Extensions for Using Data Elements from FHIR R4 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR R4 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR R4 in FHIR R4B - 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="R4-CommunicationRequest-element-map-to-R4B"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap R4-CommunicationRequest-element-map-to-R4B</b></p><a name="R4-CommunicationRequest-element-map-to-R4B"> </a><a name="hcR4-CommunicationRequest-element-map-to-R4B"> </a><p>Mapping from http://hl7.org/fhir/4.0 to http://hl7.org/fhir/4.3</p><br/><p><b>Group 1 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/CommunicationRequest|4.0.1</code> to <a href="http://hl7.org/fhir/R4B/communicationrequest.html">CommunicationRequestversion: 4.3.0)</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>CommunicationRequest.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>CommunicationRequest.meta</td><td>Element `CommunicationRequest.meta` is mapped to FHIR R4B element `CommunicationRequest.meta` as `Equivalent`.</td></tr><tr><td>CommunicationRequest.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>CommunicationRequest.implicitRules</td><td>Element `CommunicationRequest.implicitRules` is mapped to FHIR R4B element `CommunicationRequest.implicitRules` as `Equivalent`.
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. 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.</td></tr><tr><td>CommunicationRequest.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>CommunicationRequest.language</td><td>Element `CommunicationRequest.language` is mapped to FHIR R4B element `CommunicationRequest.language` as `Equivalent`.
Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).</td></tr><tr><td>CommunicationRequest.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>CommunicationRequest.text</td><td>Element `CommunicationRequest.text` is mapped to FHIR R4B element `CommunicationRequest.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.</td></tr><tr><td>CommunicationRequest.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>CommunicationRequest.contained</td><td>Element `CommunicationRequest.contained` is mapped to FHIR R4B element `CommunicationRequest.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.</td></tr><tr><td>CommunicationRequest.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>CommunicationRequest.identifier</td><td>Element `CommunicationRequest.identifier` is mapped to FHIR R4B element `CommunicationRequest.identifier` as `Equivalent`.
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.</td></tr><tr><td>CommunicationRequest.basedOn (basedOn)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.basedOn</td><td>Element `CommunicationRequest.basedOn` is mapped to FHIR R4B element `CommunicationRequest.basedOn` as `Equivalent`.</td></tr><tr><td>CommunicationRequest.replaces (replaces)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.replaces</td><td>Element `CommunicationRequest.replaces` is mapped to FHIR R4B element `CommunicationRequest.replaces` as `Equivalent`.
The replacement could be because the initial request was immediately rejected (due to an issue) or because the previous request was completed, but the need for the action described by the request remains ongoing.</td></tr><tr><td>CommunicationRequest.groupIdentifier (groupIdentifier)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.groupIdentifier</td><td>Element `CommunicationRequest.groupIdentifier` is mapped to FHIR R4B element `CommunicationRequest.groupIdentifier` as `Equivalent`.
Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.</td></tr><tr><td>CommunicationRequest.status (status)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.status</td><td>Element `CommunicationRequest.status` is mapped to FHIR R4B element `CommunicationRequest.status` as `Equivalent`.</td></tr><tr><td>CommunicationRequest.statusReason (statusReason)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.statusReason</td><td>Element `CommunicationRequest.statusReason` is mapped to FHIR R4B element `CommunicationRequest.statusReason` as `Equivalent`.
This is generally only used for "exception" statuses such as "suspended" or "cancelled". The reason why the CommunicationRequest was created at all is captured in reasonCode, not here. [distinct reason codes for different statuses can be enforced using invariants if they are universal bindings].</td></tr><tr><td>CommunicationRequest.category (category)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.category</td><td>Element `CommunicationRequest.category` is mapped to FHIR R4B element `CommunicationRequest.category` as `Equivalent`.
There may be multiple axes of categorization and one communication request may serve multiple purposes.</td></tr><tr><td>CommunicationRequest.priority (priority)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.priority</td><td>Element `CommunicationRequest.priority` is mapped to FHIR R4B element `CommunicationRequest.priority` as `Equivalent`.</td></tr><tr><td>CommunicationRequest.doNotPerform (doNotPerform)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.doNotPerform</td><td>Element `CommunicationRequest.doNotPerform` is mapped to FHIR R4B element `CommunicationRequest.doNotPerform` as `Equivalent`.
