FHIR Cross-Version Mapping Pack
0.1.0 - Ballot for Release 5.1.0
FHIR Cross-Version Mapping Pack
0.1.0 - Ballot for Release 5.1.0
FHIR Cross-Version Mapping Pack, published by HL7 International / FHIR Infrastructure. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-cross-version/ and changes regularly. See the Directory of published versions
| Page standards status: Draft | Maturity Level: 1 |
<StructureMap xmlns="http://hl7.org/fhir">
<id value="ClaimResponse4to3"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><pre class="fml">
<span style="color: #cc00cc">/// <b>url</b> = </span><span style="color: blue">'http://hl7.org/fhir/StructureMap/ClaimResponse4to3'</span>
<span style="color: #cc00cc">/// <b>name</b> = </span><span style="color: blue">'ClaimResponse4to3'</span>
<span style="color: #cc00cc">/// <b>title</b> = </span><span style="color: blue">'ClaimResponse Transforms: R4 to R3'</span>
<span style="color: #cc00cc">/// <b>status</b> = </span><span style="color: blue">'active'</span>
<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>
<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>
<b>imports</b><span style="color: navy"> "</span>http://hl7.org/fhir/StructureMap/*4to3<span style="color: navy">"
</span>
<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"> {
</span> src.identifier<span style="color: navy"><b> -> </b></span>tgt.identifier<span style="color: navy">;</span>
src.status<span style="color: navy"><b> -> </b></span>tgt.status<span style="color: navy">;</span>
src.type<span style="color: navy"><b> -> </b></span>tgt.type<span style="color: navy">;</span>
src.subType<span style="color: navy"><b> -> </b></span>tgt.subType<span style="color: navy">;</span>
src.use<span style="color: navy"><b> -> </b></span>tgt.use<span style="color: navy">;</span>
src.patient<span style="color: navy"><b> -> </b></span>tgt.patient<span style="color: navy">;</span>
src.created<span style="color: navy"><b> -> </b></span>tgt.created<span style="color: navy">;</span>
src.insurer<span style="color: navy"><b> -> </b></span>tgt.insurer<span style="color: navy">;</span>
src.requestor<span style="color: navy"><b> -> </b></span>tgt.requestProvider<span style="color: navy">;</span>
src.request<span style="color: navy"><b> -> </b></span>tgt.request<span style="color: navy">;</span>
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>
src.disposition<span style="color: navy"><b> -> </b></span>tgt.disposition<span style="color: navy">;</span>
src.payeeType<span style="color: navy"><b> -> </b></span>tgt.payeeType<span style="color: navy">;</span>
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>
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>
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>
src.total<b> as </b><span style="color: maroon">total</span><b> then</b><span style="color: navy"> {
</span> total.category<b> as </b><span style="color: maroon">vs</span><b> then</b><span style="color: navy"> {
</span> total.amount<b> as </b><span style="color: maroon">va</span><b> then</b><span style="color: navy"> {
</span> vs.coding<b> as </b><span style="color: maroon">c</span><b> where </b>code = 'submitted'<b> then</b><span style="color: navy"> {
</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>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
src.total<b> as </b><span style="color: maroon">total</span><b> then</b><span style="color: navy"> {
</span> total.category<b> as </b><span style="color: maroon">vs</span><b> then</b><span style="color: navy"> {
</span> total.amount<b> as </b><span style="color: maroon">va</span><b> then</b><span style="color: navy"> {
</span> vs.coding<b> as </b><span style="color: maroon">c</span><b> where </b>code = 'benefit'<b> then</b><span style="color: navy"> {
</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>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
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>
src.fundsReserve<b> as </b><span style="color: maroon">vs</span><b> then</b><span style="color: navy"> {
</span> vs.coding<span style="color: navy"><b> -> </b></span>tgt.reserved<span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
src.form<span style="color: navy"><b> -> </b></span>tgt.form<span style="color: navy">;</span>
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>
src.communicationRequest<span style="color: navy"><b> -> </b></span>tgt.communicationRequest<span style="color: navy">;</span>
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>
<span style="color: navy">}
</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"> {
</span> src.itemSequence<span style="color: navy"><b> -> </b></span>tgt.sequenceLinkId<span style="color: navy">;</span>
src.noteNumber<span style="color: navy"><b> -> </b></span>tgt.noteNumber<span style="color: navy">;</span>
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>
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>
