Extensions for Using Data Elements from FHIR DSTU2 in FHIR R4
0.1.0 - STU
Extensions for Using Data Elements from FHIR DSTU2 in FHIR R4
0.1.0 - STU
Extensions for Using Data Elements from FHIR DSTU2 in FHIR R4 - Downloaded Version null See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 0 |
<ConceptMap xmlns="http://hl7.org/fhir">
<id value="R2-CommunicationRequest-element-map-to-R4"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap R2-CommunicationRequest-element-map-to-R4</b></p><a name="R2-CommunicationRequest-element-map-to-R4"> </a><a name="hcR2-CommunicationRequest-element-map-to-R4"> </a><p>Mapping from http://hl7.org/fhir/1.0 to http://hl7.org/fhir/4.0</p><br/><p><b>Group 1 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/CommunicationRequest|1.0.2</code> to <a href="http://hl7.org/fhir/R4/communicationrequest.html">CommunicationRequestversion: 4.0.1)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>CommunicationRequest.meta (meta)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>CommunicationRequest.meta</td><td>Element `CommunicationRequest.meta` is mapped to FHIR R4 element `CommunicationRequest.meta` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.meta` do not cover the following types: Meta.
The mappings for `CommunicationRequest.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.</td></tr><tr><td>CommunicationRequest.implicitRules (implicitRules)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.implicitRules</td><td>Element `CommunicationRequest.implicitRules` is mapped to FHIR R4 element `CommunicationRequest.implicitRules` as `Equivalent`.
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible.</td></tr><tr><td>CommunicationRequest.language (language)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.language</td><td>Element `CommunicationRequest.language` is mapped to FHIR R4 element `CommunicationRequest.language` as `Equivalent`.
Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).</td></tr><tr><td>CommunicationRequest.text (text)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>CommunicationRequest.text</td><td>Element `CommunicationRequest.text` is mapped to FHIR R4 element `CommunicationRequest.text` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.text` do not cover the following types: Narrative.
The mappings for `CommunicationRequest.text` do not cover the following types based on type expansion: div, status.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.</td></tr><tr><td>CommunicationRequest.contained (contained)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.contained</td><td>Element `CommunicationRequest.contained` is mapped to FHIR R4 element `CommunicationRequest.contained` as `SourceIsBroaderThanTarget`.
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.</td></tr><tr><td>CommunicationRequest.identifier (identifier)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>CommunicationRequest.identifier</td><td>Element `CommunicationRequest.identifier` is mapped to FHIR R4 element `CommunicationRequest.identifier` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.identifier` do not cover the following types: Identifier.
The mappings for `CommunicationRequest.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.</td></tr><tr><td>CommunicationRequest.category (category)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.category</td><td>Element `CommunicationRequest.category` is mapped to FHIR R4 element `CommunicationRequest.category` as `SourceIsNarrowerThanTarget`.</td></tr><tr><td>CommunicationRequest.sender (sender)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>CommunicationRequest.sender</td><td>Element `CommunicationRequest.sender` is mapped to FHIR R4 element `CommunicationRequest.sender` as `RelatedTo`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CommunicationRequest.sender` with unmapped reference targets: Device, Organization, Patient, Practitioner, RelatedPerson.</td></tr><tr><td>CommunicationRequest.recipient (recipient)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>CommunicationRequest.recipient</td><td>Element `CommunicationRequest.recipient` is mapped to FHIR R4 element `CommunicationRequest.recipient` as `RelatedTo`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CommunicationRequest.recipient` with unmapped reference targets: Device, Organization, Patient, Practitioner, RelatedPerson.</td></tr><tr><td>CommunicationRequest.payload (payload)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>CommunicationRequest.payload</td><td>Element `CommunicationRequest.payload` is mapped to FHIR R4 element `CommunicationRequest.payload` as `Equivalent`.</td></tr><tr><td>CommunicationRequest.payload.content[x] (content[x])</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>CommunicationRequest.payload.content[x]</td><td>Element `CommunicationRequest.payload.content[x]` is mapped to FHIR R4 element `CommunicationRequest.payload.content[x]` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.payload.content[x]` do not cover the following types: Attachment.
The target context `CommunicationRequest.payload.content[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `CommunicationRequest.payload`.
The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR DSTU2 element `CommunicationRequest.payload.content[x]` with unmapped reference targets: Resource.