The attributes provided with the request qualify what is not to be done.</td></tr><tr><td>CommunicationRequest.medium (medium)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.medium</td><td>Element `CommunicationRequest.medium` is mapped to FHIR R4B element `CommunicationRequest.medium` as `Equivalent`.</td></tr><tr><td>CommunicationRequest.subject (subject)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.subject</td><td>Element `CommunicationRequest.subject` is mapped to FHIR R4B element `CommunicationRequest.subject` as `Equivalent`.</td></tr><tr><td>CommunicationRequest.about (about)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.about</td><td>Element `CommunicationRequest.about` is mapped to FHIR R4B element `CommunicationRequest.about` as `Equivalent`.
Don't use CommunicationRequest.about element when a more specific element exists, such as basedOn, reasonReference, or replaces.</td></tr><tr><td>CommunicationRequest.encounter (encounter)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.encounter</td><td>Element `CommunicationRequest.encounter` is mapped to FHIR R4B element `CommunicationRequest.encounter` as `Equivalent`.
This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.</td></tr><tr><td>CommunicationRequest.payload (payload)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>CommunicationRequest.payload</td><td>Element `CommunicationRequest.payload` is mapped to FHIR R4B element `CommunicationRequest.payload` as `Equivalent`.</td></tr><tr><td>CommunicationRequest.payload.content[x] (content[x])</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.payload.content[x]</td><td>Element `CommunicationRequest.payload.content[x]` is mapped to FHIR R4B element `CommunicationRequest.payload.content[x]` as `Equivalent`.
The target context `CommunicationRequest.payload.content[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `CommunicationRequest.payload`.</td></tr><tr><td>CommunicationRequest.occurrence[x] (occurrence[x])</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.occurrence[x]</td><td>Element `CommunicationRequest.occurrence[x]` is mapped to FHIR R4B element `CommunicationRequest.occurrence[x]` as `Equivalent`.
The target context `CommunicationRequest.occurrence[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `CommunicationRequest`.</td></tr><tr><td>CommunicationRequest.authoredOn (authoredOn)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.authoredOn</td><td>Element `CommunicationRequest.authoredOn` is mapped to FHIR R4B element `CommunicationRequest.authoredOn` as `Equivalent`.</td></tr><tr><td>CommunicationRequest.requester (requester)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.requester</td><td>Element `CommunicationRequest.requester` is mapped to FHIR R4B element `CommunicationRequest.requester` as `Equivalent`.</td></tr><tr><td>CommunicationRequest.recipient (recipient)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.recipient</td><td>Element `CommunicationRequest.recipient` is mapped to FHIR R4B element `CommunicationRequest.recipient` as `Equivalent`.</td></tr><tr><td>CommunicationRequest.sender (sender)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.sender</td><td>Element `CommunicationRequest.sender` is mapped to FHIR R4B element `CommunicationRequest.sender` as `Equivalent`.</td></tr><tr><td>CommunicationRequest.reasonCode (reasonCode)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.reasonCode</td><td>Element `CommunicationRequest.reasonCode` is mapped to FHIR R4B element `CommunicationRequest.reasonCode` as `Equivalent`.
Textual reasons can be captured using reasonCode.text.</td></tr><tr><td>CommunicationRequest.reasonReference (reasonReference)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.reasonReference</td><td>Element `CommunicationRequest.reasonReference` is mapped to FHIR R4B element `CommunicationRequest.reasonReference` as `Equivalent`.</td></tr><tr><td>CommunicationRequest.note (note)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>CommunicationRequest.note</td><td>Element `CommunicationRequest.note` is mapped to FHIR R4B element `CommunicationRequest.note` as `Equivalent`.</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-r4.r4b"/>
</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-r4.r4b"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/uv/xver/ConceptMap/R4-CommunicationRequest-element-map-to-R4B"/>
<version value="0.1.0"/>
<name value="R4CommunicationRequestElementMapToR4B"/>
<title
value="Cross-version mapping for FHIR R4 CommunicationRequest to FHIR R4B CommunicationRequest"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-03-17T16:03:40.865664-05:00"/>
<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 R4 CommunicationRequest to FHIR R4B."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<sourceCanonical value="http://hl7.org/fhir/4.0"/>
<targetUri value="http://hl7.org/fhir/4.3"/>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/CommunicationRequest"/>
<sourceVersion value="4.0.1"/>
<target
value="http://hl7.org/fhir/StructureDefinition/CommunicationRequest"/>
<targetVersion value="4.3.0"/>
<element>
<code value="CommunicationRequest.meta"/>
<display value="meta"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.meta"/>
<display value="CommunicationRequest.meta"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.meta` is mapped to FHIR R4B element `CommunicationRequest.meta` as `Equivalent`."/>
</target>
</element>
<element>
<code value="CommunicationRequest.implicitRules"/>
<display value="implicitRules"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.implicitRules"/>
<display value="CommunicationRequest.implicitRules"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.implicitRules` is mapped to FHIR R4B element `CommunicationRequest.implicitRules` as `Equivalent`.
