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Source1

{
  "resourceType": "ConceptMap",
  "id": "R2-Patient-element-map-to-R4B",
  "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.r4b"
          }
        ]
      }
    },
    {
      "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.r4b"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ConceptMap/R2-Patient-element-map-to-R4B",
  "version": "0.1.0",
  "name": "R2PatientElementMapToR4B",
  "title": "Cross-version mapping for FHIR DSTU2 Patient to FHIR R4B Patient",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:04:54.7235584-05:00",
  "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 Patient to FHIR R4B.",
  "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/4.3",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Patient",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/StructureDefinition/Patient",
      "targetVersion": "4.3.0",
      "element": [
        {
          "code": "Patient.meta",
          "display": "meta",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Patient.meta",
              "display": "Patient.meta",
              "equivalence": "wider",
              "comment": "Element `Patient.meta` is mapped to FHIR R4B element `Patient.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `Patient.meta` do not cover the following types: Meta.\nThe mappings for `Patient.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        },
        {
          "code": "Patient.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Patient.implicitRules",
              "display": "Patient.implicitRules",
              "equivalence": "equivalent",
              "comment": "Element `Patient.implicitRules` is mapped to FHIR R4B element `Patient.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": "Patient.language",
          "display": "language",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Patient.language",
              "display": "Patient.language",
              "equivalence": "equivalent",
              "comment": "Element `Patient.language` is mapped to FHIR R4B element `Patient.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": "Patient.text",
          "display": "text",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Patient.text",
              "display": "Patient.text",
              "equivalence": "wider",
              "comment": "Element `Patient.text` is mapped to FHIR R4B element `Patient.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `Patient.text` do not cover the following types: Narrative.\nThe mappings for `Patient.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": "Patient.contained",
          "display": "contained",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Patient.contained",
              "display": "Patient.contained",
              "equivalence": "equivalent",
              "comment": "Element `Patient.contained` is mapped to FHIR R4B element `Patient.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": "Patient.identifier",
          "display": "identifier",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Patient.identifier",
              "display": "Patient.identifier",
              "equivalence": "wider",
              "comment": "Element `Patient.identifier` is mapped to FHIR R4B element `Patient.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `Patient.identifier` do not cover the following types: Identifier.\nThe mappings for `Patient.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        },
        {
          "code": "Patient.active",
          "display": "active",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Patient.active",
              "display": "Patient.active",
              "equivalence": "equivalent",
              "comment": "Element `Patient.active` is mapped to FHIR R4B element `Patient.active` as `Equivalent`.\nDefault is true. If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient."
            }
          ]
        },
        {
          "code": "Patient.name",
          "display": "name",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Patient.name",
              "display": "Patient.name",
              "equivalence": "wider",
              "comment": "Element `Patient.name` is mapped to FHIR R4B element `Patient.name` as `SourceIsBroaderThanTarget`.\nThe mappings for `Patient.name` do not cover the following types: HumanName.\nThe mappings for `Patient.name` do not cover the following types based on type expansion: family, given, period, prefix, suffix, text, use.\nA patient may have multiple names with different uses or applicable periods. For animals, the name is a \"HumanName\" in the sense that is assigned and used by humans and has the same patterns."
            }
          ]
        },
        {
          "code": "Patient.telecom",
          "display": "telecom",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Patient.telecom",
              "display": "Patient.telecom",
              "equivalence": "wider",
              "comment": "Element `Patient.telecom` is mapped to FHIR R4B element `Patient.telecom` as `SourceIsBroaderThanTarget`.\nThe mappings for `Patient.telecom` do not cover the following types: ContactPoint.\nThe mappings for `Patient.telecom` do not cover the following types based on type expansion: period, rank, system, use, value.\nA Patient may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently and also to help with identification. The address may not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone)."
