<status value="active"/> <experimental value="false"/> <date value="2026-03-17T16:03:23.2900632-05:00"/> <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 STU3 Communication 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/3.0"/> <targetUri value="http://hl7.org/fhir/4.0"/> <group> <source value="http://hl7.org/fhir/StructureDefinition/Communication"/> <sourceVersion value="3.0.2"/> <target value="http://hl7.org/fhir/StructureDefinition/Communication"/> <targetVersion value="4.0.1"/> <element> <code value="Communication.meta"/> <display value="meta"/> <target> <code value="Communication.meta"/> <display value="Communication.meta"/> <equivalence value="equivalent"/> <comment value="Element `Communication.meta` is mapped to FHIR R4 element `Communication.meta` as `Equivalent`."/> </target> </element> <element> <code value="Communication.implicitRules"/> <display value="implicitRules"/> <target> <code value="Communication.implicitRules"/> <display value="Communication.implicitRules"/> <equivalence value="equivalent"/> <comment value="Element `Communication.implicitRules` is mapped to FHIR R4 element `Communication.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. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation."/> </target> </element> <element> <code value="Communication.language"/> <display value="language"/> <target> <code value="Communication.language"/> <display value="Communication.language"/> <equivalence value="equivalent"/> <comment value="Element `Communication.language` is mapped to FHIR R4 element `Communication.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="Communication.text"/> <display value="text"/> <target> <code value="Communication.text"/> <display value="Communication.text"/> <equivalence value="equivalent"/> <comment value="Element `Communication.text` is mapped to FHIR R4 element `Communication.text` as `Equivalent`. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later."/> </target> </element> <element> <code value="Communication.contained"/> <display value="contained"/> <target> <code value="Communication.contained"/> <display value="Communication.contained"/> <equivalence value="equivalent"/> <comment value="Element `Communication.contained` is mapped to FHIR R4 element `Communication.contained` as `Equivalent`. 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="Communication.identifier"/> <display value="identifier"/> <target> <code value="Communication.identifier"/> <display value="Communication.identifier"/> <equivalence value="equivalent"/> <comment value="Element `Communication.identifier` is mapped to FHIR R4 element `Communication.identifier` as `Equivalent`."/> </target> </element> <element> <code value="Communication.basedOn"/> <display value="basedOn"/> <target> <code value="Communication.basedOn"/> <display value="Communication.basedOn"/> <equivalence value="equivalent"/> <comment value="Element `Communication.basedOn` is mapped to FHIR R4 element `Communication.basedOn` as `Equivalent`. This must point to some sort of a 'Request' resource, such as CarePlan, CommunicationRequest, ReferralRequest, MedicationRequest, etc."/> </target> </element> <element> <code value="Communication.partOf"/> <display value="partOf"/> <target> <code value="Communication.partOf"/> <display value="Communication.partOf"/> <equivalence value="equivalent"/> <comment value="Element `Communication.partOf` is mapped to FHIR R4 element `Communication.partOf` as `Equivalent`."/> </target> </element> <element> <code value="Communication.status"/> <display value="status"/> <target> <code value="Communication.status"/> <display value="Communication.status"/> <equivalence value="wider"/> <comment value="Element `Communication.status` is mapped to FHIR R4 element `Communication.status` as `RelatedTo`. The mappings for `Communication.status` do not allow expression of the necessary codes, per the bindings on the source and target. The target context `Communication.status` is a modifier element, so this extension does not need to be defined as a modifier. This element is labeled as a modifier because the status contains the codes aborted and entered-in-error that mark the communication as not currently valid."/> </target> </element> <element> <code value="Communication.category"/> <display value="category"/> <target> <code value="Communication.category"/> <display value="Communication.category"/> <equivalence value="equivalent"/> <comment value="Element `Communication.category` is mapped to FHIR R4 element `Communication.category` as `Equivalent`. There may be multiple axes of categorization and one communication may serve multiple purposes."/> </target> </element> <element> <code value="Communication.medium"/> <display value="medium"/> <target> <code value="Communication.medium"/> <display value="Communication.medium"/> <equivalence value="equivalent"/> <comment value="Element `Communication.medium` is mapped to FHIR R4 element `Communication.medium` as `Equivalent`."/> </target> </element> <element> <code value="Communication.subject"/> <display value="subject"/> <target> <code value="Communication.subject"/> <display value="Communication.subject"/> <equivalence value="equivalent"/> <comment value="Element `Communication.subject` is mapped to FHIR R4 element `Communication.subject` as `Equivalent`."/> </target> </element> <element> <code value="Communication.recipient"/> <display value="recipient"/> <target> <code value="Communication.recipient"/> <display value="Communication.recipient"/> <equivalence value="equivalent"/> <comment value="Element `Communication.recipient` is mapped to FHIR R4 element `Communication.recipient` as `Equivalent`."/> </target> </element> <element> <code value="Communication.context"/> <display value="context"/> <target> <code value="Communication.encounter"/> <display value="Communication.encounter"/> <equivalence value="wider"/> <comment value="Element `Communication.context` is mapped to FHIR R4 element `Communication.encounter` as `SourceIsBroaderThanTarget`. The mappings for `Communication.context` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Communication.context` with unmapped reference targets: EpisodeOfCare."/> </target> </element> <element> <code value="Communication.sent"/> <display value="sent"/> <target> <code value="Communication.sent"/> <display value="Communication.sent"/> <equivalence value="equivalent"/> <comment value="Element `Communication.sent` is mapped to FHIR R4 element `Communication.sent` as `Equivalent`."