<span style="color: navy">}
</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"> {
</span> src.category<span style="color: navy"><b> -> </b></span>tgt.category<span style="color: navy">;</span>
src.reason<span style="color: navy"><b> -> </b></span>tgt.reason<span style="color: navy">;</span>
src.amount<span style="color: navy"><b> -> </b></span>tgt.amount<span style="color: navy">;</span>
src.value<span style="color: navy"><b> -> </b></span>tgt.value<span style="color: navy">;</span>
<span style="color: navy">}
</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"> {
</span> src.detailSequence<span style="color: navy"><b> -> </b></span>tgt.detailSequence<span style="color: navy">;</span>
src.noteNumber<span style="color: navy"><b> -> </b></span>tgt.noteNumber<span style="color: navy">;</span>
src.adjudication<span style="color: navy"><b> -> </b></span>tgt.adjudication<span style="color: navy">;</span>
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>
<span style="color: navy">}
</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"> {
</span> src.subDetailSequence<span style="color: navy"><b> -> </b></span>tgt.subDetailSequence<span style="color: navy">;</span>
src.noteNumber<span style="color: navy"><b> -> </b></span>tgt.noteNumber<span style="color: navy">;</span>
src.adjudication<span style="color: navy"><b> -> </b></span>tgt.adjudication<span style="color: navy">;</span>
<span style="color: navy">}
</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"> {
</span> src.itemSequence<span style="color: navy"><b> -> </b></span>tgt.itemSequence<span style="color: navy">;</span>
src.detailSequence<span style="color: navy"><b> -> </b></span>tgt.detailSequence<span style="color: navy">;</span>
src.subdetailSequence<span style="color: navy"><b> -> </b></span>tgt.subdetailSequence<span style="color: navy">;</span>
src.service<span style="color: navy"><b> -> </b></span>tgt.service<span style="color: navy">;</span>
src.modifier<span style="color: navy"><b> -> </b></span>tgt.modifier<span style="color: navy">;</span>
src.programCode<span style="color: navy"><b> -> </b></span>tgt.programCode<span style="color: navy">;</span>
src.serviced<span style="color: navy"><b> -> </b></span>tgt.serviced<span style="color: navy">;</span>
src.location<span style="color: navy"><b> -> </b></span>tgt.location<span style="color: navy">;</span>
src.quantity<span style="color: navy"><b> -> </b></span>tgt.quantity<span style="color: navy">;</span>
src.unitPrice<span style="color: navy"><b> -> </b></span>tgt.unitPrice<span style="color: navy">;</span>
src.factor<span style="color: navy"><b> -> </b></span>tgt.factor<span style="color: navy">;</span>
src.net<span style="color: navy"><b> -> </b></span>tgt.net<span style="color: navy">;</span>
src.bodySite<span style="color: navy"><b> -> </b></span>tgt.bodySite<span style="color: navy">;</span>
src.subSite<span style="color: navy"><b> -> </b></span>tgt.subSite<span style="color: navy">;</span>
src.noteNumber<span style="color: navy"><b> -> </b></span>tgt.noteNumber<span style="color: navy">;</span>
src.adjudication<span style="color: navy"><b> -> </b></span>tgt.adjudication<span style="color: navy">;</span>
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>
<span style="color: navy">}
</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"> {
</span> src.service<span style="color: navy"><b> -> </b></span>tgt.service<span style="color: navy">;</span>
src.modifier<span style="color: navy"><b> -> </b></span>tgt.modifier<span style="color: navy">;</span>
src.programCode<span style="color: navy"><b> -> </b></span>tgt.programCode<span style="color: navy">;</span>
src.quantity<span style="color: navy"><b> -> </b></span>tgt.quantity<span style="color: navy">;</span>
src.unitPrice<span style="color: navy"><b> -> </b></span>tgt.unitPrice<span style="color: navy">;</span>
src.factor<span style="color: navy"><b> -> </b></span>tgt.factor<span style="color: navy">;</span>
src.net<span style="color: navy"><b> -> </b></span>tgt.net<span style="color: navy">;</span>
src.noteNumber<span style="color: navy"><b> -> </b></span>tgt.noteNumber<span style="color: navy">;</span>
src.adjudication<span style="color: navy"><b> -> </b></span>tgt.adjudication<span style="color: navy">;</span>
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>
<span style="color: navy">}
</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"> {
</span> src.service<span style="color: navy"><b> -> </b></span>tgt.service<span style="color: navy">;</span>
src.modifier<span style="color: navy"><b> -> </b></span>tgt.modifier<span style="color: navy">;</span>
src.programCode<span style="color: navy"><b> -> </b></span>tgt.programCode<span style="color: navy">;</span>
src.quantity<span style="color: navy"><b> -> </b></span>tgt.quantity<span style="color: navy">;</span>
src.unitPrice<span style="color: navy"><b> -> </b></span>tgt.unitPrice<span style="color: navy">;</span>