            }
          ]
        },
        {
          "code": "Patient.gender",
          "display": "gender",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Patient.gender",
              "display": "Patient.gender",
              "equivalence": "equivalent",
              "comment": "Element `Patient.gender` is mapped to FHIR R4B element `Patient.gender` as `Equivalent`.\nThe gender may not match the biological sex as determined by genetics, or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than M and F, though the vast majority of systems and contexts only support M and F.  Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific gender aspect of interest (anatomical, chromosonal, social, etc.)  However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice.  Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosonal and other gender aspects.  For example, an alert about a hysterectomy on a male should be handled as a warning or overrideable error, not a \"hard\" error."
            }
          ]
        },
        {
          "code": "Patient.birthDate",
          "display": "birthDate",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Patient.birthDate",
              "display": "Patient.birthDate",
              "equivalence": "equivalent",
              "comment": "Element `Patient.birthDate` is mapped to FHIR R4B element `Patient.birthDate` as `Equivalent`.\nAt least an estimated year should be provided as a guess if the real DOB is unknown  There is a standard extension \"patient-birthTime\" available that should be used where Time is required (such as in maternaty/infant care systems)."
            }
          ]
        },
        {
          "code": "Patient.deceased[x]",
          "display": "deceased[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Patient.deceased[x]",
              "display": "Patient.deceased[x]",
              "equivalence": "equivalent",
              "comment": "Element `Patient.deceased[x]` is mapped to FHIR R4B element `Patient.deceased[x]` as `Equivalent`.\nThe target context `Patient.deceased[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Patient`.\nIf there's no value in the instance it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive."
            }
          ]
        },
        {
          "code": "Patient.address",
          "display": "address",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Patient.address",
              "display": "Patient.address",
              "equivalence": "wider",
              "comment": "Element `Patient.address` is mapped to FHIR R4B element `Patient.address` as `SourceIsBroaderThanTarget`.\nThe mappings for `Patient.address` do not cover the following types: Address.\nThe mappings for `Patient.address` do not cover the following types based on type expansion: city, country, district, line, period, postalCode, state, text, type, use.\nPatient may have multiple addresses with different uses or applicable periods."
            }
          ]
        },
        {
          "code": "Patient.maritalStatus",
          "display": "maritalStatus",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Patient.maritalStatus",
              "display": "Patient.maritalStatus",
              "equivalence": "wider",
              "comment": "Element `Patient.maritalStatus` is mapped to FHIR R4B element `Patient.maritalStatus` as `RelatedTo`.\nThe mappings for `Patient.maritalStatus` do not allow expression of the necessary codes, per the bindings on the source and target."
            }
          ]
        },
        {
          "code": "Patient.multipleBirth[x]",
          "display": "multipleBirth[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Patient.multipleBirth[x]",
              "display": "Patient.multipleBirth[x]",
              "equivalence": "equivalent",
              "comment": "Element `Patient.multipleBirth[x]` is mapped to FHIR R4B element `Patient.multipleBirth[x]` as `Equivalent`.\nThe target context `Patient.multipleBirth[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Patient`."
            }
          ]
        },
        {
          "code": "Patient.photo",
          "display": "photo",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Patient.photo",
              "display": "Patient.photo",
              "equivalence": "wider",
              "comment": "Element `Patient.photo` is mapped to FHIR R4B element `Patient.photo` as `SourceIsBroaderThanTarget`.\nThe mappings for `Patient.photo` do not cover the following types: Attachment.\nThe mappings for `Patient.photo` do not cover the following types based on type expansion: contentType, creation, data, hash, language, size, title, url."
            }
          ]
        },
        {
          "code": "Patient.contact",
          "display": "contact",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Patient.contact",
              "display": "Patient.contact",
              "equivalence": "wider",
              "comment": "Element `Patient.contact` is mapped to FHIR R4B element `Patient.contact` as `Equivalent`.\nContact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact."
