Extensions for Using Data Elements from FHIR STU3 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR STU3 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR STU3 in FHIR R4B - Downloaded Version null See the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/xver/ConceptMap/R3-CommunicationRequest-element-map-to-R4B | Version: 0.1.0 | |||
| Standards status: Trial-use | Maturity Level: 0 | Computable Name: R3CommunicationRequestElementMapToR4B | ||
This ConceptMap represents cross-version mappings for elements from a FHIR STU3 CommunicationRequest 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/CommunicationRequest|3.0.2 to CommunicationRequestversion: 4.3.0)
| Source Code | Relationship | Target Code | Comment |
| CommunicationRequest.meta (meta) | maps to wider concept | CommunicationRequest.meta | Element `CommunicationRequest.meta` is mapped to FHIR R4B 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. |
| CommunicationRequest.implicitRules (implicitRules) | is equivalent to | CommunicationRequest.implicitRules | Element `CommunicationRequest.implicitRules` is mapped to FHIR R4B 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. 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. |
| CommunicationRequest.language (language) | is equivalent to | CommunicationRequest.language | Element `CommunicationRequest.language` is mapped to FHIR R4B 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). |
| CommunicationRequest.text (text) | maps to wider concept | CommunicationRequest.text | Element `CommunicationRequest.text` is mapped to FHIR R4B 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. 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. |
| CommunicationRequest.contained (contained) | is equivalent to | CommunicationRequest.contained | Element `CommunicationRequest.contained` is mapped to FHIR R4B 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. |
| CommunicationRequest.identifier (identifier) | maps to wider concept | CommunicationRequest.identifier | Element `CommunicationRequest.identifier` is mapped to FHIR R4B 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. |
| CommunicationRequest.basedOn (basedOn) | maps to wider concept | CommunicationRequest.basedOn | Element `CommunicationRequest.basedOn` is mapped to FHIR R4B element `CommunicationRequest.basedOn` as `SourceIsBroaderThanTarget`. The mappings for `CommunicationRequest.basedOn` 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 `CommunicationRequest.basedOn` with unmapped reference targets: Resource. |
| CommunicationRequest.replaces (replaces) | maps to wider concept | CommunicationRequest.replaces | Element `CommunicationRequest.replaces` is mapped to FHIR R4B element `CommunicationRequest.replaces` as `SourceIsBroaderThanTarget`. The mappings for `CommunicationRequest.replaces` 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 `CommunicationRequest.replaces` with unmapped reference targets: CommunicationRequest. 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. |
| CommunicationRequest.groupIdentifier (groupIdentifier) | maps to wider concept | CommunicationRequest.groupIdentifier | Element `CommunicationRequest.groupIdentifier` is mapped to FHIR R4B element `CommunicationRequest.groupIdentifier` as `SourceIsBroaderThanTarget`. The mappings for `CommunicationRequest.groupIdentifier` do not cover the following types: Identifier. The mappings for `CommunicationRequest.groupIdentifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation. |
| CommunicationRequest.status (status) | is equivalent to | CommunicationRequest.status | Element `CommunicationRequest.status` is mapped to FHIR R4B element `CommunicationRequest.status` as `Equivalent`. This element is labeled as a modifier because the status contains the codes cancelled and entered-in-error that mark the request as not currently valid. |
| CommunicationRequest.category (category) | is equivalent to | CommunicationRequest.category | Element `CommunicationRequest.category` is mapped to FHIR R4B element `CommunicationRequest.category` as `Equivalent`. There may be multiple axes of categorization and one communication request may serve multiple purposes. |
| CommunicationRequest.priority (priority) | is equivalent to | CommunicationRequest.priority | Element `CommunicationRequest.priority` is mapped to FHIR R4B element `CommunicationRequest.priority` as `Equivalent`. |
| CommunicationRequest.medium (medium) | is equivalent to | CommunicationRequest.medium | Element `CommunicationRequest.medium` is mapped to FHIR R4B element `CommunicationRequest.medium` as `Equivalent`. |
