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Packagehl7.fhir.uv.xver-r2.r4
Resource TypeConceptMap
IdConceptMap-R2-CarePlan-element-map-to-R4.json
FHIR VersionR4
Sourcehttp://hl7.org/fhir/uv/xver-r2.r4/0.1.0/ConceptMap-R2-CarePlan-element-map-to-R4.html
URLhttp://hl7.org/fhir/uv/xver/ConceptMap/R2-CarePlan-element-map-to-R4
Version0.1.0
Statusactive
Date2026-03-17T16:04:03.0877219-05:00
NameR2CarePlanElementMapToR4
TitleCross-version mapping for FHIR DSTU2 CarePlan to FHIR R4 CarePlan
Realmuv
Authorityhl7
DescriptionThis ConceptMap represents cross-version mappings for elements from a FHIR DSTU2 CarePlan to FHIR R4.

Resources that use this resource

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Resources that this resource uses

StructureDefinition
hl7.fhir.uv.xver-r2.r4b#0.1.0extension-CarePlan.activity.detail.scheduledDSTU2: scheduled additional types
hl7.fhir.uv.xver-r2.r4b#0.1.0extension-CarePlan.activity.detail.statusDSTU2: not-started | scheduled | in-progress | on-hold | completed | cancelled additional codes
hl7.fhir.uv.xver-r2.r4b#0.1.0extension-CarePlan.activity.progressDSTU2: progress additional types
hl7.fhir.uv.xver-r2.r4b#0.1.0extension-CarePlan.identifierDSTU2: identifier additional types
hl7.fhir.uv.xver-r2.r4b#0.1.0extension-CarePlan.metaDSTU2: meta additional types
hl7.fhir.uv.xver-r2.r4b#0.1.0extension-CarePlan.modifiedDSTU2: When last updated (new)
hl7.fhir.uv.xver-r2.r4b#0.1.0extension-CarePlan.noteDSTU2: note additional types
hl7.fhir.uv.xver-r2.r4b#0.1.0extension-CarePlan.participant.memberDSTU2: Who is involved (new)
hl7.fhir.uv.xver-r2.r4b#0.1.0extension-CarePlan.participant.roleDSTU2: Type of involvement (new)
hl7.fhir.uv.xver-r2.r4b#0.1.0extension-CarePlan.periodDSTU2: period additional types
hl7.fhir.uv.xver-r2.r4b#0.1.0extension-CarePlan.relatedPlan.codeDSTU2: includes | replaces | fulfills (new)
hl7.fhir.uv.xver-r2.r4b#0.1.0extension-CarePlan.relatedPlan.planDSTU2: Plan relationship exists with (new)
hl7.fhir.uv.xver-r2.r4b#0.1.0extension-CarePlan.textDSTU2: text additional types

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ConceptMap R2-CarePlan-element-map-to-R4

Mapping from http://hl7.org/fhir/1.0 to http://hl7.org/fhir/4.0


Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/CarePlan|1.0.2 to CarePlanversion: 4.0.1)