src.factor<span style="color: navy"><b> -> </b></span>tgt.factor<span style="color: navy">;</span>
src.net<span style="color: navy"><b> -> </b></span>tgt.net<span style="color: navy">;</span>
src.noteNumber<span style="color: navy"><b> -> </b></span>tgt.noteNumber<span style="color: navy">;</span>
src.adjudication<span style="color: navy"><b> -> </b></span>tgt.adjudication<span style="color: navy">;</span>
<span style="color: navy">}
</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"> {
</span> src.itemSequence<span style="color: navy"><b> -> </b></span>tgt.itemSequence<span style="color: navy">;</span>
src.detailSequence<span style="color: navy"><b> -> </b></span>tgt.detailSequence<span style="color: navy">;</span>
src.subDetailSequence<span style="color: navy"><b> -> </b></span>tgt.subDetailSequence<span style="color: navy">;</span>
src.code<span style="color: navy"><b> -> </b></span>tgt.code<span style="color: navy">;</span>
<span style="color: navy">}
</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"> {
</span> src.type<span style="color: navy"><b> -> </b></span>tgt.type<span style="color: navy">;</span>
src.adjustment<span style="color: navy"><b> -> </b></span>tgt.adjustment<span style="color: navy">;</span>
src.adjustmentReason<span style="color: navy"><b> -> </b></span>tgt.adjustmentReason<span style="color: navy">;</span>
src.date<span style="color: navy"><b> -> </b></span>tgt.date<span style="color: navy">;</span>
src.amount<span style="color: navy"><b> -> </b></span>tgt.amount<span style="color: navy">;</span>
src.identifier<span style="color: navy"><b> -> </b></span>tgt.identifier<span style="color: navy">;</span>
<span style="color: navy">}
</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"> {
</span> src.number<span style="color: navy"><b> -> </b></span>tgt.number<span style="color: navy">;</span>
src.type<span style="color: navy"><b> -> </b></span>tgt.type<span style="color: navy">;</span>
src.text<span style="color: navy"><b> -> </b></span>tgt.text<span style="color: navy">;</span>
src.language<span style="color: navy"><b> -> </b></span>tgt.language<span style="color: navy">;</span>
<span style="color: navy">}
</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"> {
</span> src.sequence<span style="color: navy"><b> -> </b></span>tgt.sequence<span style="color: navy">;</span>
src.focal<span style="color: navy"><b> -> </b></span>tgt.focal<span style="color: navy">;</span>
src.coverage<span style="color: navy"><b> -> </b></span>tgt.coverage<span style="color: navy">;</span>
src.businessArrangement<span style="color: navy"><b> -> </b></span>tgt.businessArrangement<span style="color: navy">;</span>
src.preAuthRef<span style="color: navy"><b> -> </b></span>tgt.preAuthRef<span style="color: navy">;</span>
src.claimResponse<span style="color: navy"><b> -> </b></span>tgt.claimResponse<span style="color: navy">;</span>
<span style="color: navy">}
</span></pre></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fhir"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="1">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/extensions/ImplementationGuide/hl7.fhir.uv.xver"/>
</extension>
</valueInteger>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="draft">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/extensions/ImplementationGuide/hl7.fhir.uv.xver"/>
</extension>
</valueCode>
</extension>
<url value="http://hl7.org/fhir/StructureMap/ClaimResponse4to3"/>
<version value="0.1.0"/>
<name value="ClaimResponse4to3"/>
<title value="ClaimResponse Transforms: R4 to R3"/>
<status value="active"/>
<date value="2024-02-22T03:16:50+00:00"/>
<publisher value="HL7 International / FHIR Infrastructure"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/fiwg"/>
</telecom>
</contact>
<description value="ClaimResponseTransformsR4toR3"/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
</coding>
</jurisdiction>
<structure>
<url value="http://hl7.org/fhir/4.0/ClaimResponse"/>
<mode value="source"/>
<alias value="ClaimResponse"/>
</structure>
<structure>
<url value="http://hl7.org/fhir/3.0/ClaimResponse"/>
<mode value="target"/>
<alias value="ClaimResponseR3"/>
</structure>
<import value="http://hl7.org/fhir/StructureMap/*4to3"/>
<group>
<name value="ClaimResponse"/>
<extends value="DomainResource"/>
<typeMode value="type-and-types"/>
<input>
<name value="src"/>
<type value="ClaimResponseR3"/>
<mode value="source"/>
</input>
<input>
<name value="tgt"/>
<type value="ClaimResponse"/>
<mode value="target"/>
</input>
<rule>
<name value="identifier"/>
<source>
<context value="src"/>
<element value="identifier"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="identifier"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="status"/>
<source>
<context value="src"/>
<element value="status"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="status"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="type"/>
