Source | hl7.fhir.uv.extensions.r4#1.0.0:FHIR Extensions Pack (v4.0.1) |
resourceType | StructureMap |
id | ClaimResponse4Bto5 |
canonical | http://hl7.org/fhir/StructureMap/ClaimResponse4Bto5 |
version | 1.0.0 |
status | active |
publisher | HL7 International / FHIR Infrastructure |
name | ClaimResponse4Bto5 |
title | FML Conversion for ClaimResponse: R4B to R5 |
date | 2023-03-26T08:47:34+11:00 |
description | FMLConversionforClaimResponseR4BtoR5 |
jurisdictions | uv |
Usages | (none) |
/// url = 'http://hl7.org/fhir/StructureMap/ClaimResponse4Bto5' /// name = 'ClaimResponse4Bto5' /// title = 'FML Conversion for ClaimResponse: R4B to R5' /// status = 'active' conceptmap " ClaimResponseStatus " { prefix s = " http://hl7.org/fhir/4.3/fm-status " prefix t = " http://hl7.org/fhir/fm-status " s : active - t : active s : cancelled - t : cancelled s : draft - t : draft s : "entered-in-error" - t : " entered-in-error " } conceptmap " RemittanceOutcome " { prefix s = " http://hl7.org/fhir/4.3/remittance-outcome " prefix t = " http://hl7.org/fhir/claim-outcome " s : queued - t : queued s : complete - t : complete s : error - t : error s : partial - t : partial } conceptmap " Use " { prefix s = " http://hl7.org/fhir/4.3/claim-use " prefix t = " http://hl7.org/fhir/claim-use " s : claim - t : claim s : preauthorization - t : preauthorization s : predetermination - t : predetermination } uses " http://hl7.org/fhir/4.3/StructureDefinition/ClaimResponse " alias ClaimResponseR4B as source uses " http://hl7.org/fhir/StructureDefinition/ClaimResponse " alias ClaimResponseR5 as target imports " http://hl7.org/fhir/StructureMap/*4Bto5 " group ClaimResponse ( source src : ClaimResponseR4B, target tgt : ClaimResponseR5 ) extends DomainResource <<type+>> { src.identifier -> tgt.identifier ; src.status as v -> tgt.status = translate ( v , '#ClaimResponseStatus' , 'code' ) ; // src.traceNumber -> tgt.traceNumber; src.type -> tgt.type ; src.subType -> tgt.subType ; src.use as v -> tgt.use = translate ( v , '#Use' , 'code' ) ; src.patient -> tgt.patient ; src.created -> tgt.created ; src.insurer -> tgt.insurer ; src.requestor -> tgt.requestor ; src.request -> tgt.request ; src.outcome as v -> tgt.outcome = translate ( v , '#RemittanceOutcome' , 'code' ) ; src.disposition -> tgt.disposition ; // src.decision -> tgt.decision; src.preAuthRef -> tgt.preAuthRef ; src.preAuthPeriod -> tgt.preAuthPeriod ; src.payeeType -> tgt.payeeType ; // src.event as s -> tgt.event as t then ClaimResponseEvent(s,t); src.item as s -> tgt.item as t then ClaimResponseItem ( s , t ) ; // src.encounter -> tgt.encounter; src.addItem as s -> tgt.addItem as t then ClaimResponseAddItem ( s , t ) ; src.total as s -> tgt.total as t then ClaimResponseTotal ( s , t ) ; src.payment as s -> tgt.payment as t then ClaimResponsePayment ( s , t ) ; src.fundsReserve -> tgt.fundsReserve ; src.formCode -> tgt.formCode ; 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 ) ; src.error as s -> tgt.error as t then ClaimResponseError ( s , t ) ; } // group ClaimResponseEvent(source src, target tgt) extends BackboneElement { // src.type -> tgt.type; // src.when : dateTime -> tgt.when; // src.when : Period -> tgt.when; // } group ClaimResponseItem ( source src , target tgt ) extends BackboneElement { src.itemSequence -> tgt.itemSequence ; src.noteNumber -> tgt.noteNumber ; // src.traceNumber -> tgt.traceNumber; src.adjudication as s -> tgt.adjudication as t then ClaimResponseItemAdjudication ( s , t ) ; // src.reviewOutcome as s -> tgt.reviewOutcome as t then ClaimResponseItemReviewOutcome(s,t); src.detail as s -> tgt.detail as t then ClaimResponseItemDetail ( s , t ) ; } // group ClaimResponseItemReviewOutcome(source src, target tgt) extends BackboneElement { // src.decision -> tgt.decision; // src.reason -> tgt.reason; // src.preAuthRef -> tgt.preAuthRef; // src.preAuthPeriod -> tgt.preAuthPeriod; // } group ClaimResponseItemAdjudication ( source src , target tgt ) extends BackboneElement { src.category -> tgt.category ; src.reason -> tgt.reason ; src.amount -> tgt.amount ; src.value as s -> tgt.quantity as t , t.value = s ; } group ClaimResponseItemDetail ( source src , target tgt ) extends BackboneElement { src.detailSequence -> tgt.detailSequence ; src.noteNumber -> tgt.noteNumber ; // src.traceNumber -> tgt.traceNumber; 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.traceNumber -> tgt.traceNumber; } group ClaimResponseAddItem ( source src , target tgt ) extends BackboneElement { src.itemSequence -> tgt.itemSequence ; src.detailSequence -> tgt.detailSequence ; src.subdetailSequence -> tgt.subdetailSequence ; src.provider -> tgt.provider ; // src.traceNumber -> tgt.traceNumber; src.productOrService -> tgt.productOrService ; // src.revenue -> tgt.revenue; src.modifier -> tgt.modifier ; // src.productOrServiceEnd -> tgt.productOrServiceEnd; src.programCode -> tgt.programCode ; src.serviced : date -> tgt.serviced ; src.serviced : Period -> tgt.serviced ; src.location : CodeableConcept -> tgt.location ; src.location : Address -> tgt.location ; src.location : Reference -> tgt.location ; src.quantity -> tgt.quantity ; src.unitPrice -> tgt.unitPrice ; src.factor -> tgt.factor ; src.net -> tgt.net ; // src.tax -> tgt.tax; src.bodySite as s -> tgt.bodySite as t , t.site = s ; src.noteNumber -> tgt.noteNumber ; src.detail as s -> tgt.detail as t then ClaimResponseAddItemDetail ( s , t ) ; } // group ClaimResponseAddItemBodySite(source src, target tgt) extends BackboneElement { // src.site -> tgt.site; // src.subSite -> tgt.subSite; // } group ClaimResponseAddItemDetail ( source src , target tgt ) extends BackboneElement { src.productOrService -> tgt.productOrService ; // src.traceNumber -> tgt.traceNumber; src.modifier -> tgt.modifier ; // src.productOrServiceEnd -> tgt.productOrServiceEnd; src.quantity -> tgt.quantity ; src.unitPrice -> tgt.unitPrice ; src.factor -> tgt.factor ; src.net -> tgt.net ; // src.tax -> tgt.tax; src.noteNumber -> tgt.noteNumber ; src.subDetail as s -> tgt.subDetail as t then ClaimResponseAddItemDetailSubDetail ( s , t ) ; } group ClaimResponseAddItemDetailSubDetail ( source src , target tgt ) extends BackboneElement { src.productOrService -> tgt.productOrService ; // src.traceNumber -> tgt.traceNumber; src.modifier -> tgt.modifier ; // src.productOrServiceEnd -> tgt.productOrServiceEnd; src.quantity -> tgt.quantity ; src.unitPrice -> tgt.unitPrice ; src.factor -> tgt.factor ; src.net -> tgt.net ; // src.tax -> tgt.tax; src.noteNumber -> tgt.noteNumber ; } group ClaimResponseTotal ( source src , target tgt ) extends BackboneElement { src.category -> tgt.category ; src.amount -> tgt.amount ; } 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 as s where code = 'display' -> tgt.type = create ( 'CodeableConcept' ) as tc , tc.coding = create ( 'Coding' ) as tcc , tcc.system = 'http://hl7.org/fhir/note-type' , tcc.code = 'display' , tcc.display = 'display' ; src.type as s where code = 'print' -> tgt.type = create ( 'CodeableConcept' ) as tc , tc.coding = create ( 'Coding' ) as tcc , tcc.system = 'http://hl7.org/fhir/note-type' , tcc.code = 'print' , tcc.display = 'Print (Form)' ; src.type as s where code = 'printoper' -> tgt.type = create ( 'CodeableConcept' ) as tc , tc.coding = create ( 'Coding' ) as tcc , tcc.system = 'http://hl7.org/fhir/note-type' , tcc.code = 'printoper' , tcc.display = 'Print (Operator)' ; 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.claimResponse -> tgt.claimResponse ; } group ClaimResponseError ( source src , target tgt ) extends BackboneElement { src.itemSequence -> tgt.itemSequence ; src.detailSequence -> tgt.detailSequence ; src.subDetailSequence -> tgt.subDetailSequence ; src.code -> tgt.code ; }
Produced 06 Apr 2023