Extensions for Using Data Elements from FHIR R5 in FHIR STU3
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR STU3
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR STU3 - Downloaded Version null See the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/xver/ConceptMap/R5-ClinicalImpression-element-map-to-R3 | Version: 0.1.0 | |||
| Standards status: Trial-use | Maturity Level: 0 | Computable Name: R5ClinicalImpressionElementMapToR3 | ||
This ConceptMap represents cross-version mappings for elements from a FHIR R5 ClinicalImpression to FHIR STU3.
Mapping from http://hl7.org/fhir/5.0 to http://hl7.org/fhir/3.0
Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|5.0.0 to http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2
| Source Code | Relationship | Target Code | Comment |
| ClinicalImpression.meta (meta) | is equivalent to | ClinicalImpression.meta | Element `ClinicalImpression.meta` is mapped to FHIR STU3 element `ClinicalImpression.meta` as `Equivalent`. |
| ClinicalImpression.implicitRules (implicitRules) | is equivalent to | ClinicalImpression.implicitRules | Element `ClinicalImpression.implicitRules` is mapped to FHIR STU3 element `ClinicalImpression.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 its narrative along with other profiles, value sets, etc. |
| ClinicalImpression.language (language) | is equivalent to | ClinicalImpression.language | Element `ClinicalImpression.language` is mapped to FHIR STU3 element `ClinicalImpression.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). |
| ClinicalImpression.text (text) | is equivalent to | ClinicalImpression.text | Element `ClinicalImpression.text` is mapped to FHIR STU3 element `ClinicalImpression.text` as `Equivalent`. Contained resources do not have a 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. |
| ClinicalImpression.contained (contained) | is equivalent to | ClinicalImpression.contained | Element `ClinicalImpression.contained` is mapped to FHIR STU3 element `ClinicalImpression.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. |
| ClinicalImpression.identifier (identifier) | is equivalent to | ClinicalImpression.identifier | Element `ClinicalImpression.identifier` is mapped to FHIR STU3 element `ClinicalImpression.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. |
| ClinicalImpression.status (status) | maps to wider concept | ClinicalImpression.status | Element `ClinicalImpression.status` is mapped to FHIR STU3 element `ClinicalImpression.status` as `SourceIsBroaderThanTarget`. The target context `ClinicalImpression.status` is a modifier element, so this extension does not need to be defined as a modifier. This element is labeled as a modifier because the status contains the code entered-in-error that marks the clinical impression as not currently valid. |
| ClinicalImpression.description (description) | is equivalent to | ClinicalImpression.description | Element `ClinicalImpression.description` is mapped to FHIR STU3 element `ClinicalImpression.description` as `Equivalent`. |
| ClinicalImpression.subject (subject) | maps to wider concept | ClinicalImpression.subject | Element `ClinicalImpression.subject` is mapped to FHIR STU3 element `ClinicalImpression.subject` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.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 R5 element `ClinicalImpression.subject` with unmapped reference targets: Group, Patient. |
| ClinicalImpression.encounter (encounter) | maps to wider concept | ClinicalImpression.context | Element `ClinicalImpression.encounter` is mapped to FHIR STU3 element `ClinicalImpression.context` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.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 R5 element `ClinicalImpression.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. |
| ClinicalImpression.effective[x] (effective[x]) | is equivalent to | ClinicalImpression.effective[x] | Element `ClinicalImpression.effective[x]` is mapped to FHIR STU3 element `ClinicalImpression.effective[x]` as `Equivalent`. The target context `ClinicalImpression.effective[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ClinicalImpression`. This SHOULD be accurate to at least the minute, though some assessments only have a known date. |
| ClinicalImpression.date (date) | is equivalent to | ClinicalImpression.date | Element `ClinicalImpression.date` is mapped to FHIR STU3 element `ClinicalImpression.date` as `Equivalent`. |
| ClinicalImpression.performer (performer) | maps to wider concept | ClinicalImpression.assessor | Element `ClinicalImpression.performer` is mapped to FHIR STU3 element `ClinicalImpression.assessor` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.performer` 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 R5 element `ClinicalImpression.performer` with unmapped reference targets: Practitioner, PractitionerRole. |
| ClinicalImpression.previous (previous) | maps to wider concept | ClinicalImpression.previous | Element `ClinicalImpression.previous` is mapped to FHIR STU3 element `ClinicalImpression.previous` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.previous` 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 R5 element `ClinicalImpression.previous` with unmapped reference targets: ClinicalImpression. It is always likely that multiple previous assessments exist for a patient. The point of quoting a previous assessment is that this assessment is relative to it (see resolved). |