Source Concept DetailsRelationshipTarget Concept DetailsComment
Codes from http://hl7.org/fhir/StructureDefinition/CarePlan|1.0.2Codes from CarePlan
CarePlan.metametamaps to wider conceptCarePlan.metaCarePlan.metaElement `CarePlan.meta` is mapped to FHIR R4 element `CarePlan.meta` as `SourceIsBroaderThanTarget`. The mappings for `CarePlan.meta` do not cover the following types: Meta. The mappings for `CarePlan.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.
CarePlan.implicitRulesimplicitRulesis equivalent toCarePlan.implicitRulesCarePlan.implicitRulesElement `CarePlan.implicitRules` is mapped to FHIR R4 element `CarePlan.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 as much as possible.
CarePlan.languagelanguageis equivalent toCarePlan.languageCarePlan.languageElement `CarePlan.language` is mapped to FHIR R4 element `CarePlan.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).
CarePlan.texttextmaps to wider conceptCarePlan.textCarePlan.textElement `CarePlan.text` is mapped to FHIR R4 element `CarePlan.text` as `SourceIsBroaderThanTarget`. The mappings for `CarePlan.text` do not cover the following types: Narrative. The mappings for `CarePlan.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.
CarePlan.containedcontainedis equivalent toCarePlan.containedCarePlan.containedElement `CarePlan.contained` is mapped to FHIR R4 element `CarePlan.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.
CarePlan.identifieridentifiermaps to wider conceptCarePlan.identifierCarePlan.identifierElement `CarePlan.identifier` is mapped to FHIR R4 element `CarePlan.identifier` as `SourceIsBroaderThanTarget`. The mappings for `CarePlan.identifier` do not cover the following types: Identifier. The mappings for `CarePlan.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.
CarePlan.subjectsubjectmaps to wider conceptCarePlan.subjectCarePlan.subjectElement `CarePlan.subject` is mapped to FHIR R4 element `CarePlan.subject` as `SourceIsBroaderThanTarget`. The mappings for `CarePlan.subject` do not cover the following types based on type expansion: display, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.subject` with unmapped reference targets: Group, Patient.
CarePlan.statusstatusis equivalent toCarePlan.statusCarePlan.statusElement `CarePlan.status` is mapped to FHIR R4 element `CarePlan.status` as `SourceIsNarrowerThanTarget`. The mappings for `CarePlan.status` do not allow expression of the necessary codes, per the bindings on the source and target.
CarePlan.contextcontextmaps to wider conceptCarePlan.encounterCarePlan.encounterElement `CarePlan.context` is mapped to FHIR R4 element `CarePlan.encounter` as `SourceIsBroaderThanTarget`. The mappings for `CarePlan.context` do not cover the following types based on type expansion: display, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.context` with unmapped reference targets: Encounter, EpisodeOfCare. Activities conducted as a result of the care plan may well occur as part of other encounters/episodes.
CarePlan.periodperiodmaps to wider conceptCarePlan.periodCarePlan.periodElement `CarePlan.period` is mapped to FHIR R4 element `CarePlan.period` as `SourceIsBroaderThanTarget`. The mappings for `CarePlan.period` do not cover the following types: Period. The mappings for `CarePlan.period` do not cover the following types based on type expansion: end, start. Any activities scheduled as part of the plan should be constrained to the specified period.
CarePlan.authorauthormaps to wider conceptCarePlan.authorCarePlan.authorElement `CarePlan.author` is mapped to FHIR R4 element `CarePlan.author` as `RelatedTo`. The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.author` with unmapped reference targets: Organization, Patient, Practitioner, RelatedPerson. Collaborative care plans may have multiple authors.
CarePlan.categorycategoryis equivalent toCarePlan.categoryCarePlan.categoryElement `CarePlan.category` is mapped to FHIR R4 element `CarePlan.category` as `Equivalent`. There may be multiple axis of categorization and one plan may serve multiple purposes. In some cases, this may be redundant with references to CarePlan.concern.
CarePlan.descriptiondescriptionis equivalent toCarePlan.descriptionCarePlan.descriptionElement `CarePlan.description` is mapped to FHIR R4 element `CarePlan.description` as `Equivalent`.
CarePlan.addressesaddressesmaps to wider conceptCarePlan.addressesCarePlan.addressesElement `CarePlan.addresses` is mapped to FHIR R4 element `CarePlan.addresses` as `SourceIsBroaderThanTarget`. The mappings for `CarePlan.addresses` do not cover the following types based on type expansion: display, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.addresses` with unmapped reference targets: Condition.
CarePlan.supportsupportmaps to wider conceptCarePlan.supportingInfoCarePlan.supportingInfoElement `CarePlan.support` is mapped to FHIR R4 element `CarePlan.supportingInfo` as `SourceIsBroaderThanTarget`. The mappings for `CarePlan.support` do not cover the following types based on type expansion: display, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.support` with unmapped reference targets: Resource. Use "concern" to identify specific conditions addressed by the care plan.
CarePlan.relatedPlanrelatedPlanis related toCarePlan.basedOnCarePlan.basedOnElement `CarePlan.relatedPlan` is mapped to FHIR R4 element `CarePlan.basedOn` as `SourceIsBroaderThanTarget`. Element `CarePlan.relatedPlan` is mapped to FHIR R4 element `CarePlan.replaces` as `SourceIsBroaderThanTarget`. Element `CarePlan.relatedPlan` is mapped to FHIR R4 element `CarePlan.partOf` as `SourceIsBroaderThanTarget`. Relationships are uni-directional with the "newer" plan pointing to the older one.
is related toCarePlan.partOfCarePlan.partOfElement `CarePlan.relatedPlan` is mapped to FHIR R4 element `CarePlan.basedOn` as `SourceIsBroaderThanTarget`. Element `CarePlan.relatedPlan` is mapped to FHIR R4 element `CarePlan.replaces` as `SourceIsBroaderThanTarget`. Element `CarePlan.relatedPlan` is mapped to FHIR R4 element `CarePlan.partOf` as `SourceIsBroaderThanTarget`. Relationships are uni-directional with the "newer" plan pointing to the older one.
is related toCarePlan.replacesCarePlan.replacesElement `CarePlan.relatedPlan` is mapped to FHIR R4 element `CarePlan.basedOn` as `SourceIsBroaderThanTarget`. Element `CarePlan.relatedPlan` is mapped to FHIR R4 element `CarePlan.replaces` as `SourceIsBroaderThanTarget`. Element `CarePlan.relatedPlan` is mapped to FHIR R4 element `CarePlan.partOf` as `SourceIsBroaderThanTarget`. Relationships are uni-directional with the "newer" plan pointing to the older one.
CarePlan.participantparticipantis related toCarePlan.careTeamCarePlan.careTeamElement `CarePlan.participant` is mapped to FHIR R4 element `CarePlan.careTeam` as `SourceIsNarrowerThanTarget`.
CarePlan.goalgoalmaps to wider conceptCarePlan.goalCarePlan.goalElement `CarePlan.goal` is mapped to FHIR R4 element `CarePlan.goal` as `SourceIsBroaderThanTarget`. The mappings for `CarePlan.goal` do not cover the following types based on type expansion: display, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.goal` with unmapped reference targets: Goal. Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline.
CarePlan.activityactivitymaps to wider conceptCarePlan.activityCarePlan.activityElement `CarePlan.activity` is mapped to FHIR R4 element `CarePlan.activity` as `Equivalent`.
CarePlan.activity.actionResultingactionResultingmaps to wider conceptCarePlan.activity.outcomeReferenceCarePlan.activity.outcomeReferenceElement `CarePlan.activity.actionResulting` is mapped to FHIR R4 element `CarePlan.activity.outcomeReference` as `SourceIsBroaderThanTarget`. The mappings for `CarePlan.activity.actionResulting` do not cover the following types based on type expansion: display, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.activity.actionResulting` with unmapped reference targets: Resource.
CarePlan.activity.progressprogressmaps to wider conceptCarePlan.activity.progressCarePlan.activity.progressElement `CarePlan.activity.progress` is mapped to FHIR R4 element `CarePlan.activity.progress` as `SourceIsBroaderThanTarget`. The mappings for `CarePlan.activity.progress` do not cover the following types: Annotation. The mappings for `CarePlan.activity.progress` do not cover the following types based on type expansion: author[x], text, time. This element should NOT be used to describe the activity to be performed - that occurs either within the resource pointed to by activity.detail.reference or in activity.detail.description.
