Extensions for Using Data Elements from FHIR STU3 in FHIR R5
0.1.0 - STU
Extensions for Using Data Elements from FHIR STU3 in FHIR R5
0.1.0 - STU
Extensions for Using Data Elements from FHIR STU3 in FHIR R5 - 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-Patient-element-map-to-R5"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap R3-Patient-element-map-to-R5</b></p><a name="R3-Patient-element-map-to-R5"> </a><a name="hcR3-Patient-element-map-to-R5"> </a><p>Mapping from http://hl7.org/fhir/3.0 to http://hl7.org/fhir/5.0</p><br/><p><b>Group 1 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Patient|3.0.2</code> to <a href="http://hl7.org/fhir/R5/patient.html">Patientversion: 5.0.0)</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>Patient.meta (meta)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>Patient.meta</td><td>Element `Patient.meta` is mapped to FHIR R5 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.</td></tr><tr><td>Patient.implicitRules (implicitRules)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Patient.implicitRules</td><td>Element `Patient.implicitRules` is mapped to FHIR R5 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.</td></tr><tr><td>Patient.language (language)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Patient.language</td><td>Element `Patient.language` is mapped to FHIR R5 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).</td></tr><tr><td>Patient.text (text)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>Patient.text</td><td>Element `Patient.text` is mapped to FHIR R5 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.</td></tr><tr><td>Patient.contained (contained)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Patient.contained</td><td>Element `Patient.contained` is mapped to FHIR R5 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.</td></tr><tr><td>Patient.identifier (identifier)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>Patient.identifier</td><td>Element `Patient.identifier` is mapped to FHIR R5 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.</td></tr><tr><td>Patient.active (active)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Patient.active</td><td>Element `Patient.active` is mapped to FHIR R5 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.</td></tr><tr><td>Patient.name (name)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>Patient.name</td><td>Element `Patient.name` is mapped to FHIR R5 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.</td></tr><tr><td>Patient.telecom (telecom)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>Patient.telecom</td><td>Element `Patient.telecom` is mapped to FHIR R5 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).</td></tr><tr><td>Patient.gender (gender)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Patient.gender</td><td>Element `Patient.gender` is mapped to FHIR R5 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.</td></tr><tr><td>Patient.birthDate (birthDate)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Patient.birthDate</td><td>Element `Patient.birthDate` is mapped to FHIR R5 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).</td></tr><tr><td>Patient.deceased[x] (deceased[x])</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Patient.deceased[x]</td><td>Element `Patient.deceased[x]` is mapped to FHIR R5 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.</td></tr><tr><td>Patient.address (address)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>Patient.address</td><td>Element `Patient.address` is mapped to FHIR R5 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.</td></tr><tr><td>Patient.maritalStatus (maritalStatus)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Patient.maritalStatus</td><td>Element `Patient.maritalStatus` is mapped to FHIR R5 element `Patient.maritalStatus` as `Equivalent`.</td></tr><tr><td>Patient.multipleBirth[x] (multipleBirth[x])</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Patient.multipleBirth[x]</td><td>Element `Patient.multipleBirth[x]` is mapped to FHIR R5 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).</td></tr><tr><td>Patient.photo (photo)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>Patient.photo</td><td>Element `Patient.photo` is mapped to FHIR R5 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.</td></tr><tr><td>Patient.contact (contact)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>Patient.contact</td><td>Element `Patient.contact` is mapped to FHIR R5 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.</td></tr><tr><td>Patient.contact.relationship (relationship)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Patient.contact.relationship</td><td>Element `Patient.contact.relationship` is mapped to FHIR R5 element `Patient.contact.relationship` as `Equivalent`.</td></tr><tr><td>Patient.contact.name (name)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>Patient.contact.name</td><td>Element `Patient.contact.name` is mapped to FHIR R5 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.</td></tr><tr><td>Patient.contact.telecom (telecom)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>Patient.contact.telecom</td><td>Element `Patient.contact.telecom` is mapped to FHIR R5 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.</td></tr><tr><td>Patient.contact.address (address)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>Patient.contact.address</td><td>Element `Patient.contact.address` is mapped to FHIR R5 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.</td></tr><tr><td>Patient.contact.gender (gender)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Patient.contact.gender</td><td>Element `Patient.contact.gender` is mapped to FHIR R5 element `Patient.contact.gender` as `Equivalent`.</td></tr><tr><td>Patient.contact.organization (organization)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>Patient.contact.organization</td><td>Element `Patient.contact.organization` is mapped to FHIR R5 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.</td></tr><tr><td>Patient.contact.period (period)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>Patient.contact.period</td><td>Element `Patient.contact.period` is mapped to FHIR R5 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.</td></tr><tr><td>Patient.communication (communication)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>Patient.communication</td><td>Element `Patient.communication` is mapped to FHIR R5 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.</td></tr><tr><td>Patient.communication.language (language)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Patient.communication.language</td><td>Element `Patient.communication.language` is mapped to FHIR R5 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.</td></tr><tr><td>Patient.communication.preferred (preferred)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Patient.communication.preferred</td><td>Element `Patient.communication.preferred` is mapped to FHIR R5 element `Patient.communication.preferred` as `Equivalent`.
