| Package | hl7.fhir.uv.xver |
| Resource Type | StructureMap |
| Id | ClaimResponse3to4 |
| FHIR Version | R5 |
| Source | http://hl7.org/fhir/extensions/https://build.fhir.org/ig/HL7/fhir-cross-version/StructureMap-ClaimResponse3to4.html |
| URL | http://hl7.org/fhir/StructureMap/ClaimResponse3to4 |
| Version | 0.1.0 |
| Status | active |
| Date | 2024-02-22T03:16:50+00:00 |
| Name | ClaimResponse3to4 |
| Title | ClaimResponse Transforms: R3 to R4 |
| Realm | uv |
| Authority | hl7 |
| Description | ClaimResponseTransformsR3toR4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
/// url = 'http://hl7.org/fhir/StructureMap/ClaimResponse3to4' /// name = 'ClaimResponse3to4' /// title = 'ClaimResponse Transforms: R3 to R4' /// status = 'active' uses "http://hl7.org/fhir/3.0/ClaimResponse" alias ClaimResponseR3 as source uses "http://hl7.org/fhir/4.0/ClaimResponse" alias ClaimResponse as target imports "http://hl7.org/fhir/StructureMap/*3to4" 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.requestProvider -> tgt.requestor; src.request -> tgt.request; src.outcome as vs then { vs.coding as c then { c.code where value in ('queued' | 'complete' | 'error' | 'partial') -> tgt.outcome; }; }; 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.totalCost as s -> tgt.total as t then ClaimResponseTotalCost(s, t); src.totalBenefit as s -> tgt.total as t then ClaimResponseTotalBenefit(s, t); src.payment as s -> tgt.payment as t then ClaimResponsePayment(s, t); src.reserved as vs -> tgt.fundsReserve as vt, vt.coding = vs; 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.sequenceLinkId -> tgt.itemSequence; 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; } group ClaimResponseTotalCost(source src, target tgt) extends BackboneElement { src -> tgt.category as cc, cc.text = 'Submitted Amount', cc.coding as coding, coding.code = 'submitted', coding.system = 'http://terminology.hl7.org/CodeSystem/adjudication' "category"; src as vs -> tgt.amount as vt then Money(vs, vt) "amount"; } group ClaimResponseTotalBenefit(source src, target tgt) extends BackboneElement { src -> tgt.category as cc, cc.text = 'Benefit Amount', cc.coding as coding, coding.code = 'benefit', coding.system = 'http://terminology.hl7.org/CodeSystem/adjudication' "amount"; src as vs -> tgt.amount as vt then Money(vs, vt) "amount"; }
FHIR{
"resourceType": "StructureMap",
"id": "ClaimResponse3to4",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"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/ClaimResponse3to4",
"version": "0.1.0",
"name": "ClaimResponse3to4",
"title": "ClaimResponse Transforms: R3 to R4",
"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": "ClaimResponseTransformsR3toR4",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001"
}
]
}
],
"structure": [
{
"url": "http://hl7.org/fhir/3.0/ClaimResponse",
"mode": "source",
"alias": "ClaimResponseR3"
},
{
"url": "http://hl7.org/fhir/4.0/ClaimResponse",
"mode": "target",
"alias": "ClaimResponse"
}
],
"import": [
"http://hl7.org/fhir/StructureMap/*3to4"
],
"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": "requestProvider",
"source": [
{
"context": "src",
"element": "requestProvider",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "requestor",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "request",
"source": [
{
"context": "src",
"element": "request",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "request",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "outcome",
"source": [
{
"context": "src",
"element": "outcome",
"variable": "vs"
}
],
"rule": [
{
"name": "coding",
"source": [
{
"context": "vs",
"element": "coding",
"variable": "c"
}
],
"rule": [
{
"name": "code",
"source": [
{
"context": "c",
"element": "code",
"variable": "vvv",
"condition": "value in ('queued' | 'complete' | 'error' | 'partial')"
}
],
"target": [
{
"context": "tgt",
"element": "outcome",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
}
]
}
]
},
{
"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": "totalCost",
"source": [
{
"context": "src",
"element": "totalCost",
"variable": "s"
}
],
"target": [
{
"context": "tgt",
"element": "total",
"variable": "t"
}
],
"dependent": [
{
"name": "ClaimResponseTotalCost",
"parameter": [
{
"valueId": "s"
},
{
"valueId": "t"
}
]
}
]
},
{
"name": "totalBenefit",
"source": [
{
"context": "src",
"element": "totalBenefit",
"variable": "s"
}
],
"target": [
{
"context": "tgt",
"element": "total",
"variable": "t"
}
],
"dependent": [
{
"name": "ClaimResponseTotalBenefit",
"parameter": [
{
"valueId": "s"
},
{
"valueId": "t"
}
]
}
]
},
{
"name": "payment",
"source": [
{
"context": "src",
"element": "payment",
"variable": "s"
}
],
"target": [
{
"context": "tgt",
"element": "payment",
"variable": "t"
}
],
"dependent": [
{
"name": "ClaimResponsePayment",
"parameter": [
{
"valueId": "s"
},
{
"valueId": "t"
}
]
}
]
},
{
"name": "reserved",
"source": [
{
"context": "src",
"element": "reserved",
"variable": "vs"
}
],
"target": [
{
"context": "tgt",