            }
          ]
        },
        {
          "code": "Patient.contact.relationship",
          "display": "relationship",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Patient.contact.relationship",
              "display": "Patient.contact.relationship",
              "equivalence": "equivalent",
              "comment": "Element `Patient.contact.relationship` is mapped to FHIR R4B element `Patient.contact.relationship` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Patient.contact.name",
          "display": "name",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Patient.contact.name",
              "display": "Patient.contact.name",
              "equivalence": "wider",
              "comment": "Element `Patient.contact.name` is mapped to FHIR R4B element `Patient.contact.name` as `SourceIsBroaderThanTarget`.\nThe mappings for `Patient.contact.name` do not cover the following types: HumanName.\nThe mappings for `Patient.contact.name` do not cover the following types based on type expansion: family, given, period, prefix, suffix, text, use."
            }
          ]
        },
        {
          "code": "Patient.contact.telecom",
          "display": "telecom",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Patient.contact.telecom",
              "display": "Patient.contact.telecom",
              "equivalence": "wider",
              "comment": "Element `Patient.contact.telecom` is mapped to FHIR R4B element `Patient.contact.telecom` as `SourceIsBroaderThanTarget`.\nThe mappings for `Patient.contact.telecom` do not cover the following types: ContactPoint.\nThe mappings for `Patient.contact.telecom` do not cover the following types based on type expansion: period, rank, system, use, value.\nContact may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently, and also to help with identification."
            }
          ]
        },
        {
          "code": "Patient.contact.address",
          "display": "address",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Patient.contact.address",
              "display": "Patient.contact.address",
              "equivalence": "wider",
              "comment": "Element `Patient.contact.address` is mapped to FHIR R4B element `Patient.contact.address` as `SourceIsBroaderThanTarget`.\nThe mappings for `Patient.contact.address` do not cover the following types: Address.\nThe mappings for `Patient.contact.address` do not cover the following types based on type expansion: city, country, district, line, period, postalCode, state, text, type, use."
            }
          ]
        },
        {
          "code": "Patient.contact.gender",
          "display": "gender",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Patient.contact.gender",
              "display": "Patient.contact.gender",
              "equivalence": "equivalent",
              "comment": "Element `Patient.contact.gender` is mapped to FHIR R4B element `Patient.contact.gender` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Patient.contact.organization",
          "display": "organization",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Patient.contact.organization",
              "display": "Patient.contact.organization",
              "equivalence": "wider",
              "comment": "Element `Patient.contact.organization` is mapped to FHIR R4B element `Patient.contact.organization` as `SourceIsBroaderThanTarget`.\nThe mappings for `Patient.contact.organization` 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 `Patient.contact.organization` with unmapped reference targets: Organization."
            }
          ]
        },
        {
          "code": "Patient.contact.period",
          "display": "period",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Patient.contact.period",
              "display": "Patient.contact.period",
              "equivalence": "wider",
              "comment": "Element `Patient.contact.period` is mapped to FHIR R4B element `Patient.contact.period` as `SourceIsBroaderThanTarget`.\nThe mappings for `Patient.contact.period` do not cover the following types: Period.\nThe mappings for `Patient.contact.period` do not cover the following types based on type expansion: end, start."
            }
          ]
        },
        {
          "code": "Patient.communication",
          "display": "communication",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Patient.communication",
              "display": "Patient.communication",
              "equivalence": "wider",
              "comment": "Element `Patient.communication` is mapped to FHIR R4B element `Patient.communication` as `Equivalent`.\nIf no language is specified, this *implies* that the default local language is spoken.  If you need to convey proficiency for multiple modes then you need multiple Patient.Communication associations.   For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required."
            }
          ]
        },
        {
          "code": "Patient.communication.language",
          "display": "language",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Patient.communication.language",
              "display": "Patient.communication.language",
              "equivalence": "equivalent",
              "comment": "Element `Patient.communication.language` is mapped to FHIR R4B element `Patient.communication.language` as `Equivalent`.\nThe structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type."
            }
          ]
        },
        {
          "code": "Patient.communication.preferred",
          "display": "preferred",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Patient.communication.preferred",
              "display": "Patient.communication.preferred",
              "equivalence": "equivalent",
              "comment": "Element `Patient.communication.preferred` is mapped to FHIR R4B element `Patient.communication.preferred` as `Equivalent`.\nThis language is specifically identified for communicating healthcare information."
