Extensions for Using Data Elements from FHIR R4B in FHIR STU3
0.1.0 - STU
Extensions for Using Data Elements from FHIR R4B in FHIR STU3
0.1.0 - STU
Extensions for Using Data Elements from FHIR R4B in FHIR STU3 - Downloaded Version null See the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/xver/ConceptMap/R4B-ChargeItem-element-map-to-R3 | Version: 0.1.0 | |||
| Standards status: Trial-use | Maturity Level: 0 | Computable Name: R4BChargeItemElementMapToR3 | ||
This ConceptMap represents cross-version mappings for elements from a FHIR R4B ChargeItem to FHIR STU3.
Mapping from http://hl7.org/fhir/4.3 to http://hl7.org/fhir/3.0
Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/ChargeItem|4.3.0 to http://hl7.org/fhir/StructureDefinition/ChargeItem|3.0.2
| Source Code | Relationship | Target Code | Comment |
| ChargeItem.meta (meta) | maps to wider concept | ChargeItem.meta | Element `ChargeItem.meta` is mapped to FHIR STU3 element `ChargeItem.meta` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.meta` do not cover the following types: Meta. The mappings for `ChargeItem.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId. |
| ChargeItem.implicitRules (implicitRules) | is equivalent to | ChargeItem.implicitRules | Element `ChargeItem.implicitRules` is mapped to FHIR STU3 element `ChargeItem.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. |
| ChargeItem.language (language) | is equivalent to | ChargeItem.language | Element `ChargeItem.language` is mapped to FHIR STU3 element `ChargeItem.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). |
| ChargeItem.text (text) | maps to wider concept | ChargeItem.text | Element `ChargeItem.text` is mapped to FHIR STU3 element `ChargeItem.text` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.text` do not cover the following types: Narrative. The mappings for `ChargeItem.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 information is added later. |
| ChargeItem.contained (contained) | is equivalent to | ChargeItem.contained | Element `ChargeItem.contained` is mapped to FHIR STU3 element `ChargeItem.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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. |
| ChargeItem.identifier (identifier) | maps to wider concept | ChargeItem.identifier | Element `ChargeItem.identifier` is mapped to FHIR STU3 element `ChargeItem.identifier` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.identifier` do not cover the following types: Identifier. The mappings for `ChargeItem.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. |
| ChargeItem.definitionUri (definitionUri) | is equivalent to | ChargeItem.definition | Element `ChargeItem.definitionUri` is mapped to FHIR STU3 element `ChargeItem.definition` as `Equivalent`. |
| ChargeItem.status (status) | is equivalent to | ChargeItem.status | Element `ChargeItem.status` is mapped to FHIR STU3 element `ChargeItem.status` as `Equivalent`. Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is. This element is labeled as a modifier because the status contains the code entered-in-error that marks the charge item as not currently valid. |
| ChargeItem.partOf (partOf) | maps to wider concept | ChargeItem.partOf | Element `ChargeItem.partOf` is mapped to FHIR STU3 element `ChargeItem.partOf` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.partOf` 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 R4B element `ChargeItem.partOf` with unmapped reference targets: ChargeItem. |
| ChargeItem.code (code) | is equivalent to | ChargeItem.code | Element `ChargeItem.code` is mapped to FHIR STU3 element `ChargeItem.code` as `Equivalent`. |
| ChargeItem.subject (subject) | maps to wider concept | ChargeItem.subject | Element `ChargeItem.subject` is mapped to FHIR STU3 element `ChargeItem.subject` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.subject` 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 R4B element `ChargeItem.subject` with unmapped reference targets: Group, Patient. |
| ChargeItem.context (context) | maps to wider concept | ChargeItem.context | Element `ChargeItem.context` is mapped to FHIR STU3 element `ChargeItem.context` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.context` 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 R4B element `ChargeItem.context` with unmapped reference targets: Encounter, EpisodeOfCare. |
| ChargeItem.occurrence[x] (occurrence[x]) | maps to wider concept | ChargeItem.occurrence[x] | Element `ChargeItem.occurrence[x]` is mapped to FHIR STU3 element `ChargeItem.occurrence[x]` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.occurrence[x]` do not cover the following types: Period, Timing. The target context `ChargeItem.occurrence[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ChargeItem`. The list of types may be constrained as appropriate for the type of charge item. |
| ChargeItem.performer (performer) | maps to wider concept | ChargeItem.participant | Element `ChargeItem.performer` is mapped to FHIR STU3 element `ChargeItem.participant` as `Equivalent`. |
| ChargeItem.performer.function (function) | is equivalent to | ChargeItem.participant.role | Element `ChargeItem.performer.function` is mapped to FHIR STU3 element `ChargeItem.participant.role` as `Equivalent`. |