<source>
<context value="src"/>
<element value="type"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="type"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="subType"/>
<source>
<context value="src"/>
<element value="subType"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="subType"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="use"/>
<source>
<context value="src"/>
<element value="use"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="use"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="patient"/>
<source>
<context value="src"/>
<element value="patient"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="patient"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="created"/>
<source>
<context value="src"/>
<element value="created"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="created"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="insurer"/>
<source>
<context value="src"/>
<element value="insurer"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="insurer"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="requestor"/>
<source>
<context value="src"/>
<element value="requestor"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="requestProvider"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="request"/>
<source>
<context value="src"/>
<element value="request"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="request"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="outcome"/>
<source>
<context value="src"/>
<element value="outcome"/>
<variable value="vs"/>
<condition value="value in ('complete' | 'error' | 'partial')"/>
</source>
<target>
<context value="tgt"/>
<element value="outcome"/>
<variable value="vt"/>
</target>
<target>
<context value="vt"/>
<element value="coding"/>
<variable value="c"/>
</target>
<target>
<context value="c"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString value="http://hl7.org/fhir/remittance-outcome"/>
</parameter>
</target>
<target>
<context value="c"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueId value="vs"/>
</parameter>
</target>
</rule>
<rule>
<name value="disposition"/>
<source>
<context value="src"/>
<element value="disposition"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="disposition"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="payeeType"/>
<source>
<context value="src"/>
<element value="payeeType"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="payeeType"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="item"/>
<source>
<context value="src"/>
<element value="item"/>
<variable value="s"/>
</source>
<target>
<context value="tgt"/>
<element value="item"/>
<variable value="t"/>
</target>
<dependent>
<name value="ClaimResponseItem"/>
<parameter>
<valueId value="s"/>
</parameter>
<parameter>
<valueId value="t"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="addItem"/>
<source>
<context value="src"/>
<element value="addItem"/>
<variable value="s"/>
</source>
<target>
<context value="tgt"/>
<element value="addItem"/>
<variable value="t"/>
</target>
<dependent>
<name value="ClaimResponseAddItem"/>
<parameter>
<valueId value="s"/>
</parameter>
<parameter>
<valueId value="t"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="error"/>
<source>
<context value="src"/>
<element value="error"/>
<variable value="s"/>
</source>
<target>
<context value="tgt"/>
<element value="error"/>
<variable value="t"/>
</target>
<dependent>
<name value="ClaimResponseError"/>
<parameter>
<valueId value="s"/>
</parameter>
<parameter>
<valueId value="t"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="total"/>
<source>
<context value="src"/>
<element value="total"/>
<variable value="total"/>
</source>
<rule>
<name value="category"/>
<source>
<context value="total"/>
<element value="category"/>
<variable value="vs"/>
</source>
<rule>
<name value="amount"/>
<source>
<context value="total"/>
<element value="amount"/>
<variable value="va"/>
</source>
<rule>
<name value="coding"/>
<source>
<context value="vs"/>
<element value="coding"/>
<variable value="c"/>
<condition value="code = 'submitted'"/>
</source>
<rule>
<name value="cost"/>
<source>
<context value="c"/>
</source>
<target>
<context value="tgt"/>
<element value="totalCost"/>
<variable value="cost"/>
</target>
<dependent>
<name value="Money"/>
<parameter>
<valueId value="va"/>
</parameter>
<parameter>
<valueId value="cost"/>
</parameter>
</dependent>
</rule>
</rule>
</rule>
</rule>
</rule>
<rule>
<name value="total"/>
<source>
<context value="src"/>
<element value="total"/>
<variable value="total"/>
</source>
<rule>
<name value="category"/>
<source>
<context value="total"/>
<element value="category"/>
<variable value="vs"/>
</source>
<rule>
<name value="amount"/>
<source>
<context value="total"/>
<element value="amount"/>
<variable value="va"/>
</source>
<rule>
<name value="coding"/>
<source>
<context value="vs"/>
<element value="coding"/>
<variable value="c"/>
