| Package | hl7.fhir.uv.xver |
| Type | StructureMap |
| Id | Id |
| FHIR Version | R5 |
| Source | http://hl7.org/fhir/extensions/https://build.fhir.org/ig/HL7/fhir-cross-version/StructureMap-ClaimResponse4to3.html |
| Url | http://hl7.org/fhir/StructureMap/ClaimResponse4to3 |
| Version | 0.1.0 |
| Status | active |
| Date | 2024-02-22T03:16:50+00:00 |
| Name | ClaimResponse4to3 |
| Title | ClaimResponse Transforms: R4 to R3 |
| Experimental | False |
| Realm | uv |
| Authority | hl7 |
| Description | ClaimResponseTransformsR4toR3 |
No resources found
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Note: links and images are rebased to the (stated) source
/// url = 'http://hl7.org/fhir/StructureMap/ClaimResponse4to3' /// name = 'ClaimResponse4to3' /// title = 'ClaimResponse Transforms: R4 to R3' /// status = 'active' uses "http://hl7.org/fhir/4.0/ClaimResponse" alias ClaimResponse as source uses "http://hl7.org/fhir/3.0/ClaimResponse" alias ClaimResponseR3 as target imports "http://hl7.org/fhir/StructureMap/*4to3" group ClaimResponse(source src : ClaimResponseR3, target tgt : ClaimResponse) extends DomainResource <<type+>> { src.identifier -> tgt.identifier; src.status -> tgt.status; src.type -> tgt.type; src.subType -> tgt.subType; src.use -> tgt.use; src.patient -> tgt.patient; src.created -> tgt.created; src.insurer -> tgt.insurer; src.requestor -> tgt.requestProvider; src.request -> tgt.request; src.outcome as vs where value in ('complete' | 'error' | 'partial') -> tgt.outcome as vt, vt.coding as c, c.system = 'http://hl7.org/fhir/remittance-outcome', c.code = vs; src.disposition -> tgt.disposition; src.payeeType -> tgt.payeeType; src.item as s -> tgt.item as t then ClaimResponseItem(s, t); src.addItem as s -> tgt.addItem as t then ClaimResponseAddItem(s, t); src.error as s -> tgt.error as t then ClaimResponseError(s, t); src.total as total then { total.category as vs then { total.amount as va then { vs.coding as c where code = 'submitted' then { c -> tgt.totalCost as cost then Money(va, cost) "cost"; }; }; }; }; src.total as total then { total.category as vs then { total.amount as va then { vs.coding as c where code = 'benefit' then { c -> tgt.totalBenefit as cost then Money(va, cost) "totalBenefit"; }; }; }; }; src.payment as s -> tgt.payment as t then ClaimResponsePayment(s, t); src.fundsReserve as vs then { vs.coding -> tgt.reserved; }; src.form -> tgt.form; src.processNote as s -> tgt.processNote as t then ClaimResponseProcessNote(s, t); src.communicationRequest -> tgt.communicationRequest; src.insurance as s -> tgt.insurance as t then ClaimResponseInsurance(s, t); } group ClaimResponseItem(source src, target tgt) extends BackboneElement { src.itemSequence -> tgt.sequenceLinkId; src.noteNumber -> tgt.noteNumber; src.adjudication as s -> tgt.adjudication as t then ClaimResponseItemAdjudication(s, t); src.detail as s -> tgt.detail as t then ClaimResponseItemDetail(s, t); } group ClaimResponseItemAdjudication(source src, target tgt) extends BackboneElement { src.category -> tgt.category; src.reason -> tgt.reason; src.amount -> tgt.amount; src.value -> tgt.value; } group ClaimResponseItemDetail(source src, target tgt) extends BackboneElement { src.detailSequence -> tgt.detailSequence; src.noteNumber -> tgt.noteNumber; src.adjudication -> tgt.adjudication; src.subDetail as s -> tgt.subDetail as t then ClaimResponseItemDetailSubDetail(s, t); } group ClaimResponseItemDetailSubDetail(source src, target tgt) extends BackboneElement { src.subDetailSequence -> tgt.subDetailSequence; src.noteNumber -> tgt.noteNumber; src.adjudication -> tgt.adjudication; } group ClaimResponseAddItem(source src, target tgt) extends BackboneElement { src.itemSequence -> tgt.itemSequence; src.detailSequence -> tgt.detailSequence; src.subdetailSequence -> tgt.subdetailSequence; src.service -> tgt.service; src.modifier -> tgt.modifier; src.programCode -> tgt.programCode; src.serviced -> tgt.serviced; src.location -> tgt.location; src.quantity -> tgt.quantity; src.unitPrice -> tgt.unitPrice; src.factor -> tgt.factor; src.net -> tgt.net; src.bodySite -> tgt.bodySite; src.subSite -> tgt.subSite; src.noteNumber -> tgt.noteNumber; src.adjudication -> tgt.adjudication; src.detail as s -> tgt.detail as t then ClaimResponseAddItemDetail(s, t); } group ClaimResponseAddItemDetail(source src, target tgt) extends BackboneElement { src.service -> tgt.service; src.modifier -> tgt.modifier; src.programCode -> tgt.programCode; src.quantity -> tgt.quantity; src.unitPrice -> tgt.unitPrice; src.factor -> tgt.factor; src.net -> tgt.net; src.noteNumber -> tgt.noteNumber; src.adjudication -> tgt.adjudication; src.subDetail as s -> tgt.subDetail as t then ClaimResponseAddItemDetailSubDetail(s, t); } group ClaimResponseAddItemDetailSubDetail(source