CarePlan.activity.referencereferencemaps to wider conceptCarePlan.activity.referenceCarePlan.activity.referenceElement `CarePlan.activity.reference` is mapped to FHIR R4 element `CarePlan.activity.reference` as `RelatedTo`. The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.activity.reference` with unmapped reference targets: Appointment, CommunicationRequest, DeviceUseRequest, DiagnosticOrder, MedicationOrder, NutritionOrder, Order, ProcedureRequest, ProcessRequest, ReferralRequest, SupplyRequest, VisionPrescription.
CarePlan.activity.detaildetailmaps to wider conceptCarePlan.activity.detailCarePlan.activity.detailElement `CarePlan.activity.detail` is mapped to FHIR R4 element `CarePlan.activity.detail` as `Equivalent`.
CarePlan.activity.detail.categorycategoryis equivalent toCarePlan.activity.detailCarePlan.activity.detailElement `CarePlan.activity.detail.category` is mapped to FHIR R4 element `CarePlan.activity.detail` as `Equivalent`. Element `CarePlan.activity.detail.category` is mapped to FHIR R4 element `CarePlan.activity.detail.kind` as `SourceIsBroaderThanTarget`.
is related toCarePlan.activity.detail.kindCarePlan.activity.detail.kindElement `CarePlan.activity.detail.category` is mapped to FHIR R4 element `CarePlan.activity.detail` as `Equivalent`. Element `CarePlan.activity.detail.category` is mapped to FHIR R4 element `CarePlan.activity.detail.kind` as `SourceIsBroaderThanTarget`.
CarePlan.activity.detail.codecodeis equivalent toCarePlan.activity.detail.codeCarePlan.activity.detail.codeElement `CarePlan.activity.detail.code` is mapped to FHIR R4 element `CarePlan.activity.detail.code` as `Equivalent`. Tends to be less relevant for activities involving particular products. Codes should not convey negation - use "prohibited" instead.
CarePlan.activity.detail.reasonCodereasonCodeis equivalent toCarePlan.activity.detail.reasonCodeCarePlan.activity.detail.reasonCodeElement `CarePlan.activity.detail.reasonCode` is mapped to FHIR R4 element `CarePlan.activity.detail.reasonCode` as `Equivalent`. This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonCondition instead.
CarePlan.activity.detail.reasonReferencereasonReferencemaps to wider conceptCarePlan.activity.detail.reasonReferenceCarePlan.activity.detail.reasonReferenceElement `CarePlan.activity.detail.reasonReference` is mapped to FHIR R4 element `CarePlan.activity.detail.reasonReference` as `SourceIsBroaderThanTarget`. The mappings for `CarePlan.activity.detail.reasonReference` do not cover the following types based on type expansion: display, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.activity.detail.reasonReference` with unmapped reference targets: Condition. Conditions can be identified at the activity level that are not identified as reasons for the overall plan.
CarePlan.activity.detail.goalgoalmaps to wider conceptCarePlan.activity.detail.goalCarePlan.activity.detail.goalElement `CarePlan.activity.detail.goal` is mapped to FHIR R4 element `CarePlan.activity.detail.goal` as `SourceIsBroaderThanTarget`. The mappings for `CarePlan.activity.detail.goal` do not cover the following types based on type expansion: display, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.activity.detail.goal` with unmapped reference targets: Goal.
CarePlan.activity.detail.statusstatusmaps to wider conceptCarePlan.activity.detail.statusCarePlan.activity.detail.statusElement `CarePlan.activity.detail.status` is mapped to FHIR R4 element `CarePlan.activity.detail.status` as `RelatedTo`. The mappings for `CarePlan.activity.detail.status` do not allow expression of the necessary codes, per the bindings on the source and target. The target context `CarePlan.activity.detail.status` is a modifier element, so this extension does not need to be defined as a modifier. Some aspects of status can be inferred based on the resources linked in actionTaken. Note that "status" is only as current as the plan was most recently updated.
CarePlan.activity.detail.statusReasonstatusReasonis equivalent toCarePlan.activity.detail.statusReasonCarePlan.activity.detail.statusReasonElement `CarePlan.activity.detail.statusReason` is mapped to FHIR R4 element `CarePlan.activity.detail.statusReason` as `SourceIsBroaderThanTarget`. Will generally not be present if status is "complete". Be sure to prompt to update this (or at least remove the existing value) if the status is changed.
CarePlan.activity.detail.prohibitedprohibitedis equivalent toCarePlan.activity.detail.doNotPerformCarePlan.activity.detail.doNotPerformElement `CarePlan.activity.detail.prohibited` is mapped to FHIR R4 element `CarePlan.activity.detail.doNotPerform` as `Equivalent`.
CarePlan.activity.detail.scheduled[x]scheduled[x]maps to wider conceptCarePlan.activity.detail.scheduled[x]CarePlan.activity.detail.scheduled[x]Element `CarePlan.activity.detail.scheduled[x]` is mapped to FHIR R4 element `CarePlan.activity.detail.scheduled[x]` as `SourceIsBroaderThanTarget`. The mappings for `CarePlan.activity.detail.scheduled[x]` do not cover the following types: Period, Timing. The target context `CarePlan.activity.detail.scheduled[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `CarePlan.activity.detail`.
CarePlan.activity.detail.locationlocationmaps to wider conceptCarePlan.activity.detail.locationCarePlan.activity.detail.locationElement `CarePlan.activity.detail.location` is mapped to FHIR R4 element `CarePlan.activity.detail.location` as `SourceIsBroaderThanTarget`. The mappings for `CarePlan.activity.detail.location` do not cover the following types based on type expansion: display, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.activity.detail.location` with unmapped reference targets: Location. May reference a specific clinical location or may identify a type of location.
CarePlan.activity.detail.performerperformermaps to wider conceptCarePlan.activity.detail.performerCarePlan.activity.detail.performerElement `CarePlan.activity.detail.performer` is mapped to FHIR R4 element `CarePlan.activity.detail.performer` as `RelatedTo`. The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.activity.detail.performer` with unmapped reference targets: Organization, Patient, Practitioner, RelatedPerson. A performer MAY also be a participant in the care plan.
CarePlan.activity.detail.product[x]product[x]maps to wider conceptCarePlan.activity.detail.product[x]CarePlan.activity.detail.product[x]Element `CarePlan.activity.detail.product[x]` is mapped to FHIR R4 element `CarePlan.activity.detail.product[x]` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.activity.detail.product[x]` with unmapped reference targets: Medication, Substance. Source element `CarePlan.activity.detail.product[x]` has unmapped reference types. While the target element `CarePlan.activity.detail.product[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.
CarePlan.activity.detail.dailyAmountdailyAmountis equivalent toCarePlan.activity.detail.dailyAmountCarePlan.activity.detail.dailyAmountElement `CarePlan.activity.detail.dailyAmount` is mapped to FHIR R4 element `CarePlan.activity.detail.dailyAmount` as `Equivalent`.
CarePlan.activity.detail.quantityquantityis equivalent toCarePlan.activity.detail.quantityCarePlan.activity.detail.quantityElement `CarePlan.activity.detail.quantity` is mapped to FHIR R4 element `CarePlan.activity.detail.quantity` as `Equivalent`.
CarePlan.activity.detail.descriptiondescriptionis equivalent toCarePlan.activity.detail.descriptionCarePlan.activity.detail.descriptionElement `CarePlan.activity.detail.description` is mapped to FHIR R4 element `CarePlan.activity.detail.description` as `Equivalent`.
CarePlan.notenotemaps to wider conceptCarePlan.noteCarePlan.noteElement `CarePlan.note` is mapped to FHIR R4 element `CarePlan.note` as `RelatedTo`. The mappings for `CarePlan.note` do not cover the following types: Annotation. The mappings for `CarePlan.note` do not cover the following types based on type expansion: author[x], text, time.

Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/CarePlan|1.0.2 to DSTU2: meta additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
CarePlan.meta (meta)is equivalent toExtension (DSTU2: meta additional types)Element `CarePlan.meta` is mapped to FHIR R4 element `CarePlan.meta` as `SourceIsBroaderThanTarget`. The mappings for `CarePlan.meta` do not cover the following types: Meta. The mappings for `CarePlan.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.

Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/CarePlan|1.0.2 to DSTU2: text additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
CarePlan.text (text)is equivalent toExtension (DSTU2: text additional types)Element `CarePlan.text` is mapped to FHIR R4 element `CarePlan.text` as `SourceIsBroaderThanTarget`. The mappings for `CarePlan.text` do not cover the following types: Narrative. The mappings for `CarePlan.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.

Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/CarePlan|1.0.2 to DSTU2: identifier additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
CarePlan.identifier (identifier)is equivalent toExtension (DSTU2: identifier additional types)Element `CarePlan.identifier` is mapped to FHIR R4 element `CarePlan.identifier` as `SourceIsBroaderThanTarget`. The mappings for `CarePlan.identifier` do not cover the following types: Identifier. The mappings for `CarePlan.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/CarePlan|1.0.2 to DSTU2: period additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
CarePlan.period (period)is equivalent toExtension (DSTU2: period additional types)Element `CarePlan.period` is mapped to FHIR R4 element `CarePlan.period` as `SourceIsBroaderThanTarget`. The mappings for `CarePlan.period` do not cover the following types: Period. The mappings for `CarePlan.period` do not cover the following types based on type expansion: end, start. Any activities scheduled as part of the plan should be constrained to the specified period.

Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/CarePlan|1.0.2 to DSTU2: When last updated (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
CarePlan.modified (modified)is equivalent toExtension (DSTU2: When last updated (new))Element `CarePlan.modified` has a context of CarePlan based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.modified` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/CarePlan|1.0.2 to DSTU2: includes | replaces | fulfills (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
CarePlan.relatedPlan.code (code)maps to wider conceptExtension (DSTU2: includes | replaces | fulfills (new))Element `CarePlan.relatedPlan.code` has a context of CarePlan based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.relatedPlan.code` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Read the relationship as "this plan" [relatedPlan.code] "relatedPlan.plan"; e.g. This plan includes Plan B. Additional relationship types can be proposed for future releases or handled as extensions.

Group 8 Mapping from http://hl7.org/fhir/StructureDefinition/CarePlan|1.0.2 to DSTU2: Plan relationship exists with (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
CarePlan.relatedPlan.plan (plan)maps to wider conceptExtension (DSTU2: Plan relationship exists with (new))Element `CarePlan.relatedPlan.plan` has a context of CarePlan based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.relatedPlan.plan` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Group 9 Mapping from http://hl7.org/fhir/StructureDefinition/CarePlan|1.0.2 to DSTU2: Type of involvement (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
CarePlan.participant.role (role)maps to wider conceptExtension (DSTU2: Type of involvement (new))Element `CarePlan.participant.role` has a context of CarePlan.careTeam based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.participant.role` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Roles may sometimes be inferred by type of Practitioner. These are relationships that hold only within the context of the care plan. General relationships should be handled as properties of the Patient resource directly.

Group 10 Mapping from http://hl7.org/fhir/StructureDefinition/CarePlan|1.0.2 to DSTU2: Who is involved (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
CarePlan.participant.member (member)maps to wider conceptExtension (DSTU2: Who is involved (new))Element `CarePlan.participant.member` has a context of CarePlan.careTeam based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.participant.member` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Patient only needs to be listed if they have a role other than "subject of care". Member is optional because some participants may be known only by their role, particularly in draft plans.

Group 11 Mapping from http://hl7.org/fhir/StructureDefinition/CarePlan|1.0.2 to DSTU2: progress additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
CarePlan.activity.progress (progress)is equivalent toExtension (DSTU2: progress additional types)Element `CarePlan.activity.progress` is mapped to FHIR R4 element `CarePlan.activity.progress` as `SourceIsBroaderThanTarget`. The mappings for `CarePlan.activity.progress` do not cover the following types: Annotation. The mappings for `CarePlan.activity.progress` do not cover the following types based on type expansion: author[x], text, time. This element should NOT be used to describe the activity to be performed - that occurs either within the resource pointed to by activity.detail.reference or in activity.detail.description.

Group 12 Mapping from http://hl7.org/fhir/StructureDefinition/CarePlan|1.0.2 to DSTU2: not-started | scheduled | in-progress | on-hold | completed | cancelled additional codesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
CarePlan.activity.detail.status (status)is equivalent toExtension (DSTU2: not-started | scheduled | in-progress | on-hold | completed | cancelled additional codes)Element `CarePlan.activity.detail.status` is mapped to FHIR R4 element `CarePlan.activity.detail.status` as `RelatedTo`. The mappings for `CarePlan.activity.detail.status` do not allow expression of the necessary codes, per the bindings on the source and target. The target context `CarePlan.activity.detail.status` is a modifier element, so this extension does not need to be defined as a modifier. Some aspects of status can be inferred based on the resources linked in actionTaken. Note that "status" is only as current as the plan was most recently updated.

Group 13 Mapping from http://hl7.org/fhir/StructureDefinition/CarePlan|1.0.2 to DSTU2: scheduled additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
CarePlan.activity.detail.scheduled[x] (scheduled[x])is equivalent toExtension (DSTU2: scheduled additional types)Element `CarePlan.activity.detail.scheduled[x]` is mapped to FHIR R4 element `CarePlan.activity.detail.scheduled[x]` as `SourceIsBroaderThanTarget`. The mappings for `CarePlan.activity.detail.scheduled[x]` do not cover the following types: Period, Timing. The target context `CarePlan.activity.detail.scheduled[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `CarePlan.activity.detail`.

Group 14 Mapping from http://hl7.org/fhir/StructureDefinition/CarePlan|1.0.2 to DSTU2: note additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
CarePlan.note (note)is equivalent toExtension (DSTU2: note additional types)Element `CarePlan.note` is mapped to FHIR R4 element `CarePlan.note` as `RelatedTo`. The mappings for `CarePlan.note` do not cover the following types: Annotation. The mappings for `CarePlan.note` do not cover the following types based on type expansion: author[x], text, time.

