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-Condition-element-map-to-R3 | Version: 0.1.0 | |||
| Standards status: Trial-use | Maturity Level: 0 | Computable Name: R4BConditionElementMapToR3 | ||
This ConceptMap represents cross-version mappings for elements from a FHIR R4B Condition 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/Condition|4.3.0 to http://hl7.org/fhir/StructureDefinition/Condition|3.0.2
| Source Code | Relationship | Target Code | Comment |
| Condition.meta (meta) | maps to wider concept | Condition.meta | Element `Condition.meta` is mapped to FHIR STU3 element `Condition.meta` as `SourceIsBroaderThanTarget`. The mappings for `Condition.meta` do not cover the following types: Meta. The mappings for `Condition.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId. |
| Condition.implicitRules (implicitRules) | is equivalent to | Condition.implicitRules | Element `Condition.implicitRules` is mapped to FHIR STU3 element `Condition.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. |
| Condition.language (language) | is equivalent to | Condition.language | Element `Condition.language` is mapped to FHIR STU3 element `Condition.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). |
| Condition.text (text) | maps to wider concept | Condition.text | Element `Condition.text` is mapped to FHIR STU3 element `Condition.text` as `SourceIsBroaderThanTarget`. The mappings for `Condition.text` do not cover the following types: Narrative. The mappings for `Condition.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. |
| Condition.contained (contained) | is equivalent to | Condition.contained | Element `Condition.contained` is mapped to FHIR STU3 element `Condition.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. |
| Condition.identifier (identifier) | maps to wider concept | Condition.identifier | Element `Condition.identifier` is mapped to FHIR STU3 element `Condition.identifier` as `SourceIsBroaderThanTarget`. The mappings for `Condition.identifier` do not cover the following types: Identifier. The mappings for `Condition.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. 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. |
| Condition.clinicalStatus (clinicalStatus) | maps to wider concept | Condition.clinicalStatus | Element `Condition.clinicalStatus` is mapped to FHIR STU3 element `Condition.clinicalStatus` as `SourceIsBroaderThanTarget`. The mappings for `Condition.clinicalStatus` do not cover the following types: CodeableConcept. The mappings for `Condition.clinicalStatus` do not cover the following types based on type expansion: coding. The target context `Condition.clinicalStatus` is a modifier element, so this extension does not need to be defined as a modifier. The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity. |
| Condition.verificationStatus (verificationStatus) | maps to wider concept | Condition.verificationStatus | Element `Condition.verificationStatus` is mapped to FHIR STU3 element `Condition.verificationStatus` as `SourceIsBroaderThanTarget`. The mappings for `Condition.verificationStatus` do not cover the following types: CodeableConcept. The mappings for `Condition.verificationStatus` do not cover the following types based on type expansion: coding. The target context `Condition.verificationStatus` is a modifier element, so this extension does not need to be defined as a modifier. verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity. |
| Condition.category (category) | is equivalent to | Condition.category | Element `Condition.category` is mapped to FHIR STU3 element `Condition.category` as `Equivalent`. The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts. |
| Condition.severity (severity) | is equivalent to | Condition.severity | Element `Condition.severity` is mapped to FHIR STU3 element `Condition.severity` as `Equivalent`. Coding of the severity with a terminology is preferred, where possible. |
| Condition.code (code) | is equivalent to | Condition.code | Element `Condition.code` is mapped to FHIR STU3 element `Condition.code` as `Equivalent`. |
| Condition.bodySite (bodySite) | is equivalent to | Condition.bodySite | Element `Condition.bodySite` is mapped to FHIR STU3 element `Condition.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. |
| Condition.subject (subject) | maps to wider concept | Condition.subject | Element `Condition.subject` is mapped to FHIR STU3 element `Condition.subject` as `SourceIsBroaderThanTarget`. The mappings for `Condition.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 `Condition.subject` with unmapped reference targets: Group, Patient. |