            }
          ]
        },
        {
          "code": "Patient.careProvider",
          "display": "careProvider",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "Patient.generalPractitioner",
              "display": "Patient.generalPractitioner",
              "equivalence": "relatedto",
              "comment": "Element `Patient.careProvider` is mapped to FHIR R4B element `Patient.generalPractitioner` as `RelatedTo`.\nThe mappings for `Patient.careProvider` 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 `Patient.careProvider` with unmapped reference targets: Organization, Practitioner.\nThis may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disablity setting, or even organization that will provide people to perform the care provider roles.  This is not to be used to record Care Teams, these should be recorded on either the CarePlan or EpisodeOfCare resources."
            }
          ]
        },
        {
          "code": "Patient.managingOrganization",
          "display": "managingOrganization",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Patient.managingOrganization",
              "display": "Patient.managingOrganization",
              "equivalence": "wider",
              "comment": "Element `Patient.managingOrganization` is mapped to FHIR R4B element `Patient.managingOrganization` as `SourceIsBroaderThanTarget`.\nThe mappings for `Patient.managingOrganization` 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 `Patient.managingOrganization` with unmapped reference targets: Organization.\nThere is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association)."
            }
          ]
        },
        {
          "code": "Patient.link",
          "display": "link",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Patient.link",
              "display": "Patient.link",
              "equivalence": "wider",
              "comment": "Element `Patient.link` is mapped to FHIR R4B element `Patient.link` as `Equivalent`.\nThere is no assumption that linked patient records have mutual links."
            }
          ]
        },
        {
          "code": "Patient.link.other",
          "display": "other",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Patient.link.other",
              "display": "Patient.link.other",
              "equivalence": "wider",
              "comment": "Element `Patient.link.other` is mapped to FHIR R4B element `Patient.link.other` as `SourceIsBroaderThanTarget`.\nThe mappings for `Patient.link.other` 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 `Patient.link.other` with unmapped reference targets: Patient."
            }
          ]
        },
        {
          "code": "Patient.link.type",
          "display": "type",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Patient.link.type",
              "display": "Patient.link.type",
              "equivalence": "wider",
              "comment": "The target element context `Patient.link.type` is a primitive-type element and this extension needs to be defined as a modifier. The context was moved up to parent element `Patient.link`.\nElement `Patient.link.type` is mapped to FHIR R4B element `Patient.link.type` as `RelatedTo`.\nThe target element context `Patient.link.type` is a primitive-type element and this extension needs to be defined as a modifier. The context was moved up to parent element `Patient.link`.\nThe mappings for `Patient.link.type` do not allow expression of the necessary codes, per the bindings on the source and target."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Patient",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Patient.meta",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Patient.meta",
          "display": "meta",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Patient.meta` is mapped to FHIR R4B element `Patient.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `Patient.meta` do not cover the following types: Meta.\nThe mappings for `Patient.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Patient",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Patient.text",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Patient.text",
          "display": "text",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Patient.text` is mapped to FHIR R4B element `Patient.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `Patient.text` do not cover the following types: Narrative.\nThe mappings for `Patient.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/Patient",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Patient.identifier",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Patient.identifier",
          "display": "identifier",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Patient.identifier` is mapped to FHIR R4B element `Patient.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `Patient.identifier` do not cover the following types: Identifier.\nThe mappings for `Patient.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Patient",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Patient.name",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Patient.name",
          "display": "name",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Patient.name` is mapped to FHIR R4B element `Patient.name` as `SourceIsBroaderThanTarget`.\nThe mappings for `Patient.name` do not cover the following types: HumanName.\nThe mappings for `Patient.name` do not cover the following types based on type expansion: family, given, period, prefix, suffix, text, use.\nA patient may have multiple names with different uses or applicable periods. For animals, the name is a \"HumanName\" in the sense that is assigned and used by humans and has the same patterns."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Patient",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Patient.telecom",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Patient.telecom",
