Extensions for Using Data Elements from FHIR R4 in FHIR STU3
0.1.0 - STU
Extensions for Using Data Elements from FHIR R4 in FHIR STU3
0.1.0 - STU
Extensions for Using Data Elements from FHIR R4 in FHIR STU3 - Downloaded Version null See the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/xver/ConceptMap/R4-NutritionOrder-element-map-to-R3 | Version: 0.1.0 | |||
| Standards status: Trial-use | Maturity Level: 0 | Computable Name: R4NutritionOrderElementMapToR3 | ||
This ConceptMap represents cross-version mappings for elements from a FHIR R4 NutritionOrder to FHIR STU3.
Mapping from http://hl7.org/fhir/4.0 to http://hl7.org/fhir/3.0
Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/NutritionOrder|4.0.1 to http://hl7.org/fhir/StructureDefinition/NutritionOrder|3.0.2
| Source Code | Relationship | Target Code | Comment |
| NutritionOrder.meta (meta) | is equivalent to | NutritionOrder.meta | Element `NutritionOrder.meta` is mapped to FHIR STU3 element `NutritionOrder.meta` as `Equivalent`. |
| NutritionOrder.implicitRules (implicitRules) | is equivalent to | NutritionOrder.implicitRules | Element `NutritionOrder.implicitRules` is mapped to FHIR STU3 element `NutritionOrder.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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. |
| NutritionOrder.language (language) | is equivalent to | NutritionOrder.language | Element `NutritionOrder.language` is mapped to FHIR STU3 element `NutritionOrder.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). |
| NutritionOrder.text (text) | is equivalent to | NutritionOrder.text | Element `NutritionOrder.text` is mapped to FHIR STU3 element `NutritionOrder.text` as `Equivalent`. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. |
| NutritionOrder.contained (contained) | is equivalent to | NutritionOrder.contained | Element `NutritionOrder.contained` is mapped to FHIR STU3 element `NutritionOrder.contained` as `Equivalent`. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. |
| NutritionOrder.identifier (identifier) | is equivalent to | NutritionOrder.identifier | Element `NutritionOrder.identifier` is mapped to FHIR STU3 element `NutritionOrder.identifier` as `Equivalent`. The Identifier.type element can be to indicate filler vs. placer if needed. This is explained in further detail [here](https://hl7.org/fhir/servic.html#notes). |
| NutritionOrder.status (status) | maps to wider concept | NutritionOrder.status | Element `NutritionOrder.status` is mapped to FHIR STU3 element `NutritionOrder.status` as `RelatedTo`. The mappings for `NutritionOrder.status` do not allow expression of the necessary codes, per the bindings on the source and target. The target context `NutritionOrder.status` is a modifier element, so this extension does not need to be defined as a modifier. Typically the system placing the order sets the status to "requested". Thereafter, the order is maintained by the receiver that updates the status as the request is handled. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
| NutritionOrder.patient (patient) | is equivalent to | NutritionOrder.patient | Element `NutritionOrder.patient` is mapped to FHIR STU3 element `NutritionOrder.patient` as `Equivalent`. |
| NutritionOrder.encounter (encounter) | is equivalent to | NutritionOrder.encounter | Element `NutritionOrder.encounter` is mapped to FHIR STU3 element `NutritionOrder.encounter` as `Equivalent`. |
| NutritionOrder.dateTime (dateTime) | is equivalent to | NutritionOrder.dateTime | Element `NutritionOrder.dateTime` is mapped to FHIR STU3 element `NutritionOrder.dateTime` as `Equivalent`. |
| NutritionOrder.orderer (orderer) | maps to wider concept | NutritionOrder.orderer | Element `NutritionOrder.orderer` is mapped to FHIR STU3 element `NutritionOrder.orderer` as `SourceIsBroaderThanTarget`. The mappings for `NutritionOrder.orderer` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `NutritionOrder.orderer` with unmapped reference targets: PractitionerRole. |
| NutritionOrder.allergyIntolerance (allergyIntolerance) | is equivalent to | NutritionOrder.allergyIntolerance | Element `NutritionOrder.allergyIntolerance` is mapped to FHIR STU3 element `NutritionOrder.allergyIntolerance` as `Equivalent`. Information on a patient's food allergies and intolerances to inform healthcare personnel about the type of foods that the patient shouldn't receive or consume. |
| NutritionOrder.foodPreferenceModifier (foodPreferenceModifier) | is equivalent to | NutritionOrder.foodPreferenceModifier | Element `NutritionOrder.foodPreferenceModifier` is mapped to FHIR STU3 element `NutritionOrder.foodPreferenceModifier` as `Equivalent`. Information on a patient's food preferences that inform healthcare personnel about the food that the patient should receive or consume. |
