R3-Patient-element-map-to-R4B
type: ConceptMap
node role: treeRoot
id:
  v: R3-Patient-element-map-to-R4B
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ConceptMap R3-Patient-element-map-to-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/Patient|3.0.2 to Patientversion: 4.3.0) Source Code Relationship Target Code Comment Patient.meta (meta) maps to wider concept Patient.meta Element `Patient.meta` is mapped to FHIR R4B element `Patient.meta` as `SourceIsBroaderThanTarget`. The mappings for `Patient.meta` do not cover the following types: Meta. The mappings for `Patient.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId. Patient.implicitRules (implicitRules) is equivalent to Patient.implicitRules Element `Patient.implicitRules` is mapped to FHIR R4B element `Patient.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. Patient.language (language) is equivalent to Patient.language Element `Patient.language` is mapped to FHIR R4B element `Patient.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 a…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
    l: structuredefinition-wg
  value: Code
    v: fhir
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
    l: structuredefinition-fmm
  value: Integer
    v: 0
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Canonical
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r4b
        l: hl7.fhir.uv.xver-r3.r4b
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: trial-use
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Canonical
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r4b
        l: hl7.fhir.uv.xver-r3.r4b
url:
  v: http://hl7.org/fhir/uv/xver/ConceptMap/R3-Patient-element-map-to-R4B
  l: R3-Patient-element-map-to-R4B
version:
  v: 0.1.0
name:
  v: R3PatientElementMapToR4B
title:
  v: Cross-version mapping for FHIR STU3 Patient to FHIR R4B Patient
status:
  v: active
experimental:
  v: false
date:
  v: 2026-03-17T16:04:11.1376846-05:00
contact:
  name:
    v: FHIR Infrastructure
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/fiwg
description:
  v: This ConceptMap represents cross-version mappings for elements from a FHIR STU3 Patient to FHIR R4B.
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 001
    display:
      v: World
source: Canonical
  v: http://hl7.org/fhir/3.0
  l: http://hl7.org/fhir/3.0
target: Uri
  v: http://hl7.org/fhir/4.3
  l: http://hl7.org/fhir/4.3
group:
  source:
    v: http://hl7.org/fhir/StructureDefinition/Patient
    l: Patient
  source version:
    v: 3.0.2
  target:
    v: http://hl7.org/fhir/StructureDefinition/Patient
    l: Patient
  target version:
    v: 4.3.0
  element:
    code:
      v: Patient.meta
    display:
      v: meta
    target:
      modifier extension:
        value: Code
      code:
        v: Patient.meta
      display:
        v: Patient.meta
      equivalence:
        v: wider
      comment:
        v: Element `Patient.meta` is mapped to FHIR R4B element `Patient.meta` as `SourceIsBroaderThanTarget`. The mappings for `Patient.meta` do not cover the following types: Meta. The mappings for `Patient.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.
  element:
    code:
      v: Patient.implicitRules
    display:
      v: implicitRules
    target:
      modifier extension:
        value: Code
      code:
        v: Patient.implicitRules
      display:
        v: Patient.implicitRules
      equivalence:
        v: equivalent
      comment:
        v: Element `Patient.implicitRules` is mapped to FHIR R4B element `Patient.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.
  element:
    code:
      v: Patient.language
    display:
      v: language
    target:
      modifier extension:
        value: Code
      code:
        v: Patient.language
      display:
        v: Patient.language
      equivalence:
        v: equivalent
      comment:
        v: Element `Patient.language` is mapped to FHIR R4B element `Patient.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).
  element:
    code:
      v: Patient.text
    display:
      v: text
    target:
      modifier extension:
        value: Code
      code:
        v: Patient.text
      display:
        v: Patient.text
      equivalence:
        v: wider
      comment:
        v: Element `Patient.text` is mapped to FHIR R4B element `Patient.text` as `SourceIsBroaderThanTarget`. The mappings for `Patient.text` do not cover the following types: Narrative. The mappings for `Patient.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.
  element:
    code:
      v: Patient.contained
    display:
      v: contained
    target:
      modifier extension:
        value: Code
      code:
        v: Patient.contained
      display:
        v: Patient.contained
      equivalence:
        v: equivalent
      comment:
        v: Element `Patient.contained` is mapped to FHIR R4B element `Patient.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.
  element:
    code:
      v: Patient.identifier
    display:
      v: identifier
    target:
      modifier extension:
        value: Code
      code:
        v: Patient.identifier
      display:
        v: Patient.identifier
      equivalence:
        v: wider
      comment:
        v: Element `Patient.identifier` is mapped to FHIR R4B element `Patient.identifier` as `SourceIsBroaderThanTarget`. The mappings for `Patient.identifier` do not cover the following types: Identifier. The mappings for `Patient.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.
  element:
    code:
      v: Patient.active
    display:
      v: active
    target:
      modifier extension:
        value: Code
      code:
        v: Patient.active
      display:
        v: Patient.active
      equivalence:
        v: equivalent
      comment:
        v: Element `Patient.active` is mapped to FHIR R4B element `Patient.active` as `Equivalent`. Default is true. If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient This element is labeled as a modifier because when the patient record is marked as not active it is not expected to be used/referenced without being changed back to active.