          "display": "telecom",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Patient.telecom` is mapped to FHIR R4B element `Patient.telecom` as `SourceIsBroaderThanTarget`.\nThe mappings for `Patient.telecom` do not cover the following types: ContactPoint.\nThe mappings for `Patient.telecom` do not cover the following types based on type expansion: period, rank, system, use, value.\nA Patient may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently and also to help with identification. The address may not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Patient",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Patient.address",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Patient.address",
          "display": "address",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Patient.address` is mapped to FHIR R4B element `Patient.address` as `SourceIsBroaderThanTarget`.\nThe mappings for `Patient.address` do not cover the following types: Address.\nThe mappings for `Patient.address` do not cover the following types based on type expansion: city, country, district, line, period, postalCode, state, text, type, use.\nPatient may have multiple addresses with different uses or applicable periods."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Patient",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Patient.maritalStatus",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Patient.maritalStatus",
          "display": "maritalStatus",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Patient.maritalStatus` is mapped to FHIR R4B element `Patient.maritalStatus` as `RelatedTo`.\nThe mappings for `Patient.maritalStatus` do not allow expression of the necessary codes, per the bindings on the source and target."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Patient",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Patient.photo",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Patient.photo",
          "display": "photo",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Patient.photo` is mapped to FHIR R4B element `Patient.photo` as `SourceIsBroaderThanTarget`.\nThe mappings for `Patient.photo` do not cover the following types: Attachment.\nThe mappings for `Patient.photo` do not cover the following types based on type expansion: contentType, creation, data, hash, language, size, title, url."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Patient",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Patient.contact.name",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Patient.contact.name",
          "display": "name",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Patient.contact.name` is mapped to FHIR R4B element `Patient.contact.name` as `SourceIsBroaderThanTarget`.\nThe mappings for `Patient.contact.name` do not cover the following types: HumanName.\nThe mappings for `Patient.contact.name` do not cover the following types based on type expansion: family, given, period, prefix, suffix, text, use."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Patient",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Patient.contact.telecom",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Patient.contact.telecom",
          "display": "telecom",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Patient.contact.telecom` is mapped to FHIR R4B element `Patient.contact.telecom` as `SourceIsBroaderThanTarget`.\nThe mappings for `Patient.contact.telecom` do not cover the following types: ContactPoint.\nThe mappings for `Patient.contact.telecom` do not cover the following types based on type expansion: period, rank, system, use, value.\nContact may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently, and also to help with identification."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Patient",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Patient.contact.address",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Patient.contact.address",
          "display": "address",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Patient.contact.address` is mapped to FHIR R4B element `Patient.contact.address` as `SourceIsBroaderThanTarget`.\nThe mappings for `Patient.contact.address` do not cover the following types: Address.\nThe mappings for `Patient.contact.address` do not cover the following types based on type expansion: city, country, district, line, period, postalCode, state, text, type, use."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Patient",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Patient.contact.period",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Patient.contact.period",
          "display": "period",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Patient.contact.period` is mapped to FHIR R4B element `Patient.contact.period` as `SourceIsBroaderThanTarget`.\nThe mappings for `Patient.contact.period` do not cover the following types: Period.\nThe mappings for `Patient.contact.period` do not cover the following types based on type expansion: end, start."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Patient",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Patient.link.type",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Patient.link.type",
          "display": "type",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "The target element context `Patient.link.type` is a primitive-type element and this extension needs to be defined as a modifier. The context was moved up to parent element `Patient.link`.\nElement `Patient.link.type` is mapped to FHIR R4B element `Patient.link.type` as `RelatedTo`.\nThe target element context `Patient.link.type` is a primitive-type element and this extension needs to be defined as a modifier. The context was moved up to parent element `Patient.link`.\nThe mappings for `Patient.link.type` do not allow expression of the necessary codes, per the bindings on the source and target."
            }
          ]
        }
      ]
    }
  ]
}