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Packagehl7.fhir.uv.xver-r3.r4
Resource TypeConceptMap
IdConceptMap-R3-Account-element-map-to-R4.json
FHIR VersionR4
Sourcehttp://hl7.org/fhir/uv/xver-r3.r4/0.1.0/ConceptMap-R3-Account-element-map-to-R4.html
URLhttp://hl7.org/fhir/uv/xver/ConceptMap/R3-Account-element-map-to-R4
Version0.1.0
Statusactive
Date2026-03-17T16:03:23.1350031-05:00
NameR3AccountElementMapToR4
TitleCross-version mapping for FHIR STU3 Account to FHIR R4 Account
Realmuv
Authorityhl7
DescriptionThis ConceptMap represents cross-version mappings for elements from a FHIR STU3 Account to FHIR R4.

Resources that use this resource

No resources found


Resources that this resource uses

StructureDefinition
hl7.fhir.uv.xver-r3.r4b.r4#0.0.1-snapshot-2extension-Account.activeCross-version Extension for R3.Account.active for use in FHIR R4B
hl7.fhir.uv.xver-r3.r4b.r4#0.0.1-snapshot-2extension-Account.balanceCross-version Extension for R3.Account.balance for use in FHIR R4B

Narrative

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

Generated Narrative: ConceptMap R3-Account-element-map-to-R4

Mapping from http://hl7.org/fhir/3.0 to http://hl7.org/fhir/4.0


Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/Account|3.0.2 to Accountversion: 4.0.1)

Source CodeRelationshipTarget CodeComment
Account.meta (meta)is equivalent toAccount.metaElement `Account.meta` is mapped to FHIR R4 element `Account.meta` as `Equivalent`.
Account.implicitRules (implicitRules)is equivalent toAccount.implicitRulesElement `Account.implicitRules` is mapped to FHIR R4 element `Account.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. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
Account.language (language)is equivalent toAccount.languageElement `Account.language` is mapped to FHIR R4 element `Account.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).
Account.text (text)is equivalent toAccount.textElement `Account.text` is mapped to FHIR R4 element `Account.text` as `Equivalent`. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.
Account.contained (contained)is equivalent toAccount.containedElement `Account.contained` is mapped to FHIR R4 element `Account.contained` as `Equivalent`. 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.
Account.identifier (identifier)is equivalent toAccount.identifierElement `Account.identifier` is mapped to FHIR R4 element `Account.identifier` as `Equivalent`.
Account.status (status)is equivalent toAccount.statusElement `Account.status` is mapped to FHIR R4 element `Account.status` as `SourceIsNarrowerThanTarget`. The mappings for `Account.status` do not allow expression of the necessary codes, per the bindings on the source and target. This element is labeled as a modifier because the status contains the codes inactive and entered-in-error that mark the Account as not currently valid.
Account.type (type)is equivalent toAccount.typeElement `Account.type` is mapped to FHIR R4 element `Account.type` as `Equivalent`.
Account.name (name)is equivalent toAccount.nameElement `Account.name` is mapped to FHIR R4 element `Account.name` as `Equivalent`.
Account.subject (subject)is equivalent toAccount.subjectElement `Account.subject` is mapped to FHIR R4 element `Account.subject` as `SourceIsNarrowerThanTarget`. Accounts can be applied to non patients for tracking other non patient related activities, such as group services (patients not tracked, and costs charged to another body), or may not be allocated.
Account.period (period)is equivalent toAccount.servicePeriodElement `Account.period` is mapped to FHIR R4 element `Account.servicePeriod` as `Equivalent`. It is possible for transactions relevant to a coverage period to be posted to the account before or after the coverage period, however the services that are being charged for must be within this period.
Account.coverage (coverage)maps to wider conceptAccount.coverageElement `Account.coverage` is mapped to FHIR R4 element `Account.coverage` as `Equivalent`. Typically this may be some form of insurance, internal charges, or self-pay. Local or jurisdicational business rules may determine which coverage covers which types of billable items charged to the account, and in which order. Where the order is important, a local/jurisdicational extension may be defined to specify the order for the type of charge.
Account.coverage.coverage (coverage)is equivalent toAccount.coverage.coverageElement `Account.coverage.coverage` is mapped to FHIR R4 element `Account.coverage.coverage` as `Equivalent`.
Account.coverage.priority (priority)is equivalent toAccount.coverage.priorityElement `Account.coverage.priority` is mapped to FHIR R4 element `Account.coverage.priority` as `Equivalent`. It is common in some jurisdictions for there to be multiple coverages allocated to an account, and a sequence is required to order the settling of the account (often with insurance claiming).
Account.owner (owner)is equivalent toAccount.ownerElement `Account.owner` is mapped to FHIR R4 element `Account.owner` as `Equivalent`.
Account.description (description)is equivalent toAccount.descriptionElement `Account.description` is mapped to FHIR R4 element `Account.description` as `Equivalent`.
Account.guarantor (guarantor)maps to wider conceptAccount.guarantorElement `Account.guarantor` is mapped to FHIR R4 element `Account.guarantor` as `Equivalent`.
Account.guarantor.party (party)is equivalent toAccount.guarantor.partyElement `Account.guarantor.party` is mapped to FHIR R4 element `Account.guarantor.party` as `Equivalent`.
Account.guarantor.onHold (onHold)is equivalent toAccount.guarantor.onHoldElement `Account.guarantor.onHold` is mapped to FHIR R4 element `Account.guarantor.onHold` as `Equivalent`.
Account.guarantor.period (period)is equivalent toAccount.guarantor.periodElement `Account.guarantor.period` is mapped to FHIR R4 element `Account.guarantor.period` as `Equivalent`.

Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/Account|3.0.2 to STU3: Time window that transactions may be posted to this account (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
Account.active (active)is equivalent toExtension (STU3: Time window that transactions may be posted to this account (new))Element `Account.active` has a context of Account based on following the parent source element upwards and mapping to `Account`. Element `Account.active` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/Account|3.0.2 to STU3: How much is in account? (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
Account.balance (balance)is equivalent toExtension (STU3: How much is in account? (new))Element `Account.balance` has a context of Account based on following the parent source element upwards and mapping to `Account`. Element `Account.balance` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Source1

{
  "resourceType": "ConceptMap",
  "id": "R3-Account-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-r3.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-r3.r4"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ConceptMap/R3-Account-element-map-to-R4",
  "version": "0.1.0",
  "name": "R3AccountElementMapToR4",
  "title": "Cross-version mapping for FHIR STU3 Account to FHIR R4 Account",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:03:23.1350031-05:00",
  "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 STU3 Account to FHIR R4.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "sourceCanonical": "http://hl7.org/fhir/3.0",
  "targetUri": "http://hl7.org/fhir/4.0",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Account",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/StructureDefinition/Account",
      "targetVersion": "4.0.1",
      "element": [
        {
          "code": "Account.meta",
          "display": "meta",
          "target": [
            {
              "code": "Account.meta",
              "display": "Account.meta",
              "equivalence": "equivalent",
              "comment": "Element `Account.meta` is mapped to FHIR R4 element `Account.meta` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Account.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "code": "Account.implicitRules",
              "display": "Account.implicitRules",
              "equivalence": "equivalent",
              "comment": "Element `Account.implicitRules` is mapped to FHIR R4 element `Account.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. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation."
            }
          ]
        },
        {
          "code": "Account.language",
          "display": "language",
          "target": [
            {
              "code": "Account.language",
              "display": "Account.language",
              "equivalence": "equivalent",
              "comment": "Element `Account.language` is mapped to FHIR R4 element `Account.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": "Account.text",
          "display": "text",
          "target": [
            {
              "code": "Account.text",
              "display": "Account.text",
              "equivalence": "equivalent",
              "comment": "Element `Account.text` is mapped to FHIR R4 element `Account.text` as `Equivalent`.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later."
            }
          ]
        },
        {
          "code": "Account.contained",
          "display": "contained",
          "target": [
            {
              "code": "Account.contained",
              "display": "Account.contained",
              "equivalence": "equivalent",
              "comment": "Element `Account.contained` is mapped to FHIR R4 element `Account.contained` as `Equivalent`.\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": "Account.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "Account.identifier",
              "display": "Account.identifier",
              "equivalence": "equivalent",
              "comment": "Element `Account.identifier` is mapped to FHIR R4 element `Account.identifier` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Account.status",
          "display": "status",
          "target": [
            {
              "code": "Account.status",
              "display": "Account.status",
              "equivalence": "equivalent",
              "comment": "Element `Account.status` is mapped to FHIR R4 element `Account.status` as `SourceIsNarrowerThanTarget`.\nThe mappings for `Account.status` do not allow expression of the necessary codes, per the bindings on the source and target.\nThis element is labeled as a modifier because the status contains the codes inactive and entered-in-error that mark the Account as not currently valid."
            }
          ]
        },
        {
          "code": "Account.type",
          "display": "type",
          "target": [
            {
              "code": "Account.type",
              "display": "Account.type",
              "equivalence": "equivalent",
              "comment": "Element `Account.type` is mapped to FHIR R4 element `Account.type` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Account.name",
          "display": "name",
          "target": [
            {
              "code": "Account.name",
              "display": "Account.name",
              "equivalence": "equivalent",
              "comment": "Element `Account.name` is mapped to FHIR R4 element `Account.name` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Account.subject",
          "display": "subject",
          "target": [
            {
              "code": "Account.subject",
              "display": "Account.subject",
              "equivalence": "equivalent",