This language is specifically identified for communicating healthcare information.</td></tr><tr><td>Patient.generalPractitioner (generalPractitioner)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>Patient.generalPractitioner</td><td>Element `Patient.generalPractitioner` is mapped to FHIR R5 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.</td></tr><tr><td>Patient.managingOrganization (managingOrganization)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>Patient.managingOrganization</td><td>Element `Patient.managingOrganization` is mapped to FHIR R5 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).</td></tr><tr><td>Patient.link (link)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>Patient.link</td><td>Element `Patient.link` is mapped to FHIR R5 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'.</td></tr><tr><td>Patient.link.other (other)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>Patient.link.other</td><td>Element `Patient.link.other` is mapped to FHIR R5 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.</td></tr><tr><td>Patient.link.type (type)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Patient.link.type</td><td>Element `Patient.link.type` is mapped to FHIR R5 element `Patient.link.type` as `Equivalent`.</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Patient|3.0.2</code> to <a href="StructureDefinition-ext-R3-Patient.meta.html">STU3: meta additional typesversion: 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>Patient.meta (meta)</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: meta additional types)</td><td>Element `Patient.meta` is mapped to FHIR R5 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.</td></tr></table><hr/><p><b>Group 3 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Patient|3.0.2</code> to <a href="StructureDefinition-ext-R3-Patient.text.html">STU3: text additional typesversion: 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>Patient.text (text)</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: text additional types)</td><td>Element `Patient.text` is mapped to FHIR R5 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.</td></tr></table><hr/><p><b>Group 4 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Patient|3.0.2</code> to <a href="StructureDefinition-ext-R3-Patient.identifier.html">STU3: identifier additional typesversion: 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>Patient.identifier (identifier)</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: identifier additional types)</td><td>Element `Patient.identifier` is mapped to FHIR R5 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.</td></tr></table><hr/><p><b>Group 5 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Patient|3.0.2</code> to <a href="StructureDefinition-ext-R3-Patient.name.html">STU3: name additional typesversion: 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>Patient.name (name)</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: name additional types)</td><td>Element `Patient.name` is mapped to FHIR R5 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.</td></tr></table><hr/><p><b>Group 6 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Patient|3.0.2</code> to <a href="StructureDefinition-ext-R3-Patient.telecom.html">STU3: telecom additional typesversion: 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>Patient.telecom (telecom)</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: telecom additional types)</td><td>Element `Patient.telecom` is mapped to FHIR R5 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).</td></tr></table><hr/><p><b>Group 7 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Patient|3.0.2</code> to <a href="StructureDefinition-ext-R3-Patient.address.html">STU3: Addresses for the individual additional typesversion: 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>Patient.address (address)</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: Addresses for the individual additional types)</td><td>Element `Patient.address` is mapped to FHIR R5 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.</td></tr></table><hr/><p><b>Group 8 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Patient|3.0.2</code> to <a href="StructureDefinition-ext-R3-Patient.photo.html">STU3: photo additional typesversion: 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>Patient.photo (photo)</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: photo additional types)</td><td>Element `Patient.photo` is mapped to FHIR R5 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.</td></tr></table><hr/><p><b>Group 9 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Patient|3.0.2</code> to <a href="StructureDefinition-ext-R3-Patient.con.name.html">STU3: name additional typesversion: 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>Patient.contact.name (name)</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: name additional types)</td><td>Element `Patient.contact.name` is mapped to FHIR R5 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.</td></tr></table><hr/><p><b>Group 10 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Patient|3.0.2</code> to <a href="StructureDefinition-ext-R3-Patient.con.telecom.html">STU3: telecom additional typesversion: 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>Patient.contact.telecom (telecom)</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: telecom additional types)</td><td>Element `Patient.contact.telecom` is mapped to FHIR R5 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.</td></tr></table><hr/><p><b>Group 11 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Patient|3.0.2</code> to <a href="StructureDefinition-ext-R3-Patient.con.address.html">STU3: address additional typesversion: 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>Patient.contact.address (address)</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: address additional types)</td><td>Element `Patient.contact.address` is mapped to FHIR R5 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.