Extensions for Using Data Elements from FHIR STU3 in FHIR R4B
0.1.0 - STU International flag

Extensions for Using Data Elements from FHIR STU3 in FHIR R4B - Downloaded Version null See the Directory of published versions

ConceptMap: R3ChargeItemElementMapToR4B

Official URL: http://hl7.org/fhir/uv/xver/ConceptMap/R3-ChargeItem-element-map-to-R4B Version: 0.1.0
Standards status: Trial-use Maturity Level: 0 Computable Name: R3ChargeItemElementMapToR4B

This ConceptMap represents cross-version mappings for elements from a FHIR STU3 ChargeItem to FHIR R4B.

Mapping from http://hl7.org/fhir/3.0 to http://hl7.org/fhir/4.3


Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/ChargeItem|3.0.2 to ChargeItemversion: 4.3.0)

Source CodeRelationshipTarget CodeComment
ChargeItem.meta (meta)maps to wider conceptChargeItem.metaElement `ChargeItem.meta` is mapped to FHIR R4B element `ChargeItem.meta` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.meta` do not cover the following types: Meta. The mappings for `ChargeItem.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.
ChargeItem.implicitRules (implicitRules)is equivalent toChargeItem.implicitRulesElement `ChargeItem.implicitRules` is mapped to FHIR R4B element `ChargeItem.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.
ChargeItem.language (language)is equivalent toChargeItem.languageElement `ChargeItem.language` is mapped to FHIR R4B element `ChargeItem.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).
ChargeItem.text (text)maps to wider conceptChargeItem.textElement `ChargeItem.text` is mapped to FHIR R4B element `ChargeItem.text` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.text` do not cover the following types: Narrative. The mappings for `ChargeItem.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. 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.
ChargeItem.contained (contained)is equivalent toChargeItem.containedElement `ChargeItem.contained` is mapped to FHIR R4B element `ChargeItem.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.
ChargeItem.identifier (identifier)maps to wider conceptChargeItem.identifierElement `ChargeItem.identifier` is mapped to FHIR R4B element `ChargeItem.identifier` as `RelatedTo`. The mappings for `ChargeItem.identifier` do not cover the following types: Identifier. The mappings for `ChargeItem.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.
ChargeItem.definition (definition)is equivalent toChargeItem.definitionUriElement `ChargeItem.definition` is mapped to FHIR R4B element `ChargeItem.definitionUri` as `Equivalent`. Target Resource is yet to be defined as a container that holds information about list prices and rules applicable to the charge item code. Once defined, change type back to Reference(Definition Type).
ChargeItem.status (status)is equivalent toChargeItem.statusElement `ChargeItem.status` is mapped to FHIR R4B element `ChargeItem.status` as `Equivalent`. Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is. This element is labeled as a modifier because the status contains the code entered-in-error that marks the charge item as not currently valid.
ChargeItem.partOf (partOf)maps to wider conceptChargeItem.partOfElement `ChargeItem.partOf` is mapped to FHIR R4B element `ChargeItem.partOf` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.partOf` 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 `ChargeItem.partOf` with unmapped reference targets: ChargeItem.
ChargeItem.code (code)is equivalent toChargeItem.codeElement `ChargeItem.code` is mapped to FHIR R4B element `ChargeItem.code` as `Equivalent`.
ChargeItem.subject (subject)maps to wider conceptChargeItem.subjectElement `ChargeItem.subject` is mapped to FHIR R4B element `ChargeItem.subject` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.subject` 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 `ChargeItem.subject` with unmapped reference targets: Group, Patient.
ChargeItem.context (context)maps to wider conceptChargeItem.contextElement `ChargeItem.context` is mapped to FHIR R4B element `ChargeItem.context` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.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 `ChargeItem.context` with unmapped reference targets: Encounter, EpisodeOfCare.
ChargeItem.occurrence[x] (occurrence[x])maps to wider conceptChargeItem.occurrence[x]Element `ChargeItem.occurrence[x]` is mapped to FHIR R4B element `ChargeItem.occurrence[x]` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.occurrence[x]` do not cover the following types: Period, Timing. The target context `ChargeItem.occurrence[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ChargeItem`. The list of types may be constrained as appropriate for the type of charge item.
ChargeItem.participant (participant)maps to wider conceptChargeItem.performerElement `ChargeItem.participant` is mapped to FHIR R4B element `ChargeItem.performer` as `Equivalent`.
ChargeItem.participant.role (role)is equivalent toChargeItem.performer.functionElement `ChargeItem.participant.role` is mapped to FHIR R4B element `ChargeItem.performer.function` as `Equivalent`.
ChargeItem.participant.actor (actor)maps to wider conceptChargeItem.performer.actorElement `ChargeItem.participant.actor` is mapped to FHIR R4B element `ChargeItem.performer.actor` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ChargeItem.participant.actor` with unmapped reference targets: Device, Organization, Patient, Practitioner, RelatedPerson.
