Extensions for Using Data Elements from FHIR STU3 in FHIR R4
0.1.0 - STU
Extensions for Using Data Elements from FHIR STU3 in FHIR R4
0.1.0 - STU
Extensions for Using Data Elements from FHIR STU3 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="R3-ReferralRequest-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 R3-ReferralRequest-element-map-to-R4</b></p><a name="R3-ReferralRequest-element-map-to-R4"> </a><a name="hcR3-ReferralRequest-element-map-to-R4"> </a><p>Mapping from http://hl7.org/fhir/3.0 to http://hl7.org/fhir/4.0</p><br/><p><b>Group 1 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ReferralRequest|3.0.2</code> to <a href="http://hl7.org/fhir/R4/servicerequest.html">ServiceRequestversion: 4.0.1)</a></p><table class="grid"><tr><td colspan="2"><b>Source Concept Details</b></td><td><b>Relationship</b></td><td colspan="2"><b>Target Concept Details</b></td><td><b>Comment</b></td></tr><tr><td colspan="2"><b>Codes</b> from http://hl7.org/fhir/StructureDefinition/ReferralRequest|3.0.2</td><td/><td colspan="2" title="http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"><b>Codes</b> from ServiceRequest</td><td/></tr><tr><td style="border-right-width: 0px">ReferralRequest.meta</td><td style="border-left-width: 0px">meta</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest.meta</td><td style="border-left-width: 0px">ServiceRequest.meta</td><td>Element `ReferralRequest.meta` is mapped to FHIR R4 element `ServiceRequest.meta` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">ReferralRequest.implicitRules</td><td style="border-left-width: 0px">implicitRules</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest.implicitRules</td><td style="border-left-width: 0px">ServiceRequest.implicitRules</td><td>Element `ReferralRequest.implicitRules` is mapped to FHIR R4 element `ServiceRequest.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.</td></tr><tr><td style="border-right-width: 0px">ReferralRequest.language</td><td style="border-left-width: 0px">language</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest.language</td><td style="border-left-width: 0px">ServiceRequest.language</td><td>Element `ReferralRequest.language` is mapped to FHIR R4 element `ServiceRequest.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 style="border-right-width: 0px">ReferralRequest.text</td><td style="border-left-width: 0px">text</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest.text</td><td style="border-left-width: 0px">ServiceRequest.text</td><td>Element `ReferralRequest.text` is mapped to FHIR R4 element `ServiceRequest.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.</td></tr><tr><td style="border-right-width: 0px">ReferralRequest.contained</td><td style="border-left-width: 0px">contained</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest.contained</td><td style="border-left-width: 0px">ServiceRequest.contained</td><td>Element `ReferralRequest.contained` is mapped to FHIR R4 element `ServiceRequest.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.</td></tr><tr><td style="border-right-width: 0px">ReferralRequest.identifier</td><td style="border-left-width: 0px">identifier</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest.identifier</td><td style="border-left-width: 0px">ServiceRequest.identifier</td><td>Element `ReferralRequest.identifier` is mapped to FHIR R4 element `ServiceRequest.identifier` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">ReferralRequest.basedOn</td><td style="border-left-width: 0px">basedOn</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#narrower" title="narrower">narrower</a></td><td style="border-right-width: 0px">ServiceRequest.basedOn</td><td style="border-left-width: 0px">ServiceRequest.basedOn</td><td>Element `ReferralRequest.basedOn` is mapped to FHIR R4 element `ServiceRequest.basedOn` as `SourceIsNarrowerThanTarget`.</td></tr><tr><td style="border-right-width: 0px">ReferralRequest.replaces</td><td style="border-left-width: 0px">replaces</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#narrower" title="narrower">narrower</a></td><td style="border-right-width: 0px">ServiceRequest.replaces</td><td style="border-left-width: 0px">ServiceRequest.replaces</td><td>Element `ReferralRequest.replaces` is mapped to FHIR R4 element `ServiceRequest.replaces` as `SourceIsNarrowerThanTarget`.