<condition value="code = 'benefit'"/>
</source>
<rule>
<name value="totalBenefit"/>
<source>
<context value="c"/>
</source>
<target>
<context value="tgt"/>
<element value="totalBenefit"/>
<variable value="cost"/>
</target>
<dependent>
<name value="Money"/>
<parameter>
<valueId value="va"/>
</parameter>
<parameter>
<valueId value="cost"/>
</parameter>
</dependent>
</rule>
</rule>
</rule>
</rule>
</rule>
<rule>
<name value="payment"/>
<source>
<context value="src"/>
<element value="payment"/>
<variable value="s"/>
</source>
<target>
<context value="tgt"/>
<element value="payment"/>
<variable value="t"/>
</target>
<dependent>
<name value="ClaimResponsePayment"/>
<parameter>
<valueId value="s"/>
</parameter>
<parameter>
<valueId value="t"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="fundsReserve"/>
<source>
<context value="src"/>
<element value="fundsReserve"/>
<variable value="vs"/>
</source>
<rule>
<name value="coding"/>
<source>
<context value="vs"/>
<element value="coding"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="reserved"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
</rule>
<rule>
<name value="form"/>
<source>
<context value="src"/>
<element value="form"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="form"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="processNote"/>
<source>
<context value="src"/>
<element value="processNote"/>
<variable value="s"/>
</source>
<target>
<context value="tgt"/>
<element value="processNote"/>
<variable value="t"/>
</target>
<dependent>
<name value="ClaimResponseProcessNote"/>
<parameter>
<valueId value="s"/>
</parameter>
<parameter>
<valueId value="t"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="communicationRequest"/>
<source>
<context value="src"/>
<element value="communicationRequest"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="communicationRequest"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="insurance"/>
<source>
<context value="src"/>
<element value="insurance"/>
<variable value="s"/>
</source>
<target>
<context value="tgt"/>
<element value="insurance"/>
<variable value="t"/>
</target>
<dependent>
<name value="ClaimResponseInsurance"/>
<parameter>
<valueId value="s"/>
</parameter>
<parameter>
<valueId value="t"/>
</parameter>
</dependent>
</rule>
</group>
<group>
<name value="ClaimResponseItem"/>
<extends value="BackboneElement"/>
<input>
<name value="src"/>
<mode value="source"/>
</input>
<input>
<name value="tgt"/>
<mode value="target"/>
</input>
<rule>
<name value="itemSequence"/>
<source>
<context value="src"/>
<element value="itemSequence"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="sequenceLinkId"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="noteNumber"/>
<source>
<context value="src"/>
<element value="noteNumber"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="noteNumber"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="adjudication"/>
<source>
<context value="src"/>
<element value="adjudication"/>
<variable value="s"/>
</source>
<target>
<context value="tgt"/>
<element value="adjudication"/>
<variable value="t"/>
</target>
<dependent>
<name value="ClaimResponseItemAdjudication"/>
<parameter>
<valueId value="s"/>
</parameter>
<parameter>
<valueId value="t"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="detail"/>
<source>
<context value="src"/>
<element value="detail"/>
<variable value="s"/>
</source>
<target>
<context value="tgt"/>
<element value="detail"/>
<variable value="t"/>
</target>
<dependent>
<name value="ClaimResponseItemDetail"/>
<parameter>
<valueId value="s"/>
</parameter>
<parameter>
<valueId value="t"/>
</parameter>
</dependent>
</rule>
</group>
<group>
<name value="ClaimResponseItemAdjudication"/>
<extends value="BackboneElement"/>
<input>
<name value="src"/>
<mode value="source"/>
</input>
<input>
<name value="tgt"/>
<mode value="target"/>
</input>
<rule>
<name value="category"/>
<source>
<context value="src"/>
<element value="category"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="category"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="reason"/>
<source>
<context value="src"/>
<element value="reason"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="reason"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="amount"/>
<source>
<context value="src"/>
<element value="amount"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="amount"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="value"/>
<source>
<context value="src"/>
<element value="value"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="value"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
</group>
<group>
<name value="ClaimResponseItemDetail"/>
<extends value="BackboneElement"/>
<input>
<name value="src"/>
<mode value="source"/>
</input>
<input>
<name value="tgt"/>
<mode value="target"/>
</input>
<rule>
<name value="detailSequence"/>
<source>
<context value="src"/>
