>tgt.net<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.tax -> tgt.tax;</span>\r\n src.udi<span style=\"color: navy\"><b> -> </b></span>tgt.udi<span style=\"color: navy\">;</span>\r\n src.bodySite<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span> tgt.bodySite<b> as </b><span style=\"color: maroon\">t</span><span style=\"color: navy\">, </span> t.site = <span style=\"color: maroon\">s</span><span style=\"color: navy\">;</span>\r\n src.subSite<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span> tgt.bodySite<b> as </b><span style=\"color: maroon\">t</span><span style=\"color: navy\">, </span> t.subSite = <span style=\"color: maroon\">s</span><span style=\"color: navy\">;</span>\r\n src.encounter<span style=\"color: navy\"><b> -> </b></span>tgt.encounter<span style=\"color: navy\">;</span>\r\n src.noteNumber<span style=\"color: navy\"><b> -> </b></span>tgt.noteNumber<span style=\"color: navy\">;</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>ExplanationOfBenefitItemAdjudication<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 ExplanationOfBenefitItemReviewOutcome(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>ExplanationOfBenefitItemDetail<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 ExplanationOfBenefitItemBodySite(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<span style=\"color: navy\">// </span><span style=\"color: green\">group ExplanationOfBenefitItemReviewOutcome(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>ExplanationOfBenefitItemAdjudication<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.value<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span> tgt.quantity = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Quantity'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">t</span><span style=\"color: navy\">, </span> t.value = <span style=\"color: maroon\">s</span><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ExplanationOfBenefitItemDetail<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.sequence<span style=\"color: navy\"><b> -> </b></span>tgt.sequence<span style=\"color: navy\">;</span>\r\n src.revenue<span style=\"color: navy\"><b> -> </b></span>tgt.revenue<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.traceNumber -> tgt.traceNumber;</span>\r\n src.category<span style=\"color: navy\"><b> -> </b></span>tgt.category<span style=\"color: navy\">;</span>\r\n src.productOrService<span style=\"color: navy\"><b> -> </b></span>tgt.productOrService<span style=\"color: navy\">;</span>\r\n src.modifier<span style=\"color: navy\"><b> -> </b></span>tgt.modifier<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.productOrServiceEnd -> tgt.productOrServiceEnd;</span>\r\n src.programCode<span style=\"color: navy\"><b> -> </b></span>tgt.programCode<span style=\"color: navy\">;</span>\r\n src.quantity<span style=\"color: navy\"><b> -> </b></span>tgt.quantity<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.patientPaid -> tgt.patientPaid;</span>\r\n src.unitPrice<span style=\"color: navy\"><b> -> </b></span>tgt.unitPrice<span style=\"color: navy\">;</span>\r\n src.factor<span style=\"color: navy\"><b> -> </b></span>tgt.factor<span style=\"color: navy\">;</span>\r\n src.net<span style=\"color: navy\"><b> -> </b></span>tgt.net<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.tax -> tgt.tax;</span>\r\n src.udi<span style=\"color: navy\"><b> -> </b></span>tgt.udi<span style=\"color: navy\">;</span>\r\n src.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>ExplanationOfBenefitItemDetailSubDetail<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>ExplanationOfBenefitItemDetailSubDetail<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.sequence<span style=\"color: navy\"><b> -> </b></span>tgt.sequence<span style=\"color: navy\">;</span>\r\n src.revenue<span style=\"color: navy\"><b> -> </b></span>tgt.revenue<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.traceNumber -> tgt.traceNumber;</span>\r\n src.category<span style=\"color: navy\"><b> -> </b></span>tgt.category<span style=\"color: navy\">;</span>\r\n src.productOrService<span style=\"color: navy\"><b> -> </b></span>tgt.productOrService<span style=\"color: navy\">;</span>\r\n src.modifier<span style=\"color: navy\"><b> -> </b></span>tgt.modifier<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.productOrServiceEnd -> tgt.productOrServiceEnd;</span>\r\n src.programCode<span style=\"color: navy\"><b> -> </b></span>tgt.programCode<span style=\"color: navy\">;</span>\r\n src.quantity<span style=\"color: navy\"><b> -> </b></span>tgt.quantity<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.patientPaid -> tgt.patientPaid;</span>\r\n src.unitPrice<span style=\"color: navy\"><b> -> </b></span>tgt.unitPrice<span style=\"color: navy\">;</span>\r\n src.factor<span style=\"color: navy\"><b> -> </b></span>tgt.factor<span style=\"color: navy\">;</span>\r\n src.net<span style=\"color: navy\"><b> -> </b></span>tgt.net<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.tax -> tgt.tax;</span>\r\n src.udi<span style=\"color: navy\"><b> -> </b></span>tgt.udi<span style=\"color: navy\">;</span>\r\n src.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>ExplanationOfBenefitAddItem<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> <span style=\"color: navy\">// </span><span style=\"color: green\">src.patientPaid -> tgt.patientPaid;</span>\r\n src.unitPrice<span style=\"color: navy\"><b> -> </b></span>tgt.unitPrice<span style=\"color: navy\">;</span>\r\n src.factor<span style=\"color: navy\"><b> -> </b></span>tgt.factor<span style=\"color: navy\">;</span>\r\n src.net<span style=\"color: navy\"><b> -> </b></span>tgt.net<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.tax -> tgt.tax;</span>\r\n src.bodySite<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span> tgt.bodySite<b> as </b><span style=\"color: maroon\">t</span><span style=\"color: navy\">, </span> t.site = <span style=\"color: maroon\">s</span><span style=\"color: navy\">;</span>\r\n src.subSite<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span> tgt.bodySite<b> as </b><span style=\"color: maroon\">t</span><span style=\"color: navy\">, </span> t.subSite = <span style=\"color: maroon\">s</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>ExplanationOfBenefitAddItemDetail<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 ExplanationOfBenefitAddItemBodySite(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>ExplanationOfBenefitAddItemDetail<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> <span style=\"color: navy\">// </span><span style=\"color: green\">src.patientPaid -> tgt.patientPaid;</span>\r\n src.unitPrice<span style=\"color: navy\"><b> -> </b></span>tgt.unitPrice<span style=\"color: navy\">;</span>\r\n src.factor<span style=\"color: navy\"><b> -> </b></span>tgt.factor<span style=\"color: navy\">;</span>\r\n src.net<span style=\"color: navy\"><b> -> </b></span>tgt.net<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.tax -> tgt.tax;</span>\r\n src.