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Packagehl7.fhir.uv.xver-r3.r5
Resource TypeConceptMap
IdConceptMap-R3-Communication-element-map-to-R5.json
FHIR VersionR5
Sourcehttp://hl7.org/fhir/uv/xver-r3.r5/0.1.0/ConceptMap-R3-Communication-element-map-to-R5.html
URLhttp://hl7.org/fhir/uv/xver/ConceptMap/R3-Communication-element-map-to-R5
Version0.1.0
Statusactive
Date2026-03-17T16:04:59.4294312-05:00
NameR3CommunicationElementMapToR5
TitleCross-version mapping for FHIR STU3 Communication to FHIR R5 Communication
Realmuv
Authorityhl7
DescriptionThis ConceptMap represents cross-version mappings for elements from a FHIR STU3 Communication to FHIR R5.

Resources that use this resource

No resources found


Resources that this resource uses

StructureDefinition
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-Communication.definitionSTU3: Instantiates protocol or definition (new)
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-Communication.identifierSTU3: identifier additional types
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-Communication.metaSTU3: meta additional types
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-Communication.notDoneSTU3: Communication did not occur (new)
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-Communication.notDoneReasonSTU3: Why communication did not occur (new)
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-Communication.noteSTU3: note additional types
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-Communication.payload.contentSTU3: content additional types
hl7.fhir.uv.xver-r3.r5#0.1.0extension-Communication.reasonReferenceSTU3: Why was communication done? additional types
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-Communication.statusSTU3: preparation | in-progress | suspended | aborted | completed | entered-in-error additional codes
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-Communication.textSTU3: text additional types
hl7.fhir.uv.xver-r3.r4b.r4#0.0.1-snapshot-2extension-Communication.topicCross-version Extension for R3.Communication.topic for use in FHIR R4B

Narrative

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

Generated Narrative: ConceptMap R3-Communication-element-map-to-R5

Mapping from http://hl7.org/fhir/3.0 to http://hl7.org/fhir/5.0


Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/Communication|3.0.2 to Communicationversion: 5.0.0)