<element value="detailSequence"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="detailSequence"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="noteNumber"/>
<source>
<context value="src"/>
<element value="noteNumber"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="noteNumber"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="adjudication"/>
<source>
<context value="src"/>
<element value="adjudication"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="adjudication"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="subDetail"/>
<source>
<context value="src"/>
<element value="subDetail"/>
<variable value="s"/>
</source>
<target>
<context value="tgt"/>
<element value="subDetail"/>
<variable value="t"/>
</target>
<dependent>
<name value="ClaimResponseItemDetailSubDetail"/>
<parameter>
<valueId value="s"/>
</parameter>
<parameter>
<valueId value="t"/>
</parameter>
</dependent>
</rule>
</group>
<group>
<name value="ClaimResponseItemDetailSubDetail"/>
<extends value="BackboneElement"/>
<input>
<name value="src"/>
<mode value="source"/>
</input>
<input>
<name value="tgt"/>
<mode value="target"/>
</input>
<rule>
<name value="subDetailSequence"/>
<source>
<context value="src"/>
<element value="subDetailSequence"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="subDetailSequence"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="noteNumber"/>
<source>
<context value="src"/>
<element value="noteNumber"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="noteNumber"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="adjudication"/>
<source>
<context value="src"/>
<element value="adjudication"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="adjudication"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
</group>
<group>
<name value="ClaimResponseAddItem"/>
<extends value="BackboneElement"/>
<input>
<name value="src"/>
<mode value="source"/>
</input>
<input>
<name value="tgt"/>
<mode value="target"/>
</input>
<rule>
<name value="itemSequence"/>
<source>
<context value="src"/>
<element value="itemSequence"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="itemSequence"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="detailSequence"/>
<source>
<context value="src"/>
<element value="detailSequence"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="detailSequence"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="subdetailSequence"/>
<source>
<context value="src"/>
<element value="subdetailSequence"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="subdetailSequence"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="service"/>
<source>
<context value="src"/>
<element value="service"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="service"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="modifier"/>
<source>
<context value="src"/>
<element value="modifier"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="modifier"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="programCode"/>
<source>
<context value="src"/>
<element value="programCode"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="programCode"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="serviced"/>
<source>
<context value="src"/>
<element value="serviced"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="serviced"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="location"/>
<source>
<context value="src"/>
<element value="location"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="location"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="quantity"/>
<source>
<context value="src"/>
<element value="quantity"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="quantity"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="unitPrice"/>
<source>
<context value="src"/>
<element value="unitPrice"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="unitPrice"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="factor"/>
<source>
<context value="src"/>
<element value="factor"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="factor"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="net"/>
<source>
<context value="src"/>
<element value="net"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="net"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="bodySite"/>
<source>
<context value="src"/>
<element value="bodySite"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="bodySite"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="subSite"/>
<source>
<context value="src"/>
<element value="subSite"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="subSite"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="noteNumber"/>
<source>
<context value="src"/>
<element value="noteNumber"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="noteNumber"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="adjudication"/>
<source>
<context value="src"/>