Source element `CommunicationRequest.payload.content[x]` has unmapped reference types. While the target element `CommunicationRequest.payload.content[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.</td></tr><tr><td>CommunicationRequest.medium (medium)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.medium</td><td>Element `CommunicationRequest.medium` is mapped to FHIR R4 element `CommunicationRequest.medium` as `Equivalent`.</td></tr><tr><td>CommunicationRequest.requester (requester)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>CommunicationRequest.requester</td><td>Element `CommunicationRequest.requester` is mapped to FHIR R4 element `CommunicationRequest.requester` as `SourceIsBroaderThanTarget`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CommunicationRequest.requester` with unmapped reference targets: Patient, Practitioner, RelatedPerson.</td></tr><tr><td>CommunicationRequest.status (status)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>CommunicationRequest.status</td><td>Element `CommunicationRequest.status` is mapped to FHIR R4 element `CommunicationRequest.status` as `RelatedTo`.
The mappings for `CommunicationRequest.status` do not allow expression of the necessary codes, per the bindings on the source and target.
The target context `CommunicationRequest.status` is a modifier element, so this extension does not need to be defined as a modifier.</td></tr><tr><td>CommunicationRequest.encounter (encounter)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>CommunicationRequest.encounter</td><td>Element `CommunicationRequest.encounter` is mapped to FHIR R4 element `CommunicationRequest.encounter` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.encounter` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CommunicationRequest.encounter` with unmapped reference targets: Encounter.</td></tr><tr><td>CommunicationRequest.scheduled[x] (scheduled[x])</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.occurrence[x]</td><td>Element `CommunicationRequest.scheduled[x]` is mapped to FHIR R4 element `CommunicationRequest.occurrence[x]` as `SourceIsBroaderThanTarget`.
The target context `CommunicationRequest.occurrence[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `CommunicationRequest`.</td></tr><tr><td>CommunicationRequest.reason (reason)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.reasonCode</td><td>Element `CommunicationRequest.reason` is mapped to FHIR R4 element `CommunicationRequest.reasonCode` as `Equivalent`.</td></tr><tr><td>CommunicationRequest.requestedOn (requestedOn)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.authoredOn</td><td>Element `CommunicationRequest.requestedOn` is mapped to FHIR R4 element `CommunicationRequest.authoredOn` as `Equivalent`.</td></tr><tr><td>CommunicationRequest.subject (subject)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>CommunicationRequest.subject</td><td>Element `CommunicationRequest.subject` is mapped to FHIR R4 element `CommunicationRequest.subject` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.subject` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CommunicationRequest.subject` with unmapped reference targets: Patient.</td></tr><tr><td>CommunicationRequest.priority (priority)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>CommunicationRequest.priority</td><td>Element `CommunicationRequest.priority` is mapped to FHIR R4 element `CommunicationRequest.priority` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.priority` do not cover the following types: CodeableConcept.
The mappings for `CommunicationRequest.priority` do not cover the following types based on type expansion: coding.</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/CommunicationRequest|1.0.2</code> to <a href="StructureDefinition-ext-R2-CommunicationRequest.meta.html">DSTU2: meta additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>CommunicationRequest.meta (meta)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (DSTU2: meta additional types)</td><td>Element `CommunicationRequest.meta` is mapped to FHIR R4 element `CommunicationRequest.meta` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.meta` do not cover the following types: Meta.
The mappings for `CommunicationRequest.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.</td></tr></table><hr/><p><b>Group 3 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/CommunicationRequest|1.0.2</code> to <a href="StructureDefinition-ext-R2-CommunicationRequest.text.html">DSTU2: text additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>CommunicationRequest.text (text)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (DSTU2: text additional types)</td><td>Element `CommunicationRequest.text` is mapped to FHIR R4 element `CommunicationRequest.text` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.text` do not cover the following types: Narrative.
The mappings for `CommunicationRequest.text` do not cover the following types based on type expansion: div, status.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.</td></tr></table><hr/><p><b>Group 4 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/CommunicationRequest|1.0.2</code> to <a href="StructureDefinition-ext-R2-CommunicationRequest.identifier.html">DSTU2: identifier additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>CommunicationRequest.identifier (identifier)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (DSTU2: identifier additional types)</td><td>Element `CommunicationRequest.identifier` is mapped to FHIR R4 element `CommunicationRequest.identifier` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.identifier` do not cover the following types: Identifier.