src, target tgt) extends BackboneElement { src.service -> tgt.service; src.modifier -> tgt.modifier; src.programCode -> tgt.programCode; src.quantity -> tgt.quantity; src.unitPrice -> tgt.unitPrice; src.factor -> tgt.factor; src.net -> tgt.net; src.noteNumber -> tgt.noteNumber; src.adjudication -> tgt.adjudication; } group ClaimResponseError(source src, target tgt) extends BackboneElement { src.itemSequence -> tgt.itemSequence; src.detailSequence -> tgt.detailSequence; src.subDetailSequence -> tgt.subDetailSequence; src.code -> tgt.code; } group ClaimResponsePayment(source src, target tgt) extends BackboneElement { src.type -> tgt.type; src.adjustment -> tgt.adjustment; src.adjustmentReason -> tgt.adjustmentReason; src.date -> tgt.date; src.amount -> tgt.amount; src.identifier -> tgt.identifier; } group ClaimResponseProcessNote(source src, target tgt) extends BackboneElement { src.number -> tgt.number; src.type -> tgt.type; src.text -> tgt.text; src.language -> tgt.language; } group ClaimResponseInsurance(source src, target tgt) extends BackboneElement { src.sequence -> tgt.sequence; src.focal -> tgt.focal; src.coverage -> tgt.coverage; src.businessArrangement -> tgt.businessArrangement; src.preAuthRef -> tgt.preAuthRef; src.claimResponse -> tgt.claimResponse; }
FHIR{
"resourceType" : "StructureMap",
"id" : "ClaimResponse4to3",
"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/ClaimResponse4to3'</span>\r\n<span style=\"color: #cc00cc\">/// <b>name</b> = </span><span style=\"color: blue\">'ClaimResponse4to3'</span>\r\n<span style=\"color: #cc00cc\">/// <b>title</b> = </span><span style=\"color: blue\">'ClaimResponse Transforms: R4 to R3'</span>\r\n<span style=\"color: #cc00cc\">/// <b>status</b> = </span><span style=\"color: blue\">'active'</span>\r\n\r\n<b>uses</b><span style=\"color: navy\"> "</span>http://hl7.org/fhir/4.0/ClaimResponse<span style=\"color: navy\">" </span><b>alias </b>ClaimResponse <b>as </b><b>source</b>\r\n<b>uses</b><span style=\"color: navy\"> "</span>http://hl7.org/fhir/3.0/ClaimResponse<span style=\"color: navy\">" </span><b>alias </b>ClaimResponseR3 <b>as </b><b>target</b>\r\n\r\n<b>imports</b><span style=\"color: navy\"> "</span>http://hl7.org/fhir/StructureMap/*4to3<span style=\"color: navy\">"\r\n</span>\r\n<b>group </b>ClaimResponse<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span><span style=\"color: navy\"> : </span>ClaimResponseR3, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\"> : </span>ClaimResponse<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<span style=\"color: navy\"><b> -> </b></span>tgt.status<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.subType<span style=\"color: navy\"><b> -> </b></span>tgt.subType<span style=\"color: navy\">;</span>\r\n src.use<span style=\"color: navy\"><b> -> </b></span>tgt.use<span style=\"color: navy\">;</span>\r\n src.patient<span style=\"color: navy\"><b> -> </b></span>tgt.patient<span style=\"color: navy\">;</span>\r\n src.created<span style=\"color: navy\"><b> -> </b></span>tgt.created<span style=\"color: navy\">;</span>\r\n src.insurer<span style=\"color: navy\"><b> -> </b></span>tgt.insurer<span style=\"color: navy\">;</span>\r\n src.requestor<span style=\"color: navy\"><b> -> </b></span>tgt.requestProvider<span style=\"color: navy\">;</span>\r\n src.request<span style=\"color: navy\"><b> -> </b></span>tgt.request<span style=\"color: navy\">;</span>\r\n src.outcome<b> as </b><span style=\"color: maroon\">vs</span><b> where </b>value in ('complete' | 'error' | 'partial')<span style=\"color: navy\"><b> -> </b></span> tgt.outcome<b> as </b><span style=\"color: maroon\">vt</span><span style=\"color: navy\">, </span> vt.coding<b> as </b><span style=\"color: maroon\">c</span><span style=\"color: navy\">, </span> c.system = <span style=\"color: blue\">'http://hl7.org/fhir/remittance-outcome'</span><span style=\"color: navy\">, </span> c.code = <span style=\"color: maroon\">vs</span><span style=\"color: navy\">;</span>\r\n src.disposition<span style=\"color: navy\"><b> -> </b></span>tgt.disposition<span style=\"color: navy\">;</span>\r\n src.payeeType<span style=\"color: navy\"><b> -> </b></span>tgt.payeeType<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>ClaimResponseItem<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.addItem<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.addItem<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseAddItem<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.error<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.error<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseError<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.total<b> as </b><span style=\"color: maroon\">total</span><b> then</b><span