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This page is part of the HL7 Version 2 to FHIR (v1.0.0-ballot: STU1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions

: Segment IN1 to Coverage Map - JSON Representation

Active as of 2023-12-19

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{
  "resourceType" : "ConceptMap",
  "id" : "segment-in1-to-coverage",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Mapping from IN1 to <a href=\"http://hl7.org/fhir/R4/coverage.html\">Coverage</a></p><p>ACTIVE (not intended for production usage). Published on 2023-12-19 by HL7 International / Orders and Observations (HL7 Orders and Observations Workgroup: <a href=\"http://www.hl7.org/Special/committees/orders\">http://www.hl7.org/Special/com...</a>, Keith W. Boone: <a href=\"mailto:kboone@ainq.com\">kboone@ainq.com</a>, Rob Hausam: <a href=\"mailto:rrhausam@gmail.com\">rrhausam@gmail.com</a>). Copyright (c) 2020, HL7 International, Inc., All Rights Reserved.</p><div><p>This ConceptMap represents a mapping from the HL7 V2 Segment IN1 to the FHIR Coverage Resource.</p>\n</div><br/><p><b>Group 1</b>Mapping from <code>unspecified code system</code> to <code>unspecified code system</code></p><table class=\"grid\"><tr><td colspan=\"5\"><b>Source Concept Details</b></td><td><b>Relationship</b></td><td colspan=\"3\"><b>Target Concept Details</b></td><td colspan=\"3\"><b>Properties</b></td></tr><tr><td colspan=\"2\"><b>Codes</b> from </td><td><b>vocabularymap</b></td><td><b>datatypemap</b></td><td><b>value</b></td><td/><td colspan=\"2\"><b>Codes</b> from </td><td><b>antlr</b></td></tr><tr><td style=\"border-right-width: 0px\">IN1-4</td><td style=\"border-left-width: 0px\">Insurance Company Name</td><td/><td>XON[Organization]</td><td/><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">payor[1](Organization)</td><td style=\"border-left-width: 0px\">payor[1](Organization)</td><td/></tr><tr><td style=\"border-right-width: 0px\">IN1-5</td><td style=\"border-left-width: 0px\">Insurance Company Address</td><td/><td>XAD[Address]</td><td/><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">payer[1](Organization.address)</td><td style=\"border-left-width: 0px\">payer[1](Organization.address)</td><td/></tr><tr><td style=\"border-right-width: 0px\">IN1-10</td><td style=\"border-left-width: 0px\">Insured's Group Emp ID</td><td/><td/><td>&quot;http://hl7.org/fhir/R5/StructureDefinition/extension-subscriberId&quot;</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">extension[1].url</td><td style=\"border-left-width: 0px\">extension[1].url</td><td>IF CX.5 IS &quot;SN&quot;</td></tr><tr><td style=\"border-right-width: 0px\">IN1-10</td><td style=\"border-left-width: 0px\">Insured's Group Emp ID</td><td/><td>CX[Identifier]</td><td/><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">extension[1].valueIdentifier</td><td style=\"border-left-width: 0px\">extension[1].valueIdentifier</td><td>IF CX.5 IS &quot;SN&quot;</td></tr><tr><td style=\"border-right-width: 0px\">IN1-11</td><td style=\"border-left-width: 0px\">Insured's Group Emp Name</td><td/><td>XON[Organization]</td><td/><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">policyHolder(Organization)</td><td style=\"border-left-width: 0px\">policyHolder(Organization)</td><td/></tr><tr><td style=\"border-right-width: 0px\">IN1-12</td><td style=\"border-left-width: 0px\">Plan Effective Date</td><td/><td/><td/><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">period.start</td><td style=\"border-left-width: 0px\">period.start</td><td/></tr><tr><td style=\"border-right-width: 0px\">IN1-13</td><td style=\"border-left-width: 0px\">Plan Expiration Date</td><td/><td/><td/><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">period.end</td><td style=\"border-left-width: 0px\">period.end</td><td/></tr><tr><td style=\"border-right-width: 0px\">IN1-15</td><td style=\"border-left-width: 0px\">Plan Type</td><td>PlanId</td><td>CWE[CodeableConcept]</td><td/><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">type</td><td style=\"border-left-width: 0px\">type</td><td/></tr><tr><td style=\"border-right-width: 0px\">IN1-16</td><td style=\"border-left-width: 0px\">Name Of Insured</td><td/><td/><td/><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">subscriber(RelatedPerson)</td><td style=\"border-left-width: 0px\">subscriber(RelatedPerson)</td><td>IF IN1-17 IS NOT 'patient'</td></tr><tr><td style=\"border-right-width: 0px\">IN1-16</td><td style=\"border-left-width: 0px\">Name Of Insured</td><td/><td/><td/><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">subscriber(Patient)</td><td style=\"border-left-width: 0px\">subscriber(Patient)</td><td>IF IN1-17 IS 'patient'</td></tr><tr><td style=\"border-right-width: 0px\">IN1-17</td><td style=\"border-left-width: 0px\">Insured's Relationship To Patient</td><td>Relationship</td><td>CWE[CodeableConcept]</td><td/><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">relationship</td><td style=\"border-left-width: 0px\">relationship</td><td/></tr><tr><td style=\"border-right-width: 0px\">IN1-49</td><td style=\"border-left-width: 0px\">Insured's ID Number</td><td/><td/><td>&quot;http://hl7.org/fhir/R5/StructureDefinition/extension-subscriberId&quot;</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">extension[1].url</td><td style=\"border-left-width: 0px\">extension[1].url</td><td/></tr><tr><td style=\"border-right-width: 0px\">IN1-49</td><td style=\"border-left-width: 0px\">Insured's ID Number</td><td/><td>CX[Identifier]</td><td/><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">extension[1].valueIdentifier</td><td style=\"border-left-width: 0px\">extension[1].valueIdentifier</td><td/></tr></table></div>"