| ChargeItem.performer.actor (actor) | maps to wider concept | ChargeItem.participant.actor | Element `ChargeItem.performer.actor` is mapped to FHIR STU3 element `ChargeItem.participant.actor` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ChargeItem.performer.actor` with unmapped reference targets: CareTeam, Device, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson. |
| ChargeItem.performingOrganization (performingOrganization) | maps to wider concept | ChargeItem.performingOrganization | Element `ChargeItem.performingOrganization` is mapped to FHIR STU3 element `ChargeItem.performingOrganization` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.performingOrganization` 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 R4B element `ChargeItem.performingOrganization` with unmapped reference targets: Organization. Practitioners and Devices can be associated with multiple organizations. It has to be made clear, on behalf of which Organization the services have been rendered. |
| ChargeItem.requestingOrganization (requestingOrganization) | maps to wider concept | ChargeItem.requestingOrganization | Element `ChargeItem.requestingOrganization` is mapped to FHIR STU3 element `ChargeItem.requestingOrganization` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.requestingOrganization` 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 R4B element `ChargeItem.requestingOrganization` with unmapped reference targets: Organization. The rendered Service might not be associated with a Request. This property indicates which Organization requested the services to be rendered. (In many cases, this may just be the Department associated with the Encounter.location). |
| ChargeItem.quantity (quantity) | is equivalent to | ChargeItem.quantity | Element `ChargeItem.quantity` is mapped to FHIR STU3 element `ChargeItem.quantity` as `Equivalent`. In many cases this may just be a value, if the underlying units are implicit in the definition of the charge item code. |
| ChargeItem.bodysite (bodysite) | is equivalent to | ChargeItem.bodysite | Element `ChargeItem.bodysite` is mapped to FHIR STU3 element `ChargeItem.bodysite` as `Equivalent`. Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](https://hl7.org/fhir/extension-bodysite.html). May be a summary code, or a reference to a very precise definition of the location, or both. |
| ChargeItem.factorOverride (factorOverride) | is equivalent to | ChargeItem.factorOverride | Element `ChargeItem.factorOverride` is mapped to FHIR STU3 element `ChargeItem.factorOverride` as `Equivalent`. There is no reason to carry the factor in the instance of a ChargeItem unless special circumstances require a manual override. The factors are usually defined by a set of rules in a back catalogue of the billing codes (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden. |
| ChargeItem.priceOverride (priceOverride) | is equivalent to | ChargeItem.priceOverride | Element `ChargeItem.priceOverride` is mapped to FHIR STU3 element `ChargeItem.priceOverride` as `Equivalent`. There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden. |
| ChargeItem.overrideReason (overrideReason) | is equivalent to | ChargeItem.overrideReason | Element `ChargeItem.overrideReason` is mapped to FHIR STU3 element `ChargeItem.overrideReason` as `Equivalent`. Derived Profiles may choose to add invariants requiring this field to be populated if either priceOverride or factorOverride have been filled. |
| ChargeItem.enterer (enterer) | maps to wider concept | ChargeItem.enterer | Element `ChargeItem.enterer` is mapped to FHIR STU3 element `ChargeItem.enterer` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ChargeItem.enterer` with unmapped reference targets: Device, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson. The enterer is also the person considered responsible for factor/price overrides if applicable. |
| ChargeItem.enteredDate (enteredDate) | is equivalent to | ChargeItem.enteredDate | Element `ChargeItem.enteredDate` is mapped to FHIR STU3 element `ChargeItem.enteredDate` as `Equivalent`. The actual date when the service associated with the charge has been rendered is captured in occurrence[x]. |
| ChargeItem.reason (reason) | is equivalent to | ChargeItem.reason | Element `ChargeItem.reason` is mapped to FHIR STU3 element `ChargeItem.reason` as `Equivalent`. If the application of the charge item requires a reason to be given, it can be captured here. Textual reasons can be captured using reasonCode.text. |
| ChargeItem.service (service) | maps to wider concept | ChargeItem.service | Element `ChargeItem.service` is mapped to FHIR STU3 element `ChargeItem.service` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ChargeItem.service` with unmapped reference targets: DiagnosticReport, ImagingStudy, Immunization, MedicationAdministration, MedicationDispense, Observation, Procedure, SupplyDelivery. |
| ChargeItem.account (account) | maps to wider concept | ChargeItem.account | Element `ChargeItem.account` is mapped to FHIR STU3 element `ChargeItem.account` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.account` 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 R4B element `ChargeItem.account` with unmapped reference targets: Account. Systems posting the ChargeItems might not always be able to determine, which accounts the Items need to be places into. It is up to the postprocessing Financial System to apply internal rules to decide based on the Encounter/EpisodeOfCare/Patient/Coverage context and the type of ChargeItem, which Account is appropriate. |