The replacement could be because the initial request was immediately rejected (due to an issue) or because the previous request was completed, but the need for the action described by the request remains ongoing.</td></tr><tr><td style="border-right-width: 0px">ReferralRequest.groupIdentifier</td><td style="border-left-width: 0px">groupIdentifier</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest.requisition</td><td style="border-left-width: 0px">ServiceRequest.requisition</td><td>Element `ReferralRequest.groupIdentifier` is mapped to FHIR R4 element `ServiceRequest.requisition` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">ReferralRequest.status</td><td style="border-left-width: 0px">status</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest.status</td><td style="border-left-width: 0px">ServiceRequest.status</td><td>Element `ReferralRequest.status` is mapped to FHIR R4 element `ServiceRequest.status` as `Equivalent`.
This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.</td></tr><tr><td style="border-right-width: 0px">ReferralRequest.intent</td><td style="border-left-width: 0px">intent</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#narrower" title="narrower">narrower</a></td><td style="border-right-width: 0px">ServiceRequest.intent</td><td style="border-left-width: 0px">ServiceRequest.intent</td><td>Element `ReferralRequest.intent` is mapped to FHIR R4 element `ServiceRequest.intent` as `SourceIsNarrowerThanTarget`.
The mappings for `ReferralRequest.intent` do not allow expression of the necessary codes, per the bindings on the source and target.</td></tr><tr><td style="border-right-width: 0px; border-bottom-style: none">ReferralRequest.type</td><td style="border-left-width: 0px; border-bottom-style: none">type</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest.category</td><td style="border-left-width: 0px">ServiceRequest.category</td><td>Element `ReferralRequest.type` is mapped to FHIR R4 element `ServiceRequest.category` as `SourceIsNarrowerThanTarget`.
Element `ReferralRequest.type` is mapped to FHIR R4 element `ServiceRequest.code` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px; border-top-style: none"/><td style="border-top-style: none; border-left-width: 0px"/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest.code</td><td style="border-left-width: 0px">ServiceRequest.code</td><td>Element `ReferralRequest.type` is mapped to FHIR R4 element `ServiceRequest.category` as `SourceIsNarrowerThanTarget`.
Element `ReferralRequest.type` is mapped to FHIR R4 element `ServiceRequest.code` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">ReferralRequest.priority</td><td style="border-left-width: 0px">priority</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest.priority</td><td style="border-left-width: 0px">ServiceRequest.priority</td><td>Element `ReferralRequest.priority` is mapped to FHIR R4 element `ServiceRequest.priority` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px; border-bottom-style: none">ReferralRequest.serviceRequested</td><td style="border-left-width: 0px; border-bottom-style: none">serviceRequested</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">ServiceRequest.code</td><td style="border-left-width: 0px">ServiceRequest.code</td><td>Element `ReferralRequest.serviceRequested` is mapped to FHIR R4 element `ServiceRequest.code` as `SourceIsBroaderThanTarget`.
Element `ReferralRequest.serviceRequested` is mapped to FHIR R4 element `ServiceRequest.orderDetail` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px; border-top-style: none"/><td style="border-top-style: none; border-left-width: 0px"/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest.orderDetail</td><td style="border-left-width: 0px">ServiceRequest.orderDetail</td><td>Element `ReferralRequest.serviceRequested` is mapped to FHIR R4 element `ServiceRequest.code` as `SourceIsBroaderThanTarget`.
Element `ReferralRequest.serviceRequested` is mapped to FHIR R4 element `ServiceRequest.orderDetail` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">ReferralRequest.subject</td><td style="border-left-width: 0px">subject</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest.subject</td><td style="border-left-width: 0px">ServiceRequest.subject</td><td>Element `ReferralRequest.subject` is mapped to FHIR R4 element `ServiceRequest.subject` as `Equivalent`.