The mappings for `CommunicationRequest.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.</td></tr></table><hr/><p><b>Group 5 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/CommunicationRequest|1.0.2</code> to <a href="StructureDefinition-ext-R2-CommunicationRequest.pay.content.html">DSTU2: content additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>CommunicationRequest.payload.content[x] (content[x])</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (DSTU2: content additional types)</td><td>Element `CommunicationRequest.payload.content[x]` is mapped to FHIR R4 element `CommunicationRequest.payload.content[x]` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.payload.content[x]` do not cover the following types: Attachment.
The target context `CommunicationRequest.payload.content[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `CommunicationRequest.payload`.
The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR DSTU2 element `CommunicationRequest.payload.content[x]` with unmapped reference targets: Resource.
Source element `CommunicationRequest.payload.content[x]` has unmapped reference types. While the target element `CommunicationRequest.payload.content[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.</td></tr></table><hr/><p><b>Group 6 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/CommunicationRequest|1.0.2</code> to <a href="http://hl7.org/fhir/extensions/5.2.0/StructureDefinition-alternate-reference.html">Alternate Referenceversion: 5.2.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>CommunicationRequest.payload.content[x] (content[x])</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (Alternative reference (target type is wrong))</td><td>Element `CommunicationRequest.payload.content[x]` is mapped to FHIR R4 element `CommunicationRequest.payload.content[x]` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.payload.content[x]` do not cover the following types: Attachment.
The target context `CommunicationRequest.payload.content[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `CommunicationRequest.payload`.
The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR DSTU2 element `CommunicationRequest.payload.content[x]` with unmapped reference targets: Resource.
Source element `CommunicationRequest.payload.content[x]` has unmapped reference types. While the target element `CommunicationRequest.payload.content[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.</td></tr></table><hr/><p><b>Group 7 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/CommunicationRequest|1.0.2</code> to <a href="StructureDefinition-ext-R2-CommunicationRequest.status.html">DSTU2: proposed | planned | requested | received | accepted | in-progress | completed | suspended | rejected | failed additional codesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>CommunicationRequest.status (status)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (DSTU2: proposed | planned | requested | received | accepted | in-progress | completed | suspended | rejected | failed additional codes)</td><td>Element `CommunicationRequest.status` is mapped to FHIR R4 element `CommunicationRequest.status` as `RelatedTo`.
The mappings for `CommunicationRequest.status` do not allow expression of the necessary codes, per the bindings on the source and target.
The target context `CommunicationRequest.status` is a modifier element, so this extension does not need to be defined as a modifier.</td></tr></table><hr/><p><b>Group 8 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/CommunicationRequest|1.0.2</code> to <a href="StructureDefinition-ext-R2-CommunicationRequest.priority.html">DSTU2: Message urgency additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>CommunicationRequest.priority (priority)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (DSTU2: Message urgency additional types)</td><td>Element `CommunicationRequest.priority` is mapped to FHIR R4 element `CommunicationRequest.priority` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.priority` do not cover the following types: CodeableConcept.
The mappings for `CommunicationRequest.priority` do not cover the following types based on type expansion: coding.</td></tr></table></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="0">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r4"/>
</extension>
</valueInteger>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="trial-use">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r4"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/uv/xver/ConceptMap/R2-CommunicationRequest-element-map-to-R4"/>
<version value="0.1.0"/>
<name value="R2CommunicationRequestElementMapToR4"/>
<title
value="Cross-version mapping for FHIR DSTU2 CommunicationRequest to FHIR R4 CommunicationRequest"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-03-17T16:04:03.0823848-05:00"/>
<contact>
<name value="FHIR Infrastructure"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/fiwg"/>
</telecom>
</contact>
<description
value="This ConceptMap represents cross-version mappings for elements from a FHIR DSTU2 CommunicationRequest to FHIR R4."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<sourceCanonical value="http://hl7.org/fhir/1.0"/>
<targetUri value="http://hl7.org/fhir/4.0"/>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/CommunicationRequest"/>
<sourceVersion value="1.0.2"/>
<target
value="http://hl7.org/fhir/StructureDefinition/CommunicationRequest"/>
<targetVersion value="4.0.1"/>
<element>
<code value="CommunicationRequest.meta"/>
<display value="meta"/>
<target>
<code value="CommunicationRequest.meta"/>
<display value="CommunicationRequest.meta"/>
<equivalence value="wider"/>
<comment
value="Element `CommunicationRequest.meta` is mapped to FHIR R4 element `CommunicationRequest.meta` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.meta` do not cover the following types: Meta.