Source CodeRelationshipTarget CodeComment
Communication.meta (meta)is broader thanCommunication.metaElement `Communication.meta` is mapped to FHIR R5 element `Communication.meta` as `SourceIsBroaderThanTarget`. The mappings for `Communication.meta` do not cover the following types: Meta. The mappings for `Communication.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.
Communication.implicitRules (implicitRules)is equivalent toCommunication.implicitRulesElement `Communication.implicitRules` is mapped to FHIR R5 element `Communication.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.
Communication.language (language)is equivalent toCommunication.languageElement `Communication.language` is mapped to FHIR R5 element `Communication.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).
Communication.text (text)is broader thanCommunication.textElement `Communication.text` is mapped to FHIR R5 element `Communication.text` as `SourceIsBroaderThanTarget`. The mappings for `Communication.text` do not cover the following types: Narrative. The mappings for `Communication.text` do not cover the following types based on type expansion: div, status. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. 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.
Communication.contained (contained)is equivalent toCommunication.containedElement `Communication.contained` is mapped to FHIR R5 element `Communication.contained` as `SourceIsBroaderThanTarget`. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.
Communication.identifier (identifier)is broader thanCommunication.identifierElement `Communication.identifier` is mapped to FHIR R5 element `Communication.identifier` as `SourceIsBroaderThanTarget`. The mappings for `Communication.identifier` do not cover the following types: Identifier. The mappings for `Communication.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.
Communication.basedOn (basedOn)is broader thanCommunication.basedOnElement `Communication.basedOn` is mapped to FHIR R5 element `Communication.basedOn` as `SourceIsBroaderThanTarget`. The mappings for `Communication.basedOn` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Communication.basedOn` with unmapped reference targets: Resource. This must point to some sort of a 'Request' resource, such as CarePlan, CommunicationRequest, ReferralRequest, MedicationRequest, etc.
Communication.partOf (partOf)is broader thanCommunication.partOfElement `Communication.partOf` is mapped to FHIR R5 element `Communication.partOf` as `SourceIsBroaderThanTarget`. The mappings for `Communication.partOf` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Communication.partOf` with unmapped reference targets: Resource.
Communication.status (status)is broader thanCommunication.statusElement `Communication.status` is mapped to FHIR R5 element `Communication.status` as `RelatedTo`. The mappings for `Communication.status` do not allow expression of the necessary codes, per the bindings on the source and target. The target context `Communication.status` is a modifier element, so this extension does not need to be defined as a modifier. This element is labeled as a modifier because the status contains the codes aborted and entered-in-error that mark the communication as not currently valid.
Communication.category (category)is equivalent toCommunication.categoryElement `Communication.category` is mapped to FHIR R5 element `Communication.category` as `Equivalent`. There may be multiple axes of categorization and one communication may serve multiple purposes.
Communication.medium (medium)is equivalent toCommunication.mediumElement `Communication.medium` is mapped to FHIR R5 element `Communication.medium` as `Equivalent`.
Communication.subject (subject)is broader thanCommunication.subjectElement `Communication.subject` is mapped to FHIR R5 element `Communication.subject` as `SourceIsBroaderThanTarget`. The mappings for `Communication.subject` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Communication.subject` with unmapped reference targets: Group, Patient.
Communication.recipient (recipient)is broader thanCommunication.recipientElement `Communication.recipient` is mapped to FHIR R5 element `Communication.recipient` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Communication.recipient` with unmapped reference targets: Device, Group, Organization, Patient, Practitioner, RelatedPerson.
Communication.context (context)is broader thanCommunication.encounterElement `Communication.context` is mapped to FHIR R5 element `Communication.encounter` as `SourceIsBroaderThanTarget`. The mappings for `Communication.context` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Communication.context` with unmapped reference targets: Encounter, EpisodeOfCare.
Communication.sent (sent)is equivalent toCommunication.sentElement `Communication.sent` is mapped to FHIR R5 element `Communication.sent` as `Equivalent`.
Communication.received (received)is equivalent toCommunication.receivedElement `Communication.received` is mapped to FHIR R5 element `Communication.received` as `Equivalent`.
Communication.sender (sender)is broader thanCommunication.senderElement `Communication.sender` is mapped to FHIR R5 element `Communication.sender` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Communication.sender` with unmapped reference targets: Device, Organization, Patient, Practitioner, RelatedPerson.
Communication.reasonCode (reasonCode)is narrower thanCommunication.reasonElement `Communication.reasonCode` is mapped to FHIR R5 element `Communication.reason` as `SourceIsNarrowerThanTarget`. Textual reasons can be caprued using reasonCode.text.
Communication.reasonReference (reasonReference)is broader thanCommunication.reasonElement `Communication.reasonReference` is mapped to FHIR R5 element `Communication.reason` as `SourceIsBroaderThanTarget`. The mappings for `Communication.reasonReference` do not cover the following types: Reference. The mappings for `Communication.reasonReference` do not cover the following types based on type expansion: display, identifier, reference.
Communication.payload (payload)is broader thanCommunication.payloadElement `Communication.payload` is mapped to FHIR R5 element `Communication.payload` as `Equivalent`.
Communication.payload.content[x] (content[x])is broader thanCommunication.payload.content[x]Element `Communication.payload.content[x]` is mapped to FHIR R5 element `Communication.payload.content[x]` as `SourceIsBroaderThanTarget`. The mappings for `Communication.payload.content[x]` do not cover the following types: Attachment, string. The target context `Communication.payload.content[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Communication.payload`. The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR STU3 element `Communication.payload.content[x]` with unmapped reference targets: Resource. Source element `Communication.payload.content[x]` has unmapped reference types. While the target element `Communication.payload.content[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.
Communication.note (note)is broader thanCommunication.noteElement `Communication.note` is mapped to FHIR R5 element `Communication.note` as `SourceIsBroaderThanTarget`. The mappings for `Communication.note` do not cover the following types: Annotation. The mappings for `Communication.note` do not cover the following types based on type expansion: author[x], text, time.

Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/Communication|3.0.2 to STU3: meta additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
Communication.meta (meta)is equivalent toExtension (STU3: meta additional types)Element `Communication.meta` is mapped to FHIR R5 element `Communication.meta` as `SourceIsBroaderThanTarget`. The mappings for `Communication.meta` do not cover the following types: Meta. The mappings for `Communication.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.

Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/Communication|3.0.2 to STU3: text additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
Communication.text (text)is equivalent toExtension (STU3: text additional types)Element `Communication.text` is mapped to FHIR R5 element `Communication.text` as `SourceIsBroaderThanTarget`. The mappings for `Communication.text` do not cover the following types: Narrative. The mappings for `Communication.text` do not cover the following types based on type expansion: div, status. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. 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.

Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/Communication|3.0.2 to STU3: identifier additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
Communication.identifier (identifier)is equivalent toExtension (STU3: identifier additional types)Element `Communication.identifier` is mapped to FHIR R5 element `Communication.identifier` as `SourceIsBroaderThanTarget`. The mappings for `Communication.identifier` do not cover the following types: Identifier. The mappings for `Communication.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.

Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/Communication|3.0.2 to STU3: Instantiates protocol or definition (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
Communication.definition (definition)is equivalent toExtension (STU3: Instantiates protocol or definition (new))Element `Communication.definition` has a context of Communication based on following the parent source element upwards and mapping to `Communication`. Element `Communication.definition` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/Communication|3.0.2 to STU3: preparation | in-progress | suspended | aborted | completed | entered-in-error additional codesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
Communication.status (status)is equivalent toExtension (STU3: preparation | in-progress | suspended | aborted | completed | entered-in-error additional codes)Element `Communication.status` is mapped to FHIR R5 element `Communication.status` as `RelatedTo`. The mappings for `Communication.status` do not allow expression of the necessary codes, per the bindings on the source and target. The target context `Communication.status` is a modifier element, so this extension does not need to be defined as a modifier. This element is labeled as a modifier because the status contains the codes aborted and entered-in-error that mark the communication as not currently valid.

Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/Communication|3.0.2 to STU3: Communication did not occur (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
Communication.notDone (notDone)is equivalent toExtension (STU3: Communication did not occur (new))Element `Communication.notDone` has a context of Communication based on following the parent source element upwards and mapping to `Communication`. Element `Communication.notDone` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). This element is labeled as a modifier because it marks the communication as a communication that did not occur. The more attributes are populated, the more constrained the negated statement is.

Group 8 Mapping from http://hl7.org/fhir/StructureDefinition/Communication|3.0.2 to STU3: Why communication did not occur (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
Communication.notDoneReason (notDoneReason)is equivalent toExtension (STU3: Why communication did not occur (new))Element `Communication.notDoneReason` has a context of Communication based on following the parent source element upwards and mapping to `Communication`. Element `Communication.notDoneReason` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

Group 9 Mapping from http://hl7.org/fhir/StructureDefinition/Communication|3.0.2 to STU3: Focal resources (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
Communication.topic (topic)is equivalent toExtension (STU3: Focal resources (new))Element `Communication.topic` has a context of Communication based on following the parent source element upwards and mapping to `Communication`. Element `Communication.topic` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

Group 10 Mapping from http://hl7.org/fhir/StructureDefinition/Communication|3.0.2 to STU3: Why was communication done? additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
Communication.reasonReference (reasonReference)is broader thanExtension (STU3: Why was communication done? additional types)Element `Communication.reasonReference` is mapped to FHIR R5 element `Communication.reason` as `SourceIsBroaderThanTarget`. The mappings for `Communication.reasonReference` do not cover the following types: Reference. The mappings for `Communication.reasonReference` do not cover the following types based on type expansion: display, identifier, reference.