<element value="adjudication"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="adjudication"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="detail"/>
<source>
<context value="src"/>
<element value="detail"/>
<variable value="s"/>
</source>
<target>
<context value="tgt"/>
<element value="detail"/>
<variable value="t"/>
</target>
<dependent>
<name value="ClaimResponseAddItemDetail"/>
<parameter>
<valueId value="s"/>
</parameter>
<parameter>
<valueId value="t"/>
</parameter>
</dependent>
</rule>
</group>
<group>
<name value="ClaimResponseAddItemDetail"/>
<extends value="BackboneElement"/>
<input>
<name value="src"/>
<mode value="source"/>
</input>
<input>
<name value="tgt"/>
<mode value="target"/>
</input>
<rule>
<name value="service"/>
<source>
<context value="src"/>
<element value="service"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="service"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="modifier"/>
<source>
<context value="src"/>
<element value="modifier"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="modifier"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="programCode"/>
<source>
<context value="src"/>
<element value="programCode"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="programCode"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="quantity"/>
<source>
<context value="src"/>
<element value="quantity"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="quantity"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="unitPrice"/>
<source>
<context value="src"/>
<element value="unitPrice"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="unitPrice"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="factor"/>
<source>
<context value="src"/>
<element value="factor"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="factor"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="net"/>
<source>
<context value="src"/>
<element value="net"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="net"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="noteNumber"/>
<source>
<context value="src"/>
<element value="noteNumber"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="noteNumber"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="adjudication"/>
<source>
<context value="src"/>
<element value="adjudication"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="adjudication"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="subDetail"/>
<source>
<context value="src"/>
<element value="subDetail"/>
<variable value="s"/>
</source>
<target>
<context value="tgt"/>
<element value="subDetail"/>
<variable value="t"/>
</target>
<dependent>
<name value="ClaimResponseAddItemDetailSubDetail"/>
<parameter>
<valueId value="s"/>
</parameter>
<parameter>
<valueId value="t"/>
</parameter>
</dependent>
</rule>
</group>
<group>
<name value="ClaimResponseAddItemDetailSubDetail"/>
<extends value="BackboneElement"/>
<input>
<name value="src"/>
<mode value="source"/>
</input>
<input>
<name value="tgt"/>
<mode value="target"/>
</input>
<rule>
<name value="service"/>
<source>
<context value="src"/>
<element value="service"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="service"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="modifier"/>
<source>
<context value="src"/>
<element value="modifier"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="modifier"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="programCode"/>
<source>
<context value="src"/>
<element value="programCode"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="programCode"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="quantity"/>
<source>
<context value="src"/>
<element value="quantity"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="quantity"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="unitPrice"/>
<source>
<context value="src"/>
<element value="unitPrice"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="unitPrice"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="factor"/>
<source>
<context value="src"/>
<element value="factor"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="factor"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="net"/>
<source>
<context value="src"/>
<element value="net"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="net"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="noteNumber"/>
<source>
<context value="src"/>
<element value="noteNumber"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="noteNumber"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="adjudication"/>
<source>
<context value="src"/>
<element value="adjudication"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="adjudication"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
</group>
<group>
<name value="ClaimResponseError"/>
<extends value="BackboneElement"/>
<input>
<name value="src"/>
<mode value="source"/>
</input>
<input>
<name value="tgt"/>
<mode value="target"/>
</input>
<rule>