Code
v: wider

Code
v: equivalent

Code
v: equivalent

Code
v: wider

Code
v: equivalent

Code
v: wider

Code
v: equivalent

code:
  v: Patient.name
display:
  v: name
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Patient.name
  display:
    v: Patient.name
  equivalence:
    v: wider
  comment:
    v: Element `Patient.name` is mapped to FHIR R4B element `Patient.name` as `SourceIsBroaderThanTarget`. The mappings for `Patient.name` do not cover the following types: HumanName. The mappings for `Patient.name` do not cover the following types based on type expansion: family, given, period, prefix, suffix, text, use. A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

code:
  v: Patient.telecom
display:
  v: telecom
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Patient.telecom
  display:
    v: Patient.telecom
  equivalence:
    v: wider
  comment:
    v: Element `Patient.telecom` is mapped to FHIR R4B element `Patient.telecom` as `SourceIsBroaderThanTarget`. The mappings for `Patient.telecom` do not cover the following types: ContactPoint. The mappings for `Patient.telecom` do not cover the following types based on type expansion: period, rank, system, use, value. A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address may not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

code:
  v: Patient.gender
display:
  v: gender
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: Patient.gender
  display:
    v: Patient.gender
  equivalence:
    v: equivalent
  comment:
    v: Element `Patient.gender` is mapped to FHIR R4B element `Patient.gender` as `Equivalent`. The gender may not match the biological sex as determined by genetics, or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than M and F, though the vast majority of systems and contexts only support M and F. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific gender aspect of interest (anatomical, chromosonal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosonal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overrideable error, not a "hard" error.

code:
  v: Patient.birthDate
display:
  v: birthDate
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: Patient.birthDate
  display:
    v: Patient.birthDate
  equivalence:
    v: equivalent
  comment:
    v: Element `Patient.birthDate` is mapped to FHIR R4B element `Patient.birthDate` as `Equivalent`. At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternaty/infant care systems).

code:
  v: Patient.deceased[x]
display:
  v: deceased[x]
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: Patient.deceased[x]
  display:
    v: Patient.deceased[x]
  equivalence:
    v: equivalent
  comment:
    v: Element `Patient.deceased[x]` is mapped to FHIR R4B element `Patient.deceased[x]` as `Equivalent`. The target context `Patient.deceased[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Patient`. If there's no value in the instance it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive. This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.

code:
  v: Patient.address
display:
  v: address
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Patient.address
  display:
    v: Patient.address
  equivalence:
    v: wider
  comment:
    v: Element `Patient.address` is mapped to FHIR R4B element `Patient.address` as `SourceIsBroaderThanTarget`. The mappings for `Patient.address` do not cover the following types: Address. The mappings for `Patient.address` do not cover the following types based on type expansion: city, country, district, line, period, postalCode, state, text, type, use. Patient may have multiple addresses with different uses or applicable periods.