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. 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."/>
</target>
</element>
<element>
<code value="CommunicationRequest.language"/>
<display value="language"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.language"/>
<display value="CommunicationRequest.language"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.language` is mapped to FHIR R4B element `CommunicationRequest.language` as `Equivalent`.
Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
</target>
</element>
<element>
<code value="CommunicationRequest.text"/>
<display value="text"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.text"/>
<display value="CommunicationRequest.text"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.text` is mapped to FHIR R4B element `CommunicationRequest.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."/>
</target>
</element>
<element>
<code value="CommunicationRequest.contained"/>
<display value="contained"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.contained"/>
<display value="CommunicationRequest.contained"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.contained` is mapped to FHIR R4B element `CommunicationRequest.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."/>
</target>
</element>
<element>
<code value="CommunicationRequest.identifier"/>
<display value="identifier"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.identifier"/>
<display value="CommunicationRequest.identifier"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.identifier` is mapped to FHIR R4B element `CommunicationRequest.identifier` as `Equivalent`.
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."/>
</target>
</element>
<element>
<code value="CommunicationRequest.basedOn"/>
<display value="basedOn"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.basedOn"/>
<display value="CommunicationRequest.basedOn"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.basedOn` is mapped to FHIR R4B element `CommunicationRequest.basedOn` as `Equivalent`."/>
</target>
</element>
<element>
<code value="CommunicationRequest.replaces"/>
<display value="replaces"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.replaces"/>
<display value="CommunicationRequest.replaces"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.replaces` is mapped to FHIR R4B element `CommunicationRequest.replaces` as `Equivalent`.
The replacement could be because the initial request was immediately rejected (due to an issue) or because the previous request was completed, but the need for the action described by the request remains ongoing."/>
</target>
</element>
<element>
<code value="CommunicationRequest.groupIdentifier"/>
<display value="groupIdentifier"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.groupIdentifier"/>
<display value="CommunicationRequest.groupIdentifier"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.groupIdentifier` is mapped to FHIR R4B element `CommunicationRequest.groupIdentifier` as `Equivalent`.
Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation."/>
</target>
</element>
<element>
<code value="CommunicationRequest.status"/>
<display value="status"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.status"/>
<display value="CommunicationRequest.status"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.status` is mapped to FHIR R4B element `CommunicationRequest.status` as `Equivalent`."/>
</target>
</element>
<element>
<code value="CommunicationRequest.statusReason"/>
<display value="statusReason"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.statusReason"/>
<display value="CommunicationRequest.statusReason"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.statusReason` is mapped to FHIR R4B element `CommunicationRequest.statusReason` as `Equivalent`.
This is generally only used for "exception" statuses such as "suspended" or "cancelled". The reason why the CommunicationRequest was created at all is captured in reasonCode, not here. [distinct reason codes for different statuses can be enforced using invariants if they are universal bindings]."/>
</target>
</element>
<element>
<code value="CommunicationRequest.category"/>
<display value="category"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.category"/>
<display value="CommunicationRequest.category"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.category` is mapped to FHIR R4B element `CommunicationRequest.category` as `Equivalent`.
There may be multiple axes of categorization and one communication request may serve multiple purposes."/>
</target>
</element>
<element>
<code value="CommunicationRequest.priority"/>
<display value="priority"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.priority"/>
<display value="CommunicationRequest.priority"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.priority` is mapped to FHIR R4B element `CommunicationRequest.priority` as `Equivalent`."/>
</target>
</element>
<element>
<code value="CommunicationRequest.doNotPerform"/>
<display value="doNotPerform"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.doNotPerform"/>
<display value="CommunicationRequest.doNotPerform"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.doNotPerform` is mapped to FHIR R4B element `CommunicationRequest.doNotPerform` as `Equivalent`.