Group 11 Mapping from http://hl7.org/fhir/StructureDefinition/Communication|3.0.2 to STU3: content additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
Communication.payload.content[x] (content[x])is equivalent toExtension (STU3: content additional types)Element `Communication.payload.content[x]` is mapped to FHIR R5 element `Communication.payload.content[x]` as `SourceIsBroaderThanTarget`. The mappings for `Communication.payload.content[x]` do not cover the following types: Attachment, string. The target context `Communication.payload.content[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Communication.payload`. The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR STU3 element `Communication.payload.content[x]` with unmapped reference targets: Resource. Source element `Communication.payload.content[x]` has unmapped reference types. While the target element `Communication.payload.content[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.

Group 12 Mapping from http://hl7.org/fhir/StructureDefinition/Communication|3.0.2 to Alternate Referenceversion: 5.2.0)

Source CodeRelationshipTarget CodeComment
Communication.payload.content[x] (content[x])is equivalent toExtension (Alternative reference (target type is wrong))Element `Communication.payload.content[x]` is mapped to FHIR R5 element `Communication.payload.content[x]` as `SourceIsBroaderThanTarget`. The mappings for `Communication.payload.content[x]` do not cover the following types: Attachment, string. The target context `Communication.payload.content[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Communication.payload`. The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR STU3 element `Communication.payload.content[x]` with unmapped reference targets: Resource. Source element `Communication.payload.content[x]` has unmapped reference types. While the target element `Communication.payload.content[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.

Group 13 Mapping from http://hl7.org/fhir/StructureDefinition/Communication|3.0.2 to STU3: note additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
Communication.note (note)is equivalent toExtension (STU3: note additional types)Element `Communication.note` is mapped to FHIR R5 element `Communication.note` as `SourceIsBroaderThanTarget`. The mappings for `Communication.note` do not cover the following types: Annotation. The mappings for `Communication.note` do not cover the following types based on type expansion: author[x], text, time.