Referral of family, group or community is to be catered for by profiles.</td></tr><tr><td style="border-right-width: 0px">ReferralRequest.context</td><td style="border-left-width: 0px">context</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">ServiceRequest.encounter</td><td style="border-left-width: 0px">ServiceRequest.encounter</td><td>Element `ReferralRequest.context` is mapped to FHIR R4 element `ServiceRequest.encounter` as `SourceIsBroaderThanTarget`.
The mappings for `ReferralRequest.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 `ReferralRequest.context` with unmapped reference targets: EpisodeOfCare.</td></tr><tr><td style="border-right-width: 0px">ReferralRequest.occurrence[x]</td><td style="border-left-width: 0px">occurrence[x]</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest.occurrence[x]</td><td style="border-left-width: 0px">ServiceRequest.occurrence[x]</td><td>Element `ReferralRequest.occurrence[x]` is mapped to FHIR R4 element `ServiceRequest.occurrence[x]` as `Equivalent`.
The target context `ServiceRequest.occurrence[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ServiceRequest`.
When the occurrenceDateTime is used, then it is indicating that the requested service must happen before the specified date.</td></tr><tr><td style="border-right-width: 0px">ReferralRequest.authoredOn</td><td style="border-left-width: 0px">authoredOn</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest.authoredOn</td><td style="border-left-width: 0px">ServiceRequest.authoredOn</td><td>Element `ReferralRequest.authoredOn` is mapped to FHIR R4 element `ServiceRequest.authoredOn` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">ReferralRequest.requester</td><td style="border-left-width: 0px">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 style="border-right-width: 0px">ServiceRequest.requester</td><td style="border-left-width: 0px">ServiceRequest.requester</td><td>Element `ReferralRequest.requester` is mapped to FHIR R4 element `ServiceRequest.requester` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">ReferralRequest.requester.agent</td><td style="border-left-width: 0px">agent</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#narrower" title="narrower">narrower</a></td><td style="border-right-width: 0px">ServiceRequest.requester</td><td style="border-left-width: 0px">ServiceRequest.requester</td><td>Element `ReferralRequest.requester.agent` is mapped to FHIR R4 element `ServiceRequest.requester` as `SourceIsNarrowerThanTarget`.</td></tr><tr><td style="border-right-width: 0px">ReferralRequest.recipient</td><td style="border-left-width: 0px">recipient</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest.performer</td><td style="border-left-width: 0px">ServiceRequest.performer</td><td>Element `ReferralRequest.recipient` is mapped to FHIR R4 element `ServiceRequest.performer` as `Equivalent`.
There will be a primary receiver. But the request can be received by any number of "copied to" providers or organizations.</td></tr><tr><td style="border-right-width: 0px">ReferralRequest.reasonCode</td><td style="border-left-width: 0px">reasonCode</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest.reasonCode</td><td style="border-left-width: 0px">ServiceRequest.reasonCode</td><td>Element `ReferralRequest.reasonCode` is mapped to FHIR R4 element `ServiceRequest.reasonCode` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">ReferralRequest.reasonReference</td><td style="border-left-width: 0px">reasonReference</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest.reasonReference</td><td style="border-left-width: 0px">ServiceRequest.reasonReference</td><td>Element `ReferralRequest.reasonReference` is mapped to FHIR R4 element `ServiceRequest.reasonReference` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">ReferralRequest.supportingInfo</td><td style="border-left-width: 0px">supportingInfo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest.supportingInfo</td><td style="border-left-width: 0px">ServiceRequest.supportingInfo</td><td>Element `ReferralRequest.supportingInfo` is mapped to FHIR R4 element `ServiceRequest.supportingInfo` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">ReferralRequest.note</td><td style="border-left-width: 0px">note</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest.note</td><td style="border-left-width: 0px">ServiceRequest.note</td><td>Element `ReferralRequest.note` is mapped to FHIR R4 element `ServiceRequest.note` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">ReferralRequest.relevantHistory</td><td style="border-left-width: 0px">relevantHistory</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest.relevantHistory</td><td style="border-left-width: 0px">ServiceRequest.relevantHistory</td><td>Element `ReferralRequest.relevantHistory` is mapped to FHIR R4 element `ServiceRequest.relevantHistory` as `Equivalent`.