</td></tr></table><hr/><p><b>Group 12 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Patient|3.0.2</code> to <a href="StructureDefinition-ext-R3-Patient.con.period.html">STU3: period additional typesversion: 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>Patient.contact.period (period)</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: period additional types)</td><td>Element `Patient.contact.period` is mapped to FHIR R5 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.</td></tr></table><hr/><p><b>Group 13 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Patient|3.0.2</code> to <a href="StructureDefinition-ext-R3-Patient.animal.html">STU3: This patient is known to be an animal (non-human) (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>Patient.animal (animal)</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: This patient is known to be an animal (non-human) (new))</td><td>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 R5. 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).</td></tr><tr><td>Patient.animal.species (species)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension.extension:species (STU3: E.g. Dog, Cow (new))</td><td>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 R5. 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.).</td></tr><tr><td>Patient.animal.breed (breed)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension.extension:breed (STU3: E.g. Poodle, Angus (new))</td><td>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 R5. 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.</td></tr><tr><td>Patient.animal.genderStatus (genderStatus)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension.extension:genderStatus (STU3: E.g. Neutered, Intact (new))</td><td>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 R5. 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.r5"/>
</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.r5"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/uv/xver/ConceptMap/R3-Patient-element-map-to-R5"/>
<version value="0.1.0"/>
<name value="R3PatientElementMapToR5"/>
<title
value="Cross-version mapping for FHIR STU3 Patient to FHIR R5 Patient"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-03-17T16:05:00.3674868-05:00"/>
<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 Patient to FHIR R5."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<sourceScopeCanonical value="http://hl7.org/fhir/3.0"/>
<targetScopeUri value="http://hl7.org/fhir/5.0"/>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Patient|3.0.2"/>
<target value="http://hl7.org/fhir/StructureDefinition/Patient|5.0.0"/>
<element>
<code value="Patient.meta"/>
<display value="meta"/>
<target>
<code value="Patient.meta"/>
<display value="Patient.meta"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `Patient.meta` is mapped to FHIR R5 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."/>
</target>
</element>
<element>
<code value="Patient.implicitRules"/>
<display value="implicitRules"/>
<target>
<code value="Patient.implicitRules"/>
<display value="Patient.implicitRules"/>
<relationship value="equivalent"/>
<comment
value="Element `Patient.implicitRules` is mapped to FHIR R5 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."/>
</target>
</element>
<element>
<code value="Patient.language"/>
<display value="language"/>
<target>
<code value="Patient.language"/>
<display value="Patient.language"/>
<relationship value="equivalent"/>
<comment
value="Element `Patient.language` is mapped to FHIR R5 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)."/>
</target>
</element>
<element>
<code value="Patient.text"/>
<display value="text"/>
<target>
<code value="Patient.text"/>
<display value="Patient.text"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `Patient.text` is mapped to FHIR R5 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."/>
</target>
</element>
<element>
<code value="Patient.contained"/>
<display value="contained"/>
<target>
<code value="Patient.contained"/>
<display value="Patient.contained"/>
<relationship value="equivalent"/>
<comment
value="Element `Patient.contained` is mapped to FHIR R5 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."/>
</target>
</element>
<element>
<code value="Patient.identifier"/>
<display value="identifier"/>
<target>
<code value="Patient.identifier"/>
<display value="Patient.identifier"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `Patient.identifier` is mapped to FHIR R5 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."/>
</target>
</element>
<element>
<code value="Patient.active"/>
<display value="active"/>
<target>
<code value="Patient.active"/>
<display value="Patient.active"/>
<relationship value="equivalent"/>
<comment
value="Element `Patient.active` is mapped to FHIR R5 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."/>
</target>
</element>
<element>
<code value="Patient.name"/>
<display value="name"/>
<target>
<code value="Patient.name"/>
<display value="Patient.name"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `Patient.name` is mapped to FHIR R5 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."/>
</target>
</element>
<element>
<code value="Patient.telecom"/>
<display value="telecom"/>
<target>
<code value="Patient.telecom"/>
<display value="Patient.telecom"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `Patient.telecom` is mapped to FHIR R5 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)."/>
</target>
</element>
<element>
<code value="Patient.gender"/>
<display value="gender"/>
<target>
<code value="Patient.gender"/>
<display value="Patient.gender"/>
<relationship value="equivalent"/>
<comment