Source1

{
  "resourceType": "ConceptMap",
  "id": "R3-Communication-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-Communication-element-map-to-R5",
  "version": "0.1.0",
  "name": "R3CommunicationElementMapToR5",
  "title": "Cross-version mapping for FHIR STU3 Communication to FHIR R5 Communication",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:04:59.4294312-05:00",
  "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 Communication 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/Communication|3.0.2",
      "target": "http://hl7.org/fhir/StructureDefinition/Communication|5.0.0",
      "element": [
        {
          "code": "Communication.meta",
          "display": "meta",
          "target": [
            {
              "code": "Communication.meta",
              "display": "Communication.meta",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Communication.meta` is mapped to FHIR R5 element `Communication.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `Communication.meta` do not cover the following types: Meta.\nThe mappings for `Communication.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        },
        {
          "code": "Communication.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "code": "Communication.implicitRules",
              "display": "Communication.implicitRules",
              "relationship": "equivalent",
              "comment": "Element `Communication.implicitRules` is mapped to FHIR R5 element `Communication.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": "Communication.language",
          "display": "language",
          "target": [
            {
              "code": "Communication.language",
              "display": "Communication.language",
              "relationship": "equivalent",
              "comment": "Element `Communication.language` is mapped to FHIR R5 element `Communication.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": "Communication.text",
          "display": "text",
          "target": [
            {
              "code": "Communication.text",
              "display": "Communication.text",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Communication.text` is mapped to FHIR R5 element `Communication.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `Communication.text` do not cover the following types: Narrative.\nThe mappings for `Communication.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": "Communication.contained",
          "display": "contained",
          "target": [
            {
              "code": "Communication.contained",
              "display": "Communication.contained",
              "relationship": "equivalent",
              "comment": "Element `Communication.contained` is mapped to FHIR R5 element `Communication.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": "Communication.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "Communication.identifier",
              "display": "Communication.identifier",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Communication.identifier` is mapped to FHIR R5 element `Communication.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `Communication.identifier` do not cover the following types: Identifier.\nThe mappings for `Communication.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        },
        {
          "code": "Communication.basedOn",
          "display": "basedOn",
          "target": [
            {
              "code": "Communication.basedOn",
              "display": "Communication.basedOn",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Communication.basedOn` is mapped to FHIR R5 element `Communication.basedOn` as `SourceIsBroaderThanTarget`.\nThe mappings for `Communication.basedOn` 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 `Communication.basedOn` with unmapped reference targets: Resource.\nThis must point to some sort of a 'Request' resource, such as CarePlan, CommunicationRequest, ReferralRequest, MedicationRequest, etc."
            }
          ]
        },
        {
          "code": "Communication.partOf",
          "display": "partOf",
          "target": [
            {
              "code": "Communication.partOf",
              "display": "Communication.partOf",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Communication.partOf` is mapped to FHIR R5 element `Communication.partOf` as `SourceIsBroaderThanTarget`.\nThe mappings for `Communication.partOf` 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 `Communication.partOf` with unmapped reference targets: Resource."
            }
          ]
        },
        {
          "code": "Communication.status",
          "display": "status",
          "target": [
            {
              "code": "Communication.status",
              "display": "Communication.status",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Communication.status` is mapped to FHIR R5 element `Communication.status` as `RelatedTo`.\nThe mappings for `Communication.status` do not allow expression of the necessary codes, per the bindings on the source and target.\nThe target context `Communication.status` is a modifier element, so this extension does not need to be defined as a modifier.\nThis element is labeled as a modifier because the status contains the codes aborted and entered-in-error that mark the communication as not currently valid."
            }
          ]
        },
        {
          "code": "Communication.category",
          "display": "category",
          "target": [
            {
              "code": "Communication.category",
              "display": "Communication.category",
              "relationship": "equivalent",
              "comment": "Element `Communication.category` is mapped to FHIR R5 element `Communication.category` as `Equivalent`.\nThere may be multiple axes of categorization and one communication may serve multiple purposes."
            }
          ]
        },
        {
          "code": "Communication.medium",
          "display": "medium",
          "target": [
            {
              "code": "Communication.medium",
              "display": "Communication.medium",
              "relationship": "equivalent",
              "comment": "Element `Communication.medium` is mapped to FHIR R5 element `Communication.medium` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Communication.subject",
          "display": "subject",
          "target": [
            {
              "code": "Communication.subject",
              "display": "Communication.subject",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Communication.subject` is mapped to FHIR R5 element `Communication.subject` as `SourceIsBroaderThanTarget`.\nThe mappings for `Communication.subject` 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 `Communication.subject` with unmapped reference targets: Group, Patient."