Source1

{
  "resourceType": "ConceptMap",
  "id": "R2-CarePlan-element-map-to-R4",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fhir"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r4"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r4"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ConceptMap/R2-CarePlan-element-map-to-R4",
  "version": "0.1.0",
  "name": "R2CarePlanElementMapToR4",
  "title": "Cross-version mapping for FHIR DSTU2 CarePlan to FHIR R4 CarePlan",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:04:03.0877219-05:00",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description": "This ConceptMap represents cross-version mappings for elements from a FHIR DSTU2 CarePlan to FHIR R4.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "sourceCanonical": "http://hl7.org/fhir/1.0",
  "targetUri": "http://hl7.org/fhir/4.0",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/CarePlan",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/StructureDefinition/CarePlan",
      "targetVersion": "4.0.1",
      "element": [
        {
          "code": "CarePlan.meta",
          "display": "meta",
          "target": [
            {
              "code": "CarePlan.meta",
              "display": "CarePlan.meta",
              "equivalence": "wider",
              "comment": "Element `CarePlan.meta` is mapped to FHIR R4 element `CarePlan.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `CarePlan.meta` do not cover the following types: Meta.\nThe mappings for `CarePlan.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        },
        {
          "code": "CarePlan.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "code": "CarePlan.implicitRules",
              "display": "CarePlan.implicitRules",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.implicitRules` is mapped to FHIR R4 element `CarePlan.implicitRules` as `Equivalent`.\nAsserting 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 as much as possible."
            }
          ]
        },
        {
          "code": "CarePlan.language",
          "display": "language",
          "target": [
            {
              "code": "CarePlan.language",
              "display": "CarePlan.language",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.language` is mapped to FHIR R4 element `CarePlan.language` as `Equivalent`.\nLanguage 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)."
            }
          ]
        },
        {
          "code": "CarePlan.text",
          "display": "text",
          "target": [
            {
              "code": "CarePlan.text",
              "display": "CarePlan.text",
              "equivalence": "wider",
              "comment": "Element `CarePlan.text` is mapped to FHIR R4 element `CarePlan.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `CarePlan.text` do not cover the following types: Narrative.\nThe mappings for `CarePlan.text` do not cover the following types based on type expansion: div, status.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative."
            }
          ]
        },
        {
          "code": "CarePlan.contained",
          "display": "contained",
          "target": [
            {
              "code": "CarePlan.contained",
              "display": "CarePlan.contained",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.contained` is mapped to FHIR R4 element `CarePlan.contained` as `SourceIsBroaderThanTarget`.\nThis 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."
            }
          ]
        },
        {
          "code": "CarePlan.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "CarePlan.identifier",
              "display": "CarePlan.identifier",
              "equivalence": "wider",
              "comment": "Element `CarePlan.identifier` is mapped to FHIR R4 element `CarePlan.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `CarePlan.identifier` do not cover the following types: Identifier.\nThe mappings for `CarePlan.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        },
        {
          "code": "CarePlan.subject",
          "display": "subject",
          "target": [
            {
              "code": "CarePlan.subject",
              "display": "CarePlan.subject",
              "equivalence": "wider",
              "comment": "Element `CarePlan.subject` is mapped to FHIR R4 element `CarePlan.subject` as `SourceIsBroaderThanTarget`.\nThe mappings for `CarePlan.subject` do not cover the following types based on type expansion: display, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.subject` with unmapped reference targets: Group, Patient."
            }
          ]
        },
        {
          "code": "CarePlan.status",
          "display": "status",
          "target": [
            {
              "code": "CarePlan.status",
              "display": "CarePlan.status",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.status` is mapped to FHIR R4 element `CarePlan.status` as `SourceIsNarrowerThanTarget`.\nThe mappings for `CarePlan.status` do not allow expression of the necessary codes, per the bindings on the source and target."
            }
          ]
        },
        {
          "code": "CarePlan.context",
          "display": "context",
          "target": [
            {
              "code": "CarePlan.encounter",
              "display": "CarePlan.encounter",
              "equivalence": "wider",
              "comment": "Element `CarePlan.context` is mapped to FHIR R4 element `CarePlan.encounter` as `SourceIsBroaderThanTarget`.\nThe mappings for `CarePlan.context` do not cover the following types based on type expansion: display, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.context` with unmapped reference targets: Encounter, EpisodeOfCare.\nActivities conducted as a result of the care plan may well occur as part of other encounters/episodes."
            }
          ]
        },
        {
          "code": "CarePlan.period",
          "display": "period",
          "target": [
            {
              "code": "CarePlan.period",
              "display": "CarePlan.period",
              "equivalence": "wider",
              "comment": "Element `CarePlan.period` is mapped to FHIR R4 element `CarePlan.period` as `SourceIsBroaderThanTarget`.\nThe mappings for `CarePlan.period` do not cover the following types: Period.\nThe mappings for `CarePlan.period` do not cover the following types based on type expansion: end, start.\nAny activities scheduled as part of the plan should be constrained to the specified period."
            }
          ]
        },
        {
          "code": "CarePlan.author",
          "display": "author",
          "target": [
            {
              "code": "CarePlan.author",
              "display": "CarePlan.author",
              "equivalence": "wider",
              "comment": "Element `CarePlan.author` is mapped to FHIR R4 element `CarePlan.author` as `RelatedTo`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.author` with unmapped reference targets: Organization, Patient, Practitioner, RelatedPerson.\nCollaborative care plans may have multiple authors."
            }
          ]
        },
        {
          "code": "CarePlan.category",
          "display": "category",
          "target": [
            {
              "code": "CarePlan.category",
              "display": "CarePlan.category",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.category` is mapped to FHIR R4 element `CarePlan.category` as `Equivalent`.\nThere may be multiple axis of categorization and one plan may serve multiple purposes.  In some cases, this may be redundant with references to CarePlan.concern."
            }
          ]
        },
        {
          "code": "CarePlan.description",
          "display": "description",
          "target": [
            {
              "code": "CarePlan.description",
              "display": "CarePlan.description",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.description` is mapped to FHIR R4 element `CarePlan.description` as `Equivalent`."
            }
          ]
        },
        {
          "code": "CarePlan.addresses",
          "display": "addresses",
          "target": [
            {
              "code": "CarePlan.addresses",
              "display": "CarePlan.addresses",
              "equivalence": "wider",