style=\"color: navy\"> {\r\n</span> total.category<b> as </b><span style=\"color: maroon\">vs</span><b> then</b><span style=\"color: navy\"> {\r\n</span> total.amount<b> as </b><span style=\"color: maroon\">va</span><b> then</b><span style=\"color: navy\"> {\r\n</span> vs.coding<b> as </b><span style=\"color: maroon\">c</span><b> where </b>code = 'submitted'<b> then</b><span style=\"color: navy\"> {\r\n</span> c<span style=\"color: navy\"><b> -> </b></span>tgt.totalCost<b> as </b><span style=\"color: maroon\">cost</span><b> then </b>Money<span style=\"color: navy\">(</span><span style=\"color: maroon\">va</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">cost</span><span style=\"color: navy\">)</span> <i>"cost"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n src.total<b> as </b><span style=\"color: maroon\">total</span><b> then</b><span style=\"color: navy\"> {\r\n</span> total.category<b> as </b><span style=\"color: maroon\">vs</span><b> then</b><span style=\"color: navy\"> {\r\n</span> total.amount<b> as </b><span style=\"color: maroon\">va</span><b> then</b><span style=\"color: navy\"> {\r\n</span> vs.coding<b> as </b><span style=\"color: maroon\">c</span><b> where </b>code = 'benefit'<b> then</b><span style=\"color: navy\"> {\r\n</span> c<span style=\"color: navy\"><b> -> </b></span>tgt.totalBenefit<b> as </b><span style=\"color: maroon\">cost</span><b> then </b>Money<span style=\"color: navy\">(</span><span style=\"color: maroon\">va</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">cost</span><span style=\"color: navy\">)</span> <i>"totalBenefit"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n src.payment<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.payment<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponsePayment<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.fundsReserve<b> as </b><span style=\"color: maroon\">vs</span><b> then</b><span style=\"color: navy\"> {\r\n</span> vs.coding<span style=\"color: navy\"><b> -> </b></span>tgt.reserved<span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n src.form<span style=\"color: navy\"><b> -> </b></span>tgt.form<span style=\"color: navy\">;</span>\r\n src.processNote<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.processNote<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseProcessNote<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.communicationRequest<span style=\"color: navy\"><b> -> </b></span>tgt.communicationRequest<span style=\"color: navy\">;</span>\r\n src.insurance<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.insurance<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseInsurance<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseItem<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.itemSequence<span style=\"color: navy\"><b> -> </b></span>tgt.sequenceLinkId<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>ClaimResponseItemAdjudication<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n src.detail<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.detail<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseItemDetail<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseItemAdjudication<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.category<span style=\"color: navy\"><b> -> </b></span>tgt.category<span style=\"color: navy\">;</span>\r\n src.reason<span style=\"color: navy\"><b> -> </b></span>tgt.reason<span style=\"color: navy\">;</span>\r\n src.amount<span style=\"color: navy\"><b> -> </b></span>tgt.amount<span style=\"color: navy\">;</span>\r\n src.value<span style=\"color: navy\"><b> -> </b></span>tgt.value<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseItemDetail<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.detailSequence<span style=\"color: navy\"><b> -> </b></span>tgt.detailSequence<span style=\"color: navy\">;</span>\r\n src.noteNumber<span style=\"color: navy\"><b> -> </b></span>tgt.noteNumber<span style=\"color: navy\">;</span>\r\n src.adjudication<span style=\"color: navy\"><b> -> </b></span>tgt.adjudication<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>ClaimResponseItemDetailSubDetail<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseItemDetailSubDetail<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.subDetailSequence<span style=\"color: navy\"><b> -> </b></span>tgt.subDetailSequence<span style=\"color: navy\">;</span>\r\n src.noteNumber<span style=\"color: navy\"><b> -> </b></span>tgt.noteNumber<span style=\"color: navy\">;</span>\r\n src.adjudication<span style=\"color: navy\"><b> -> </b></span>tgt.adjudication<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseAddItem<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.itemSequence<span style=\"color: navy\"><b> -> </b></span>tgt.itemSequence<span style=\"color: navy\">;</span>\r\n src.detailSequence<span style=\"color: navy\"><b> -> </b></span>tgt.detailSequence<span style=\"color: navy\">;</span>\r\n src.subdetailSequence<span style=\"color: navy\"><b> -> </b></span>tgt.subdetailSequence<span style=\"color: navy\">;</span>\r\n src.service<span style=\"color: navy\"><b> -> </b></span>tgt.service<span style=\"color: navy\">;</span>\r\n src.modifier<span style=\"color: navy\"><b> -> </b></span>tgt.modifier<span style=\"color: navy\">;</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\"><b> -> </b></span>tgt.serviced<span style=\"color: navy\">;</span>\r\n src.location<span style=\"color: navy\"><b> -> </b></span>tgt.location<span style=\"color: navy\">;</span>\r\n src.quantity<span style=\"color: navy\"><b> -> </b></span>tgt.quantity<span style=\"color: navy\">;</span>\r\n src.unitPrice<span style=\"color: navy\"><b> -> </b></span>tgt.unitPrice<span style=\"color: navy\">;</span>\r\n src.factor<span style=\"color: navy\"><b> -> </b></span>tgt.factor<span style=\"color: navy\">;</span>\r\n src.net<span style=\"color: navy\"><b> -> </b></span>tgt.net<span style=\"color: navy\">;</span>\r\n src.bodySite<span style=\"color: navy\"><b> -> </b></span>tgt.bodySite<span style=\"color: navy\">;</span>\r\n src.subSite<span style=\"color: navy\"><b> -> </b></span>tgt.subSite<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<span style=\"color: navy\"><b> -> </b></span>tgt.adjudication<span style=\"color: navy\">;</span>\r\n src.detail<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.detail<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseAddItemDetail<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseAddItemDetail<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.service<span style=\"color: navy\"><b> -> </b></span>tgt.service<span style=\"color: navy\">;</span>\r\n src.modifier<span style=\"color: navy\"><b> -> </b></span>tgt.modifier<span style=\"color: navy\">;</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>\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>\r\n src.noteNumber<span style=\"color: navy\"><b> -> </b></span>tgt.noteNumber<span style=\"color: navy\">;</span>\r\n src.adjudication<span style=\"color: navy\"><b> -> </b></span>tgt.adjudication<span style=\"color: navy\">;</span>\r\n src.subDetail<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>tgt.subDetail<b> as </b><span style=\"color: maroon\">t</span><b> then </b>ClaimResponseAddItemDetailSubDetail<span style=\"color: navy\">(</span><span style=\"color: maroon\">s</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">t</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseAddItemDetailSubDetail<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.service<span style=\"color: navy\"><b> -> </b></span>tgt.service<span style=\"color: navy\">;</span>\r\n src.modifier<span style=\"color: navy\"><b> -> </b></span>tgt.modifier<span style=\"color: navy\">;</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>\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>\r\n src.noteNumber<span style=\"color: navy\"><b> -> </b></span>tgt.noteNumber<span style=\"color: navy\">;</span>\r\n src.adjudication<span style=\"color: navy\"><b> -> </b></span>tgt.adjudication<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseError<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.itemSequence<span style=\"color: navy\"><b> -> </b></span>tgt.itemSequence<span style=\"color: navy\">;</span>\r\n src.detailSequence<span style=\"color: navy\"><b> -> </b></span>tgt.detailSequence<span style=\"color: navy\">;</span>\r\n src.subDetailSequence<span style=\"color: navy\"><b> -> </b></span>tgt.subDetailSequence<span style=\"color: navy\">;</span>\r\n src.code<span style=\"color: navy\"><b> -> </b></span>tgt.code<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponsePayment<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.type<span style=\"color: navy\"><b> -> </b></span>tgt.type<span style=\"color: navy\">;</span>\r\n src.adjustment<span style=\"color: navy\"><b> -> </b></span>tgt.adjustment<span style=\"color: navy\">;</span>\r\n src.adjustmentReason<span style=\"color: navy\"><b> -> </b></span>tgt.adjustmentReason<span style=\"color: navy\">;</span>\r\n src.date<span style=\"color: navy\"><b> -> </b></span>tgt.date<span style=\"color: navy\">;</span>\r\n src.amount<span style=\"color: navy\"><b> -> </b></span>tgt.amount<span style=\"color: navy\">;</span>\r\n src.identifier<span style=\"color: navy\"><b> -> </b></span>tgt.identifier<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseProcessNote<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.number<span style=\"color: navy\"><b> -> </b></span>tgt.number<span