            }
          ]
        },
        {
          "code": "Communication.recipient",
          "display": "recipient",
          "target": [
            {
              "code": "Communication.recipient",
              "display": "Communication.recipient",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Communication.recipient` is mapped to FHIR R5 element `Communication.recipient` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Communication.recipient` with unmapped reference targets: Device, Group, Organization, Patient, Practitioner, RelatedPerson."
            }
          ]
        },
        {
          "code": "Communication.context",
          "display": "context",
          "target": [
            {
              "code": "Communication.encounter",
              "display": "Communication.encounter",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Communication.context` is mapped to FHIR R5 element `Communication.encounter` as `SourceIsBroaderThanTarget`.\nThe mappings for `Communication.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 `Communication.context` with unmapped reference targets: Encounter, EpisodeOfCare."
            }
          ]
        },
        {
          "code": "Communication.sent",
          "display": "sent",
          "target": [
            {
              "code": "Communication.sent",
              "display": "Communication.sent",
              "relationship": "equivalent",
              "comment": "Element `Communication.sent` is mapped to FHIR R5 element `Communication.sent` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Communication.received",
          "display": "received",
          "target": [
            {
              "code": "Communication.received",
              "display": "Communication.received",
              "relationship": "equivalent",
              "comment": "Element `Communication.received` is mapped to FHIR R5 element `Communication.received` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Communication.sender",
          "display": "sender",
          "target": [
            {
              "code": "Communication.sender",
              "display": "Communication.sender",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Communication.sender` is mapped to FHIR R5 element `Communication.sender` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Communication.sender` with unmapped reference targets: Device, Organization, Patient, Practitioner, RelatedPerson."
            }
          ]
        },
        {
          "code": "Communication.reasonCode",
          "display": "reasonCode",
          "target": [
            {
              "code": "Communication.reason",
              "display": "Communication.reason",
              "relationship": "source-is-narrower-than-target",
              "comment": "Element `Communication.reasonCode` is mapped to FHIR R5 element `Communication.reason` as `SourceIsNarrowerThanTarget`.\nTextual reasons can be caprued using reasonCode.text."
            }
          ]
        },
        {
          "code": "Communication.reasonReference",
          "display": "reasonReference",
          "target": [
            {
              "code": "Communication.reason",
              "display": "Communication.reason",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Communication.reasonReference` is mapped to FHIR R5 element `Communication.reason` as `SourceIsBroaderThanTarget`.\nThe mappings for `Communication.reasonReference` do not cover the following types: Reference.\nThe mappings for `Communication.reasonReference` do not cover the following types based on type expansion: display, identifier, reference."
            }
          ]
        },
        {
          "code": "Communication.payload",
          "display": "payload",
          "target": [
            {
              "code": "Communication.payload",
              "display": "Communication.payload",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Communication.payload` is mapped to FHIR R5 element `Communication.payload` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Communication.payload.content[x]",
          "display": "content[x]",
          "target": [
            {
              "code": "Communication.payload.content[x]",
              "display": "Communication.payload.content[x]",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Communication.payload.content[x]` is mapped to FHIR R5 element `Communication.payload.content[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `Communication.payload.content[x]` do not cover the following types: Attachment, string.\nThe target context `Communication.payload.content[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Communication.payload`.\nThe standard extension `alternate-reference` has been mapped as PART of the representation of FHIR STU3 element `Communication.payload.content[x]` with unmapped reference targets: Resource.\nSource element `Communication.payload.content[x]` has unmapped reference types. While the target element `Communication.payload.content[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it."
            }
          ]
        },
        {
          "code": "Communication.note",
          "display": "note",
          "target": [
            {
              "code": "Communication.note",
              "display": "Communication.note",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Communication.note` is mapped to FHIR R5 element `Communication.note` as `SourceIsBroaderThanTarget`.\nThe mappings for `Communication.note` do not cover the following types: Annotation.\nThe mappings for `Communication.note` do not cover the following types based on type expansion: author[x], text, time."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Communication|3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Communication.meta|0.1.0",
      "element": [
        {
          "code": "Communication.meta",
          "display": "meta",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Communication.meta` is mapped to FHIR R5 element `Communication.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `Communication.meta` do not cover the following types: Meta.\nThe mappings for `Communication.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Communication|3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Communication.text|0.1.0",
      "element": [
        {
          "code": "Communication.text",
          "display": "text",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Communication.text` is mapped to FHIR R5 element `Communication.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `Communication.text` do not cover the following types: Narrative.\nThe mappings for `Communication.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/Communication|3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Communication.identifier|0.1.0",