| ChargeItem.note (note) | maps to wider concept | ChargeItem.note | Element `ChargeItem.note` is mapped to FHIR STU3 element `ChargeItem.note` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.note` do not cover the following types: Annotation. The mappings for `ChargeItem.note` do not cover the following types based on type expansion: author[x], text, time. |
| ChargeItem.supportingInformation (supportingInformation) | maps to wider concept | ChargeItem.supportingInformation | Element `ChargeItem.supportingInformation` is mapped to FHIR STU3 element `ChargeItem.supportingInformation` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.supportingInformation` 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 R4B element `ChargeItem.supportingInformation` with unmapped reference targets: Resource. |
Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/ChargeItem|4.3.0 to R4B: meta additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ChargeItem.meta (meta) | is equivalent to | Extension (R4B: meta additional types) | Element `ChargeItem.meta` is mapped to FHIR STU3 element `ChargeItem.meta` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.meta` do not cover the following types: Meta. The mappings for `ChargeItem.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId. |
Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/ChargeItem|4.3.0 to R4B: text additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ChargeItem.text (text) | is equivalent to | Extension (R4B: text additional types) | Element `ChargeItem.text` is mapped to FHIR STU3 element `ChargeItem.text` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.text` do not cover the following types: Narrative. The mappings for `ChargeItem.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 information is added later. |
Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/ChargeItem|4.3.0 to R4B: identifier additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ChargeItem.identifier (identifier) | is equivalent to | Extension (R4B: identifier additional types) | Element `ChargeItem.identifier` is mapped to FHIR STU3 element `ChargeItem.identifier` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.identifier` do not cover the following types: Identifier. The mappings for `ChargeItem.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. |
Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/ChargeItem|4.3.0 to R4B: Resource defining the code of this ChargeItem (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ChargeItem.definitionCanonical (definitionCanonical) | is equivalent to | Extension (R4B: Resource defining the code of this ChargeItem (new)) | Element `ChargeItem.definitionCanonical` has a context of ChargeItem based on following the parent source element upwards and mapping to `ChargeItem`. Element `ChargeItem.definitionCanonical` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/ChargeItem|4.3.0 to R4B: occurrence additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ChargeItem.occurrence[x] (occurrence[x]) | is equivalent to | Extension (R4B: occurrence additional types) | Element `ChargeItem.occurrence[x]` is mapped to FHIR STU3 element `ChargeItem.occurrence[x]` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.occurrence[x]` do not cover the following types: Period, Timing. The target context `ChargeItem.occurrence[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ChargeItem`. The list of types may be constrained as appropriate for the type of charge item. |
Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/ChargeItem|4.3.0 to R4B: Organization that has ownership of the (potential, future) revenue (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ChargeItem.costCenter (costCenter) | is equivalent to | Extension (R4B: Organization that has ownership of the (potential, future) revenue (new)) | Element `ChargeItem.costCenter` has a context of ChargeItem based on following the parent source element upwards and mapping to `ChargeItem`. Element `ChargeItem.costCenter` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). The costCenter could either be given as a reference to an Organization(Role) resource or as the identifier of the cost center determined by Reference.identifier.value and Reference.identifier.system, depending on use case requirements. |
Group 8 Mapping from http://hl7.org/fhir/StructureDefinition/ChargeItem|4.3.0 to R4B: Product charged (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ChargeItem.product[x] (product[x]) | is equivalent to | Extension (R4B: Product charged (new)) | Element `ChargeItem.product[x]` has a context of ChargeItem based on following the parent source element upwards and mapping to `ChargeItem`. Element `ChargeItem.product[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
Group 9 Mapping from http://hl7.org/fhir/StructureDefinition/ChargeItem|4.3.0 to R4B: note additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ChargeItem.note (note) | is equivalent to | Extension (R4B: note additional types) | Element `ChargeItem.note` is mapped to FHIR STU3 element `ChargeItem.note` as `SourceIsBroaderThanTarget`. The mappings for `ChargeItem.note` do not cover the following types: Annotation. The mappings for `ChargeItem.note` do not cover the following types based on type expansion: author[x], text, time. |
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r4b.r3#0.1.0 based on FHIR 3.0.2. Generated 2026-03-20
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