style=\"color: navy\">;</span>\r\n src.type<span style=\"color: navy\"><b> -> </b></span>tgt.type<span style=\"color: navy\">;</span>\r\n src.text<span style=\"color: navy\"><b> -> </b></span>tgt.text<span style=\"color: navy\">;</span>\r\n src.language<span style=\"color: navy\"><b> -> </b></span>tgt.language<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>ClaimResponseInsurance<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span>, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\">)</span><b> extends </b>BackboneElement<span style=\"color: navy\"> {\r\n</span> src.sequence<span style=\"color: navy\"><b> -> </b></span>tgt.sequence<span style=\"color: navy\">;</span>\r\n src.focal<span style=\"color: navy\"><b> -> </b></span>tgt.focal<span style=\"color: navy\">;</span>\r\n src.coverage<span style=\"color: navy\"><b> -> </b></span>tgt.coverage<span style=\"color: navy\">;</span>\r\n src.businessArrangement<span style=\"color: navy\"><b> -> </b></span>tgt.businessArrangement<span style=\"color: navy\">;</span>\r\n src.preAuthRef<span style=\"color: navy\"><b> -> </b></span>tgt.preAuthRef<span style=\"color: navy\">;</span>\r\n src.claimResponse<span style=\"color: navy\"><b> -> </b></span>tgt.claimResponse<span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span></pre></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "fhir"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 1,
"_valueInteger" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/extensions/ImplementationGuide/hl7.fhir.uv.xver"
}
]
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "draft",
"_valueCode" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/extensions/ImplementationGuide/hl7.fhir.uv.xver"
}
]
}
}
],
"url" : "http://hl7.org/fhir/StructureMap/ClaimResponse4to3",
"version" : "0.1.0",
"name" : "ClaimResponse4to3",
"title" : "ClaimResponse Transforms: R4 to R3",
"status" : "active",
"date" : "2024-02-22T03:16:50+00:00",
"publisher" : "HL7 International / FHIR Infrastructure",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/fiwg"
}
]
}
],
"description" : "ClaimResponseTransformsR4toR3",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001"
}
]
}
],
"structure" : [
{
"url" : "http://hl7.org/fhir/4.0/ClaimResponse",
"mode" : "source",
"alias" : "ClaimResponse"
},
{
"url" : "http://hl7.org/fhir/3.0/ClaimResponse",
"mode" : "target",
"alias" : "ClaimResponseR3"
}
],
"import" : [
"http://hl7.org/fhir/StructureMap/*4to3"
],
"group" : [
{
"name" : "ClaimResponse",
"extends" : "DomainResource",
"typeMode" : "type-and-types",
"input" : [
{
"name" : "src",
"type" : "ClaimResponseR3",
"mode" : "source"
},
{
"name" : "tgt",
"type" : "ClaimResponse",
"mode" : "target"
}
],
"rule" : [
{
"name" : "identifier",
"source" : [
{
"context" : "src",
"element" : "identifier",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "identifier",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "status",
"source" : [
{
"context" : "src",
"element" : "status",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "status",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "type",
"source" : [
{
"context" : "src",
"element" : "type",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "type",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "subType",
"source" : [
{
"context" : "src",
"element" : "subType",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "subType",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "use",
"source" : [
{
"context" : "src",
"element" : "use",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "use",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "patient",
"source" : [
{
"context" : "src",
"element" : "patient",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "patient",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "created",
"source" : [
{
"context" : "src",
"element" : "created",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "created",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "insurer",
"source" : [
{
"context" : "src",
"element" : "insurer",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "insurer",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "requestor",
"source" : [
{
"context" : "src",
"element" : "requestor",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "requestProvider",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "request",
"source" : [
{
"context" : "src",
"element" : "request",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "request",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "outcome",
"source" : [
{
"context" : "src",
"element" : "outcome",
"variable" : "vs",
"condition" : "value in ('complete' | 'error' | 'partial')"
}
],
"target" : [
{
"context" : "tgt",