The attributes provided with the request qualify what is not to be done."/>
</target>
</element>
<element>
<code value="CommunicationRequest.medium"/>
<display value="medium"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.medium"/>
<display value="CommunicationRequest.medium"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.medium` is mapped to FHIR R4B element `CommunicationRequest.medium` as `Equivalent`."/>
</target>
</element>
<element>
<code value="CommunicationRequest.subject"/>
<display value="subject"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.subject"/>
<display value="CommunicationRequest.subject"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.subject` is mapped to FHIR R4B element `CommunicationRequest.subject` as `Equivalent`."/>
</target>
</element>
<element>
<code value="CommunicationRequest.about"/>
<display value="about"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.about"/>
<display value="CommunicationRequest.about"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.about` is mapped to FHIR R4B element `CommunicationRequest.about` as `Equivalent`.
Don't use CommunicationRequest.about element when a more specific element exists, such as basedOn, reasonReference, or replaces."/>
</target>
</element>
<element>
<code value="CommunicationRequest.encounter"/>
<display value="encounter"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.encounter"/>
<display value="CommunicationRequest.encounter"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.encounter` is mapped to FHIR R4B element `CommunicationRequest.encounter` as `Equivalent`.
This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter."/>
</target>
</element>
<element>
<code value="CommunicationRequest.payload"/>
<display value="payload"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="CommunicationRequest.payload"/>
<display value="CommunicationRequest.payload"/>
<equivalence value="wider"/>
<comment
value="Element `CommunicationRequest.payload` is mapped to FHIR R4B element `CommunicationRequest.payload` as `Equivalent`."/>
</target>
</element>
<element>
<code value="CommunicationRequest.payload.content[x]"/>
<display value="content[x]"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.payload.content[x]"/>
<display value="CommunicationRequest.payload.content[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.payload.content[x]` is mapped to FHIR R4B element `CommunicationRequest.payload.content[x]` as `Equivalent`.
The target context `CommunicationRequest.payload.content[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `CommunicationRequest.payload`."/>
</target>
</element>
<element>
<code value="CommunicationRequest.occurrence[x]"/>
<display value="occurrence[x]"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.occurrence[x]"/>
<display value="CommunicationRequest.occurrence[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.occurrence[x]` is mapped to FHIR R4B element `CommunicationRequest.occurrence[x]` as `Equivalent`.
The target context `CommunicationRequest.occurrence[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `CommunicationRequest`."/>
</target>
</element>
<element>
<code value="CommunicationRequest.authoredOn"/>
<display value="authoredOn"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.authoredOn"/>
<display value="CommunicationRequest.authoredOn"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.authoredOn` is mapped to FHIR R4B element `CommunicationRequest.authoredOn` as `Equivalent`."/>
</target>
</element>
<element>
<code value="CommunicationRequest.requester"/>
<display value="requester"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.requester"/>
<display value="CommunicationRequest.requester"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.requester` is mapped to FHIR R4B element `CommunicationRequest.requester` as `Equivalent`."/>
</target>
</element>
<element>
<code value="CommunicationRequest.recipient"/>
<display value="recipient"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.recipient"/>
<display value="CommunicationRequest.recipient"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.recipient` is mapped to FHIR R4B element `CommunicationRequest.recipient` as `Equivalent`."/>
</target>
</element>
<element>
<code value="CommunicationRequest.sender"/>
<display value="sender"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.sender"/>
<display value="CommunicationRequest.sender"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.sender` is mapped to FHIR R4B element `CommunicationRequest.sender` as `Equivalent`."/>
</target>
</element>
<element>
<code value="CommunicationRequest.reasonCode"/>
<display value="reasonCode"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.reasonCode"/>
<display value="CommunicationRequest.reasonCode"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.reasonCode` is mapped to FHIR R4B element `CommunicationRequest.reasonCode` as `Equivalent`.
Textual reasons can be captured using reasonCode.text."/>
</target>
</element>
<element>
<code value="CommunicationRequest.reasonReference"/>
<display value="reasonReference"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.reasonReference"/>
<display value="CommunicationRequest.reasonReference"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.reasonReference` is mapped to FHIR R4B element `CommunicationRequest.reasonReference` as `Equivalent`."/>
</target>
</element>
<element>
<code value="CommunicationRequest.note"/>
<display value="note"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="CommunicationRequest.note"/>
<display value="CommunicationRequest.note"/>
<equivalence value="equivalent"/>
<comment
value="Element `CommunicationRequest.note` is mapped to FHIR R4B element `CommunicationRequest.note` as `Equivalent`."/>
</target>
</element>
</group>
</ConceptMap>
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r4.r4b#0.1.0 based on FHIR 4.3.0. Generated 2026-03-20
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