value="Element `Patient.gender` is mapped to FHIR R5 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."/>
</target>
</element>
<element>
<code value="Patient.birthDate"/>
<display value="birthDate"/>
<target>
<code value="Patient.birthDate"/>
<display value="Patient.birthDate"/>
<relationship value="equivalent"/>
<comment
value="Element `Patient.birthDate` is mapped to FHIR R5 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)."/>
</target>
</element>
<element>
<code value="Patient.deceased[x]"/>
<display value="deceased[x]"/>
<target>
<code value="Patient.deceased[x]"/>
<display value="Patient.deceased[x]"/>
<relationship value="equivalent"/>
<comment
value="Element `Patient.deceased[x]` is mapped to FHIR R5 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."/>
</target>
</element>
<element>
<code value="Patient.address"/>
<display value="address"/>
<target>
<code value="Patient.address"/>
<display value="Patient.address"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `Patient.address` is mapped to FHIR R5 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."/>
</target>
</element>
<element>
<code value="Patient.maritalStatus"/>
<display value="maritalStatus"/>
<target>
<code value="Patient.maritalStatus"/>
<display value="Patient.maritalStatus"/>
<relationship value="equivalent"/>
<comment
value="Element `Patient.maritalStatus` is mapped to FHIR R5 element `Patient.maritalStatus` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Patient.multipleBirth[x]"/>
<display value="multipleBirth[x]"/>
<target>
<code value="Patient.multipleBirth[x]"/>
<display value="Patient.multipleBirth[x]"/>
<relationship value="equivalent"/>
<comment
value="Element `Patient.multipleBirth[x]` is mapped to FHIR R5 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)."/>
</target>
</element>
<element>
<code value="Patient.photo"/>
<display value="photo"/>
<target>
<code value="Patient.photo"/>
<display value="Patient.photo"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `Patient.photo` is mapped to FHIR R5 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."/>
</target>
</element>
<element>
<code value="Patient.contact"/>
<display value="contact"/>
<target>
<code value="Patient.contact"/>
<display value="Patient.contact"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `Patient.contact` is mapped to FHIR R5 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."/>
</target>
</element>
<element>
<code value="Patient.contact.relationship"/>
<display value="relationship"/>
<target>
<code value="Patient.contact.relationship"/>
<display value="Patient.contact.relationship"/>
<relationship value="equivalent"/>
<comment
value="Element `Patient.contact.relationship` is mapped to FHIR R5 element `Patient.contact.relationship` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Patient.contact.name"/>
<display value="name"/>
<target>
<code value="Patient.contact.name"/>
<display value="Patient.contact.name"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `Patient.contact.name` is mapped to FHIR R5 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."/>
</target>
</element>
<element>
<code value="Patient.contact.telecom"/>
<display value="telecom"/>
<target>
<code value="Patient.contact.telecom"/>
<display value="Patient.contact.telecom"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `Patient.contact.telecom` is mapped to FHIR R5 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."/>
</target>
</element>
<element>
<code value="Patient.contact.address"/>
<display value="address"/>
<target>
<code value="Patient.contact.address"/>
<display value="Patient.contact.address"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `Patient.contact.address` is mapped to FHIR R5 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."/>
</target>
</element>
<element>
<code value="Patient.contact.gender"/>
<display value="gender"/>
<target>
<code value="Patient.contact.gender"/>
<display value="Patient.contact.gender"/>
<relationship value="equivalent"/>
<comment
value="Element `Patient.contact.gender` is mapped to FHIR R5 element `Patient.contact.gender` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Patient.contact.organization"/>
<display value="organization"/>
<target>
<code value="Patient.contact.organization"/>
<display value="Patient.contact.organization"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `Patient.contact.organization` is mapped to FHIR R5 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."/>
</target>
</element>
<element>
<code value="Patient.contact.period"/>
<display value="period"/>
<target>
<code value="Patient.contact.period"/>
<display value="Patient.contact.period"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `Patient.contact.period` is mapped to FHIR R5 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."/>
</target>
</element>
<element>
<code value="Patient.communication"/>
<display value="communication"/>
<target>
<code value="Patient.communication"/>
<display value="Patient.communication"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `Patient.communication` is mapped to FHIR R5 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."/>
</target>
</element>
<element>
<code value="Patient.communication.language"/>
<display value="language"/>
<target>
<code value="Patient.communication.language"/>
<display value="Patient.communication.language"/>
<relationship value="equivalent"/>
<comment
value="Element `Patient.communication.language` is mapped to FHIR R5 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."/>
</target>
</element>
<element>
<code value="Patient.communication.preferred"/>
<display value="preferred"/>
<target>
<code value="Patient.communication.preferred"/>
<display value="Patient.communication.preferred"/>
<relationship value="equivalent"/>
<comment
value="Element `Patient.communication.preferred` is mapped to FHIR R5 element `Patient.communication.preferred` as `Equivalent`.