"element" : "outcome",
"variable" : "vt"
},
{
"context" : "vt",
"element" : "coding",
"variable" : "c"
},
{
"context" : "c",
"element" : "system",
"transform" : "copy",
"parameter" : [
{
"valueString" : "http://hl7.org/fhir/remittance-outcome"
}
]
},
{
"context" : "c",
"element" : "code",
"transform" : "copy",
"parameter" : [
{
"valueId" : "vs"
}
]
}
]
},
{
"name" : "disposition",
"source" : [
{
"context" : "src",
"element" : "disposition",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "disposition",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "payeeType",
"source" : [
{
"context" : "src",
"element" : "payeeType",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "payeeType",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "item",
"source" : [
{
"context" : "src",
"element" : "item",
"variable" : "s"
}
],
"target" : [
{
"context" : "tgt",
"element" : "item",
"variable" : "t"
}
],
"dependent" : [
{
"name" : "ClaimResponseItem",
"parameter" : [
{
"valueId" : "s"
},
{
"valueId" : "t"
}
]
}
]
},
{
"name" : "addItem",
"source" : [
{
"context" : "src",
"element" : "addItem",
"variable" : "s"
}
],
"target" : [
{
"context" : "tgt",
"element" : "addItem",
"variable" : "t"
}
],
"dependent" : [
{
"name" : "ClaimResponseAddItem",
"parameter" : [
{
"valueId" : "s"
},
{
"valueId" : "t"
}
]
}
]
},
{
"name" : "error",
"source" : [
{
"context" : "src",
"element" : "error",
"variable" : "s"
}
],
"target" : [
{
"context" : "tgt",
"element" : "error",
"variable" : "t"
}
],
"dependent" : [
{
"name" : "ClaimResponseError",
"parameter" : [
{
"valueId" : "s"
},
{
"valueId" : "t"
}
]
}
]
},
{
"name" : "total",
"source" : [
{
"context" : "src",
"element" : "total",
"variable" : "total"
}
],
"rule" : [
{
"name" : "category",
"source" : [
{
"context" : "total",
"element" : "category",
"variable" : "vs"
}
],
"rule" : [
{
"name" : "amount",
"source" : [
{
"context" : "total",
"element" : "amount",
"variable" : "va"
}
],
"rule" : [
{
"name" : "coding",
"source" : [
{
"context" : "vs",
"element" : "coding",
"variable" : "c",
"condition" : "code = 'submitted'"
}
],
"rule" : [
{
"name" : "cost",
"source" : [
{
"context" : "c"
}
],
"target" : [
{
"context" : "tgt",
"element" : "totalCost",
"variable" : "cost"
}
],
"dependent" : [
{
"name" : "Money",
"parameter" : [
{
"valueId" : "va"
},
{
"valueId" : "cost"
}
]
}
]
}
]
}
]
}
]
}
]
},
{
"name" : "total",
"source" : [
{
"context" : "src",
"element" : "total",
"variable" : "total"
}
],
"rule" : [
{
"name" : "category",
"source" : [
{
"context" : "total",
"element" : "category",
"variable" : "vs"
}
],
"rule" : [
{
"name" : "amount",
"source" : [
{
"context" : "total",
"element" : "amount",
"variable" : "va"
}
],
"rule" : [
{
"name" : "coding",
"source" : [
{
"context" : "vs",
"element" : "coding",
"variable" : "c",
"condition" : "code = 'benefit'"
}
],
"rule" : [
{
"name" : "totalBenefit",
"source" : [
{
"context" : "c"
}
],
"target" : [
{
"context" : "tgt",
"element" : "totalBenefit",
"variable" : "cost"
}
],
"dependent" : [
{
"name" : "Money",
"parameter" : [
{
"valueId" : "va"
},
{
"valueId" : "cost"
}
]
}
]
}
]
}
]
}
]
}
]
},
{
"name" : "payment",
"source" : [
{
"context" : "src",
"element" : "payment",
"variable" : "s"
}
],
"target" : [
{
"context" : "tgt",
"element" : "payment",
"variable" : "t"
}
],
"dependent" : [
{
"name" : "ClaimResponsePayment",
"parameter" : [
{
"valueId" : "s"
},
{
"valueId" : "t"
}
]
}
]
},
{
"name" : "fundsReserve",
"source" : [
{
"context" : "src",
"element" : "fundsReserve",
"variable" : "vs"
}
],
"rule" : [
{
"name" : "coding",
"source" : [
{
"context" : "vs",
"element" : "coding",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "reserved",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
}
]
},
{
"name" : "form",
"source" : [
{
"context" : "src",
"element" : "form",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "form",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "processNote",
"source" : [
{
"context" : "src",
"element" : "processNote",
"variable" : "s"
}
],
"target" : [
{
"context" : "tgt",
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"context" : "src",
"element" : "net",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "net",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "noteNumber",
"source" : [
{
"context" : "src",
"element" : "noteNumber",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "noteNumber",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "adjudication",
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{
"context" : "src",
"element" : "adjudication",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "adjudication",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
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"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "subDetail",
