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Packagehl7.fhir.uv.xver-r4b.r5
Resource TypeConceptMap
IdConceptMap-R4B-Account-element-map-to-R5.json
FHIR VersionR5
Sourcehttp://hl7.org/fhir/uv/xver-r4b.r5/0.1.0/ConceptMap-R4B-Account-element-map-to-R5.html
URLhttp://hl7.org/fhir/uv/xver/ConceptMap/R4B-Account-element-map-to-R5
Version0.1.0
Statusactive
Date2026-03-17T16:03:50.886166-05:00
NameR4BAccountElementMapToR5
TitleCross-version mapping for FHIR R4B Account to FHIR R5 Account
Realmuv
Authorityhl7
DescriptionThis ConceptMap represents cross-version mappings for elements from a FHIR R4B Account to FHIR R5.

Resources that use this resource

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Resources that this resource uses

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Narrative

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

Generated Narrative: ConceptMap R4B-Account-element-map-to-R5

Mapping from http://hl7.org/fhir/4.3 to http://hl7.org/fhir/5.0


Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/Account|4.3.0 to Accountversion: 5.0.0)

Source CodeRelationshipTarget CodeComment
Account.meta (meta)is equivalent toAccount.metaElement `Account.meta` is mapped to FHIR R5 element `Account.meta` as `Equivalent`.
Account.implicitRules (implicitRules)is equivalent toAccount.implicitRulesElement `Account.implicitRules` is mapped to FHIR R5 element `Account.implicitRules` as `Equivalent`. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Account.language (language)is equivalent toAccount.languageElement `Account.language` is mapped to FHIR R5 element `Account.language` as `Equivalent`. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Account.text (text)is equivalent toAccount.textElement `Account.text` is mapped to FHIR R5 element `Account.text` as `Equivalent`. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Account.contained (contained)is equivalent toAccount.containedElement `Account.contained` is mapped to FHIR R5 element `Account.contained` as `Equivalent`. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Account.identifier (identifier)is equivalent toAccount.identifierElement `Account.identifier` is mapped to FHIR R5 element `Account.identifier` as `Equivalent`.
Account.status (status)is equivalent toAccount.statusElement `Account.status` is mapped to FHIR R5 element `Account.status` as `Equivalent`. This element is labeled as a modifier because the status contains the codes inactive and entered-in-error that mark the Account as not currently valid.
Account.type (type)is equivalent toAccount.typeElement `Account.type` is mapped to FHIR R5 element `Account.type` as `Equivalent`.
Account.name (name)is equivalent toAccount.nameElement `Account.name` is mapped to FHIR R5 element `Account.name` as `Equivalent`.
Account.subject (subject)is equivalent toAccount.subjectElement `Account.subject` is mapped to FHIR R5 element `Account.subject` as `Equivalent`. Accounts can be applied to non-patients for tracking other non-patient related activities, such as group services (patients not tracked, and costs charged to another body), or might not be allocated.
Account.servicePeriod (servicePeriod)is equivalent toAccount.servicePeriodElement `Account.servicePeriod` is mapped to FHIR R5 element `Account.servicePeriod` as `Equivalent`. It is possible for transactions to be posted outside the service period, as long as the service was provided within the defined service period.
Account.coverage (coverage)is broader thanAccount.coverageElement `Account.coverage` is mapped to FHIR R5 element `Account.coverage` as `Equivalent`. Typically. this may be some form of insurance, internal charges, or self-pay. Local or jurisdictional business rules may determine which coverage covers which types of billable items charged to the account, and in which order. Where the order is important, a local/jurisdictional extension may be defined to specify the order for the type of charge.
Account.coverage.coverage (coverage)is equivalent toAccount.coverage.coverageElement `Account.coverage.coverage` is mapped to FHIR R5 element `Account.coverage.coverage` as `Equivalent`.
Account.coverage.priority (priority)is equivalent toAccount.coverage.priorityElement `Account.coverage.priority` is mapped to FHIR R5 element `Account.coverage.priority` as `Equivalent`. It is common in some jurisdictions for there to be multiple coverages allocated to an account, and a sequence is required to order the settling of the account (often with insurance claiming).
Account.owner (owner)is equivalent toAccount.ownerElement `Account.owner` is mapped to FHIR R5 element `Account.owner` as `Equivalent`.
Account.description (description)is equivalent toAccount.descriptionElement `Account.description` is mapped to FHIR R5 element `Account.description` as `Equivalent`.
Account.guarantor (guarantor)is broader thanAccount.guarantorElement `Account.guarantor` is mapped to FHIR R5 element `Account.guarantor` as `Equivalent`.
Account.guarantor.party (party)is equivalent toAccount.guarantor.partyElement `Account.guarantor.party` is mapped to FHIR R5 element `Account.guarantor.party` as `Equivalent`.
Account.guarantor.onHold (onHold)is equivalent toAccount.guarantor.onHoldElement `Account.guarantor.onHold` is mapped to FHIR R5 element `Account.guarantor.onHold` as `Equivalent`.
Account.guarantor.period (period)is equivalent toAccount.guarantor.periodElement `Account.guarantor.period` is mapped to FHIR R5 element `Account.guarantor.period` as `Equivalent`.
Account.partOf (partOf)is narrower thanAccount.relatedAccount.accountElement `Account.partOf` is mapped to FHIR R5 element `Account.relatedAccount.account` as `SourceIsNarrowerThanTarget`.