code:
  v: Patient.maritalStatus
display:
  v: maritalStatus
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: Patient.maritalStatus
  display:
    v: Patient.maritalStatus
  equivalence:
    v: equivalent
  comment:
    v: Element `Patient.maritalStatus` is mapped to FHIR R4B element `Patient.maritalStatus` as `Equivalent`.

code:
  v: Patient.multipleBirth[x]
display:
  v: multipleBirth[x]
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: Patient.multipleBirth[x]
  display:
    v: Patient.multipleBirth[x]
  equivalence:
    v: equivalent
  comment:
    v: Element `Patient.multipleBirth[x]` is mapped to FHIR R4B element `Patient.multipleBirth[x]` as `Equivalent`. The target context `Patient.multipleBirth[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Patient`. Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in tripplets would be valueInteger=2 and the third born would have valueInteger=3 If a bool value was provided for this tripplets examle, then all 3 patient records would have valueBool=true (the ordering is not indicated).

code:
  v: Patient.photo
display:
  v: photo
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Patient.photo
  display:
    v: Patient.photo
  equivalence:
    v: wider
  comment:
    v: Element `Patient.photo` is mapped to FHIR R4B element `Patient.photo` as `SourceIsBroaderThanTarget`. The mappings for `Patient.photo` do not cover the following types: Attachment. The mappings for `Patient.photo` do not cover the following types based on type expansion: contentType, creation, data, hash, language, size, title, url.

code:
  v: Patient.contact
display:
  v: contact
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Patient.contact
  display:
    v: Patient.contact
  equivalence:
    v: wider
  comment:
    v: Element `Patient.contact` is mapped to FHIR R4B element `Patient.contact` as `Equivalent`. Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.

code:
  v: Patient.contact.relationship
display:
  v: relationship
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: Patient.contact.relationship
  display:
    v: Patient.contact.relationship
  equivalence:
    v: equivalent
  comment:
    v: Element `Patient.contact.relationship` is mapped to FHIR R4B element `Patient.contact.relationship` as `Equivalent`.

code:
  v: Patient.contact.name
display:
  v: name
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Patient.contact.name
  display:
    v: Patient.contact.name
  equivalence:
    v: wider
  comment:
    v: Element `Patient.contact.name` is mapped to FHIR R4B element `Patient.contact.name` as `SourceIsBroaderThanTarget`. The mappings for `Patient.contact.name` do not cover the following types: HumanName. The mappings for `Patient.contact.name` do not cover the following types based on type expansion: family, given, period, prefix, suffix, text, use.

code:
  v: Patient.contact.telecom
display:
  v: telecom
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Patient.contact.telecom
  display:
    v: Patient.contact.telecom
  equivalence:
    v: wider
  comment:
    v: Element `Patient.contact.telecom` is mapped to FHIR R4B element `Patient.contact.telecom` as `SourceIsBroaderThanTarget`. The mappings for `Patient.contact.telecom` do not cover the following types: ContactPoint. The mappings for `Patient.contact.telecom` do not cover the following types based on type expansion: period, rank, system, use, value. Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.

code:
  v: Patient.contact.address
display:
  v: address
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Patient.contact.address
  display:
    v: Patient.contact.address
  equivalence:
    v: wider
  comment:
    v: Element `Patient.contact.address` is mapped to FHIR R4B element `Patient.contact.address` as `SourceIsBroaderThanTarget`. The mappings for `Patient.contact.address` do not cover the following types: Address. The mappings for `Patient.contact.address` do not cover the following types based on type expansion: city, country, district, line, period, postalCode, state, text, type, use.

code:
  v: Patient.contact.gender
display:
  v: gender
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: Patient.contact.gender
  display:
    v: Patient.contact.gender
  equivalence:
    v: equivalent
  comment:
    v: Element `Patient.contact.gender` is mapped to FHIR R4B element `Patient.contact.gender` as `Equivalent`.

code:
  v: Patient.contact.organization
display:
  v: organization
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Patient.contact.organization
  display:
    v: Patient.contact.organization
  equivalence:
    v: wider
  comment:
    v: Element `Patient.contact.organization` is mapped to FHIR R4B element `Patient.contact.organization` as `SourceIsBroaderThanTarget`. The mappings for `Patient.contact.organization` 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 `Patient.contact.organization` with unmapped reference targets: Organization.