  },
  "extension" : [
    {
      "extension" : [
        {
          "url" : "type",
          "valueCode" : "derived-from"
        },
        {
          "url" : "label",
          "valueString" : "Segment IN1 to Coverage.fsh"
        },
        {
          "url" : "url",
          "valueUri" : "https://docs.google.com/spreadsheets/d/1-8U35_8X9wQTQAchyVAujF4TFrbcjyDeloU2gpHT2_o/edit#gid=0"
        }
      ],
      "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/RelatedArtifact"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "oo"
    }
  ],
  "url" : "http://hl7.org/fhir/uv/v2mappings/segment-in1-to-coverage",
  "version" : "1.0.0-ballot",
  "name" : "SegmentIN1ToCoverage",
  "title" : "Segment IN1 to Coverage Map",
  "status" : "active",
  "experimental" : true,
  "date" : "2023-12-19",
  "publisher" : "HL7 International / Orders and Observations",
  "contact" : [
    {
      "name" : "HL7 Orders and Observations Workgroup",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/orders"
        }
      ]
    },
    {
      "name" : "Keith W. Boone",
      "telecom" : [
        {
          "system" : "email",
          "value" : "kboone@ainq.com"
        }
      ]
    },
    {
      "name" : "Rob Hausam",
      "telecom" : [
        {
          "system" : "email",
          "value" : "rrhausam@gmail.com"
        }
      ]
    }
  ],
  "description" : "This ConceptMap represents a mapping from the HL7 V2 Segment IN1 to the FHIR Coverage Resource.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "copyright" : "Copyright (c) 2020, HL7 International, Inc., All Rights Reserved.",
  "sourceUri" : "IN1",
  "targetUri" : "Coverage",
  "group" : [
    {
      "element" : [
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "XON"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "IN1-4",
          "display" : "Insurance Company Name",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Reference"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "payor[1](Organization)",
              "display" : "payor[1](Organization)",
              "equivalence" : "equivalent",
              "dependsOn" : [
                {
                  "property" : "data-type-map",
                  "value" : "XON[Organization]"
                }
              ]
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "XAD"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "IN1-5",
          "display" : "Insurance Company Address",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Reference"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "payer[1](Organization.address)",
              "display" : "payer[1](Organization.address)",
              "equivalence" : "equivalent",
              "dependsOn" : [
                {
                  "property" : "data-type-map",
                  "value" : "XAD[Address]"
                }
              ]
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "CX"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "IN1-10",
          "display" : "Insured's Group Emp ID",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "uri"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "extension[1].url",
              "display" : "extension[1].url",
              "equivalence" : "equivalent",
              "dependsOn" : [
                {
                  "property" : "value",
                  "value" : "\"http://hl7.org/fhir/R5/StructureDefinition/extension-subscriberId\""
                }
              ],
              "product" : [
                {
                  "property" : "antlr",
                  "value" : "IF CX.5 IS \"SN\""
                }
              ]
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "CX"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "IN1-10",
          "display" : "Insured's Group Emp ID",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Identifier"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "extension[1].valueIdentifier",
              "display" : "extension[1].valueIdentifier",
              "equivalence" : "equivalent",
              "dependsOn" : [
                {
                  "property" : "data-type-map",
                  "value" : "CX[Identifier]"
                }
              ],
              "product" : [
                {
                  "property" : "antlr",
                  "value" : "IF CX.5 IS \"SN\""