"element": "fundsReserve",
"variable": "vt"
},
{
"context": "vt",
"element": "coding",
"transform": "copy",
"parameter": [
{
"valueId": "vs"
}
]
}
]
},
{
"name": "form",
"source": [
{
"context": "src",
"element": "form",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "form",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "processNote",
"source": [
{
"context": "src",
"element": "processNote",
"variable": "s"
}
],
"target": [
{
"context": "tgt",
"element": "processNote",
"variable": "t"
}
],
"dependent": [
{
"name": "ClaimResponseProcessNote",
"parameter": [
{
"valueId": "s"
},
{
"valueId": "t"
}
]
}
]
},
{
"name": "communicationRequest",
"source": [
{
"context": "src",
"element": "communicationRequest",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "communicationRequest",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "insurance",
"source": [
{
"context": "src",
"element": "insurance",
"variable": "s"
}
],
"target": [
{
"context": "tgt",
"element": "insurance",
"variable": "t"
}
],
"dependent": [
{
"name": "ClaimResponseInsurance",
"parameter": [
{
"valueId": "s"
},
{
"valueId": "t"
}
]
}
]
}
]
},
{
"name": "ClaimResponseItem",
"extends": "BackboneElement",
"input": [
{
"name": "src",
"mode": "source"
},
{
"name": "tgt",
"mode": "target"
}
],
"rule": [
{
"name": "sequenceLinkId",
"source": [
{
"context": "src",
"element": "sequenceLinkId",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "itemSequence",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "noteNumber",
"source": [
{
"context": "src",
"element": "noteNumber",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "noteNumber",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "adjudication",
"source": [
{
"context": "src",
"element": "adjudication",
"variable": "s"
}
],
"target": [
{
"context": "tgt",
"element": "adjudication",
"variable": "t"
}
],
"dependent": [
{
"name": "ClaimResponseItemAdjudication",
"parameter": [
{
"valueId": "s"
},
{
"valueId": "t"
}
]
}
]
},
{
"name": "detail",
"source": [
{
"context": "src",
"element": "detail",
"variable": "s"
}
],
"target": [
{
"context": "tgt",
"element": "detail",
"variable": "t"
}
],
"dependent": [
{
"name": "ClaimResponseItemDetail",
"parameter": [
{
"valueId": "s"
},
{
"valueId": "t"
}
]
}
]
}
]
},
{
"name": "ClaimResponseItemAdjudication",
"extends": "BackboneElement",
"input": [
{
"name": "src",
"mode": "source"
},
{
"name": "tgt",
"mode": "target"
}
],
"rule": [
{
"name": "category",
"source": [
{
"context": "src",
"element": "category",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "category",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "reason",
"source": [
{
"context": "src",
"element": "reason",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "reason",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "amount",
"source": [
{
"context": "src",
"element": "amount",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "amount",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "value",
"source": [
{
"context": "src",
"element": "value",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "value",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
}
]
},
{
"name": "ClaimResponseItemDetail",
"extends": "BackboneElement",
"input": [
{
"name": "src",
"mode": "source"
},
{
"name": "tgt",
"mode": "target"
}
],
"rule": [
{
"name": "detailSequence",
"source": [
{
"context": "src",
"element": "detailSequence",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "detailSequence",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "noteNumber",
"source": [
{
"context": "src",
"element": "noteNumber",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "noteNumber",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"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": "subDetail",
"source": [
{
"context": "src",
"element": "subDetail",
"variable": "s"
}
],
"target": [
{
"context": "tgt",
"element": "subDetail",
"variable": "t"
}
],
"dependent": [
{
"name": "ClaimResponseItemDetailSubDetail",
"parameter": [
{
"valueId": "s"
},
{
"valueId": "t"
}
]
}
]
}
]
},
{
"name": "ClaimResponseItemDetailSubDetail",
"extends": "BackboneElement",
"input": [
{
"name": "src",
"mode": "source"
},
{
"name": "tgt",
"mode": "target"
}
],
"rule": [
{
"name": "subDetailSequence",
"source": [
{
"context": "src",
"element": "subDetailSequence",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "subDetailSequence",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "noteNumber",
"source": [
{
"context": "src",
"element": "noteNumber",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "noteNumber",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"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": "ClaimResponseAddItem",
"extends": "BackboneElement",
"input": [
{
"name": "src",
"mode": "source"
},
{
"name": "tgt",
"mode": "target"
}
],
"rule": [
{
"name": "itemSequence",
"source": [
{
"context": "src",
"element": "itemSequence",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "itemSequence",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "detailSequence",