/> </target> </element> <element> <code value="Communication.received"/> <display value="received"/> <target> <code value="Communication.received"/> <display value="Communication.received"/> <equivalence value="equivalent"/> <comment value="Element `Communication.received` is mapped to FHIR R4 element `Communication.received` as `Equivalent`."/> </target> </element> <element> <code value="Communication.sender"/> <display value="sender"/> <target> <code value="Communication.sender"/> <display value="Communication.sender"/> <equivalence value="equivalent"/> <comment value="Element `Communication.sender` is mapped to FHIR R4 element `Communication.sender` as `Equivalent`."/> </target> </element> <element> <code value="Communication.reasonCode"/> <display value="reasonCode"/> <target> <code value="Communication.reasonCode"/> <display value="Communication.reasonCode"/> <equivalence value="equivalent"/> <comment value="Element `Communication.reasonCode` is mapped to FHIR R4 element `Communication.reasonCode` as `Equivalent`. Textual reasons can be caprued using reasonCode.text."/> </target> </element> <element> <code value="Communication.reasonReference"/> <display value="reasonReference"/> <target> <code value="Communication.reasonReference"/> <display value="Communication.reasonReference"/> <equivalence value="equivalent"/> <comment value="Element `Communication.reasonReference` is mapped to FHIR R4 element `Communication.reasonReference` as `Equivalent`."/> </target> </element> <element> <code value="Communication.payload"/> <display value="payload"/> <target> <code value="Communication.payload"/> <display value="Communication.payload"/> <equivalence value="wider"/> <comment value="Element `Communication.payload` is mapped to FHIR R4 element `Communication.payload` as `Equivalent`."/> </target> </element> <element> <code value="Communication.payload.content[x]"/> <display value="content[x]"/> <target> <code value="Communication.payload.content[x]"/> <display value="Communication.payload.content[x]"/> <equivalence value="equivalent"/> <comment value="Element `Communication.payload.content[x]` is mapped to FHIR R4 element `Communication.payload.content[x]` as `Equivalent`. The target context `Communication.payload.content[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Communication.payload`."/> </target> </element> <element> <code value="Communication.note"/> <display value="note"/> <target> <code value="Communication.note"/> <display value="Communication.note"/> <equivalence value="equivalent"/> <comment value="Element `Communication.note` is mapped to FHIR R4 element `Communication.note` as `Equivalent`."/> </target> </element> </group> <group> <source value="http://hl7.org/fhir/StructureDefinition/Communication"/> <sourceVersion value="3.0.2"/> <target value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Communication.definition"/> <targetVersion value="0.1.0"/> <element> <code value="Communication.definition"/> <display value="definition"/> <target> <code value="Extension"/> <equivalence value="equivalent"/> <comment value="Element `Communication.definition` has a context of Communication based on following the parent source element upwards and mapping to `Communication`. Element `Communication.definition` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/> </target> </element> </group> <group> <source value="http://hl7.org/fhir/StructureDefinition/Communication"/> <sourceVersion value="3.0.2"/> <target value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Communication.status"/> <targetVersion value="0.1.0"/> <element> <code value="Communication.status"/> <display value="status"/> <target> <code value="Extension"/> <equivalence value="equivalent"/> <comment value="Element `Communication.status` is mapped to FHIR R4 element `Communication.status` as `RelatedTo`. The mappings for `Communication.status` do not allow expression of the necessary codes, per the bindings on the source and target. The target context `Communication.status` is a modifier element, so this extension does not need to be defined as a modifier. This element is labeled as a modifier because the status contains the codes aborted and entered-in-error that mark the communication as not currently valid."/> </target> </element> </group> <group> <source value="http://hl7.org/fhir/StructureDefinition/Communication"/> <sourceVersion value="3.0.2"/> <target value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Communication.notDone"/> <targetVersion value="0.1.0"/> <element> <code value="Communication.notDone"/> <display value="notDone"/> <target> <code value="Extension"/> <equivalence value="equivalent"/> <comment value="Element `Communication.notDone` has a context of Communication based on following the parent source element upwards and mapping to `Communication`. Element `Communication.notDone` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This element is labeled as a modifier because it marks the communication as a communication that did not occur. The more attributes are populated, the more constrained the negated statement is."/> </target> </element> </group> <group> <source value="http://hl7.org/fhir/StructureDefinition/Communication"/> <sourceVersion value="3.0.2"/> <target value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Communication.notDoneReason"/> <targetVersion value="0.1.0"/> <element> <code value="Communication.notDoneReason"/> <display value="notDoneReason"/> <target> <code value="Extension"/> <equivalence value="equivalent"/> <comment value="Element `Communication.notDoneReason` has a context of Communication based on following the parent source element upwards and mapping to `Communication`. Element `Communication.notDoneReason` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/> </target> </element> </group> <group> <source value="http://hl7.org/fhir/StructureDefinition/Communication"/> <sourceVersion value="3.0.2"/> <target value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Communication.topic"/> <targetVersion value="0.1.0"/> <element> <code value="Communication.topic"/> <display value="topic"/> <target> <code value="Extension"/> <equivalence value="equivalent"/> <comment value="Element `Communication.topic` has a context of Communication based on following the parent source element upwards and mapping to `Communication`. Element `Communication.topic` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/> </target> </element> </group> </ConceptMap>