                }
              ]
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "XON"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "IN1-11",
          "display" : "Insured's Group Emp Name",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Reference"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "policyHolder(Organization)",
              "display" : "policyHolder(Organization)",
              "equivalence" : "equivalent",
              "dependsOn" : [
                {
                  "property" : "data-type-map",
                  "value" : "XON[Organization]"
                }
              ]
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "DT"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "IN1-12",
          "display" : "Plan Effective Date",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "dateTime"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "period.start",
              "display" : "period.start",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "DT"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "IN1-13",
          "display" : "Plan Expiration Date",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "dateTime"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "period.end",
              "display" : "period.end",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "CWE"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "IN1-15",
          "display" : "Plan Type",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "CodeableConcept"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "type",
              "display" : "type",
              "equivalence" : "equivalent",
              "dependsOn" : [
                {
                  "property" : "data-type-map",
                  "value" : "CWE[CodeableConcept]"
                },
                {
                  "property" : "vocabulary-map",
                  "value" : "PlanId"
                }
              ]
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "XPN"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "IN1-16",
          "display" : "Name Of Insured",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Reference"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "subscriber(RelatedPerson)",
              "display" : "subscriber(RelatedPerson)",
              "equivalence" : "equivalent",
              "product" : [
                {
                  "property" : "antlr",
                  "value" : "IF IN1-17 IS NOT 'patient'"
                }
              ]
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "XPN"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "IN1-16",
          "display" : "Name Of Insured",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Reference"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "subscriber(Patient)",
              "display" : "subscriber(Patient)",
              "equivalence" : "equivalent",
              "product" : [
                {
                  "property" : "antlr",
                  "value" : "IF IN1-17 IS 'patient'"
                }
              ]
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "CWE"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "IN1-17",
          "display" : "Insured's Relationship To Patient",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "CondeableConcept"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "relationship",
              "display" : "relationship",
              "equivalence" : "equivalent",
              "dependsOn" : [
                {
                  "property" : "data-type-map",
                  "value" : "CWE[CodeableConcept]"
                },
                {
                  "property" : "vocabulary-map",
                  "value" : "Relationship"
                }
              ]
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "CX"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "IN1-49",
          "display" : "Insured's ID Number",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "uri"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "extension[1].url",
              "display" : "extension[1].url",
              "equivalence" : "equivalent",
              "dependsOn" : [
                {
                  "property" : "value",
                  "value" : "\"http://hl7.org/fhir/R5/StructureDefinition/extension-subscriberId\""
                }
              ]
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "CX"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "IN1-49",
          "display" : "Insured's ID Number",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Identifier"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "extension[1].valueIdentifier",
              "display" : "extension[1].valueIdentifier",
              "equivalence" : "equivalent",
              "dependsOn" : [
                {
                  "property" : "data-type-map",
                  "value" : "CX[Identifier]"
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}