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Source1

{
  "resourceType": "ConceptMap",
  "id": "R3-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-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-CarePlan-element-map-to-R4",
  "version": "0.1.0",
  "name": "R3CarePlanElementMapToR4",
  "title": "Cross-version mapping for FHIR STU3 CarePlan to FHIR R4 CarePlan",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:03:23.206335-05:00",
  "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 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/3.0",
  "targetUri": "http://hl7.org/fhir/4.0",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/CarePlan",
      "sourceVersion": "3.0.2",
      "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": "equivalent",
              "comment": "Element `CarePlan.meta` is mapped to FHIR R4 element `CarePlan.meta` as `Equivalent`."
            }
          ]
        },
        {
          "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. \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": "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": "equivalent",
              "comment": "Element `CarePlan.text` is mapped to FHIR R4 element `CarePlan.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": "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 `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": "CarePlan.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "CarePlan.identifier",
              "display": "CarePlan.identifier",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.identifier` is mapped to FHIR R4 element `CarePlan.identifier` as `Equivalent`."
            }
          ]
        },
        {
          "code": "CarePlan.basedOn",
          "display": "basedOn",
          "target": [
            {
              "code": "CarePlan.basedOn",
              "display": "CarePlan.basedOn",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.basedOn` is mapped to FHIR R4 element `CarePlan.basedOn` as `Equivalent`."
            }
          ]
        },
        {
          "code": "CarePlan.replaces",
          "display": "replaces",
          "target": [
            {
              "code": "CarePlan.replaces",
              "display": "CarePlan.replaces",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.replaces` is mapped to FHIR R4 element `CarePlan.replaces` as `Equivalent`.\nThe replacement could be because the initial care plan was immediately rejected (due to an issue) or because the previous care plan was completed, but the need for the action described by the care plan remains ongoing."
            }
          ]
        },
        {
          "code": "CarePlan.partOf",
          "display": "partOf",
          "target": [
            {
              "code": "CarePlan.partOf",
              "display": "CarePlan.partOf",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.partOf` is mapped to FHIR R4 element `CarePlan.partOf` as `Equivalent`.\nEach care plan is an independent request, such that having a care plan be part of another care plan can cause issues with cascading statuses.  As such, this element is still being discussed."
            }
          ]
        },
        {
          "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 `Equivalent`.\nThe unknown code is not to be used to convey other statuses.  The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the care plan.\n\nThis element is labeled as a modifier because the status contains the code entered-in-error] that marks the plan as not currently valid."
            }
          ]
        },
        {
          "code": "CarePlan.intent",
          "display": "intent",
          "target": [
            {
              "code": "CarePlan.intent",
              "display": "CarePlan.intent",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.intent` is mapped to FHIR R4 element `CarePlan.intent` as `Equivalent`.\nThis element is labeled as a modifier because the intent alters when and how the resource is actually applicable."
            }
          ]
        },
        {
          "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.title",
          "display": "title",
          "target": [
            {
              "code": "CarePlan.title",
              "display": "CarePlan.title",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.title` is mapped to FHIR R4 element `CarePlan.title` as `Equivalent`."
            }
          ]
        },
        {
          "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.subject",
          "display": "subject",
          "target": [
            {
              "code": "CarePlan.subject",
              "display": "CarePlan.subject",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.subject` is mapped to FHIR R4 element `CarePlan.subject` as `Equivalent`."
            }
          ]
        },
        {
          "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, identifier, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `CarePlan.context` with unmapped reference targets: 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": "equivalent",
              "comment": "Element `CarePlan.period` is mapped to FHIR R4 element `CarePlan.period` as `Equivalent`.\nAny activities scheduled as part of the plan should be constrained to the specified period regardless of whether the activities are planned within a single encounter/episode or across multiple encounters/episodes (e.g. the longitudinal management of a chronic condition)."
            }
          ]
        },
        {
          "code": "CarePlan.author",
          "display": "author",
          "target": [
            {
              "code": "CarePlan.author",
              "display": "CarePlan.author",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.author` is mapped to FHIR R4 element `CarePlan.author` as `SourceIsBroaderThanTarget`.\nCollaborative care plans may have multiple authors."
            }
          ]
        },
        {
          "code": "CarePlan.careTeam",
          "display": "careTeam",
          "target": [
            {
              "code": "CarePlan.careTeam",
              "display": "CarePlan.careTeam",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.careTeam` is mapped to FHIR R4 element `CarePlan.careTeam` as `Equivalent`."
            }
          ]
        },
        {
          "code": "CarePlan.addresses",
          "display": "addresses",
          "target": [
            {
              "code": "CarePlan.addresses",
              "display": "CarePlan.addresses",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.addresses` is mapped to FHIR R4 element `CarePlan.addresses` as `Equivalent`."
            }
          ]
        },
        {
          "code": "CarePlan.supportingInfo",
          "display": "supportingInfo",
          "target": [
            {
              "code": "CarePlan.supportingInfo",
              "display": "CarePlan.supportingInfo",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.supportingInfo` is mapped to FHIR R4 element `CarePlan.supportingInfo` as `Equivalent`.\nUse \"concern\" to identify specific conditions addressed by the care plan."