Generated Narrative: ConceptMap R3-Communication-element-map-to-R4

Mapping from http://hl7.org/fhir/3.0 to http://hl7.org/fhir/4.0

Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/Communication|3.0.2 to Communicationversion: 4.0.1)

Source Code

Relationship

Target Code

Comment

Communication.meta (meta)

is equivalent to

Communication.meta

Element `Communication.meta` is mapped to FHIR R4 element `Communication.meta` as `Equivalent`.

Communication.implicitRules (implicitRules)

is equivalent to

Communication.implicitRules

Element `Communication.implicitRules` is mapped to FHIR R4 element `Communication.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. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

Communication.language (language)

is equivalent to

Communication.language

Element `Communication.language` is mapped to FHIR R4 element `Communication.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).

Communication.text (text)

is equivalent to

Communication.text

Element `Communication.text` is mapped to FHIR R4 element `Communication.text` as `Equivalent`. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.

Communication.contained (contained)

is equivalent to

Communication.contained

Element `Communication.contained` is mapped to FHIR R4 element `Communication.contained` as `Equivalent`. 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.

Communication.identifier (identifier)

is equivalent to

Communication.identifier

Element `Communication.identifier` is mapped to FHIR R4 element `Communication.identifier` as `Equivalent`.

Communication.basedOn (basedOn)

is equivalent to

Communication.basedOn

Element `Communication.basedOn` is mapped to FHIR R4 element `Communication.basedOn` as `Equivalent`. This must point to some sort of a 'Request' resource, such as CarePlan, CommunicationRequest, ReferralRequest, MedicationRequest, etc.

Communication.partOf (partOf)

is equivalent to

Communication.partOf

Element `Communication.partOf` is mapped to FHIR R4 element `Communication.partOf` as `Equivalent`.

Communication.status (status)

maps to wider concept

Communication.status

Element `Communication.status` is mapped to FHIR R4 element `Communication.status` as `RelatedTo`. The mappings for `Communication.status` do not allow expression of the necessary codes, per the bindings on the source and target. The target context `Communication.status` is a modifier element, so this extension does not need to be defined as a modifier. This element is labeled as a modifier because the status contains the codes aborted and entered-in-error that mark the communication as not currently valid.