| Condition.encounter (encounter) | maps to wider concept | Condition.context | Element `Condition.encounter` is mapped to FHIR STU3 element `Condition.context` as `SourceIsBroaderThanTarget`. The mappings for `Condition.encounter` 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 `Condition.encounter` with unmapped reference targets: Encounter. 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. This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known". |
| Condition.onset[x] (onset[x]) | maps to wider concept | Condition.onset[x] | Element `Condition.onset[x]` is mapped to FHIR STU3 element `Condition.onset[x]` as `SourceIsBroaderThanTarget`. The mappings for `Condition.onset[x]` do not cover the following types: Period, Range. The target context `Condition.onset[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Condition`. Age is generally used when the patient reports an age at which the Condition began to occur. |
| Condition.abatement[x] (abatement[x]) | maps to wider concept | Condition.abatement[x] | Element `Condition.abatement[x]` is mapped to FHIR STU3 element `Condition.abatement[x]` as `SourceIsBroaderThanTarget`. The mappings for `Condition.abatement[x]` do not cover the following types: Period, Range. The target context `Condition.abatement[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Condition`. There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated. |
| Condition.recordedDate (recordedDate) | is equivalent to | Condition.assertedDate | Element `Condition.recordedDate` is mapped to FHIR STU3 element `Condition.assertedDate` as `Equivalent`. |
| Condition.asserter (asserter) | maps to wider concept | Condition.asserter | Element `Condition.asserter` is mapped to FHIR STU3 element `Condition.asserter` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Condition.asserter` with unmapped reference targets: Patient, Practitioner, PractitionerRole, RelatedPerson. |
| Condition.stage (stage) | maps to wider concept | Condition.stage | Element `Condition.stage` is mapped to FHIR STU3 element `Condition.stage` as `SourceIsBroaderThanTarget`. |
| Condition.stage.summary (summary) | is equivalent to | Condition.stage.summary | Element `Condition.stage.summary` is mapped to FHIR STU3 element `Condition.stage.summary` as `Equivalent`. |
| Condition.stage.assessment (assessment) | maps to wider concept | Condition.stage.assessment | Element `Condition.stage.assessment` is mapped to FHIR STU3 element `Condition.stage.assessment` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Condition.stage.assessment` with unmapped reference targets: ClinicalImpression, DiagnosticReport, Observation. |
| Condition.evidence (evidence) | maps to wider concept | Condition.evidence | Element `Condition.evidence` is mapped to FHIR STU3 element `Condition.evidence` as `Equivalent`. The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both. |
| Condition.evidence.code (code) | is equivalent to | Condition.evidence.code | Element `Condition.evidence.code` is mapped to FHIR STU3 element `Condition.evidence.code` as `Equivalent`. |
| Condition.evidence.detail (detail) | maps to wider concept | Condition.evidence.detail | Element `Condition.evidence.detail` is mapped to FHIR STU3 element `Condition.evidence.detail` as `SourceIsBroaderThanTarget`. The mappings for `Condition.evidence.detail` 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 `Condition.evidence.detail` with unmapped reference targets: Resource. |
| Condition.note (note) | maps to wider concept | Condition.note | Element `Condition.note` is mapped to FHIR STU3 element `Condition.note` as `SourceIsBroaderThanTarget`. The mappings for `Condition.note` do not cover the following types: Annotation. The mappings for `Condition.note` do not cover the following types based on type expansion: author[x], text, time. |
Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/Condition|4.3.0 to R4B: meta additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Condition.meta (meta) | is equivalent to | Extension (R4B: meta additional types) | Element `Condition.meta` is mapped to FHIR STU3 element `Condition.meta` as `SourceIsBroaderThanTarget`. The mappings for `Condition.meta` do not cover the following types: Meta. The mappings for `Condition.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/Condition|4.3.0 to R4B: text additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Condition.text (text) | is equivalent to | Extension (R4B: text additional types) | Element `Condition.text` is mapped to FHIR STU3 element `Condition.text` as `SourceIsBroaderThanTarget`. The mappings for `Condition.text` do not cover the following types: Narrative. The mappings for `Condition.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/Condition|4.3.0 to R4B: identifier additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Condition.identifier (identifier) | is equivalent to | Extension (R4B: identifier additional types) | Element `Condition.identifier` is mapped to FHIR STU3 element `Condition.identifier` as `SourceIsBroaderThanTarget`. The mappings for `Condition.identifier` do not cover the following types: Identifier. The mappings for `Condition.