"source" : [
{
"context" : "src",
"element" : "subDetail",
"variable" : "s"
}
],
"target" : [
{
"context" : "tgt",
"element" : "subDetail",
"variable" : "t"
}
],
"dependent" : [
{
"name" : "ClaimResponseAddItemDetailSubDetail",
"parameter" : [
{
"valueId" : "s"
},
{
"valueId" : "t"
}
]
}
]
}
]
},
{
"name" : "ClaimResponseAddItemDetailSubDetail",
"extends" : "BackboneElement",
"input" : [
{
"name" : "src",
"mode" : "source"
},
{
"name" : "tgt",
"mode" : "target"
}
],
"rule" : [
{
"name" : "service",
"source" : [
{
"context" : "src",
"element" : "service",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "service",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
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"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "modifier",
"source" : [
{
"context" : "src",
"element" : "modifier",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "modifier",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "programCode",
"source" : [
{
"context" : "src",
"element" : "programCode",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "programCode",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "quantity",
"source" : [
{
"context" : "src",
"element" : "quantity",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "quantity",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "unitPrice",
"source" : [
{
"context" : "src",
"element" : "unitPrice",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "unitPrice",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
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"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "factor",
"source" : [
{
"context" : "src",
"element" : "factor",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "factor",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "net",
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{
"context" : "src",
"element" : "net",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "net",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
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"valueId" : "vvv"
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{
"valueId" : "vvv"
}
]
}
]
},
{
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{
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"element" : "noteNumber",
"variable" : "vvv"
}
],
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{
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"element" : "noteNumber",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "adjudication",
"source" : [
{
"context" : "src",
"element" : "adjudication",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "adjudication",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
}
]
},
{
"name" : "ClaimResponseError",
"extends" : "BackboneElement",
"input" : [
{
"name" : "src",
"mode" : "source"
},
{
"name" : "tgt",
"mode" : "target"
}
],
"rule" : [
{
"name" : "itemSequence",
"source" : [
{
"context" : "src",
"element" : "itemSequence",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "itemSequence",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
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"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "detailSequence",
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{
"context" : "src",
"element" : "detailSequence",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "detailSequence",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "subDetailSequence",
"source" : [
{
"context" : "src",
"element" : "subDetailSequence",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "subDetailSequence",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "code",
"source" : [
{
"context" : "src",
"element" : "code",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "code",
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"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
}
]
},
{
"name" : "ClaimResponsePayment",
"extends" : "BackboneElement",
"input" : [
{
"name" : "src",
"mode" : "source"
},
{
"name" : "tgt",
"mode" : "target"
}
],
"rule" : [
{
"name" : "type",
"source" : [
{
"context" : "src",
"element" : "type",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "type",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "adjustment",
"source" : [
{
"context" : "src",
"element" : "adjustment",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "adjustment",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
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},
{
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}
]
}
]
},
{
"name" : "adjustmentReason",
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{
"context" : "src",
