| Package | hl7.fhir.uv.xver |
| Resource Type | StructureMap |
| Id | ClaimResponse4to3 |
| 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 |
| Realm | uv |
| Authority | hl7 |
| Description | ClaimResponseTransformsR4toR3 |
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/// 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": "<!-- snip (see above) -->"
},
"extension": [
{
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"_valueInteger": {
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"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": [
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"telecom": [
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"description": "ClaimResponseTransformsR4toR3",
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{
"coding": [
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"code": "001"
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{
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{
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{
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{
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{
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}
],
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"context": "tgt",
"element": "item",
"variable": "t"
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],
"dependent": [
{
"name": "ClaimResponseItem",
"parameter": [
{
"valueId": "s"
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{
"valueId": "t"
}
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},
{
"name": "addItem",
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"variable": "s"
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],
"target": [
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"context": "tgt",
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"variable": "t"
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],
"dependent": [
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"name": "ClaimResponseAddItem",
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{
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}
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},
{
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"variable": "s"
}
],
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{
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"element": "error",
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}
],
"dependent": [
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"name": "ClaimResponseError",
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{
"valueId": "t"
}
]
}
]
},
{
"name": "total",
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{
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"variable": "total"
}
],
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"name": "category",
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],
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}
],
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{
"context": "vs",
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"variable": "c",
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}
],
"rule": [
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{
"context": "c"
}
],
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"element": "totalCost",
"variable": "cost"
}
],
"dependent": [
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"name": "Money",
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{
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}
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}
]
}
]
}
]
}
]
},
{
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"variable": "c",
"condition": "code = 'benefit'"
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],
"rule": [
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"name": "totalBenefit",
"source": [
{
"context": "c"
}
],
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"context": "tgt",
"element": "totalBenefit",
"variable": "cost"
}
],
"dependent": [
{
"name": "Money",
"parameter": [
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"valueId": "va"
},
{
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}
]
}
]
}
]
}
]
}
]
}
]
},
{
"name": "payment",
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{
"context": "src",
"element": "payment",
"variable": "s"
}
],
"target": [
{
"context": "tgt",
"element": "payment",
"variable": "t"
}
],
"dependent": [
{
"name": "ClaimResponsePayment",
"parameter": [
{
"valueId": "s"
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{
"valueId": "t"
}
]
}
]
},
{
"name": "fundsReserve",
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{
"context": "src",
"element": "fundsReserve",
"variable": "vs"
}
],
"rule": [
{
"name": "coding",
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{
"context": "vs",
"element": "coding",
"variable": "vvv"
}
],
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{
"context": "tgt",
"element": "reserved",
"variable": "vvv",
"transform": "create"
}
],
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"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
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"valueId": "vvv"
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}
]
},
{
"name": "form",
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{
"context": "src",
"element": "form",
"variable": "vvv"
}
],
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{
"context": "tgt",
"element": "form",
"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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}
]
},
{
"name": "processNote",
"source": [
{
"context": "src",
"element": "processNote",
"variable": "s"
}
],
"target": [
{
"context": "tgt",
"element": "processNote",
"variable": "t"
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],
"dependent": [
{
"name": "ClaimResponseProcessNote",
"parameter": [
{
"valueId": "s"
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{
"valueId": "t"
}
]
}
]
},
{
"name": "communicationRequest",
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{
"context": "src",
"element": "communicationRequest",
"variable": "vvv"
}
],
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{
"context": "tgt",
"element": "communicationRequest",
"variable": "vvv",
"transform": "create"
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],
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"parameter": [
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"valueId": "vvv"
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},
{
"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",
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"mode": "source"
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{
"name": "tgt",
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],
"rule": [
{
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{
"context": "src",
"element": "itemSequence",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "sequenceLinkId",
"variable": "vvv",
"transform": "create"
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],
"dependent": [
{
"name": "DefaultMappingGroupAnonymousAlias",
"parameter": [
{
"valueId": "vvv"
},
{
"valueId": "vvv"
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]
}
]
},
{
"name": "noteNumber",
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{
"context": "src",
"element": "noteNumber",
"variable": "vvv"
}
],
"target": [
{
"context": "tgt",
"element": "noteNumber",
"variable": "vvv",
"transform": "create"
}
],
"dependent": [
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"parameter": [
{
"valueId": "vvv"
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{
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]
},
{
"name": "adjudication",
"source": [
{
"context": "src",
"element": "adjudication",
"variable": "s"
}
],
"target": [
{
"context": "tgt",
"element": "adjudication",
"variable": "t"
}
],
"dependent": [
{
"name": "ClaimResponseItemAdjudication",
"parameter": [
{
"valueId": "s"
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{
"valueId": "t"
}
]
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},
{
"name": "detail",
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{
"context": "src",
"element": "detail",
"variable": "s"
}
],
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{
"context": "tgt",
"element": "detail",
"variable": "t"
}
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