| NutritionOrder.excludeFoodModifier (excludeFoodModifier) | is equivalent to | NutritionOrder.excludeFoodModifier | Element `NutritionOrder.excludeFoodModifier` is mapped to FHIR STU3 element `NutritionOrder.excludeFoodModifier` as `Equivalent`. Information on a patient's food allergies, intolerances and preferences to inform healthcare personnel about the type of foods that the patient shouldn't receive or consume. |
| NutritionOrder.oralDiet (oralDiet) | maps to wider concept | NutritionOrder.oralDiet | Element `NutritionOrder.oralDiet` is mapped to FHIR STU3 element `NutritionOrder.oralDiet` as `Equivalent`. |
| NutritionOrder.oralDiet.type (type) | is equivalent to | NutritionOrder.oralDiet.type | Element `NutritionOrder.oralDiet.type` is mapped to FHIR STU3 element `NutritionOrder.oralDiet.type` as `Equivalent`. |
| NutritionOrder.oralDiet.schedule (schedule) | is equivalent to | NutritionOrder.oralDiet.schedule | Element `NutritionOrder.oralDiet.schedule` is mapped to FHIR STU3 element `NutritionOrder.oralDiet.schedule` as `Equivalent`. |
| NutritionOrder.oralDiet.nutrient (nutrient) | maps to wider concept | NutritionOrder.oralDiet.nutrient | Element `NutritionOrder.oralDiet.nutrient` is mapped to FHIR STU3 element `NutritionOrder.oralDiet.nutrient` as `Equivalent`. |
| NutritionOrder.oralDiet.nutrient.modifier (modifier) | is equivalent to | NutritionOrder.oralDiet.nutrient.modifier | Element `NutritionOrder.oralDiet.nutrient.modifier` is mapped to FHIR STU3 element `NutritionOrder.oralDiet.nutrient.modifier` as `Equivalent`. |
| NutritionOrder.oralDiet.nutrient.amount (amount) | is equivalent to | NutritionOrder.oralDiet.nutrient.amount | Element `NutritionOrder.oralDiet.nutrient.amount` is mapped to FHIR STU3 element `NutritionOrder.oralDiet.nutrient.amount` as `Equivalent`. |
| NutritionOrder.oralDiet.texture (texture) | maps to wider concept | NutritionOrder.oralDiet.texture | Element `NutritionOrder.oralDiet.texture` is mapped to FHIR STU3 element `NutritionOrder.oralDiet.texture` as `Equivalent`. |
| NutritionOrder.oralDiet.texture.modifier (modifier) | is equivalent to | NutritionOrder.oralDiet.texture.modifier | Element `NutritionOrder.oralDiet.texture.modifier` is mapped to FHIR STU3 element `NutritionOrder.oralDiet.texture.modifier` as `Equivalent`. Coupled with the foodType (Meat). |
| NutritionOrder.oralDiet.texture.foodType (foodType) | is equivalent to | NutritionOrder.oralDiet.texture.foodType | Element `NutritionOrder.oralDiet.texture.foodType` is mapped to FHIR STU3 element `NutritionOrder.oralDiet.texture.foodType` as `Equivalent`. Coupled with the `texture.modifier`; could be (All Foods). |
| NutritionOrder.oralDiet.fluidConsistencyType (fluidConsistencyType) | is equivalent to | NutritionOrder.oralDiet.fluidConsistencyType | Element `NutritionOrder.oralDiet.fluidConsistencyType` is mapped to FHIR STU3 element `NutritionOrder.oralDiet.fluidConsistencyType` as `Equivalent`. |
| NutritionOrder.oralDiet.instruction (instruction) | is equivalent to | NutritionOrder.oralDiet.instruction | Element `NutritionOrder.oralDiet.instruction` is mapped to FHIR STU3 element `NutritionOrder.oralDiet.instruction` as `Equivalent`. Free text dosage instructions can be used for cases where the instructions are too complex to code. |
| NutritionOrder.supplement (supplement) | maps to wider concept | NutritionOrder.supplement | Element `NutritionOrder.supplement` is mapped to FHIR STU3 element `NutritionOrder.supplement` as `Equivalent`. |
| NutritionOrder.supplement.type (type) | is equivalent to | NutritionOrder.supplement.type | Element `NutritionOrder.supplement.type` is mapped to FHIR STU3 element `NutritionOrder.supplement.type` as `Equivalent`. |
| NutritionOrder.supplement.productName (productName) | is equivalent to | NutritionOrder.supplement.productName | Element `NutritionOrder.supplement.productName` is mapped to FHIR STU3 element `NutritionOrder.supplement.productName` as `Equivalent`. |
| NutritionOrder.supplement.schedule (schedule) | is equivalent to | NutritionOrder.supplement.schedule | Element `NutritionOrder.supplement.schedule` is mapped to FHIR STU3 element `NutritionOrder.supplement.schedule` as `Equivalent`. |
| NutritionOrder.supplement.quantity (quantity) | is equivalent to | NutritionOrder.supplement.quantity | Element `NutritionOrder.supplement.quantity` is mapped to FHIR STU3 element `NutritionOrder.supplement.quantity` as `Equivalent`. |