"element" : "adjustmentReason",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "adjustmentReason",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "date",
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{
"context" : "src",
"element" : "date",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "date",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "amount",
"source" : [
{
"context" : "src",
"element" : "amount",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "amount",
"variable" : "vvv",
"transform" : "create"
}
],
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"valueId" : "vvv"
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{
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}
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]
},
{
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"variable" : "vvv"
}
],
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"context" : "tgt",
"element" : "identifier",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
}
]
},
{
"name" : "ClaimResponseProcessNote",
"extends" : "BackboneElement",
"input" : [
{
"name" : "src",
"mode" : "source"
},
{
"name" : "tgt",
"mode" : "target"
}
],
"rule" : [
{
"name" : "number",
"source" : [
{
"context" : "src",
"element" : "number",
"variable" : "vvv"
}
],
"target" : [
{
"context" : "tgt",
"element" : "number",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "type",
"source" : [
{
"context" : "src",
"element" : "type",
"variable" : "vvv"
}
],
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"element" : "type",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
{
"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
{
"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "text",
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{
"context" : "src",
"element" : "text",
"variable" : "vvv"
}
],
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{
"context" : "tgt",
"element" : "text",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
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"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
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"valueId" : "vvv"
},
{
"valueId" : "vvv"
}
]
}
]
},
{
"name" : "language",
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{
"context" : "src",
"element" : "language",
"variable" : "vvv"
}
],
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"context" : "tgt",
"element" : "language",
"variable" : "vvv",
"transform" : "create"
}
],
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"parameter" : [
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{
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"mode" : "source"
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},
{
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"context" : "src",
"element" : "focal",
"variable" : "vvv"
}
],
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"context" : "tgt",
"element" : "focal",
"variable" : "vvv",
"transform" : "create"
}
],
"dependent" : [
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"name" : "DefaultMappingGroupAnonymousAlias",
"parameter" : [
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"valueId" : "vvv"
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{
"valueId" : "vvv"
}
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}
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},
{
"name" : "coverage",
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"element" : "coverage",
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}
],
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"element" : "coverage",
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],
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},
{
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"element" : "businessArrangement",
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}
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{
"name" : "preAuthRef",
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"context" : "src",
"element" : "preAuthRef",
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}
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"element" : "preAuthRef",
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"dependent" : [
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},
{
"name" : "claimResponse",
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{
"context" : "src",
"element" : "claimResponse",
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}
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"dependent" : [
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"parameter" : [
{
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{
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]
}
]
}
]
}
]
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.