This element does not point to the Provenance associated with the *current* version of the resource - as it would be created after this version existed. The Provenance for the current version can be retrieved with a _revinclude.</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ReferralRequest|3.0.2</code> to <a href="StructureDefinition-ext-R3-ReferralRequest.definition.html">STU3: Instantiates protocol or definition (new)version: 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>ReferralRequest.definition (definition)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (STU3: Instantiates protocol or definition (new))</td><td>Element `ReferralRequest.definition` has a context of ServiceRequest based on following the parent source element upwards and mapping to `ServiceRequest`.
Element `ReferralRequest.definition` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 3 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ReferralRequest|3.0.2</code> to <a href="StructureDefinition-ext-R3-ReferralRequest.req.onBehalfOf.html">STU3: Organization agent is acting for (new)version: 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>ReferralRequest.requester.onBehalfOf (onBehalfOf)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (STU3: Organization agent is acting for (new))</td><td>Element `ReferralRequest.requester.onBehalfOf` has a context of ServiceRequest.requester based on following the parent source element upwards and mapping to `ServiceRequest`.
Element `ReferralRequest.requester.onBehalfOf` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 4 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ReferralRequest|3.0.2</code> to <a href="StructureDefinition-ext-R3-ReferralRequest.specialty.html">STU3: The clinical specialty (discipline) that the referral is requested for (new)version: 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>ReferralRequest.specialty (specialty)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (STU3: The clinical specialty (discipline) that the referral is requested for (new))</td><td>Element `ReferralRequest.specialty` has a context of ServiceRequest based on following the parent source element upwards and mapping to `ServiceRequest`.
Element `ReferralRequest.specialty` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 5 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/ReferralRequest|3.0.2</code> to <a href="StructureDefinition-ext-R3-ReferralRequest.description.html">STU3: A textual description of the referral (new)version: 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>ReferralRequest.description (description)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (STU3: A textual description of the referral (new))</td><td>Element `ReferralRequest.description` has a context of ServiceRequest based on following the parent source element upwards and mapping to `ServiceRequest`.
Element `ReferralRequest.description` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).</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-r3.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-r3.r4"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/uv/xver/ConceptMap/R3-ReferralRequest-element-map-to-R4"/>
<version value="0.1.0"/>
<name value="R3ReferralRequestElementMapToR4"/>
<title
value="Cross-version mapping for FHIR STU3 ReferralRequest to FHIR R4 ServiceRequest"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-03-17T16:03:24.1358856-05:00"/>
<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 ReferralRequest 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/ReferralRequest"/>
<sourceVersion value="3.0.2"/>
<target value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
<targetVersion value="4.0.1"/>
<element>
<code value="ReferralRequest.meta"/>
<display value="meta"/>
<target>
<code value="ServiceRequest.meta"/>
<display value="ServiceRequest.meta"/>
<equivalence value="equivalent"/>
<comment
value="Element `ReferralRequest.meta` is mapped to FHIR R4 element `ServiceRequest.meta` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ReferralRequest.implicitRules"/>
<display value="implicitRules"/>
<target>
<code value="ServiceRequest.implicitRules"/>
<display value="ServiceRequest.implicitRules"/>
<equivalence value="equivalent"/>
<comment