The mappings for `CommunicationRequest.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."/>
</target>
</element>
<element>
<code value="CommunicationRequest.implicitRules"/>
<display value="implicitRules"/>
<target>
<code value="CommunicationRequest.implicitRules"/>
<display value="CommunicationRequest.implicitRules"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.implicitRules` is mapped to FHIR R4 element `CommunicationRequest.implicitRules` as `Equivalent`.
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible."/>
</target>
</element>
<element>
<code value="CommunicationRequest.language"/>
<display value="language"/>
<target>
<code value="CommunicationRequest.language"/>
<display value="CommunicationRequest.language"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.language` is mapped to FHIR R4 element `CommunicationRequest.language` as `Equivalent`.
Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
</target>
</element>
<element>
<code value="CommunicationRequest.text"/>
<display value="text"/>
<target>
<code value="CommunicationRequest.text"/>
<display value="CommunicationRequest.text"/>
<equivalence value="wider"/>
<comment
value="Element `CommunicationRequest.text` is mapped to FHIR R4 element `CommunicationRequest.text` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.text` do not cover the following types: Narrative.
The mappings for `CommunicationRequest.text` do not cover the following types based on type expansion: div, status.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative."/>
</target>
</element>
<element>
<code value="CommunicationRequest.contained"/>
<display value="contained"/>
<target>
<code value="CommunicationRequest.contained"/>
<display value="CommunicationRequest.contained"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.contained` is mapped to FHIR R4 element `CommunicationRequest.contained` as `SourceIsBroaderThanTarget`.
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/>
</target>
</element>
<element>
<code value="CommunicationRequest.identifier"/>
<display value="identifier"/>
<target>
<code value="CommunicationRequest.identifier"/>
<display value="CommunicationRequest.identifier"/>
<equivalence value="wider"/>
<comment
value="Element `CommunicationRequest.identifier` is mapped to FHIR R4 element `CommunicationRequest.identifier` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.identifier` do not cover the following types: Identifier.
The mappings for `CommunicationRequest.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."/>
</target>
</element>
<element>
<code value="CommunicationRequest.category"/>
<display value="category"/>
<target>
<code value="CommunicationRequest.category"/>
<display value="CommunicationRequest.category"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.category` is mapped to FHIR R4 element `CommunicationRequest.category` as `SourceIsNarrowerThanTarget`."/>
</target>
</element>
<element>
<code value="CommunicationRequest.sender"/>
<display value="sender"/>
<target>
<code value="CommunicationRequest.sender"/>
<display value="CommunicationRequest.sender"/>
<equivalence value="wider"/>
<comment
value="Element `CommunicationRequest.sender` is mapped to FHIR R4 element `CommunicationRequest.sender` as `RelatedTo`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CommunicationRequest.sender` with unmapped reference targets: Device, Organization, Patient, Practitioner, RelatedPerson."/>
</target>
</element>
<element>
<code value="CommunicationRequest.recipient"/>
<display value="recipient"/>
<target>
<code value="CommunicationRequest.recipient"/>
<display value="CommunicationRequest.recipient"/>
<equivalence value="wider"/>
<comment
value="Element `CommunicationRequest.recipient` is mapped to FHIR R4 element `CommunicationRequest.recipient` as `RelatedTo`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CommunicationRequest.recipient` with unmapped reference targets: Device, Organization, Patient, Practitioner, RelatedPerson."/>
</target>
</element>
<element>
<code value="CommunicationRequest.payload"/>
<display value="payload"/>
<target>
<code value="CommunicationRequest.payload"/>
<display value="CommunicationRequest.payload"/>
<equivalence value="wider"/>
<comment
value="Element `CommunicationRequest.payload` is mapped to FHIR R4 element `CommunicationRequest.payload` as `Equivalent`."/>
</target>
</element>
<element>
<code value="CommunicationRequest.payload.content[x]"/>
<display value="content[x]"/>
<target>
<code value="CommunicationRequest.payload.content[x]"/>
<display value="CommunicationRequest.payload.content[x]"/>
<equivalence value="wider"/>
<comment
value="Element `CommunicationRequest.payload.content[x]` is mapped to FHIR R4 element `CommunicationRequest.payload.content[x]` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.payload.content[x]` do not cover the following types: Attachment.