Source1

{
  "resourceType": "ConceptMap",
  "id": "R4B-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-r4b.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-r4b.r5"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ConceptMap/R4B-Account-element-map-to-R5",
  "version": "0.1.0",
  "name": "R4BAccountElementMapToR5",
  "title": "Cross-version mapping for FHIR R4B Account to FHIR R5 Account",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:03:50.886166-05:00",
  "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 R4B 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/4.3",
  "targetScopeUri": "http://hl7.org/fhir/5.0",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Account|4.3.0",
      "target": "http://hl7.org/fhir/StructureDefinition/Account|5.0.0",
      "element": [
        {
          "code": "Account.meta",
          "display": "meta",
          "target": [
            {
              "code": "Account.meta",
              "display": "Account.meta",
              "relationship": "equivalent",
              "comment": "Element `Account.meta` is mapped to FHIR R5 element `Account.meta` as `Equivalent`."
            }
          ]
        },
        {
          "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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."
            }
          ]
        },
        {
          "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": "equivalent",
              "comment": "Element `Account.text` is mapped to FHIR R5 element `Account.text` as `Equivalent`.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information 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 `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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."
            }
          ]
        },
        {
          "code": "Account.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "Account.identifier",
              "display": "Account.identifier",
              "relationship": "equivalent",
              "comment": "Element `Account.identifier` is mapped to FHIR R5 element `Account.identifier` as `Equivalent`."
            }
          ]
        },
        {
          "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 `Equivalent`.\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": "equivalent",
              "comment": "Element `Account.subject` is mapped to FHIR R5 element `Account.subject` as `Equivalent`.\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 might not be allocated."
            }
          ]
        },
        {
          "code": "Account.servicePeriod",
          "display": "servicePeriod",
          "target": [
            {
              "code": "Account.servicePeriod",
              "display": "Account.servicePeriod",
              "relationship": "equivalent",
              "comment": "Element `Account.servicePeriod` is mapped to FHIR R5 element `Account.servicePeriod` as `Equivalent`.\nIt is possible for transactions to be posted outside the service period, as long as the service was provided within the defined service 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 jurisdictional 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/jurisdictional 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": "equivalent",
              "comment": "Element `Account.coverage.coverage` is mapped to FHIR R5 element `Account.coverage.coverage` as `Equivalent`."
            }
          ]
        },
        {
          "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": "equivalent",
              "comment": "Element `Account.owner` is mapped to FHIR R5 element `Account.owner` as `Equivalent`."
            }
          ]
        },
        {
          "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": "equivalent",
              "comment": "Element `Account.guarantor.party` is mapped to FHIR R5 element `Account.guarantor.party` as `Equivalent`."
            }
          ]
        },
        {
          "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": "equivalent",
              "comment": "Element `Account.guarantor.period` is mapped to FHIR R5 element `Account.guarantor.period` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Account.partOf",
          "display": "partOf",
          "target": [
            {
              "code": "Account.relatedAccount.account",
              "display": "Account.relatedAccount.account",
              "relationship": "source-is-narrower-than-target",
              "comment": "Element `Account.partOf` is mapped to FHIR R5 element `Account.relatedAccount.account` as `SourceIsNarrowerThanTarget`."
            }
          ]
        }
      ]
    }
  ]
}