value="Element `ReferralRequest.implicitRules` is mapped to FHIR R4 element `ServiceRequest.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="ReferralRequest.language"/>
<display value="language"/>
<target>
<code value="ServiceRequest.language"/>
<display value="ServiceRequest.language"/>
<equivalence value="equivalent"/>
<comment
value="Element `ReferralRequest.language` is mapped to FHIR R4 element `ServiceRequest.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="ReferralRequest.text"/>
<display value="text"/>
<target>
<code value="ServiceRequest.text"/>
<display value="ServiceRequest.text"/>
<equivalence value="equivalent"/>
<comment
value="Element `ReferralRequest.text` is mapped to FHIR R4 element `ServiceRequest.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="ReferralRequest.contained"/>
<display value="contained"/>
<target>
<code value="ServiceRequest.contained"/>
<display value="ServiceRequest.contained"/>
<equivalence value="equivalent"/>
<comment
value="Element `ReferralRequest.contained` is mapped to FHIR R4 element `ServiceRequest.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="ReferralRequest.identifier"/>
<display value="identifier"/>
<target>
<code value="ServiceRequest.identifier"/>
<display value="ServiceRequest.identifier"/>
<equivalence value="equivalent"/>
<comment
value="Element `ReferralRequest.identifier` is mapped to FHIR R4 element `ServiceRequest.identifier` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ReferralRequest.basedOn"/>
<display value="basedOn"/>
<target>
<code value="ServiceRequest.basedOn"/>
<display value="ServiceRequest.basedOn"/>
<equivalence value="narrower"/>
<comment
value="Element `ReferralRequest.basedOn` is mapped to FHIR R4 element `ServiceRequest.basedOn` as `SourceIsNarrowerThanTarget`."/>
</target>
</element>
<element>
<code value="ReferralRequest.replaces"/>
<display value="replaces"/>
<target>
<code value="ServiceRequest.replaces"/>
<display value="ServiceRequest.replaces"/>
<equivalence value="narrower"/>
<comment
value="Element `ReferralRequest.replaces` is mapped to FHIR R4 element `ServiceRequest.replaces` as `SourceIsNarrowerThanTarget`.
The replacement could be because the initial request was immediately rejected (due to an issue) or because the previous request was completed, but the need for the action described by the request remains ongoing."/>
</target>
</element>
<element>
<code value="ReferralRequest.groupIdentifier"/>
<display value="groupIdentifier"/>
<target>
<code value="ServiceRequest.requisition"/>
<display value="ServiceRequest.requisition"/>
<equivalence value="equivalent"/>
<comment
value="Element `ReferralRequest.groupIdentifier` is mapped to FHIR R4 element `ServiceRequest.requisition` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ReferralRequest.status"/>
<display value="status"/>
<target>
<code value="ServiceRequest.status"/>
<display value="ServiceRequest.status"/>
<equivalence value="equivalent"/>
<comment
value="Element `ReferralRequest.status` is mapped to FHIR R4 element `ServiceRequest.status` as `Equivalent`.
This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."/>
</target>
</element>
<element>
<code value="ReferralRequest.intent"/>
<display value="intent"/>
<target>
<code value="ServiceRequest.intent"/>
<display value="ServiceRequest.intent"/>
<equivalence value="narrower"/>
<comment
value="Element `ReferralRequest.intent` is mapped to FHIR R4 element `ServiceRequest.intent` as `SourceIsNarrowerThanTarget`.
The mappings for `ReferralRequest.intent` do not allow expression of the necessary codes, per the bindings on the source and target."/>
</target>
</element>
<element>
<code value="ReferralRequest.type"/>
<display value="type"/>
<target>
<code value="ServiceRequest.category"/>
<display value="ServiceRequest.category"/>
<equivalence value="equivalent"/>
<comment
value="Element `ReferralRequest.type` is mapped to FHIR R4 element `ServiceRequest.category` as `SourceIsNarrowerThanTarget`.
Element `ReferralRequest.type` is mapped to FHIR R4 element `ServiceRequest.code` as `Equivalent`."/>
</target>
<target>
<code value="ServiceRequest.code"/>
<display value="ServiceRequest.code"/>
<equivalence value="equivalent"/>
<comment
value="Element `ReferralRequest.type` is mapped to FHIR R4 element `ServiceRequest.category` as `SourceIsNarrowerThanTarget`.