code:
  v: Patient.contact.period
display:
  v: period
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Patient.contact.period
  display:
    v: Patient.contact.period
  equivalence:
    v: wider
  comment:
    v: Element `Patient.contact.period` is mapped to FHIR R4B element `Patient.contact.period` as `SourceIsBroaderThanTarget`. The mappings for `Patient.contact.period` do not cover the following types: Period. The mappings for `Patient.contact.period` do not cover the following types based on type expansion: end, start.

code:
  v: Patient.communication
display:
  v: communication
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Patient.communication
  display:
    v: Patient.communication
  equivalence:
    v: wider
  comment:
    v: Element `Patient.communication` is mapped to FHIR R4B element `Patient.communication` as `Equivalent`. If no language is specified, this *implies* that the default local language is spoken. If you need to convey proficiency for multiple modes then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.

code:
  v: Patient.communication.language
display:
  v: language
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: Patient.communication.language
  display:
    v: Patient.communication.language
  equivalence:
    v: equivalent
  comment:
    v: Element `Patient.communication.language` is mapped to FHIR R4B element `Patient.communication.language` as `Equivalent`. The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.

code:
  v: Patient.communication.preferred
display:
  v: preferred
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: Patient.communication.preferred
  display:
    v: Patient.communication.preferred
  equivalence:
    v: equivalent
  comment:
    v: Element `Patient.communication.preferred` is mapped to FHIR R4B element `Patient.communication.preferred` as `Equivalent`. This language is specifically identified for communicating healthcare information.

code:
  v: Patient.generalPractitioner
display:
  v: generalPractitioner
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Patient.generalPractitioner
  display:
    v: Patient.generalPractitioner
  equivalence:
    v: wider
  comment:
    v: Element `Patient.generalPractitioner` is mapped to FHIR R4B element `Patient.generalPractitioner` as `SourceIsBroaderThanTarget`. The mappings for `Patient.generalPractitioner` 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 `Patient.generalPractitioner` with unmapped reference targets: Organization, Practitioner. This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disablity setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources.

code:
  v: Patient.managingOrganization
display:
  v: managingOrganization
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Patient.managingOrganization
  display:
    v: Patient.managingOrganization
  equivalence:
    v: wider
  comment:
    v: Element `Patient.managingOrganization` is mapped to FHIR R4B element `Patient.managingOrganization` as `SourceIsBroaderThanTarget`. The mappings for `Patient.managingOrganization` 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 `Patient.managingOrganization` with unmapped reference targets: Organization. There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).

code:
  v: Patient.link
display:
  v: link
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Patient.link
  display:
    v: Patient.link
  equivalence:
    v: wider
  comment:
    v: Element `Patient.link` is mapped to FHIR R4B element `Patient.link` as `Equivalent`. There is no assumption that linked patient records have mutual links. This element is labelled as a modifier because it may not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'.

code:
  v: Patient.link.other
display:
  v: other
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Patient.link.other
  display:
    v: Patient.link.other
  equivalence:
    v: wider
  comment:
    v: Element `Patient.link.other` is mapped to FHIR R4B element `Patient.link.other` as `SourceIsBroaderThanTarget`. The mappings for `Patient.link.other` 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 `Patient.link.other` with unmapped reference targets: Patient, RelatedPerson. Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.

code:
  v: Patient.link.type
display:
  v: type
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: Patient.link.type
  display:
    v: Patient.link.type
  equivalence:
    v: equivalent
  comment:
    v: Element `Patient.link.type` is mapped to FHIR R4B element `Patient.link.type` as `Equivalent`.

source:
  v: http://hl7.org/fhir/StructureDefinition/Patient
  l: Patient
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.meta
  l: extension-Patient.meta
target version:
  v: 0.1.0
element:
  code:
    v: Patient.meta
  display:
    v: meta
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `Patient.meta` is mapped to FHIR R4B element `Patient.meta` as `SourceIsBroaderThanTarget`. The mappings for `Patient.meta` do not cover the following types: Meta. The mappings for `Patient.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.