This language is specifically identified for communicating healthcare information."/>
</target>
</element>
<element>
<code value="Patient.generalPractitioner"/>
<display value="generalPractitioner"/>
<target>
<code value="Patient.generalPractitioner"/>
<display value="Patient.generalPractitioner"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `Patient.generalPractitioner` is mapped to FHIR R5 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."/>
</target>
</element>
<element>
<code value="Patient.managingOrganization"/>
<display value="managingOrganization"/>
<target>
<code value="Patient.managingOrganization"/>
<display value="Patient.managingOrganization"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `Patient.managingOrganization` is mapped to FHIR R5 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)."/>
</target>
</element>
<element>
<code value="Patient.link"/>
<display value="link"/>
<target>
<code value="Patient.link"/>
<display value="Patient.link"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `Patient.link` is mapped to FHIR R5 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'."/>
</target>
</element>
<element>
<code value="Patient.link.other"/>
<display value="other"/>
<target>
<code value="Patient.link.other"/>
<display value="Patient.link.other"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `Patient.link.other` is mapped to FHIR R5 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."/>
</target>
</element>
<element>
<code value="Patient.link.type"/>
<display value="type"/>
<target>
<code value="Patient.link.type"/>
<display value="Patient.link.type"/>
<relationship value="equivalent"/>
<comment
value="Element `Patient.link.type` is mapped to FHIR R5 element `Patient.link.type` as `Equivalent`."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Patient|3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.meta|0.1.0"/>
<element>
<code value="Patient.meta"/>
<display value="meta"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="Element `Patient.meta` is mapped to FHIR R5 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."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Patient|3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.text|0.1.0"/>
<element>
<code value="Patient.text"/>
<display value="text"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="Element `Patient.text` is mapped to FHIR R5 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."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Patient|3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.identifier|0.1.0"/>
<element>
<code value="Patient.identifier"/>
<display value="identifier"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="Element `Patient.identifier` is mapped to FHIR R5 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."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Patient|3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.name|0.1.0"/>
<element>
<code value="Patient.name"/>
<display value="name"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="Element `Patient.name` is mapped to FHIR R5 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."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Patient|3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.telecom|0.1.0"/>
<element>
<code value="Patient.telecom"/>
<display value="telecom"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="Element `Patient.telecom` is mapped to FHIR R5 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)."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Patient|3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.address|0.1.0"/>
<element>
<code value="Patient.address"/>
<display value="address"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="Element `Patient.address` is mapped to FHIR R5 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."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Patient|3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.photo|0.1.0"/>
<element>
<code value="Patient.photo"/>
<display value="photo"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="Element `Patient.photo` is mapped to FHIR R5 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."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Patient|3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.contact.name|0.1.0"/>
<element>
<code value="Patient.contact.name"/>
<display value="name"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="Element `Patient.contact.name` is mapped to FHIR R5 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."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Patient|3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.contact.telecom|0.1.0"/>
<element>
<code value="Patient.contact.telecom"/>
<display value="telecom"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="Element `Patient.contact.telecom` is mapped to FHIR R5 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."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Patient|3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.contact.address|0.1.0"/>
<element>
<code value="Patient.contact.address"/>
<display value="address"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="Element `Patient.contact.address` is mapped to FHIR R5 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."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Patient|3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.contact.period|0.1.0"/>
<element>
<code value="Patient.contact.period"/>
<display value="period"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="Element `Patient.contact.period` is mapped to FHIR R5 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."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Patient|3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.animal|0.1.0"/>
<element>
<code value="Patient.animal"/>
<display value="animal"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="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 R5. 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)."/>
</target>
</element>
<element>
<code value="Patient.animal.species"/>
<display value="species"/>
<target>
<code value="Extension.extension:species"/>
<relationship value="equivalent"/>
<comment
value="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 R5. 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.)."/>
</target>
</element>
<element>
<code value="Patient.animal.breed"/>
<display value="breed"/>
<target>
<code value="Extension.extension:breed"/>
<relationship value="equivalent"/>
<comment
value="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 R5. 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."/>
</target>
</element>
<element>
<code value="Patient.animal.genderStatus"/>
<display value="genderStatus"/>
<target>
<code value="Extension.extension:genderStatus"/>
<relationship value="equivalent"/>
<comment
value="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 R5. 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.r5#0.1.0 based on FHIR 5.0.0. Generated 2026-03-20
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