The target context `CommunicationRequest.payload.content[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `CommunicationRequest.payload`.
The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR DSTU2 element `CommunicationRequest.payload.content[x]` with unmapped reference targets: Resource.
Source element `CommunicationRequest.payload.content[x]` has unmapped reference types. While the target element `CommunicationRequest.payload.content[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it."/>
</target>
</element>
<element>
<code value="CommunicationRequest.medium"/>
<display value="medium"/>
<target>
<code value="CommunicationRequest.medium"/>
<display value="CommunicationRequest.medium"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.medium` is mapped to FHIR R4 element `CommunicationRequest.medium` as `Equivalent`."/>
</target>
</element>
<element>
<code value="CommunicationRequest.requester"/>
<display value="requester"/>
<target>
<code value="CommunicationRequest.requester"/>
<display value="CommunicationRequest.requester"/>
<equivalence value="wider"/>
<comment
value="Element `CommunicationRequest.requester` is mapped to FHIR R4 element `CommunicationRequest.requester` as `SourceIsBroaderThanTarget`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CommunicationRequest.requester` with unmapped reference targets: Patient, Practitioner, RelatedPerson."/>
</target>
</element>
<element>
<code value="CommunicationRequest.status"/>
<display value="status"/>
<target>
<code value="CommunicationRequest.status"/>
<display value="CommunicationRequest.status"/>
<equivalence value="wider"/>
<comment
value="Element `CommunicationRequest.status` is mapped to FHIR R4 element `CommunicationRequest.status` as `RelatedTo`.
The mappings for `CommunicationRequest.status` do not allow expression of the necessary codes, per the bindings on the source and target.
The target context `CommunicationRequest.status` is a modifier element, so this extension does not need to be defined as a modifier."/>
</target>
</element>
<element>
<code value="CommunicationRequest.encounter"/>
<display value="encounter"/>
<target>
<code value="CommunicationRequest.encounter"/>
<display value="CommunicationRequest.encounter"/>
<equivalence value="wider"/>
<comment
value="Element `CommunicationRequest.encounter` is mapped to FHIR R4 element `CommunicationRequest.encounter` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.encounter` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CommunicationRequest.encounter` with unmapped reference targets: Encounter."/>
</target>
</element>
<element>
<code value="CommunicationRequest.scheduled[x]"/>
<display value="scheduled[x]"/>
<target>
<code value="CommunicationRequest.occurrence[x]"/>
<display value="CommunicationRequest.occurrence[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.scheduled[x]` is mapped to FHIR R4 element `CommunicationRequest.occurrence[x]` as `SourceIsBroaderThanTarget`.
The target context `CommunicationRequest.occurrence[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `CommunicationRequest`."/>
</target>
</element>
<element>
<code value="CommunicationRequest.reason"/>
<display value="reason"/>
<target>
<code value="CommunicationRequest.reasonCode"/>
<display value="CommunicationRequest.reasonCode"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.reason` is mapped to FHIR R4 element `CommunicationRequest.reasonCode` as `Equivalent`."/>
</target>
</element>
<element>
<code value="CommunicationRequest.requestedOn"/>
<display value="requestedOn"/>
<target>
<code value="CommunicationRequest.authoredOn"/>
<display value="CommunicationRequest.authoredOn"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.requestedOn` is mapped to FHIR R4 element `CommunicationRequest.authoredOn` as `Equivalent`."/>
</target>
</element>
<element>
<code value="CommunicationRequest.subject"/>
<display value="subject"/>
<target>
<code value="CommunicationRequest.subject"/>
<display value="CommunicationRequest.subject"/>
<equivalence value="wider"/>
<comment
value="Element `CommunicationRequest.subject` is mapped to FHIR R4 element `CommunicationRequest.subject` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.subject` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CommunicationRequest.subject` with unmapped reference targets: Patient."/>
</target>
</element>
<element>
<code value="CommunicationRequest.priority"/>
<display value="priority"/>
<target>
<code value="CommunicationRequest.priority"/>
<display value="CommunicationRequest.priority"/>
<equivalence value="wider"/>
<comment
value="Element `CommunicationRequest.priority` is mapped to FHIR R4 element `CommunicationRequest.priority` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.priority` do not cover the following types: CodeableConcept.