ChargeItem.performingOrganization (performingOrganization)maps to wider conceptChargeItem.performingOrganizationElement `ChargeItem.performingOrganization` is mapped to FHIR R4B element `ChargeItem.performingOrganization` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.performingOrganization` 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 `ChargeItem.performingOrganization` with unmapped reference targets: Organization. Practitioners and Devices can be associated with multiple organizations. It has to be made clear, on behalf of which Organization the services have been rendered.
ChargeItem.requestingOrganization (requestingOrganization)maps to wider conceptChargeItem.requestingOrganizationElement `ChargeItem.requestingOrganization` is mapped to FHIR R4B element `ChargeItem.requestingOrganization` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.requestingOrganization` 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 `ChargeItem.requestingOrganization` with unmapped reference targets: Organization. The rendered Service may not be associated with a Request. It has to be made clear, ob which Organization's Request, the services have been rendered. (In many cases, this may just be the Department associated with the Encounter.location).
ChargeItem.quantity (quantity)is equivalent toChargeItem.quantityElement `ChargeItem.quantity` is mapped to FHIR R4B element `ChargeItem.quantity` as `Equivalent`. In many cases this may just be a value, if the underlying units are implicit in the definition of the charge item code.
ChargeItem.bodysite (bodysite)is equivalent toChargeItem.bodysiteElement `ChargeItem.bodysite` is mapped to FHIR R4B element `ChargeItem.bodysite` as `Equivalent`. Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [body-site-instance](https://hl7.org/fhir/extension-body-site-instance.html). May be a summary code, or a reference to a very precise definition of the location, or both.
ChargeItem.factorOverride (factorOverride)is equivalent toChargeItem.factorOverrideElement `ChargeItem.factorOverride` is mapped to FHIR R4B element `ChargeItem.factorOverride` as `Equivalent`. There is no reason to carry the factor in the instance of a ChargeItem unless special circumstances require a manual override. The factors are usually defined by a set of rules in a back catalogue of the billing codes (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overriden.
ChargeItem.priceOverride (priceOverride)is equivalent toChargeItem.priceOverrideElement `ChargeItem.priceOverride` is mapped to FHIR R4B element `ChargeItem.priceOverride` as `Equivalent`. There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overriden.
ChargeItem.overrideReason (overrideReason)is equivalent toChargeItem.overrideReasonElement `ChargeItem.overrideReason` is mapped to FHIR R4B element `ChargeItem.overrideReason` as `Equivalent`. Derived Profiles may chose to add invariants requiring this field to be populated if either priceOverride or factorOverride have been filled.
ChargeItem.enterer (enterer)maps to wider conceptChargeItem.entererElement `ChargeItem.enterer` is mapped to FHIR R4B element `ChargeItem.enterer` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ChargeItem.enterer` with unmapped reference targets: Device, Organization, Patient, Practitioner, RelatedPerson. The enterer is also te person considered responsible for factor/priceOverrides if applicable.
ChargeItem.enteredDate (enteredDate)is equivalent toChargeItem.enteredDateElement `ChargeItem.enteredDate` is mapped to FHIR R4B element `ChargeItem.enteredDate` as `Equivalent`. The actual date when the service associated with the charge has been rendered is captured in occurrence[x].
ChargeItem.reason (reason)is equivalent toChargeItem.reasonElement `ChargeItem.reason` is mapped to FHIR R4B element `ChargeItem.reason` as `Equivalent`. If the application of the charge item requires a reason to be given, it can be captured here. Textual reasons can be captured using reasonCode.text.
ChargeItem.service (service)maps to wider conceptChargeItem.serviceElement `ChargeItem.service` is mapped to FHIR R4B element `ChargeItem.service` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ChargeItem.service` with unmapped reference targets: DiagnosticReport, ImagingStudy, Immunization, MedicationAdministration, MedicationDispense, Observation, Procedure, SupplyDelivery.
ChargeItem.account (account)maps to wider conceptChargeItem.accountElement `ChargeItem.account` is mapped to FHIR R4B element `ChargeItem.account` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.account` 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 `ChargeItem.account` with unmapped reference targets: Account. Systems posting the ChargeItems may not always be able to determine, which accounts the Items need to be places into. It is up to the potprocessing Financial System to apply internal rules to decide based on the Encounter/EpisodeOfCare/Patient/Coverage context and the type of ChargeItem, which Account is appropriate.
ChargeItem.note (note)maps to wider conceptChargeItem.noteElement `ChargeItem.note` is mapped to FHIR R4B element `ChargeItem.note` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.note` do not cover the following types: Annotation. The mappings for `ChargeItem.note` do not cover the following types based on type expansion: author[x], text, time.
ChargeItem.supportingInformation (supportingInformation)maps to wider conceptChargeItem.supportingInformationElement `ChargeItem.supportingInformation` is mapped to FHIR R4B element `ChargeItem.supportingInformation` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.supportingInformation` 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 `ChargeItem.supportingInformation` with unmapped reference targets: Resource.

Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/ChargeItem|3.0.2 to STU3: meta additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
ChargeItem.meta (meta)is equivalent toExtension (STU3: meta additional types)Element `ChargeItem.meta` is mapped to FHIR R4B element `ChargeItem.meta` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.meta` do not cover the following types: Meta. The mappings for `ChargeItem.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.

Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/ChargeItem|3.0.2 to STU3: text additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
ChargeItem.text (text)is equivalent toExtension (STU3: text additional types)Element `ChargeItem.text` is mapped to FHIR R4B element `ChargeItem.text` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.text` do not cover the following types: Narrative. The mappings for `ChargeItem.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. 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.

Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/ChargeItem|3.0.2 to STU3: identifier additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
ChargeItem.identifier (identifier)is equivalent toExtension (STU3: identifier additional types)Element `ChargeItem.identifier` is mapped to FHIR R4B element `ChargeItem.identifier` as `RelatedTo`. The mappings for `ChargeItem.identifier` do not cover the following types: Identifier. The mappings for `ChargeItem.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.

Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/ChargeItem|3.0.2 to STU3: occurrence additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
ChargeItem.occurrence[x] (occurrence[x])is equivalent toExtension (STU3: occurrence additional types)Element `ChargeItem.occurrence[x]` is mapped to FHIR R4B element `ChargeItem.occurrence[x]` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.occurrence[x]` do not cover the following types: Period, Timing. The target context `ChargeItem.occurrence[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ChargeItem`. The list of types may be constrained as appropriate for the type of charge item.

Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/ChargeItem|3.0.2 to STU3: note additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
ChargeItem.note (note)is equivalent toExtension (STU3: note additional types)Element `ChargeItem.note` is mapped to FHIR R4B element `ChargeItem.note` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.note` do not cover the following types: Annotation. The mappings for `ChargeItem.note` do not cover the following types based on type expansion: author[x], text, time.