Element `ReferralRequest.type` is mapped to FHIR R4 element `ServiceRequest.code` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ReferralRequest.priority"/>
<display value="priority"/>
<target>
<code value="ServiceRequest.priority"/>
<display value="ServiceRequest.priority"/>
<equivalence value="equivalent"/>
<comment
value="Element `ReferralRequest.priority` is mapped to FHIR R4 element `ServiceRequest.priority` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ReferralRequest.serviceRequested"/>
<display value="serviceRequested"/>
<target>
<code value="ServiceRequest.code"/>
<display value="ServiceRequest.code"/>
<equivalence value="relatedto"/>
<comment
value="Element `ReferralRequest.serviceRequested` is mapped to FHIR R4 element `ServiceRequest.code` as `SourceIsBroaderThanTarget`.
Element `ReferralRequest.serviceRequested` is mapped to FHIR R4 element `ServiceRequest.orderDetail` as `Equivalent`."/>
</target>
<target>
<code value="ServiceRequest.orderDetail"/>
<display value="ServiceRequest.orderDetail"/>
<equivalence value="equivalent"/>
<comment
value="Element `ReferralRequest.serviceRequested` is mapped to FHIR R4 element `ServiceRequest.code` as `SourceIsBroaderThanTarget`.
Element `ReferralRequest.serviceRequested` is mapped to FHIR R4 element `ServiceRequest.orderDetail` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ReferralRequest.subject"/>
<display value="subject"/>
<target>
<code value="ServiceRequest.subject"/>
<display value="ServiceRequest.subject"/>
<equivalence value="equivalent"/>
<comment
value="Element `ReferralRequest.subject` is mapped to FHIR R4 element `ServiceRequest.subject` as `Equivalent`.
Referral of family, group or community is to be catered for by profiles."/>
</target>
</element>
<element>
<code value="ReferralRequest.context"/>
<display value="context"/>
<target>
<code value="ServiceRequest.encounter"/>
<display value="ServiceRequest.encounter"/>
<equivalence value="wider"/>
<comment
value="Element `ReferralRequest.context` is mapped to FHIR R4 element `ServiceRequest.encounter` as `SourceIsBroaderThanTarget`.
The mappings for `ReferralRequest.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 `ReferralRequest.context` with unmapped reference targets: EpisodeOfCare."/>
</target>
</element>
<element>
<code value="ReferralRequest.occurrence[x]"/>
<display value="occurrence[x]"/>
<target>
<code value="ServiceRequest.occurrence[x]"/>
<display value="ServiceRequest.occurrence[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `ReferralRequest.occurrence[x]` is mapped to FHIR R4 element `ServiceRequest.occurrence[x]` as `Equivalent`.
The target context `ServiceRequest.occurrence[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ServiceRequest`.
When the occurrenceDateTime is used, then it is indicating that the requested service must happen before the specified date."/>
</target>
</element>
<element>
<code value="ReferralRequest.authoredOn"/>
<display value="authoredOn"/>
<target>
<code value="ServiceRequest.authoredOn"/>
<display value="ServiceRequest.authoredOn"/>
<equivalence value="equivalent"/>
<comment
value="Element `ReferralRequest.authoredOn` is mapped to FHIR R4 element `ServiceRequest.authoredOn` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ReferralRequest.requester"/>
<display value="requester"/>
<target>
<code value="ServiceRequest.requester"/>
<display value="ServiceRequest.requester"/>
<equivalence value="wider"/>
<comment
value="Element `ReferralRequest.requester` is mapped to FHIR R4 element `ServiceRequest.requester` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ReferralRequest.requester.agent"/>
<display value="agent"/>
<target>
<code value="ServiceRequest.requester"/>
<display value="ServiceRequest.requester"/>
<equivalence value="narrower"/>
<comment
value="Element `ReferralRequest.requester.agent` is mapped to FHIR R4 element `ServiceRequest.requester` as `SourceIsNarrowerThanTarget`."/>
</target>
</element>
<element>
<code value="ReferralRequest.recipient"/>
<display value="recipient"/>
<target>
<code value="ServiceRequest.performer"/>
<display value="ServiceRequest.performer"/>
<equivalence value="equivalent"/>
<comment
value="Element `ReferralRequest.recipient` is mapped to FHIR R4 element `ServiceRequest.performer` as `Equivalent`.