The mappings for `CommunicationRequest.priority` do not cover the following types based on type expansion: coding."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/CommunicationRequest"/>
<sourceVersion value="1.0.2"/>
<target
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-CommunicationRequest.meta"/>
<targetVersion value="0.1.0"/>
<element>
<code value="CommunicationRequest.meta"/>
<display value="meta"/>
<target>
<code value="Extension"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.meta` is mapped to FHIR R4 element `CommunicationRequest.meta` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.meta` do not cover the following types: Meta.
The mappings for `CommunicationRequest.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/CommunicationRequest"/>
<sourceVersion value="1.0.2"/>
<target
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-CommunicationRequest.text"/>
<targetVersion value="0.1.0"/>
<element>
<code value="CommunicationRequest.text"/>
<display value="text"/>
<target>
<code value="Extension"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.text` is mapped to FHIR R4 element `CommunicationRequest.text` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.text` do not cover the following types: Narrative.
The mappings for `CommunicationRequest.text` do not cover the following types based on type expansion: div, status.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/CommunicationRequest"/>
<sourceVersion value="1.0.2"/>
<target
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-CommunicationRequest.identifier"/>
<targetVersion value="0.1.0"/>
<element>
<code value="CommunicationRequest.identifier"/>
<display value="identifier"/>
<target>
<code value="Extension"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.identifier` is mapped to FHIR R4 element `CommunicationRequest.identifier` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.identifier` do not cover the following types: Identifier.
The mappings for `CommunicationRequest.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/CommunicationRequest"/>
<sourceVersion value="1.0.2"/>
<target
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-CommunicationRequest.payload.content"/>
<targetVersion value="0.1.0"/>
<element>
<code value="CommunicationRequest.payload.content[x]"/>
<display value="content[x]"/>
<target>
<code value="Extension"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.payload.content[x]` is mapped to FHIR R4 element `CommunicationRequest.payload.content[x]` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.payload.content[x]` do not cover the following types: Attachment.
The target context `CommunicationRequest.payload.content[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `CommunicationRequest.payload`.
The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR DSTU2 element `CommunicationRequest.payload.content[x]` with unmapped reference targets: Resource.
Source element `CommunicationRequest.payload.content[x]` has unmapped reference types. While the target element `CommunicationRequest.payload.content[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/CommunicationRequest"/>
<sourceVersion value="1.0.2"/>
<target
value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/>
<targetVersion value="5.2.0"/>
<element>
<code value="CommunicationRequest.payload.content[x]"/>
<display value="content[x]"/>
<target>
<code value="Extension"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.payload.content[x]` is mapped to FHIR R4 element `CommunicationRequest.payload.content[x]` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.payload.content[x]` do not cover the following types: Attachment.
The target context `CommunicationRequest.payload.content[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `CommunicationRequest.payload`.
The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR DSTU2 element `CommunicationRequest.payload.content[x]` with unmapped reference targets: Resource.
Source element `CommunicationRequest.payload.content[x]` has unmapped reference types. While the target element `CommunicationRequest.payload.content[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/CommunicationRequest"/>
<sourceVersion value="1.0.2"/>
<target
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-CommunicationRequest.status"/>
<targetVersion value="0.1.0"/>
<element>
<code value="CommunicationRequest.status"/>
<display value="status"/>
<target>
<code value="Extension"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.status` is mapped to FHIR R4 element `CommunicationRequest.status` as `RelatedTo`.
The mappings for `CommunicationRequest.status` do not allow expression of the necessary codes, per the bindings on the source and target.
The target context `CommunicationRequest.status` is a modifier element, so this extension does not need to be defined as a modifier."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/CommunicationRequest"/>
<sourceVersion value="1.0.2"/>
<target
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-CommunicationRequest.priority"/>
<targetVersion value="0.1.0"/>
<element>
<code value="CommunicationRequest.priority"/>
<display value="priority"/>
<target>
<code value="Extension"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.priority` is mapped to FHIR R4 element `CommunicationRequest.priority` as `SourceIsBroaderThanTarget`.
The mappings for `CommunicationRequest.priority` do not cover the following types: CodeableConcept.
The mappings for `CommunicationRequest.priority` do not cover the following types based on type expansion: coding."/>
</target>
</element>
</group>
</ConceptMap>
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r2.r4#0.1.0 based on FHIR 4.0.1. Generated 2026-03-20
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