              "comment": "Element `Account.subject` is mapped to FHIR R4 element `Account.subject` as `SourceIsNarrowerThanTarget`.\nAccounts can be applied to non patients for tracking other non patient related activities, such as group services (patients not tracked, and costs charged to another body), or may not be allocated."
            }
          ]
        },
        {
          "code": "Account.period",
          "display": "period",
          "target": [
            {
              "code": "Account.servicePeriod",
              "display": "Account.servicePeriod",
              "equivalence": "equivalent",
              "comment": "Element `Account.period` is mapped to FHIR R4 element `Account.servicePeriod` as `Equivalent`.\nIt is possible for transactions relevant to a coverage period to be posted to the account before or after the coverage period, however the services that are being charged for must be within this period."
            }
          ]
        },
        {
          "code": "Account.coverage",
          "display": "coverage",
          "target": [
            {
              "code": "Account.coverage",
              "display": "Account.coverage",
              "equivalence": "wider",
              "comment": "Element `Account.coverage` is mapped to FHIR R4 element `Account.coverage` as `Equivalent`.\nTypically this may be some form of insurance, internal charges, or self-pay.\n\nLocal or jurisdicational business rules may determine which coverage covers which types of billable items charged to the account, and in which order.\nWhere the order is important, a local/jurisdicational extension may be defined to specify the order for the type of charge."
            }
          ]
        },
        {
          "code": "Account.coverage.coverage",
          "display": "coverage",
          "target": [
            {
              "code": "Account.coverage.coverage",
              "display": "Account.coverage.coverage",
              "equivalence": "equivalent",
              "comment": "Element `Account.coverage.coverage` is mapped to FHIR R4 element `Account.coverage.coverage` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Account.coverage.priority",
          "display": "priority",
          "target": [
            {
              "code": "Account.coverage.priority",
              "display": "Account.coverage.priority",
              "equivalence": "equivalent",
              "comment": "Element `Account.coverage.priority` is mapped to FHIR R4 element `Account.coverage.priority` as `Equivalent`.\nIt is common in some jurisdictions for there to be multiple coverages allocated to an account, and a sequence is required to order the settling of the account (often with insurance claiming)."
            }
          ]
        },
        {
          "code": "Account.owner",
          "display": "owner",
          "target": [
            {
              "code": "Account.owner",
              "display": "Account.owner",
              "equivalence": "equivalent",
              "comment": "Element `Account.owner` is mapped to FHIR R4 element `Account.owner` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Account.description",
          "display": "description",
          "target": [
            {
              "code": "Account.description",
              "display": "Account.description",
              "equivalence": "equivalent",
              "comment": "Element `Account.description` is mapped to FHIR R4 element `Account.description` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Account.guarantor",
          "display": "guarantor",
          "target": [
            {
              "code": "Account.guarantor",
              "display": "Account.guarantor",
              "equivalence": "wider",
              "comment": "Element `Account.guarantor` is mapped to FHIR R4 element `Account.guarantor` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Account.guarantor.party",
          "display": "party",
          "target": [
            {
              "code": "Account.guarantor.party",
              "display": "Account.guarantor.party",
              "equivalence": "equivalent",
              "comment": "Element `Account.guarantor.party` is mapped to FHIR R4 element `Account.guarantor.party` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Account.guarantor.onHold",
          "display": "onHold",
          "target": [
            {
              "code": "Account.guarantor.onHold",
              "display": "Account.guarantor.onHold",
              "equivalence": "equivalent",
              "comment": "Element `Account.guarantor.onHold` is mapped to FHIR R4 element `Account.guarantor.onHold` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Account.guarantor.period",
          "display": "period",
          "target": [
            {
              "code": "Account.guarantor.period",
              "display": "Account.guarantor.period",
              "equivalence": "equivalent",
              "comment": "Element `Account.guarantor.period` is mapped to FHIR R4 element `Account.guarantor.period` as `Equivalent`."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Account",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Account.active",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Account.active",
          "display": "active",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Account.active` has a context of Account based on following the parent source element upwards and mapping to `Account`.\nElement `Account.active` 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/Account",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Account.balance",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Account.balance",
          "display": "balance",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Account.balance` has a context of Account based on following the parent source element upwards and mapping to `Account`.\nElement `Account.balance` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    }
  ]
}