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{
  "resourceType": "ConceptMap",
  "id": "R3-Account-element-map-to-R5",
  "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.r5"
          }
        ]
      }
    },
    {
      "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.r5"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ConceptMap/R3-Account-element-map-to-R5",
  "version": "0.1.0",
  "name": "R3AccountElementMapToR5",
  "title": "Cross-version mapping for FHIR STU3 Account to FHIR R5 Account",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:04:59.3215328-05:00",
  "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 R5.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "sourceScopeCanonical": "http://hl7.org/fhir/3.0",
  "targetScopeUri": "http://hl7.org/fhir/5.0",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Account|3.0.2",
      "target": "http://hl7.org/fhir/StructureDefinition/Account|5.0.0",
      "element": [
        {
          "code": "Account.meta",
          "display": "meta",
          "target": [
            {
              "code": "Account.meta",
              "display": "Account.meta",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Account.meta` is mapped to FHIR R5 element `Account.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `Account.meta` do not cover the following types: Meta.\nThe mappings for `Account.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        },
        {
          "code": "Account.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "code": "Account.implicitRules",
              "display": "Account.implicitRules",
              "relationship": "equivalent",
              "comment": "Element `Account.implicitRules` is mapped to FHIR R5 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",
              "relationship": "equivalent",
              "comment": "Element `Account.language` is mapped to FHIR R5 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",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Account.text` is mapped to FHIR R5 element `Account.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `Account.text` do not cover the following types: Narrative.\nThe mappings for `Account.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. 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",
              "relationship": "equivalent",
              "comment": "Element `Account.contained` is mapped to FHIR R5 element `Account.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": "Account.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "Account.identifier",
              "display": "Account.identifier",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Account.identifier` is mapped to FHIR R5 element `Account.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `Account.identifier` do not cover the following types: Identifier.\nThe mappings for `Account.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        },
        {
          "code": "Account.status",
          "display": "status",
          "target": [
            {
              "code": "Account.status",
              "display": "Account.status",
              "relationship": "equivalent",
              "comment": "Element `Account.status` is mapped to FHIR R5 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",
              "relationship": "equivalent",
              "comment": "Element `Account.type` is mapped to FHIR R5 element `Account.type` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Account.name",
          "display": "name",
          "target": [
            {
              "code": "Account.name",
              "display": "Account.name",
              "relationship": "equivalent",
              "comment": "Element `Account.name` is mapped to FHIR R5 element `Account.name` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Account.subject",
          "display": "subject",
          "target": [
            {
              "code": "Account.subject",
              "display": "Account.subject",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Account.subject` is mapped to FHIR R5 element `Account.subject` as `RelatedTo`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Account.subject` with unmapped reference targets: Device, HealthcareService, Location, Organization, Patient, Practitioner.\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",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Account.period` is mapped to FHIR R5 element `Account.servicePeriod` as `SourceIsBroaderThanTarget`.\nThe mappings for `Account.period` do not cover the following types: Period.\nThe mappings for `Account.period` do not cover the following types based on type expansion: end, start.\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",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Account.coverage` is mapped to FHIR R5 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",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Account.coverage.coverage` is mapped to FHIR R5 element `Account.coverage.coverage` as `SourceIsBroaderThanTarget`.\nThe mappings for `Account.coverage.coverage` 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 `Account.coverage.coverage` with unmapped reference targets: Coverage."
            }
          ]
        },
        {
          "code": "Account.coverage.priority",
          "display": "priority",
          "target": [
            {
              "code": "Account.coverage.priority",
              "display": "Account.coverage.priority",
              "relationship": "equivalent",
              "comment": "Element `Account.coverage.priority` is mapped to FHIR R5 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",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Account.owner` is mapped to FHIR R5 element `Account.owner` as `SourceIsBroaderThanTarget`.\nThe mappings for `Account.owner` 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 `Account.owner` with unmapped reference targets: Organization."
            }
          ]
        },
        {
          "code": "Account.description",
          "display": "description",
          "target": [
            {
              "code": "Account.description",
              "display": "Account.description",
              "relationship": "equivalent",
              "comment": "Element `Account.description` is mapped to FHIR R5 element `Account.description` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Account.guarantor",
          "display": "guarantor",
          "target": [
            {
              "code": "Account.guarantor",
              "display": "Account.guarantor",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Account.guarantor` is mapped to FHIR R5 element `Account.guarantor` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Account.guarantor.party",
          "display": "party",
          "target": [
            {
              "code": "Account.guarantor.party",
              "display": "Account.guarantor.party",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Account.guarantor.party` is mapped to FHIR R5 element `Account.guarantor.party` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Account.guarantor.party` with unmapped reference targets: Organization, Patient, RelatedPerson."
            }
          ]
        },
        {
          "code": "Account.guarantor.onHold",
          "display": "onHold",
          "target": [
            {
              "code": "Account.guarantor.onHold",
              "display": "Account.guarantor.onHold",
              "relationship": "equivalent",
              "comment": "Element `Account.guarantor.onHold` is mapped to FHIR R5 element `Account.guarantor.onHold` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Account.guarantor.period",
          "display": "period",
          "target": [
            {
              "code": "Account.guarantor.period",
              "display": "Account.guarantor.period",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Account.guarantor.period` is mapped to FHIR R5 element `Account.guarantor.period` as `SourceIsBroaderThanTarget`.\nThe mappings for `Account.guarantor.period` do not cover the following types: Period.\nThe mappings for `Account.guarantor.period` do not cover the following types based on type expansion: end, start."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Account|3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Account.meta|0.1.0",
      "element": [
        {
          "code": "Account.meta",
          "display": "meta",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Account.meta` is mapped to FHIR R5 element `Account.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `Account.meta` do not cover the following types: Meta.\nThe mappings for `Account.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Account|3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Account.text|0.1.0",
      "element": [
        {
          "code": "Account.text",
          "display": "text",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Account.text` is mapped to FHIR R5 element `Account.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `Account.text` do not cover the following types: Narrative.\nThe mappings for `Account.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. 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."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Account|3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Account.identifier|0.1.0",
      "element": [
        {
          "code": "Account.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Account.identifier` is mapped to FHIR R5 element `Account.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `Account.identifier` do not cover the following types: Identifier.\nThe mappings for `Account.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Account|3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Account.period|0.1.0",
      "element": [
        {
          "code": "Account.period",
          "display": "period",
          "target": [
            {
              "code": "Extension",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Account.period` is mapped to FHIR R5 element `Account.servicePeriod` as `SourceIsBroaderThanTarget`.\nThe mappings for `Account.period` do not cover the following types: Period.\nThe mappings for `Account.period` do not cover the following types based on type expansion: end, start.\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."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Account|3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Account.active|0.1.0",
      "element": [
        {
          "code": "Account.active",
          "display": "active",
          "target": [
            {
              "code": "Extension",
              "relationship": "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 R5. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Account|3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Account.balance|0.1.0",
      "element": [
        {
          "code": "Account.balance",
          "display": "balance",
          "target": [
            {
              "code": "Extension",
              "relationship": "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 R5. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Account|3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Account.guarantor.period|0.1.0",
      "element": [
        {
          "code": "Account.guarantor.period",
          "display": "period",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Account.guarantor.period` is mapped to FHIR R5 element `Account.guarantor.period` as `SourceIsBroaderThanTarget`.\nThe mappings for `Account.guarantor.period` do not cover the following types: Period.\nThe mappings for `Account.guarantor.period` do not cover the following types based on type expansion: end, start."
            }
          ]
        }
      ]
    }
  ]
}