"source": [
{
"context": "src",
"element": "detailSequence",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "detailSequence",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "subdetailSequence",
"source": [
{
"context": "src",
"element": "subdetailSequence",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "subdetailSequence",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "service",
"source": [
{
"context": "src",
"element": "service",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "service",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"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": "serviced",
"source": [
{
"context": "src",
"element": "serviced",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "serviced",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "location",
"source": [
{
"context": "src",
"element": "location",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "location",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "quantity",
"source": [
{
"context": "src",
"element": "quantity",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "quantity",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "unitPrice",
"source": [
{
"context": "src",
"element": "unitPrice",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "unitPrice",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "factor",
"source": [
{
"context": "src",
"element": "factor",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "factor",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "net",
"source": [
{
"context": "src",
"element": "net",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "net",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "bodySite",
"source": [
{
"context": "src",
"element": "bodySite",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "bodySite",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "subSite",
"source": [
{
"context": "src",
"element": "subSite",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "subSite",
"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",
"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": "detail",
"source": [
{
"context": "src",
"element": "detail",
"variable": "s"
}
],
"target": [
{
"context": "tgt",
"element": "detail",
"variable": "t"
}
],
"dependent": [
{
"name": "ClaimResponseAddItemDetail",
"parameter": [
{
"valueId": "s"
},
{
"valueId": "t"
}
]
}
]
}
]
},
{
"name": "ClaimResponseAddItemDetail",
"extends": "BackboneElement",
"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": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"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": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "factor",
"source": [
{
"context": "src",
"element": "factor",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "factor",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "net",
"source": [
{
"context": "src",
"element": "net",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "net",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"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",
"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": "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": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"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": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "factor",
"source": [
{
"context": "src",
"element": "factor",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "factor",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "net",
"source": [
{
"context": "src",
"element": "net",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "net",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"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",
"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": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "detailSequence",
"source": [
{
"context": "src",
"element": "detailSequence",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "detailSequence",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "subDetailSequence",
"source": [
{
"context": "src",
"element": "subDetailSequence",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "subDetailSequence",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "code",
"source": [
{
"context": "src",
"element": "code",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "code",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
}
]
},
{
"name": "ClaimResponsePayment",
"extends": "BackboneElement",
"input": [
{
"name": "src",
"mode": "source"
},
{
"name": "tgt",
"mode": "target"
}
],
"rule": [
{
"name": "type",
"source": [
{
"context": "src",
"element": "type",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "type",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "adjustment",
"source": [
{
"context": "src",