There will be a primary receiver. But the request can be received by any number of "copied to" providers or organizations."/>
</target>
</element>
<element>
<code value="ReferralRequest.reasonCode"/>
<display value="reasonCode"/>
<target>
<code value="ServiceRequest.reasonCode"/>
<display value="ServiceRequest.reasonCode"/>
<equivalence value="equivalent"/>
<comment
value="Element `ReferralRequest.reasonCode` is mapped to FHIR R4 element `ServiceRequest.reasonCode` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ReferralRequest.reasonReference"/>
<display value="reasonReference"/>
<target>
<code value="ServiceRequest.reasonReference"/>
<display value="ServiceRequest.reasonReference"/>
<equivalence value="equivalent"/>
<comment
value="Element `ReferralRequest.reasonReference` is mapped to FHIR R4 element `ServiceRequest.reasonReference` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ReferralRequest.supportingInfo"/>
<display value="supportingInfo"/>
<target>
<code value="ServiceRequest.supportingInfo"/>
<display value="ServiceRequest.supportingInfo"/>
<equivalence value="equivalent"/>
<comment
value="Element `ReferralRequest.supportingInfo` is mapped to FHIR R4 element `ServiceRequest.supportingInfo` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ReferralRequest.note"/>
<display value="note"/>
<target>
<code value="ServiceRequest.note"/>
<display value="ServiceRequest.note"/>
<equivalence value="equivalent"/>
<comment
value="Element `ReferralRequest.note` is mapped to FHIR R4 element `ServiceRequest.note` as `Equivalent`."/>
</target>
</element>
<element>
<code value="ReferralRequest.relevantHistory"/>
<display value="relevantHistory"/>
<target>
<code value="ServiceRequest.relevantHistory"/>
<display value="ServiceRequest.relevantHistory"/>
<equivalence value="equivalent"/>
<comment
value="Element `ReferralRequest.relevantHistory` is mapped to FHIR R4 element `ServiceRequest.relevantHistory` as `Equivalent`.
This element does not point to the Provenance associated with the *current* version of the resource - as it would be created after this version existed. The Provenance for the current version can be retrieved with a _revinclude."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/ReferralRequest"/>
<sourceVersion value="3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-ReferralRequest.definition"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ReferralRequest.definition"/>
<display value="definition"/>
<target>
<code value="Extension"/>
<equivalence value="equivalent"/>
<comment
value="Element `ReferralRequest.definition` has a context of ServiceRequest based on following the parent source element upwards and mapping to `ServiceRequest`.
Element `ReferralRequest.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/ReferralRequest"/>
<sourceVersion value="3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-ReferralRequest.requester.onBehalfOf"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ReferralRequest.requester.onBehalfOf"/>
<display value="onBehalfOf"/>
<target>
<code value="Extension"/>
<equivalence value="equivalent"/>
<comment
value="Element `ReferralRequest.requester.onBehalfOf` has a context of ServiceRequest.requester based on following the parent source element upwards and mapping to `ServiceRequest`.
Element `ReferralRequest.requester.onBehalfOf` 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/ReferralRequest"/>
<sourceVersion value="3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-ReferralRequest.specialty"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ReferralRequest.specialty"/>
<display value="specialty"/>
<target>
<code value="Extension"/>
<equivalence value="equivalent"/>
<comment
value="Element `ReferralRequest.specialty` has a context of ServiceRequest based on following the parent source element upwards and mapping to `ServiceRequest`.
Element `ReferralRequest.specialty` 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/ReferralRequest"/>
<sourceVersion value="3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-ReferralRequest.description"/>
<targetVersion value="0.1.0"/>
<element>
<code value="ReferralRequest.description"/>
<display value="description"/>
<target>
<code value="Extension"/>
<equivalence value="equivalent"/>
<comment
value="Element `ReferralRequest.description` has a context of ServiceRequest based on following the parent source element upwards and mapping to `ServiceRequest`.
Element `ReferralRequest.description` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
</ConceptMap>
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r3.r4#0.1.0 based on FHIR 4.0.1. Generated 2026-03-20
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