              "comment": "Element `CarePlan.addresses` is mapped to FHIR R4 element `CarePlan.addresses` as `SourceIsBroaderThanTarget`.\nThe mappings for `CarePlan.addresses` do not cover the following types based on type expansion: display, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.addresses` with unmapped reference targets: Condition."
            }
          ]
        },
        {
          "code": "CarePlan.support",
          "display": "support",
          "target": [
            {
              "code": "CarePlan.supportingInfo",
              "display": "CarePlan.supportingInfo",
              "equivalence": "wider",
              "comment": "Element `CarePlan.support` is mapped to FHIR R4 element `CarePlan.supportingInfo` as `SourceIsBroaderThanTarget`.\nThe mappings for `CarePlan.support` do not cover the following types based on type expansion: display, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.support` with unmapped reference targets: Resource.\nUse \"concern\" to identify specific conditions addressed by the care plan."
            }
          ]
        },
        {
          "code": "CarePlan.relatedPlan",
          "display": "relatedPlan",
          "target": [
            {
              "code": "CarePlan.basedOn",
              "display": "CarePlan.basedOn",
              "equivalence": "relatedto",
              "comment": "Element `CarePlan.relatedPlan` is mapped to FHIR R4 element `CarePlan.basedOn` as `SourceIsBroaderThanTarget`.\nElement `CarePlan.relatedPlan` is mapped to FHIR R4 element `CarePlan.replaces` as `SourceIsBroaderThanTarget`.\nElement `CarePlan.relatedPlan` is mapped to FHIR R4 element `CarePlan.partOf` as `SourceIsBroaderThanTarget`.\nRelationships are uni-directional with the \"newer\" plan pointing to the older one."
            },
            {
              "code": "CarePlan.partOf",
              "display": "CarePlan.partOf",
              "equivalence": "relatedto",
              "comment": "Element `CarePlan.relatedPlan` is mapped to FHIR R4 element `CarePlan.basedOn` as `SourceIsBroaderThanTarget`.\nElement `CarePlan.relatedPlan` is mapped to FHIR R4 element `CarePlan.replaces` as `SourceIsBroaderThanTarget`.\nElement `CarePlan.relatedPlan` is mapped to FHIR R4 element `CarePlan.partOf` as `SourceIsBroaderThanTarget`.\nRelationships are uni-directional with the \"newer\" plan pointing to the older one."
            },
            {
              "code": "CarePlan.replaces",
              "display": "CarePlan.replaces",
              "equivalence": "relatedto",
              "comment": "Element `CarePlan.relatedPlan` is mapped to FHIR R4 element `CarePlan.basedOn` as `SourceIsBroaderThanTarget`.\nElement `CarePlan.relatedPlan` is mapped to FHIR R4 element `CarePlan.replaces` as `SourceIsBroaderThanTarget`.\nElement `CarePlan.relatedPlan` is mapped to FHIR R4 element `CarePlan.partOf` as `SourceIsBroaderThanTarget`.\nRelationships are uni-directional with the \"newer\" plan pointing to the older one."
            }
          ]
        },
        {
          "code": "CarePlan.participant",
          "display": "participant",
          "target": [
            {
              "code": "CarePlan.careTeam",
              "display": "CarePlan.careTeam",
              "equivalence": "relatedto",
              "comment": "Element `CarePlan.participant` is mapped to FHIR R4 element `CarePlan.careTeam` as `SourceIsNarrowerThanTarget`."
            }
          ]
        },
        {
          "code": "CarePlan.goal",
          "display": "goal",
          "target": [
            {
              "code": "CarePlan.goal",
              "display": "CarePlan.goal",
              "equivalence": "wider",
              "comment": "Element `CarePlan.goal` is mapped to FHIR R4 element `CarePlan.goal` as `SourceIsBroaderThanTarget`.\nThe mappings for `CarePlan.goal` do not cover the following types based on type expansion: display, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.goal` with unmapped reference targets: Goal.\nGoal can be achieving a particular change or merely maintaining a current state or even slowing a decline."
            }
          ]
        },
        {
          "code": "CarePlan.activity",
          "display": "activity",
          "target": [
            {
              "code": "CarePlan.activity",
              "display": "CarePlan.activity",
              "equivalence": "wider",
              "comment": "Element `CarePlan.activity` is mapped to FHIR R4 element `CarePlan.activity` as `Equivalent`."
            }
          ]
        },
        {
          "code": "CarePlan.activity.actionResulting",
          "display": "actionResulting",
          "target": [
            {
              "code": "CarePlan.activity.outcomeReference",
              "display": "CarePlan.activity.outcomeReference",
              "equivalence": "wider",
              "comment": "Element `CarePlan.activity.actionResulting` is mapped to FHIR R4 element `CarePlan.activity.outcomeReference` as `SourceIsBroaderThanTarget`.\nThe mappings for `CarePlan.activity.actionResulting` do not cover the following types based on type expansion: display, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.activity.actionResulting` with unmapped reference targets: Resource."
            }
          ]
        },
        {
          "code": "CarePlan.activity.progress",
          "display": "progress",
          "target": [
            {
              "code": "CarePlan.activity.progress",
              "display": "CarePlan.activity.progress",
              "equivalence": "wider",
              "comment": "Element `CarePlan.activity.progress` is mapped to FHIR R4 element `CarePlan.activity.progress` as `SourceIsBroaderThanTarget`.\nThe mappings for `CarePlan.activity.progress` do not cover the following types: Annotation.\nThe mappings for `CarePlan.activity.progress` do not cover the following types based on type expansion: author[x], text, time.\nThis element should NOT be used to describe the activity to be performed - that occurs either within the resource pointed to by activity.detail.reference or in activity.detail.description."
            }
          ]
        },
        {
          "code": "CarePlan.activity.reference",
          "display": "reference",
          "target": [
            {
              "code": "CarePlan.activity.reference",
              "display": "CarePlan.activity.reference",
              "equivalence": "wider",
              "comment": "Element `CarePlan.activity.reference` is mapped to FHIR R4 element `CarePlan.activity.reference` as `RelatedTo`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.activity.reference` with unmapped reference targets: Appointment, CommunicationRequest, DeviceUseRequest, DiagnosticOrder, MedicationOrder, NutritionOrder, Order, ProcedureRequest, ProcessRequest, ReferralRequest, SupplyRequest, VisionPrescription."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail",
          "display": "detail",
          "target": [
            {
              "code": "CarePlan.activity.detail",
              "display": "CarePlan.activity.detail",
              "equivalence": "wider",
              "comment": "Element `CarePlan.activity.detail` is mapped to FHIR R4 element `CarePlan.activity.detail` as `Equivalent`."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.category",
          "display": "category",
          "target": [
            {
              "code": "CarePlan.activity.detail",
              "display": "CarePlan.activity.detail",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.activity.detail.category` is mapped to FHIR R4 element `CarePlan.activity.detail` as `Equivalent`.\nElement `CarePlan.activity.detail.category` is mapped to FHIR R4 element `CarePlan.activity.detail.kind` as `SourceIsBroaderThanTarget`."
            },
            {
              "code": "CarePlan.activity.detail.kind",
              "display": "CarePlan.activity.detail.kind",
              "equivalence": "relatedto",
              "comment": "Element `CarePlan.activity.detail.category` is mapped to FHIR R4 element `CarePlan.activity.detail` as `Equivalent`.\nElement `CarePlan.activity.detail.category` is mapped to FHIR R4 element `CarePlan.activity.detail.kind` as `SourceIsBroaderThanTarget`."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.code",
          "display": "code",
          "target": [
            {
              "code": "CarePlan.activity.detail.code",