| NutritionOrder.supplement.instruction (instruction) | is equivalent to | NutritionOrder.supplement.instruction | Element `NutritionOrder.supplement.instruction` is mapped to FHIR STU3 element `NutritionOrder.supplement.instruction` as `Equivalent`. Free text dosage instructions can be used for cases where the instructions are too complex to code. |
| NutritionOrder.enteralFormula (enteralFormula) | maps to wider concept | NutritionOrder.enteralFormula | Element `NutritionOrder.enteralFormula` is mapped to FHIR STU3 element `NutritionOrder.enteralFormula` as `Equivalent`. |
| NutritionOrder.enteralFormula.baseFormulaType (baseFormulaType) | is equivalent to | NutritionOrder.enteralFormula.baseFormulaType | Element `NutritionOrder.enteralFormula.baseFormulaType` is mapped to FHIR STU3 element `NutritionOrder.enteralFormula.baseFormulaType` as `Equivalent`. |
| NutritionOrder.enteralFormula.baseFormulaProductName (baseFormulaProductName) | is equivalent to | NutritionOrder.enteralFormula.baseFormulaProductName | Element `NutritionOrder.enteralFormula.baseFormulaProductName` is mapped to FHIR STU3 element `NutritionOrder.enteralFormula.baseFormulaProductName` as `Equivalent`. |
| NutritionOrder.enteralFormula.additiveType (additiveType) | is equivalent to | NutritionOrder.enteralFormula.additiveType | Element `NutritionOrder.enteralFormula.additiveType` is mapped to FHIR STU3 element `NutritionOrder.enteralFormula.additiveType` as `Equivalent`. |
| NutritionOrder.enteralFormula.additiveProductName (additiveProductName) | is equivalent to | NutritionOrder.enteralFormula.additiveProductName | Element `NutritionOrder.enteralFormula.additiveProductName` is mapped to FHIR STU3 element `NutritionOrder.enteralFormula.additiveProductName` as `Equivalent`. |
| NutritionOrder.enteralFormula.caloricDensity (caloricDensity) | is equivalent to | NutritionOrder.enteralFormula.caloricDensity | Element `NutritionOrder.enteralFormula.caloricDensity` is mapped to FHIR STU3 element `NutritionOrder.enteralFormula.caloricDensity` as `Equivalent`. |
| NutritionOrder.enteralFormula.routeofAdministration (routeofAdministration) | is equivalent to | NutritionOrder.enteralFormula.routeofAdministration | Element `NutritionOrder.enteralFormula.routeofAdministration` is mapped to FHIR STU3 element `NutritionOrder.enteralFormula.routeofAdministration` as `Equivalent`. |
| NutritionOrder.enteralFormula.administration (administration) | maps to wider concept | NutritionOrder.enteralFormula.administration | Element `NutritionOrder.enteralFormula.administration` is mapped to FHIR STU3 element `NutritionOrder.enteralFormula.administration` as `Equivalent`. See implementation notes below for further discussion on how to order continuous vs bolus enteral feeding using this resource. |
| NutritionOrder.enteralFormula.administration.schedule (schedule) | is equivalent to | NutritionOrder.enteralFormula.administration.schedule | Element `NutritionOrder.enteralFormula.administration.schedule` is mapped to FHIR STU3 element `NutritionOrder.enteralFormula.administration.schedule` as `Equivalent`. |
| NutritionOrder.enteralFormula.administration.quantity (quantity) | is equivalent to | NutritionOrder.enteralFormula.administration.quantity | Element `NutritionOrder.enteralFormula.administration.quantity` is mapped to FHIR STU3 element `NutritionOrder.enteralFormula.administration.quantity` as `Equivalent`. |
| NutritionOrder.enteralFormula.administration.rate[x] (rate[x]) | is equivalent to | NutritionOrder.enteralFormula.administration.rate[x] | Element `NutritionOrder.enteralFormula.administration.rate[x]` is mapped to FHIR STU3 element `NutritionOrder.enteralFormula.administration.rate[x]` as `Equivalent`. The target context `NutritionOrder.enteralFormula.administration.rate[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `NutritionOrder.enteralFormula.administration`. Ratio is used when the quantity value in the denominator is not "1", otherwise use Quantity. For example, the Ratio datatype is used for "200 mL/4 hrs" versus the Quantity datatype for "50 mL/hr". |
| NutritionOrder.enteralFormula.maxVolumeToDeliver (maxVolumeToDeliver) | is equivalent to | NutritionOrder.enteralFormula.maxVolumeToDeliver | Element `NutritionOrder.enteralFormula.maxVolumeToDeliver` is mapped to FHIR STU3 element `NutritionOrder.enteralFormula.maxVolumeToDeliver` as `Equivalent`. |
| NutritionOrder.enteralFormula.administrationInstruction (administrationInstruction) | is equivalent to | NutritionOrder.enteralFormula.administrationInstruction | Element `NutritionOrder.enteralFormula.administrationInstruction` is mapped to FHIR STU3 element `NutritionOrder.enteralFormula.administrationInstruction` as `Equivalent`. Free text dosage instructions can be used for cases where the instructions are too complex to code. |
Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/NutritionOrder|4.0.1 to R4: Instantiates FHIR protocol or definition (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| NutritionOrder.instantiatesCanonical (instantiatesCanonical) | maps to wider concept | Extension (R4: Instantiates FHIR protocol or definition (new)) | Element `NutritionOrder.instantiatesCanonical` has a context of NutritionOrder based on following the parent source element upwards and mapping to `NutritionOrder`. Element `NutritionOrder.instantiatesCanonical` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Note: This is a business identifier, not a resource identifier (see [discussion](https://hl7.org/fhir/resource.htm#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. |
Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/NutritionOrder|4.0.1 to R4: Instantiates external protocol or definition (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| NutritionOrder.instantiatesUri (instantiatesUri) | maps to wider concept | Extension (R4: Instantiates external protocol or definition (new)) | Element `NutritionOrder.instantiatesUri` has a context of NutritionOrder based on following the parent source element upwards and mapping to `NutritionOrder`. Element `NutritionOrder.instantiatesUri` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier. |
Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/NutritionOrder|4.0.1 to R4: Instantiates protocol or definition (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| NutritionOrder.instantiates (instantiates) | maps to wider concept | Extension (R4: Instantiates protocol or definition (new)) | Element `NutritionOrder.instantiates` has a context of NutritionOrder based on following the parent source element upwards and mapping to `NutritionOrder`. Element `NutritionOrder.instantiates` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/NutritionOrder|4.0.1 to R4: draft | active | on-hold | revoked | completed | entered-in-error | unknown additional codesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| NutritionOrder.status (status) | is equivalent to | Extension (R4: draft | active | on-hold | revoked | completed | entered-in-error | unknown additional codes) | Element `NutritionOrder.status` is mapped to FHIR STU3 element `NutritionOrder.status` as `RelatedTo`. The mappings for `NutritionOrder.status` do not allow expression of the necessary codes, per the bindings on the source and target. The target context `NutritionOrder.status` is a modifier element, so this extension does not need to be defined as a modifier. Typically the system placing the order sets the status to "requested". Thereafter, the order is maintained by the receiver that updates the status as the request is handled. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/NutritionOrder|4.0.1 to R4: proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| NutritionOrder.intent (intent) | maps to wider concept | Extension (R4: proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option (new)) | Element `NutritionOrder.intent` has a context of NutritionOrder based on following the parent source element upwards and mapping to `NutritionOrder`. Element `NutritionOrder.intent` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). When resources map to this element, they are free to define as many codes as necessary to cover their space and will map to "proposal, plan or order". Can have multiple codes that map to one of these. E.g. "original order", "encoded order", "reflex order" would all map to "order". Expectation is that the set of codes is mutually exclusive or a strict all-encompassing hierarchy. |
Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/NutritionOrder|4.0.1 to R4: Comments (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| NutritionOrder.note (note) | maps to wider concept | Extension (R4: Comments (new)) | Element `NutritionOrder.note` has a context of NutritionOrder based on following the parent source element upwards and mapping to `NutritionOrder`. Element `NutritionOrder.note` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This element SHALL NOT be used to supply free text instructions for the diet which are represented in the `.oralDiet.instruction`, `supplement.instruction`, or `enteralFormula.administrationInstruction` elements. |
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r4.r3#0.1.0 based on FHIR 3.0.2. Generated 2026-03-20
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change