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>ExplanationOfBenefitAddItemDetailSubDetail<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>ExplanationOfBenefitAddItemDetailSubDetail<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> <span style=\"color: navy\">// </span><span style=\"color: green\">src.patientPaid -> tgt.patientPaid;</span>\r\n src.unitPrice<span style=\"color: navy\"><b> -> </b></span>tgt.unitPrice<span style=\"color: navy\">;</span>\r\n src.factor<span style=\"color: navy\"><b> -> </b></span>tgt.factor<span style=\"color: navy\">;</span>\r\n src.net<span style=\"color: navy\"><b> -> </b></span>tgt.net<span style=\"color: navy\">;</span> <span style=\"color: navy\">// </span><span style=\"color: green\">src.tax -> tgt.tax;</span>\r\n src.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>ExplanationOfBenefitTotal<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>ExplanationOfBenefitPayment<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>ExplanationOfBenefitProcessNote<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><b> where </b>code = 'display'<span style=\"color: navy\"><b> -> </b></span> tgt.type = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'CodeableConcept'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">tc</span><span style=\"color: navy\">, </span> tc.coding = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Coding'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">tcc</span><span style=\"color: navy\">, </span> tcc.system = <span style=\"color: blue\">'http://hl7.org/fhir/note-type'</span><span style=\"color: navy\">, </span> tcc.code = <span style=\"color: blue\">'display'</span><span style=\"color: navy\">, </span> tcc.display = <span style=\"color: blue\">'display'</span><span style=\"color: navy\">;</span>\r\n src.type<b> as </b><span style=\"color: maroon\">s</span><b> where </b>code = 'print'<span style=\"color: navy\"><b> -> </b></span> tgt.type = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'CodeableConcept'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">tc</span><span style=\"color: navy\">, </span> tc.coding = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Coding'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">tcc</span><span style=\"color: navy\">, </span> tcc.system = <span style=\"color: blue\">'http://hl7.org/fhir/note-type'</span><span style=\"color: navy\">, </span> tcc.code = <span style=\"color: blue\">'print'</span><span style=\"color: navy\">, </span> tcc.display = <span style=\"color: blue\">'Print (Form)'</span><span style=\"color: navy\">;</span>\r\n src.type<b> as </b><span style=\"color: maroon\">s</span><b> where </b>code = 'printoper'<span style=\"color: navy\"><b> -> </b></span> tgt.type = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'CodeableConcept'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">tc</span><span style=\"color: navy\">, </span> tc.coding = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Coding'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">tcc</span><span style=\"color: navy\">, </span> tcc.system = <span style=\"color: blue\">'http://hl7.org/fhir/note-type'</span><span style=\"color: navy\">, </span> tcc.code = <span style=\"color: blue\">'printoper'</span><span style=\"color: navy\">, </span> tcc.display = <span style=\"color: blue\">'Print (Operator)'</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>ExplanationOfBenefitBenefitBalance<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.excluded<span style=\"color: navy\"><b> -> </b></span>tgt.excluded<span style=\"color: navy\">;</span>\r\n src.name<span style=\"color: navy\"><b> -> </b></span>tgt.name<span style=\"color: navy\">;</span>\r\n src.description<span style=\"color: navy\"><b> -> </b></span>tgt.description<span style=\"color: navy\">;</span>\r\n src.network<span style=\"color: navy\"><b> -> </b></span>tgt.network<span style=\"color: navy\">;</span>\r\n src.unit<span style=\"color: navy\"><b> -> </b></span>tgt.unit<span style=\"color: navy\">;</span>\r\n src.term<span style=\"color: navy\"><b> -> </b></span>tgt.term<span style=\"color: navy\">;</span>\r\n src.financial<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.financial<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ExplanationOfBenefitBenefitBalanceFinancial<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>ExplanationOfBenefitBenefitBalanceFinancial<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.allowed<span style=\"color: navy\"> : </span>unsignedInt<span style=\"color: navy\"><b> -> </b></span>tgt.allowed<span style=\"color: navy\">;</span>\r\n src.allowed<span style=\"color: navy\"> : </span>string<span style=\"color: navy\"><b> -> </b></span>tgt.allowed<span style=\"color: navy\">;</span>\r\n src.allowed<span style=\"color: navy\"> : </span>Money<span style=\"color: navy\"><b> -> </b></span>tgt.allowed<span style=\"color: navy\">;</span>\r\n src.used<span style=\"color: navy\"> : </span>unsignedInt<span style=\"color: navy\"><b> -> </b></span>tgt.used<span style=\"color: navy\">;</span>\r\n src.used<span style=\"color: navy\"> : </span>Money<span style=\"color: navy\"><b> -> </b></span>tgt.used<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span></pre></div>"
},
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"transform" : "create"
}
],
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{
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"parameter" : [