            }
          ]
        },
        {
          "code": "CarePlan.goal",
          "display": "goal",
          "target": [
            {
              "code": "CarePlan.goal",
              "display": "CarePlan.goal",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.goal` is mapped to FHIR R4 element `CarePlan.goal` as `Equivalent`.\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.outcomeCodeableConcept",
          "display": "outcomeCodeableConcept",
          "target": [
            {
              "code": "CarePlan.activity.outcomeCodeableConcept",
              "display": "CarePlan.activity.outcomeCodeableConcept",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.activity.outcomeCodeableConcept` is mapped to FHIR R4 element `CarePlan.activity.outcomeCodeableConcept` as `Equivalent`.\nNote that this should not duplicate the activity status (e.g. completed or in progress)."
            }
          ]
        },
        {
          "code": "CarePlan.activity.outcomeReference",
          "display": "outcomeReference",
          "target": [
            {
              "code": "CarePlan.activity.outcomeReference",
              "display": "CarePlan.activity.outcomeReference",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.activity.outcomeReference` is mapped to FHIR R4 element `CarePlan.activity.outcomeReference` as `Equivalent`.\nThe activity outcome is independent of the outcome of the related goal(s).  For example, if the goal is to achieve a target body weight of 150 lb and an activity is defined to diet, then the activity outcome could be calories consumed whereas the goal outcome is an observation for the actual body weight measured."
            }
          ]
        },
        {
          "code": "CarePlan.activity.progress",
          "display": "progress",
          "target": [
            {
              "code": "CarePlan.activity.progress",
              "display": "CarePlan.activity.progress",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.activity.progress` is mapped to FHIR R4 element `CarePlan.activity.progress` as `Equivalent`.\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": "equivalent",
              "comment": "Element `CarePlan.activity.reference` is mapped to FHIR R4 element `CarePlan.activity.reference` as `SourceIsNarrowerThanTarget`.\nStandard extension exists ([goal-pertainstogoal](https://hl7.org/fhir/extension-goal-pertainstogoal.html)) that allows goals to be referenced from any of the referenced resources in CarePlan.activity.reference.  \rThe goal should be visible when the resource referenced by CarePlan.activity.reference is viewed indepedently from the CarePlan.  Requests that are pointed to by a CarePlan using this element should *not* point to this CarePlan using the \"basedOn\" element.  i.e. Requests that are part of a CarePlan are not \"based on\" the CarePlan."
            }
          ]
        },
        {
          "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": "equivalent",
              "comment": "Element `CarePlan.activity.detail.reasonReference` is mapped to FHIR R4 element `CarePlan.activity.detail.reasonReference` as `Equivalent`.\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": "equivalent",
              "comment": "Element `CarePlan.activity.detail.goal` is mapped to FHIR R4 element `CarePlan.activity.detail.goal` as `Equivalent`."
            }
          ]
        },
        {
          "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.  \nThe unknown code is not to be used to convey other statuses.  The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the activity."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.statusReason",
          "display": "statusReason",
          "target": [
            {
              "code": "CarePlan.activity.detail.statusReason",
              "display": "CarePlan.activity.detail.statusReason",
              "equivalence": "wider",
              "comment": "Element `CarePlan.activity.detail.statusReason` is mapped to FHIR R4 element `CarePlan.activity.detail.statusReason` as `SourceIsBroaderThanTarget`.\nThe mappings for `CarePlan.activity.detail.statusReason` do not cover the following types: string.\nThe mappings for `CarePlan.activity.detail.statusReason` do not cover the following types based on type expansion: value.\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`.\nThis element is labeled as a modifier because it marks an activity as an activity that is not to be performed."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.scheduled[x]",
          "display": "scheduled[x]",
          "target": [
            {
              "code": "CarePlan.activity.detail.scheduled[x]",
              "display": "CarePlan.activity.detail.scheduled[x]",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.activity.detail.scheduled[x]` is mapped to FHIR R4 element `CarePlan.activity.detail.scheduled[x]` as `Equivalent`.\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": "equivalent",
              "comment": "Element `CarePlan.activity.detail.location` is mapped to FHIR R4 element `CarePlan.activity.detail.location` as `Equivalent`.\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": "equivalent",
              "comment": "Element `CarePlan.activity.detail.performer` is mapped to FHIR R4 element `CarePlan.activity.detail.performer` as `Equivalent`.\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": "equivalent",
              "comment": "Element `CarePlan.activity.detail.product[x]` is mapped to FHIR R4 element `CarePlan.activity.detail.product[x]` as `Equivalent`.\nThe target context `CarePlan.activity.detail.product[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.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": "equivalent",
              "comment": "Element `CarePlan.note` is mapped to FHIR R4 element `CarePlan.note` as `Equivalent`."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/CarePlan",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-CarePlan.definition",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "CarePlan.definition",
          "display": "definition",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.definition` has a context of CarePlan based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.definition` 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": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-CarePlan.activity.detail.definition",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "CarePlan.activity.detail.definition",
          "display": "definition",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.activity.detail.definition` has a context of CarePlan.activity.detail based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.activity.detail.definition` 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": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/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.  \nThe unknown code is not to be used to convey other statuses.  The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the activity."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/CarePlan",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-CarePlan.activity.detail.statusReason",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "CarePlan.activity.detail.statusReason",
          "display": "statusReason",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `CarePlan.activity.detail.statusReason` is mapped to FHIR R4 element `CarePlan.activity.detail.statusReason` as `SourceIsBroaderThanTarget`.\nThe mappings for `CarePlan.activity.detail.statusReason` do not cover the following types: string.\nThe mappings for `CarePlan.activity.detail.statusReason` do not cover the following types based on type expansion: value.\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."
            }
          ]
        }
      ]
    }
  ]
}