"element": "adjustment",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "adjustment",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "adjustmentReason",
"source": [
{
"context": "src",
"element": "adjustmentReason",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "adjustmentReason",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "date",
"source": [
{
"context": "src",
"element": "date",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "date",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "amount",
"source": [
{
"context": "src",
"element": "amount",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "amount",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "identifier",
"source": [
{
"context": "src",
"element": "identifier",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "identifier",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
}
]
},
{
"name": "ClaimResponseProcessNote",
"extends": "BackboneElement",
"input": [
{
"name": "src",
"mode": "source"
},
{
"name": "tgt",
"mode": "target"
}
],
"rule": [
{
"name": "number",
"source": [
{
"context": "src",
"element": "number",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "number",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "type",
"source": [
{
"context": "src",
"element": "type",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "type",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "text",
"source": [
{
"context": "src",
"element": "text",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "text",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "language",
"source": [
{
"context": "src",
"element": "language",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "language",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
}
]
},
{
"name": "ClaimResponseInsurance",
"extends": "BackboneElement",
"input": [
{
"name": "src",
"mode": "source"
},
{
"name": "tgt",
"mode": "target"
}
],
"rule": [
{
"name": "sequence",
"source": [
{
"context": "src",
"element": "sequence",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "sequence",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "focal",
"source": [
{
"context": "src",
"element": "focal",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "focal",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "coverage",
"source": [
{
"context": "src",
"element": "coverage",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "coverage",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "businessArrangement",
"source": [
{
"context": "src",
"element": "businessArrangement",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "businessArrangement",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "preAuthRef",
"source": [
{
"context": "src",
"element": "preAuthRef",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "preAuthRef",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
},
{
"name": "claimResponse",
"source": [
{
"context": "src",
"element": "claimResponse",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "claimResponse",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
}
]
}
]
}
]
},
{
"name": "ClaimResponseTotalCost",
"extends": "BackboneElement",
"input": [
{
"name": "src",
"mode": "source"
},
{
"name": "tgt",
"mode": "target"
}
],
"rule": [
{
"name": "category",
"source": [
{
"context": "src"
}
],
"target": [
{
"context": "tgt",
"element": "category",
"variable": "cc"
},
{
"context": "cc",
"element": "text",
"transform": "copy",
"parameter": [
{
"valueString": "Submitted Amount"
}
]
},
{
"context": "cc",
"element": "coding",
"variable": "coding"
},
{
"context": "coding",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "submitted"
}
]
},
{
"context": "coding",
"element": "system",
"transform": "copy",
"parameter": [
{
"valueString": "http://terminology.hl7.org/CodeSystem/adjudication"
}
]
}
]
},
{
"name": "amount",
"source": [
{
"context": "src",
"variable": "vs"
}
],
"target": [
{
"context": "tgt",
"element": "amount",
"variable": "vt"
}
],
"dependent": [
{
"name": "Money",
"parameter": [
{
"valueId": "vs"
},
{
"valueId": "vt"
}
]
}
]
}
]
},
{
"name": "ClaimResponseTotalBenefit",
"extends": "BackboneElement",
"input": [
{
"name": "src",
"mode": "source"
},
{
"name": "tgt",
"mode": "target"
}
],
"rule": [
{
"name": "amount",
"source": [
{
"context": "src"
}
],
"target": [
{
"context": "tgt",
"element": "category",
"variable": "cc"
},
{
"context": "cc",
"element": "text",
"transform": "copy",
"parameter": [
{
"valueString": "Benefit Amount"
}
]
},
{
"context": "cc",
"element": "coding",
"variable": "coding"
},
{
"context": "coding",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "benefit"
}
]
},
{
"context": "coding",
"element": "system",
"transform": "copy",
"parameter": [
{
"valueString": "http://terminology.hl7.org/CodeSystem/adjudication"
}
]
}
]
},
{
"name": "amount",
"source": [
{
"context": "src",
"variable": "vs"
}
],
"target": [
{
"context": "tgt",
"element": "amount",
"variable": "vt"
}
],
"dependent": [
{
"name": "Money",
"parameter": [
{
"valueId": "vs"
},
{
"valueId": "vt"
}
]
}
]
}
]
}
]
}