              "display": "CarePlan.activity.detail.code",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.activity.detail.code` is mapped to FHIR R4 element `CarePlan.activity.detail.code` as `Equivalent`.\nTends to be less relevant for activities involving particular products.  Codes should not convey negation - use \"prohibited\" instead."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.reasonCode",
          "display": "reasonCode",
          "target": [
            {
              "code": "CarePlan.activity.detail.reasonCode",
              "display": "CarePlan.activity.detail.reasonCode",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.activity.detail.reasonCode` is mapped to FHIR R4 element `CarePlan.activity.detail.reasonCode` as `Equivalent`.\nThis could be a diagnosis code.  If a full condition record exists or additional detail is needed, use reasonCondition instead."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.reasonReference",
          "display": "reasonReference",
          "target": [
            {
              "code": "CarePlan.activity.detail.reasonReference",
              "display": "CarePlan.activity.detail.reasonReference",
              "equivalence": "wider",
              "comment": "Element `CarePlan.activity.detail.reasonReference` is mapped to FHIR R4 element `CarePlan.activity.detail.reasonReference` as `SourceIsBroaderThanTarget`.\nThe mappings for `CarePlan.activity.detail.reasonReference` do not cover the following types based on type expansion: display, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.activity.detail.reasonReference` with unmapped reference targets: Condition.\nConditions can be identified at the activity level that are not identified as reasons for the overall plan."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.goal",
          "display": "goal",
          "target": [
            {
              "code": "CarePlan.activity.detail.goal",
              "display": "CarePlan.activity.detail.goal",
              "equivalence": "wider",
              "comment": "Element `CarePlan.activity.detail.goal` is mapped to FHIR R4 element `CarePlan.activity.detail.goal` as `SourceIsBroaderThanTarget`.\nThe mappings for `CarePlan.activity.detail.goal` do not cover the following types based on type expansion: display, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.activity.detail.goal` with unmapped reference targets: Goal."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.status",
          "display": "status",
          "target": [
            {
              "code": "CarePlan.activity.detail.status",
              "display": "CarePlan.activity.detail.status",
              "equivalence": "wider",
              "comment": "Element `CarePlan.activity.detail.status` is mapped to FHIR R4 element `CarePlan.activity.detail.status` as `RelatedTo`.\nThe mappings for `CarePlan.activity.detail.status` do not allow expression of the necessary codes, per the bindings on the source and target.\nThe target context `CarePlan.activity.detail.status` is a modifier element, so this extension does not need to be defined as a modifier.\nSome aspects of status can be inferred based on the resources linked in actionTaken.  Note that \"status\" is only as current as the plan was most recently updated."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.statusReason",
          "display": "statusReason",
          "target": [
            {
              "code": "CarePlan.activity.detail.statusReason",
              "display": "CarePlan.activity.detail.statusReason",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.activity.detail.statusReason` is mapped to FHIR R4 element `CarePlan.activity.detail.statusReason` as `SourceIsBroaderThanTarget`.\nWill generally not be present if status is \"complete\".  Be sure to prompt to update this (or at least remove the existing value) if the status is changed."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.prohibited",
          "display": "prohibited",
          "target": [
            {
              "code": "CarePlan.activity.detail.doNotPerform",
              "display": "CarePlan.activity.detail.doNotPerform",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.activity.detail.prohibited` is mapped to FHIR R4 element `CarePlan.activity.detail.doNotPerform` as `Equivalent`."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.scheduled[x]",
          "display": "scheduled[x]",
          "target": [
            {
              "code": "CarePlan.activity.detail.scheduled[x]",
              "display": "CarePlan.activity.detail.scheduled[x]",
              "equivalence": "wider",
              "comment": "Element `CarePlan.activity.detail.scheduled[x]` is mapped to FHIR R4 element `CarePlan.activity.detail.scheduled[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `CarePlan.activity.detail.scheduled[x]` do not cover the following types: Period, Timing.\nThe target context `CarePlan.activity.detail.scheduled[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `CarePlan.activity.detail`."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.location",
          "display": "location",
          "target": [
            {
              "code": "CarePlan.activity.detail.location",
              "display": "CarePlan.activity.detail.location",
              "equivalence": "wider",
              "comment": "Element `CarePlan.activity.detail.location` is mapped to FHIR R4 element `CarePlan.activity.detail.location` as `SourceIsBroaderThanTarget`.\nThe mappings for `CarePlan.activity.detail.location` do not cover the following types based on type expansion: display, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.activity.detail.location` with unmapped reference targets: Location.\nMay reference a specific clinical location or may identify a type of location."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.performer",
          "display": "performer",
          "target": [
            {
              "code": "CarePlan.activity.detail.performer",
              "display": "CarePlan.activity.detail.performer",
              "equivalence": "wider",
              "comment": "Element `CarePlan.activity.detail.performer` is mapped to FHIR R4 element `CarePlan.activity.detail.performer` as `RelatedTo`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.activity.detail.performer` with unmapped reference targets: Organization, Patient, Practitioner, RelatedPerson.\nA performer MAY also be a participant in the care plan."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.product[x]",
          "display": "product[x]",
          "target": [
            {
              "code": "CarePlan.activity.detail.product[x]",
              "display": "CarePlan.activity.detail.product[x]",
              "equivalence": "wider",
              "comment": "Element `CarePlan.activity.detail.product[x]` is mapped to FHIR R4 element `CarePlan.activity.detail.product[x]` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `CarePlan.activity.detail.product[x]` with unmapped reference targets: Medication, Substance.\nSource element `CarePlan.activity.detail.product[x]` has unmapped reference types. While the target element `CarePlan.activity.detail.product[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.dailyAmount",
          "display": "dailyAmount",
          "target": [
            {
              "code": "CarePlan.activity.detail.dailyAmount",
              "display": "CarePlan.activity.detail.dailyAmount",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.activity.detail.dailyAmount` is mapped to FHIR R4 element `CarePlan.activity.detail.dailyAmount` as `Equivalent`."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.quantity",
          "display": "quantity",
          "target": [
            {
              "code": "CarePlan.activity.detail.quantity",
              "display": "CarePlan.activity.detail.quantity",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.activity.detail.quantity` is mapped to FHIR R4 element `CarePlan.activity.detail.quantity` as `Equivalent`."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.description",
          "display": "description",
          "target": [
            {
              "code": "CarePlan.activity.detail.description",
              "display": "CarePlan.activity.detail.description",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.activity.detail.description` is mapped to FHIR R4 element `CarePlan.activity.detail.description` as `Equivalent`."
            }
          ]
        },
        {
          "code": "CarePlan.note",
          "display": "note",
          "target": [
            {