| ClinicalImpression.problem (problem) | maps to wider concept | ClinicalImpression.problem | Element `ClinicalImpression.problem` is mapped to FHIR STU3 element `ClinicalImpression.problem` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.problem` 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 R5 element `ClinicalImpression.problem` with unmapped reference targets: AllergyIntolerance, Condition. e.g. The patient is a pregnant, has congestive heart failure, has an Adenocarcinoma, and is allergic to penicillin. |
| ClinicalImpression.protocol (protocol) | is equivalent to | ClinicalImpression.protocol | Element `ClinicalImpression.protocol` is mapped to FHIR STU3 element `ClinicalImpression.protocol` as `Equivalent`. |
| ClinicalImpression.summary (summary) | is equivalent to | ClinicalImpression.summary | Element `ClinicalImpression.summary` is mapped to FHIR STU3 element `ClinicalImpression.summary` as `Equivalent`. |
| ClinicalImpression.finding (finding) | maps to wider concept | ClinicalImpression.finding | Element `ClinicalImpression.finding` is mapped to FHIR STU3 element `ClinicalImpression.finding` as `Equivalent`. |
| ClinicalImpression.finding.item (item) | is related to | ClinicalImpression.finding.item[x] | Element `ClinicalImpression.finding.item` is mapped to FHIR STU3 element `ClinicalImpression.finding.item[x]` as `RelatedTo`. The mappings for `ClinicalImpression.finding.item` do not cover the following types: CodeableReference. The target context `ClinicalImpression.finding.item[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ClinicalImpression.finding`. |
| ClinicalImpression.finding.basis (basis) | is equivalent to | ClinicalImpression.finding.basis | Element `ClinicalImpression.finding.basis` is mapped to FHIR STU3 element `ClinicalImpression.finding.basis` as `Equivalent`. |
| ClinicalImpression.prognosisCodeableConcept (prognosisCodeableConcept) | is equivalent to | ClinicalImpression.prognosisCodeableConcept | Element `ClinicalImpression.prognosisCodeableConcept` is mapped to FHIR STU3 element `ClinicalImpression.prognosisCodeableConcept` as `Equivalent`. |
| ClinicalImpression.prognosisReference (prognosisReference) | maps to wider concept | ClinicalImpression.prognosisReference | Element `ClinicalImpression.prognosisReference` is mapped to FHIR STU3 element `ClinicalImpression.prognosisReference` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.prognosisReference` 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 R5 element `ClinicalImpression.prognosisReference` with unmapped reference targets: RiskAssessment. |
| ClinicalImpression.note (note) | is equivalent to | ClinicalImpression.note | Element `ClinicalImpression.note` is mapped to FHIR STU3 element `ClinicalImpression.note` as `Equivalent`. Don't use this element for content that should more properly appear as one of the specific elements of the impression. |
Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|5.0.0 to R5: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknownversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClinicalImpression.status (status) | is equivalent to | Extension (R5: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown) | Element `ClinicalImpression.status` is mapped to FHIR STU3 element `ClinicalImpression.status` as `SourceIsBroaderThanTarget`. The target context `ClinicalImpression.status` is a modifier element, so this extension does not need to be defined as a modifier. This element is labeled as a modifier because the status contains the code entered-in-error that marks the clinical impression as not currently valid. |
Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|5.0.0 to R5: Reason for current status (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClinicalImpression.statusReason (statusReason) | is equivalent to | Extension (R5: Reason for current status (new)) | Element `ClinicalImpression.statusReason` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`. Element `ClinicalImpression.statusReason` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This is generally only used for "exception" statuses such as "not-done", "on-hold" or "stopped". |
Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|5.0.0 to R5: Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClinicalImpression.changePattern (changePattern) | maps to wider concept | Extension (R5: Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change (new)) | Element `ClinicalImpression.changePattern` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`. Element `ClinicalImpression.changePattern` 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/ClinicalImpression|5.0.0 to R5: item additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClinicalImpression.finding.item (item) | maps to wider concept | Extension (R5: item additional types) | Element `ClinicalImpression.finding.item` is mapped to FHIR STU3 element `ClinicalImpression.finding.item[x]` as `RelatedTo`. The mappings for `ClinicalImpression.finding.item` do not cover the following types: CodeableReference. The target context `ClinicalImpression.finding.item[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ClinicalImpression.finding`. |
Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|5.0.0 to R5: Information supporting the clinical impression (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClinicalImpression.supportingInfo (supportingInfo) | is equivalent to | Extension (R5: Information supporting the clinical impression (new)) | Element `ClinicalImpression.supportingInfo` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`. Element `ClinicalImpression.supportingInfo` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r5.r3#0.1.0 based on FHIR 3.0.2. Generated 2026-03-20
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