| CommunicationRequest.subject (subject) | maps to wider concept | CommunicationRequest.subject | Element `CommunicationRequest.subject` is mapped to FHIR R4B element `CommunicationRequest.subject` as `SourceIsBroaderThanTarget`. The mappings for `CommunicationRequest.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 `CommunicationRequest.subject` with unmapped reference targets: Group, Patient. |
| CommunicationRequest.recipient (recipient) | maps to wider concept | CommunicationRequest.recipient | Element `CommunicationRequest.recipient` is mapped to FHIR R4B element `CommunicationRequest.recipient` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `CommunicationRequest.recipient` with unmapped reference targets: CareTeam, Device, Group, Organization, Patient, Practitioner, RelatedPerson. |
| CommunicationRequest.context (context) | maps to wider concept | CommunicationRequest.encounter | Element `CommunicationRequest.context` is mapped to FHIR R4B element `CommunicationRequest.encounter` as `SourceIsBroaderThanTarget`. The mappings for `CommunicationRequest.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 `CommunicationRequest.context` with unmapped reference targets: Encounter, EpisodeOfCare. |
| CommunicationRequest.payload (payload) | maps to wider concept | CommunicationRequest.payload | Element `CommunicationRequest.payload` is mapped to FHIR R4B element `CommunicationRequest.payload` as `Equivalent`. |
| CommunicationRequest.payload.content[x] (content[x]) | maps to wider concept | CommunicationRequest.payload.content[x] | Element `CommunicationRequest.payload.content[x]` is mapped to FHIR R4B 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 STU3 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. |
| CommunicationRequest.occurrence[x] (occurrence[x]) | is equivalent to | CommunicationRequest.occurrence[x] | Element `CommunicationRequest.occurrence[x]` is mapped to FHIR R4B 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`. |
| CommunicationRequest.authoredOn (authoredOn) | is equivalent to | CommunicationRequest.authoredOn | Element `CommunicationRequest.authoredOn` is mapped to FHIR R4B element `CommunicationRequest.authoredOn` as `Equivalent`. |
| CommunicationRequest.sender (sender) | maps to wider concept | CommunicationRequest.sender | Element `CommunicationRequest.sender` is mapped to FHIR R4B element `CommunicationRequest.sender` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `CommunicationRequest.sender` with unmapped reference targets: Device, Organization, Patient, Practitioner, RelatedPerson. |
| CommunicationRequest.requester (requester) | maps to wider concept | CommunicationRequest.requester | Element `CommunicationRequest.requester` is mapped to FHIR R4B element `CommunicationRequest.requester` as `Equivalent`. |
| CommunicationRequest.requester.agent (agent) | maps to wider concept | CommunicationRequest.requester | Element `CommunicationRequest.requester.agent` is mapped to FHIR R4B element `CommunicationRequest.requester` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `CommunicationRequest.requester.agent` with unmapped reference targets: Device, Organization, Patient, Practitioner, RelatedPerson. |
| CommunicationRequest.reasonCode (reasonCode) | is equivalent to | CommunicationRequest.reasonCode | Element `CommunicationRequest.reasonCode` is mapped to FHIR R4B element `CommunicationRequest.reasonCode` as `Equivalent`. Textual reasons can be caprued using reasonCode.text. |
| CommunicationRequest.reasonReference (reasonReference) | maps to wider concept | CommunicationRequest.reasonReference | Element `CommunicationRequest.reasonReference` is mapped to FHIR R4B element `CommunicationRequest.reasonReference` as `SourceIsBroaderThanTarget`. The mappings for `CommunicationRequest.reasonReference` 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 `CommunicationRequest.reasonReference` with unmapped reference targets: Condition, Observation. |
| CommunicationRequest.note (note) | maps to wider concept | CommunicationRequest.note | Element `CommunicationRequest.note` is mapped to FHIR R4B element `CommunicationRequest.note` as `SourceIsBroaderThanTarget`. The mappings for `CommunicationRequest.note` do not cover the following types: Annotation. The mappings for `CommunicationRequest.note` do not cover the following types based on type expansion: author[x], text, time. |
Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/CommunicationRequest|3.0.2 to STU3: meta additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| CommunicationRequest.meta (meta) | is equivalent to | Extension (STU3: meta additional types) | Element `CommunicationRequest.meta` is mapped to FHIR R4B 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. |
Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/CommunicationRequest|3.0.2 to STU3: text additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| CommunicationRequest.text (text) | is equivalent to | Extension (STU3: text additional types) | Element `CommunicationRequest.text` is mapped to FHIR R4B 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. 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/CommunicationRequest|3.0.2 to STU3: identifier additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| CommunicationRequest.identifier (identifier) | is equivalent to | Extension (STU3: identifier additional types) | Element `CommunicationRequest.identifier` is mapped to FHIR R4B 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. |
Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/CommunicationRequest|3.0.2 to STU3: groupIdentifier additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| CommunicationRequest.groupIdentifier (groupIdentifier) | is equivalent to | Extension (STU3: groupIdentifier additional types) | Element `CommunicationRequest.groupIdentifier` is mapped to FHIR R4B element `CommunicationRequest.groupIdentifier` as `SourceIsBroaderThanTarget`. The mappings for `CommunicationRequest.groupIdentifier` do not cover the following types: Identifier. The mappings for `CommunicationRequest.groupIdentifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation. |
Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/CommunicationRequest|3.0.2 to STU3: Focal resources (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| CommunicationRequest.topic (topic) | is equivalent to | Extension (STU3: Focal resources (new)) | Element `CommunicationRequest.topic` has a context of CommunicationRequest based on following the parent source element upwards and mapping to `CommunicationRequest`. Element `CommunicationRequest.topic` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). |
Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/CommunicationRequest|3.0.2 to STU3: content additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| CommunicationRequest.payload.content[x] (content[x]) | is equivalent to | Extension (STU3: content additional types) | Element `CommunicationRequest.payload.content[x]` is mapped to FHIR R4B 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 STU3 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. |
Group 8 Mapping from http://hl7.org/fhir/StructureDefinition/CommunicationRequest|3.0.2 to Alternate Referenceversion: 5.2.0)
| Source Code | Relationship | Target Code | Comment |
| CommunicationRequest.payload.content[x] (content[x]) | is equivalent to | Extension (Alternative reference (target type is wrong)) | Element `CommunicationRequest.payload.content[x]` is mapped to FHIR R4B 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 STU3 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. |
Group 9 Mapping from http://hl7.org/fhir/StructureDefinition/CommunicationRequest|3.0.2 to STU3: Organization agent is acting for (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| CommunicationRequest.requester.onBehalfOf (onBehalfOf) | is equivalent to | Extension (STU3: Organization agent is acting for (new)) | Element `CommunicationRequest.requester.onBehalfOf` has a context of CommunicationRequest.requester based on following the parent source element upwards and mapping to `CommunicationRequest`. Element `CommunicationRequest.requester.onBehalfOf` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). |
Group 10 Mapping from http://hl7.org/fhir/StructureDefinition/CommunicationRequest|3.0.2 to STU3: note additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| CommunicationRequest.note (note) | is equivalent to | Extension (STU3: note additional types) | Element `CommunicationRequest.note` is mapped to FHIR R4B element `CommunicationRequest.note` as `SourceIsBroaderThanTarget`. The mappings for `CommunicationRequest.note` do not cover the following types: Annotation. The mappings for `CommunicationRequest.note` do not cover the following types based on type expansion: author[x], text, time. |
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r3.r4b#0.1.0 based on FHIR 4.3.0. Generated 2026-03-20
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