              "code": "CarePlan.note",
              "display": "CarePlan.note",
              "equivalence": "wider",
              "comment": "Element `CarePlan.note` is mapped to FHIR R4 element `CarePlan.note` as `RelatedTo`.\nThe mappings for `CarePlan.note` do not cover the following types: Annotation.\nThe mappings for `CarePlan.note` do not cover the following types based on type expansion: author[x], text, time."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/CarePlan",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-CarePlan.meta",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "CarePlan.meta",
          "display": "meta",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.meta` is mapped to FHIR R4 element `CarePlan.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `CarePlan.meta` do not cover the following types: Meta.\nThe mappings for `CarePlan.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/CarePlan",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-CarePlan.text",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "CarePlan.text",
          "display": "text",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.text` is mapped to FHIR R4 element `CarePlan.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `CarePlan.text` do not cover the following types: Narrative.\nThe mappings for `CarePlan.text` do not cover the following types based on type expansion: div, status.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/CarePlan",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-CarePlan.identifier",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "CarePlan.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.identifier` is mapped to FHIR R4 element `CarePlan.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `CarePlan.identifier` do not cover the following types: Identifier.\nThe mappings for `CarePlan.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/CarePlan",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-CarePlan.period",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "CarePlan.period",
          "display": "period",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.period` is mapped to FHIR R4 element `CarePlan.period` as `SourceIsBroaderThanTarget`.\nThe mappings for `CarePlan.period` do not cover the following types: Period.\nThe mappings for `CarePlan.period` do not cover the following types based on type expansion: end, start.\nAny activities scheduled as part of the plan should be constrained to the specified period."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/CarePlan",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-CarePlan.modified",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "CarePlan.modified",
          "display": "modified",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.modified` has a context of CarePlan based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.modified` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/CarePlan",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-CarePlan.relatedPlan.code",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "CarePlan.relatedPlan.code",
          "display": "code",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `CarePlan.relatedPlan.code` has a context of CarePlan based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.relatedPlan.code` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nRead the relationship as \"this plan\" [relatedPlan.code] \"relatedPlan.plan\"; e.g. This plan includes Plan B.  Additional relationship types can be proposed for future releases or handled as extensions."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/CarePlan",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-CarePlan.relatedPlan.plan",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "CarePlan.relatedPlan.plan",
          "display": "plan",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `CarePlan.relatedPlan.plan` has a context of CarePlan based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.relatedPlan.plan` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/CarePlan",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-CarePlan.participant.role",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "CarePlan.participant.role",
          "display": "role",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `CarePlan.participant.role` has a context of CarePlan.careTeam based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.participant.role` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nRoles may sometimes be inferred by type of Practitioner.  These are relationships that hold only within the context of the care plan.  General relationships should be handled as properties of the Patient resource directly."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/CarePlan",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-CarePlan.participant.member",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "CarePlan.participant.member",
          "display": "member",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `CarePlan.participant.member` has a context of CarePlan.careTeam based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.participant.member` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nPatient only needs to be listed if they have a role other than \"subject of care\".  Member is optional because some participants may be known only by their role, particularly in draft plans."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/CarePlan",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-CarePlan.activity.progress",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "CarePlan.activity.progress",
          "display": "progress",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.activity.progress` is mapped to FHIR R4 element `CarePlan.activity.progress` as `SourceIsBroaderThanTarget`.\nThe mappings for `CarePlan.activity.progress` do not cover the following types: Annotation.\nThe mappings for `CarePlan.activity.progress` do not cover the following types based on type expansion: author[x], text, time.\nThis element should NOT be used to describe the activity to be performed - that occurs either within the resource pointed to by activity.detail.reference or in activity.detail.description."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/CarePlan",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-CarePlan.activity.detail.status",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "CarePlan.activity.detail.status",
          "display": "status",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.activity.detail.status` is mapped to FHIR R4 element `CarePlan.activity.detail.status` as `RelatedTo`.\nThe mappings for `CarePlan.activity.detail.status` do not allow expression of the necessary codes, per the bindings on the source and target.\nThe target context `CarePlan.activity.detail.status` is a modifier element, so this extension does not need to be defined as a modifier.\nSome aspects of status can be inferred based on the resources linked in actionTaken.  Note that \"status\" is only as current as the plan was most recently updated."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/CarePlan",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-CarePlan.activity.detail.scheduled",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "CarePlan.activity.detail.scheduled[x]",
          "display": "scheduled[x]",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.activity.detail.scheduled[x]` is mapped to FHIR R4 element `CarePlan.activity.detail.scheduled[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `CarePlan.activity.detail.scheduled[x]` do not cover the following types: Period, Timing.\nThe target context `CarePlan.activity.detail.scheduled[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `CarePlan.activity.detail`."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/CarePlan",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-CarePlan.note",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "CarePlan.note",
          "display": "note",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.note` is mapped to FHIR R4 element `CarePlan.note` as `RelatedTo`.\nThe mappings for `CarePlan.note` do not cover the following types: Annotation.\nThe mappings for `CarePlan.note` do not cover the following types based on type expansion: author[x], text, time."
            }
          ]
        }
      ]
    }
  ]
}