      "element": [
        {
          "code": "Communication.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Communication.identifier` is mapped to FHIR R5 element `Communication.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `Communication.identifier` do not cover the following types: Identifier.\nThe mappings for `Communication.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Communication|3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Communication.definition|0.1.0",
      "element": [
        {
          "code": "Communication.definition",
          "display": "definition",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Communication.definition` has a context of Communication based on following the parent source element upwards and mapping to `Communication`.\nElement `Communication.definition` 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/Communication|3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Communication.status|0.1.0",
      "element": [
        {
          "code": "Communication.status",
          "display": "status",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Communication.status` is mapped to FHIR R5 element `Communication.status` as `RelatedTo`.\nThe mappings for `Communication.status` do not allow expression of the necessary codes, per the bindings on the source and target.\nThe target context `Communication.status` is a modifier element, so this extension does not need to be defined as a modifier.\nThis element is labeled as a modifier because the status contains the codes aborted and entered-in-error that mark the communication as not currently valid."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Communication|3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Communication.notDone|0.1.0",
      "element": [
        {
          "code": "Communication.notDone",
          "display": "notDone",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Communication.notDone` has a context of Communication based on following the parent source element upwards and mapping to `Communication`.\nElement `Communication.notDone` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nThis element is labeled as a modifier because it marks the communication as a communication that did not occur.  The more attributes are populated, the more constrained the negated statement is."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Communication|3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Communication.notDoneReason|0.1.0",
      "element": [
        {
          "code": "Communication.notDoneReason",
          "display": "notDoneReason",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Communication.notDoneReason` has a context of Communication based on following the parent source element upwards and mapping to `Communication`.\nElement `Communication.notDoneReason` 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/Communication|3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Communication.topic|0.1.0",
      "element": [
        {
          "code": "Communication.topic",
          "display": "topic",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Communication.topic` has a context of Communication based on following the parent source element upwards and mapping to `Communication`.\nElement `Communication.topic` 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/Communication|3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Communication.reasonReference|0.1.0",
      "element": [
        {
          "code": "Communication.reasonReference",
          "display": "reasonReference",
          "target": [
            {
              "code": "Extension",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Communication.reasonReference` is mapped to FHIR R5 element `Communication.reason` as `SourceIsBroaderThanTarget`.\nThe mappings for `Communication.reasonReference` do not cover the following types: Reference.\nThe mappings for `Communication.reasonReference` do not cover the following types based on type expansion: display, identifier, reference."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Communication|3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Communication.payload.content|0.1.0",
      "element": [
        {
          "code": "Communication.payload.content[x]",
          "display": "content[x]",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Communication.payload.content[x]` is mapped to FHIR R5 element `Communication.payload.content[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `Communication.payload.content[x]` do not cover the following types: Attachment, string.\nThe target context `Communication.payload.content[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Communication.payload`.\nThe standard extension `alternate-reference` has been mapped as PART of the representation of FHIR STU3 element `Communication.payload.content[x]` with unmapped reference targets: Resource.\nSource element `Communication.payload.content[x]` has unmapped reference types. While the target element `Communication.payload.content[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Communication|3.0.2",
      "target": "http://hl7.org/fhir/StructureDefinition/alternate-reference|5.2.0",
      "element": [
        {
          "code": "Communication.payload.content[x]",
          "display": "content[x]",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Communication.payload.content[x]` is mapped to FHIR R5 element `Communication.payload.content[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `Communication.payload.content[x]` do not cover the following types: Attachment, string.\nThe target context `Communication.payload.content[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Communication.payload`.\nThe standard extension `alternate-reference` has been mapped as PART of the representation of FHIR STU3 element `Communication.payload.content[x]` with unmapped reference targets: Resource.\nSource element `Communication.payload.content[x]` has unmapped reference types. While the target element `Communication.payload.content[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Communication|3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Communication.note|0.1.0",
      "element": [
        {
          "code": "Communication.note",
          "display": "note",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Communication.note` is mapped to FHIR R5 element `Communication.note` as `SourceIsBroaderThanTarget`.\nThe mappings for `Communication.note` do not cover the following types: Annotation.\nThe mappings for `Communication.note` do not cover the following types based on type expansion: author[x], text, time."
            }
          ]
        }
      ]
    }
  ]
}