source:
  v: http://hl7.org/fhir/StructureDefinition/Patient
  l: Patient
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.text
  l: extension-Patient.text
target version:
  v: 0.1.0
element:
  code:
    v: Patient.text
  display:
    v: text
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `Patient.text` is mapped to FHIR R4B element `Patient.text` as `SourceIsBroaderThanTarget`. The mappings for `Patient.text` do not cover the following types: Narrative. The mappings for `Patient.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.

source:
  v: http://hl7.org/fhir/StructureDefinition/Patient
  l: Patient
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.identifier
  l: extension-Patient.identifier
target version:
  v: 0.1.0
element:
  code:
    v: Patient.identifier
  display:
    v: identifier
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `Patient.identifier` is mapped to FHIR R4B element `Patient.identifier` as `SourceIsBroaderThanTarget`. The mappings for `Patient.identifier` do not cover the following types: Identifier. The mappings for `Patient.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.

source:
  v: http://hl7.org/fhir/StructureDefinition/Patient
  l: Patient
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.name
  l: extension-Patient.name
target version:
  v: 0.1.0
element:
  code:
    v: Patient.name
  display:
    v: name
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `Patient.name` is mapped to FHIR R4B element `Patient.name` as `SourceIsBroaderThanTarget`. The mappings for `Patient.name` do not cover the following types: HumanName. The mappings for `Patient.name` do not cover the following types based on type expansion: family, given, period, prefix, suffix, text, use. A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

source:
  v: http://hl7.org/fhir/StructureDefinition/Patient
  l: Patient
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.telecom
  l: extension-Patient.telecom
target version:
  v: 0.1.0
element:
  code:
    v: Patient.telecom
  display:
    v: telecom
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `Patient.telecom` is mapped to FHIR R4B element `Patient.telecom` as `SourceIsBroaderThanTarget`. The mappings for `Patient.telecom` do not cover the following types: ContactPoint. The mappings for `Patient.telecom` do not cover the following types based on type expansion: period, rank, system, use, value. A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address may not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

source:
  v: http://hl7.org/fhir/StructureDefinition/Patient
  l: Patient
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.address
  l: extension-Patient.address
target version:
  v: 0.1.0
element:
  code:
    v: Patient.address
  display:
    v: address
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `Patient.address` is mapped to FHIR R4B element `Patient.address` as `SourceIsBroaderThanTarget`. The mappings for `Patient.address` do not cover the following types: Address. The mappings for `Patient.address` do not cover the following types based on type expansion: city, country, district, line, period, postalCode, state, text, type, use. Patient may have multiple addresses with different uses or applicable periods.

source:
  v: http://hl7.org/fhir/StructureDefinition/Patient
  l: Patient
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.photo
  l: extension-Patient.photo
target version:
  v: 0.1.0
element:
  code:
    v: Patient.photo
  display:
    v: photo
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `Patient.photo` is mapped to FHIR R4B element `Patient.photo` as `SourceIsBroaderThanTarget`. The mappings for `Patient.photo` do not cover the following types: Attachment. The mappings for `Patient.photo` do not cover the following types based on type expansion: contentType, creation, data, hash, language, size, title, url.

source:
  v: http://hl7.org/fhir/StructureDefinition/Patient
  l: Patient
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.contact.name
  l: extension-Patient.contact.name
target version:
  v: 0.1.0
element:
  code:
    v: Patient.contact.name
  display:
    v: name
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `Patient.contact.name` is mapped to FHIR R4B element `Patient.contact.name` as `SourceIsBroaderThanTarget`. The mappings for `Patient.contact.name` do not cover the following types: HumanName. The mappings for `Patient.contact.name` do not cover the following types based on type expansion: family, given, period, prefix, suffix, text, use.