<name value="itemSequence"/>
<source>
<context value="src"/>
<element value="itemSequence"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="itemSequence"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="detailSequence"/>
<source>
<context value="src"/>
<element value="detailSequence"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="detailSequence"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="subDetailSequence"/>
<source>
<context value="src"/>
<element value="subDetailSequence"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="subDetailSequence"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="code"/>
<source>
<context value="src"/>
<element value="code"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="code"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
</group>
<group>
<name value="ClaimResponsePayment"/>
<extends value="BackboneElement"/>
<input>
<name value="src"/>
<mode value="source"/>
</input>
<input>
<name value="tgt"/>
<mode value="target"/>
</input>
<rule>
<name value="type"/>
<source>
<context value="src"/>
<element value="type"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="type"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="adjustment"/>
<source>
<context value="src"/>
<element value="adjustment"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="adjustment"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="adjustmentReason"/>
<source>
<context value="src"/>
<element value="adjustmentReason"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="adjustmentReason"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="date"/>
<source>
<context value="src"/>
<element value="date"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="date"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="amount"/>
<source>
<context value="src"/>
<element value="amount"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="amount"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="identifier"/>
<source>
<context value="src"/>
<element value="identifier"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="identifier"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
</group>
<group>
<name value="ClaimResponseProcessNote"/>
<extends value="BackboneElement"/>
<input>
<name value="src"/>
<mode value="source"/>
</input>
<input>
<name value="tgt"/>
<mode value="target"/>
</input>
<rule>
<name value="number"/>
<source>
<context value="src"/>
<element value="number"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="number"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="type"/>
<source>
<context value="src"/>
<element value="type"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="type"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="text"/>
<source>
<context value="src"/>
<element value="text"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="text"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="language"/>
<source>
<context value="src"/>
<element value="language"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="language"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
</group>
<group>
<name value="ClaimResponseInsurance"/>
<extends value="BackboneElement"/>
<input>
<name value="src"/>
<mode value="source"/>
</input>
<input>
<name value="tgt"/>
<mode value="target"/>
</input>
<rule>
<name value="sequence"/>
<source>
<context value="src"/>
<element value="sequence"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="sequence"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="focal"/>
<source>
<context value="src"/>
<element value="focal"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="focal"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="coverage"/>
<source>
<context value="src"/>
<element value="coverage"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="coverage"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="businessArrangement"/>
<source>
<context value="src"/>
<element value="businessArrangement"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="businessArrangement"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="preAuthRef"/>
<source>
<context value="src"/>
<element value="preAuthRef"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="preAuthRef"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="claimResponse"/>
<source>
<context value="src"/>
<element value="claimResponse"/>
<variable value="vvv"/>
</source>
<target>
<context value="tgt"/>
<element value="claimResponse"/>
<variable value="vvv"/>
<transform value="create"/>
</target>
<dependent>
<name value="DefaultMappingGroupAnonymousAlias"/>
<parameter>
<valueId value="vvv"/>
</parameter>
<parameter>
<valueId value="vvv"/>
</parameter>
</dependent>
</rule>
</group>
</StructureMap>
IG © 2022+ HL7 International / FHIR Infrastructure. Package hl7.fhir.uv.xver#0.1.0 based on FHIR 5.0.0. Generated 2024-02-22
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