{
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},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "amount",
"source" : [
{
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"element" : "amount",
"variable" : "vvv"
}
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}
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}
]
},
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},
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{
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}
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},
{
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"variable" : "vvv"
}
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{
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}
]
}
]
},
{
"name" : "adjustmentReason",
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"variable" : "vvv"
}
],
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]
},
{
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}
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],
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{
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}
]
},
{
"name" : "amount",
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"element" : "amount",
"variable" : "vvv"
}
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"element" : "amount",
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}
]
},
{
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}
]
},
{
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"element" : "system",
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"parameter" : [
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"element" : "type",
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}
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"parameter" : [
{
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}
]
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{
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{
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"element" : "type",
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}
]
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{
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"element" : "display",
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]
},
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"element" : "text",
"variable" : "vvv"
}
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"element" : "text",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
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"parameter" : [
{
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]
},
{
"name" : "language",
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"element" : "language",
"variable" : "vvv"
}
],
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"element" : "language",
"variable" : "vvv",
"transform" : "create"
}
],
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{
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]
}
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}
]
},
{
"name" : "ExplanationOfBenefitBenefitBalance",
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"mode" : "source"
},
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"element" : "category",
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}
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}
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"transform" : "create"
}
],
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{
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}
]
}
]
},
{
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}
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}
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}
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}
]
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]
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{
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"variable" : "vvv"
}
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}
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}
],
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{
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"parameter" : [
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{
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},
{
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}
],
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"element" : "financial",
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{
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{
"valueId" : "t"
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]
}
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}
]
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{
"name" : "ExplanationOfBenefitBenefitBalanceFinancial",
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},
{
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"variable" : "vvv"
}
],
"target" : [
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"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
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"variable" : "vvv"
}
],
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"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "allowedMoney",
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{
"context" : "src",
"type" : "Money",
"element" : "allowed",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "allowed",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "usedUnsignedInt",
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{
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"type" : "unsignedInt",
"element" : "used",
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}
],
"target" : [
{
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"element" : "used",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "usedMoney",
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"context" : "src",
"type" : "Money",
"element" : "used",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "used",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
}
]
}
]
}
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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