source:
  v: http://hl7.org/fhir/StructureDefinition/Patient
  l: Patient
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.contact.telecom
  l: extension-Patient.contact.telecom
target version:
  v: 0.1.0
element:
  code:
    v: Patient.contact.telecom
  display:
    v: telecom
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `Patient.contact.telecom` is mapped to FHIR R4B element `Patient.contact.telecom` as `SourceIsBroaderThanTarget`. The mappings for `Patient.contact.telecom` do not cover the following types: ContactPoint. The mappings for `Patient.contact.telecom` do not cover the following types based on type expansion: period, rank, system, use, value. Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.

source:
  v: http://hl7.org/fhir/StructureDefinition/Patient
  l: Patient
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.contact.address
  l: extension-Patient.contact.address
target version:
  v: 0.1.0
element:
  code:
    v: Patient.contact.address
  display:
    v: address
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `Patient.contact.address` is mapped to FHIR R4B element `Patient.contact.address` as `SourceIsBroaderThanTarget`. The mappings for `Patient.contact.address` do not cover the following types: Address. The mappings for `Patient.contact.address` do not cover the following types based on type expansion: city, country, district, line, period, postalCode, state, text, type, use.

source:
  v: http://hl7.org/fhir/StructureDefinition/Patient
  l: Patient
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.contact.period
  l: extension-Patient.contact.period
target version:
  v: 0.1.0
element:
  code:
    v: Patient.contact.period
  display:
    v: period
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `Patient.contact.period` is mapped to FHIR R4B element `Patient.contact.period` as `SourceIsBroaderThanTarget`. The mappings for `Patient.contact.period` do not cover the following types: Period. The mappings for `Patient.contact.period` do not cover the following types based on type expansion: end, start.

source:
  v: http://hl7.org/fhir/StructureDefinition/Patient
  l: Patient
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.animal
  l: extension-Patient.animal
target version:
  v: 0.1.0
element:
  code:
    v: Patient.animal
  display:
    v: animal
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `Patient.animal` has a context of Patient based on following the parent source element upwards and mapping to `Patient`. Element `Patient.animal` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). The animal element is labeled "Is Modifier" since patients may be non-human. Systems SHALL either handle patient details appropriately (e.g. inform users patient is not human) or reject declared animal records. The absense of the animal element does not imply that the patient is a human. If a system requires such a positive assertion that the patient is human, an extension will be required. (Do not use a species of homo-sapiens in animal species, as this would incorrectly infer that the patient is an animal).
element:
  code:
    v: Patient.animal.species
  display:
    v: species
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension.extension:species
    equivalence:
      v: equivalent
    comment:
      v: Element `Patient.animal.species` is part of an existing definition because parent element `Patient.animal` requires a cross-version extension. Element `Patient.animal.species` has a context of Patient based on following the parent source element upwards and mapping to `Patient`. Element `Patient.animal.species` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). If the patient is non-human, at least a species SHALL be specified. Species SHALL be a widely recognised taxonomic classification. It may or may not be Linnaean taxonomy and may or may not be at the level of species. If the level is finer than species--such as a breed code--the code system used SHALL allow inference of the species. (The common example is that the word "Hereford" does not allow inference of the species Bos taurus, because there is a Hereford pig breed, but the SNOMED CT code for "Hereford Cattle Breed" does.).
element:
  code:
    v: Patient.animal.breed
  display:
    v: breed
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension.extension:breed
    equivalence:
      v: equivalent
    comment:
      v: Element `Patient.animal.breed` is part of an existing definition because parent element `Patient.animal` requires a cross-version extension. Element `Patient.animal.breed` has a context of Patient based on following the parent source element upwards and mapping to `Patient`. Element `Patient.animal.breed` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). Breed MAY be used to provide further taxonomic or non-taxonomic classification. It may involve local or proprietary designation--such as commercial strain--and/or additional information such as production type.
element:
  code:
    v: Patient.animal.genderStatus
  display:
    v: genderStatus
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension.extension:genderStatus
    equivalence:
      v: equivalent
    comment:
      v: Element `Patient.animal.genderStatus` is part of an existing definition because parent element `Patient.animal` requires a cross-version extension. Element `Patient.animal.genderStatus` has a context of Patient based on following the parent source element upwards and mapping to `Patient`. Element `Patient.animal.genderStatus` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).