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. 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 5 Mapping from http://hl7.org/fhir/StructureDefinition/Condition|4.3.0 to R4B: active | recurrence | relapse | inactive | remission | resolved additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Condition.clinicalStatus (clinicalStatus) | is equivalent to | Extension (R4B: active | recurrence | relapse | inactive | remission | resolved additional types) | Element `Condition.clinicalStatus` is mapped to FHIR STU3 element `Condition.clinicalStatus` as `SourceIsBroaderThanTarget`. The mappings for `Condition.clinicalStatus` do not cover the following types: CodeableConcept. The mappings for `Condition.clinicalStatus` do not cover the following types based on type expansion: coding. The target context `Condition.clinicalStatus` is a modifier element, so this extension does not need to be defined as a modifier. The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity. |
Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/Condition|4.3.0 to R4B: unconfirmed | provisional | differential | confirmed | refuted | entered-in-error additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Condition.verificationStatus (verificationStatus) | is equivalent to | Extension (R4B: unconfirmed | provisional | differential | confirmed | refuted | entered-in-error additional types) | Element `Condition.verificationStatus` is mapped to FHIR STU3 element `Condition.verificationStatus` as `SourceIsBroaderThanTarget`. The mappings for `Condition.verificationStatus` do not cover the following types: CodeableConcept. The mappings for `Condition.verificationStatus` do not cover the following types based on type expansion: coding. The target context `Condition.verificationStatus` is a modifier element, so this extension does not need to be defined as a modifier. verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity. |
Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/Condition|4.3.0 to R4B: onset additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Condition.onset[x] (onset[x]) | is equivalent to | Extension (R4B: onset additional types) | Element `Condition.onset[x]` is mapped to FHIR STU3 element `Condition.onset[x]` as `SourceIsBroaderThanTarget`. The mappings for `Condition.onset[x]` do not cover the following types: Period, Range. The target context `Condition.onset[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Condition`. Age is generally used when the patient reports an age at which the Condition began to occur. |
Group 8 Mapping from http://hl7.org/fhir/StructureDefinition/Condition|4.3.0 to R4B: When in resolution/remission additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Condition.abatement[x] (abatement[x]) | is equivalent to | Extension (R4B: When in resolution/remission additional types) | Element `Condition.abatement[x]` is mapped to FHIR STU3 element `Condition.abatement[x]` as `SourceIsBroaderThanTarget`. The mappings for `Condition.abatement[x]` do not cover the following types: Period, Range. The target context `Condition.abatement[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Condition`. There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated. |
Group 9 Mapping from http://hl7.org/fhir/StructureDefinition/Condition|4.3.0 to R4B: Who recorded the condition (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Condition.recorder (recorder) | is equivalent to | Extension (R4B: Who recorded the condition (new)) | Element `Condition.recorder` has a context of Condition based on following the parent source element upwards and mapping to `Condition`. Element `Condition.recorder` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
Group 10 Mapping from http://hl7.org/fhir/StructureDefinition/Condition|4.3.0 to R4B: Kind of staging (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Condition.stage.type (type) | is equivalent to | Extension (R4B: Kind of staging (new)) | Element `Condition.stage.type` has a context of Condition.stage based on following the parent source element upwards and mapping to `Condition`. Element `Condition.stage.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
Group 11 Mapping from http://hl7.org/fhir/StructureDefinition/Condition|4.3.0 to R4B: note additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Condition.note (note) | is equivalent to | Extension (R4B: note additional types) | Element `Condition.note` is mapped to FHIR STU3 element `Condition.note` as `SourceIsBroaderThanTarget`. The mappings for `Condition.note` do not cover the following types: Annotation. The mappings for `Condition.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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