Communication.category (category)

is equivalent to

Communication.category

Element `Communication.category` is mapped to FHIR R4 element `Communication.category` as `Equivalent`. There may be multiple axes of categorization and one communication may serve multiple purposes.

Communication.medium (medium)

is equivalent to

Communication.medium

Element `Communication.medium` is mapped to FHIR R4 element `Communication.medium` as `Equivalent`.

Communication.subject (subject)

is equivalent to

Communication.subject

Element `Communication.subject` is mapped to FHIR R4 element `Communication.subject` as `Equivalent`.

Communication.recipient (recipient)

is equivalent to

Communication.recipient

Element `Communication.recipient` is mapped to FHIR R4 element `Communication.recipient` as `Equivalent`.

Communication.context (context)

maps to wider concept

Communication.encounter

Element `Communication.context` is mapped to FHIR R4 element `Communication.encounter` as `SourceIsBroaderThanTarget`. The mappings for `Communication.context` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Communication.context` with unmapped reference targets: EpisodeOfCare.

Communication.sent (sent)

is equivalent to

Communication.sent

Element `Communication.sent` is mapped to FHIR R4 element `Communication.sent` as `Equivalent`.

Communication.received (received)

is equivalent to

Communication.received

Element `Communication.received` is mapped to FHIR R4 element `Communication.received` as `Equivalent`.

Communication.sender (sender)

is equivalent to

Communication.sender

Element `Communication.sender` is mapped to FHIR R4 element `Communication.sender` as `Equivalent`.

Communication.reasonCode (reasonCode)

is equivalent to

Communication.reasonCode

Element `Communication.reasonCode` is mapped to FHIR R4 element `Communication.reasonCode` as `Equivalent`. Textual reasons can be caprued using reasonCode.text.

Communication.reasonReference (reasonReference)

is equivalent to

Communication.reasonReference

Element `Communication.reasonReference` is mapped to FHIR R4 element `Communication.reasonReference` as `Equivalent`.

Communication.payload (payload)

maps to wider concept

Communication.payload

Element `Communication.payload` is mapped to FHIR R4 element `Communication.payload` as `Equivalent`.

Communication.payload.content[x] (content[x])

is equivalent to

Communication.payload.content[x]

Element `Communication.payload.content[x]` is mapped to FHIR R4 element `Communication.payload.content[x]` as `Equivalent`. The target context `Communication.payload.content[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Communication.payload`.

Communication.note (note)

is equivalent to

Communication.note

Element `Communication.note` is mapped to FHIR R4 element `Communication.note` as `Equivalent`.

Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/Communication|3.0.2 to STU3: Instantiates protocol or definition (new)version: 0.1.0)

Source Code

Relationship

Target Code

Comment

Communication.definition (definition)

is equivalent to

Extension (STU3: Instantiates protocol or definition (new))

Element `Communication.definition` has a context of Communication based on following the parent source element upwards and mapping to `Communication`. Element `Communication.definition` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Source Code

Relationship

Target Code

Comment

Communication.status (status)

is equivalent to

Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/Communication|3.0.2 to STU3: Communication did not occur (new)version: 0.1.0)

Source Code

Relationship

Target Code

Comment

Communication.notDone (notDone)

is equivalent to

Extension (STU3: Communication did not occur (new))

Element `Communication.notDone` has a context of Communication based on following the parent source element upwards and mapping to `Communication`. Element `Communication.notDone` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This element is labeled as a modifier because it marks the communication as a communication that did not occur. The more attributes are populated, the more constrained the negated statement is.

Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/Communication|3.0.2 to STU3: Why communication did not occur (new)version: 0.1.0)

Source Code

Relationship

Target Code

Comment

Communication.notDoneReason (notDoneReason)

is equivalent to

Extension (STU3: Why communication did not occur (new))

Element `Communication.notDoneReason` has a context of Communication based on following the parent source element upwards and mapping to `Communication`. Element `Communication.notDoneReason` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/Communication|3.0.2 to STU3: Focal resources (new)version: 0.1.0)

Source Code

Relationship

Target Code

Comment

Communication.topic (topic)

is equivalent to

Extension (STU3: Focal resources (new))

Element `Communication.topic` has a context of Communication based on following the parent source element upwards and mapping to `Communication`. Element `Communication.topic` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).