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Packagehl7.fhir.uv.xver-r4b.r5
Resource TypeConceptMap
IdConceptMap-R4B-CarePlan-element-map-to-R5.json
FHIR VersionR5
Sourcehttp://hl7.org/fhir/uv/xver-r4b.r5/0.1.0/ConceptMap-R4B-CarePlan-element-map-to-R5.html
URLhttp://hl7.org/fhir/uv/xver/ConceptMap/R4B-CarePlan-element-map-to-R5
Version0.1.0
Statusactive
Date2026-03-17T16:03:50.1839134-05:00
NameR4BCarePlanElementMapToR5
TitleCross-version mapping for FHIR R4B CarePlan to FHIR R5 CarePlan
Realmuv
Authorityhl7
DescriptionThis ConceptMap represents cross-version mappings for elements from a FHIR R4B CarePlan to FHIR R5.

Resources that use this resource

No resources found


Resources that this resource uses

StructureDefinition
hl7.fhir.uv.xver-r4b.r5#0.1.0extension-CarePlan.activity.detailR4B: In-line definition of activity (new)
hl7.fhir.uv.xver-r4b.r5#0.1.0extension-CarePlan.activity.outcomeCodeableConceptR4B: Results of the activity (new)
hl7.fhir.uv.xver-r4b.r5#0.1.0extension-CarePlan.activity.outcomeReferenceR4B: Appointment, Encounter, Procedure, etc. (new)

Narrative

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

Generated Narrative: ConceptMap R4B-CarePlan-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/CarePlan|4.3.0 to CarePlanversion: 5.0.0)

Source CodeRelationshipTarget CodeComment
CarePlan.meta (meta)is equivalent toCarePlan.metaElement `CarePlan.meta` is mapped to FHIR R5 element `CarePlan.meta` as `Equivalent`.
CarePlan.implicitRules (implicitRules)is equivalent toCarePlan.implicitRulesElement `CarePlan.implicitRules` is mapped to FHIR R5 element `CarePlan.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.
CarePlan.language (language)is equivalent toCarePlan.languageElement `CarePlan.language` is mapped to FHIR R5 element `CarePlan.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).
CarePlan.text (text)is equivalent toCarePlan.textElement `CarePlan.text` is mapped to FHIR R5 element `CarePlan.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.
CarePlan.contained (contained)is equivalent toCarePlan.containedElement `CarePlan.contained` is mapped to FHIR R5 element `CarePlan.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.
CarePlan.identifier (identifier)is equivalent toCarePlan.identifierElement `CarePlan.identifier` is mapped to FHIR R5 element `CarePlan.identifier` as `Equivalent`. This is a business identifier, not a resource identifier (see [discussion](https://hl7.org/fhir/resource.htm#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
CarePlan.instantiatesCanonical (instantiatesCanonical)is equivalent toCarePlan.instantiatesCanonicalElement `CarePlan.instantiatesCanonical` is mapped to FHIR R5 element `CarePlan.instantiatesCanonical` as `Equivalent`.
CarePlan.instantiatesUri (instantiatesUri)is equivalent toCarePlan.instantiatesUriElement `CarePlan.instantiatesUri` is mapped to FHIR R5 element `CarePlan.instantiatesUri` as `Equivalent`. This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.
CarePlan.basedOn (basedOn)is equivalent toCarePlan.basedOnElement `CarePlan.basedOn` is mapped to FHIR R5 element `CarePlan.basedOn` as `Equivalent`.
CarePlan.replaces (replaces)is equivalent toCarePlan.replacesElement `CarePlan.replaces` is mapped to FHIR R5 element `CarePlan.replaces` as `Equivalent`. The replacement could be because the initial care plan was immediately rejected (due to an issue) or because the previous care plan was completed, but the need for the action described by the care plan remains ongoing.
CarePlan.partOf (partOf)is equivalent toCarePlan.partOfElement `CarePlan.partOf` is mapped to FHIR R5 element `CarePlan.partOf` as `Equivalent`. Each care plan is an independent request, such that having a care plan be part of another care plan can cause issues with cascading statuses. As such, this element is still being discussed.
CarePlan.status (status)is equivalent toCarePlan.statusElement `CarePlan.status` is mapped to FHIR R5 element `CarePlan.status` as `Equivalent`. The unknown code is not to be used to convey other statuses. The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the care plan. This element is labeled as a modifier because the status contains the code entered-in-error that marks the plan as not currently valid.
CarePlan.intent (intent)is equivalent toCarePlan.intentElement `CarePlan.intent` is mapped to FHIR R5 element `CarePlan.intent` as `SourceIsNarrowerThanTarget`. The mappings for `CarePlan.intent` do not allow expression of the necessary codes, per the bindings on the source and target. This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.
CarePlan.category (category)is equivalent toCarePlan.categoryElement `CarePlan.category` is mapped to FHIR R5 element `CarePlan.category` as `Equivalent`. There may be multiple axes of categorization and one plan may serve multiple purposes. In some cases, this may be redundant with references to CarePlan.concern.
CarePlan.title (title)is equivalent toCarePlan.titleElement `CarePlan.title` is mapped to FHIR R5 element `CarePlan.title` as `Equivalent`.
CarePlan.description (description)is equivalent toCarePlan.descriptionElement `CarePlan.description` is mapped to FHIR R5 element `CarePlan.description` as `Equivalent`.
CarePlan.subject (subject)is equivalent toCarePlan.subjectElement `CarePlan.subject` is mapped to FHIR R5 element `CarePlan.subject` as `Equivalent`.
CarePlan.encounter (encounter)is equivalent toCarePlan.encounterElement `CarePlan.encounter` is mapped to FHIR R5 element `CarePlan.encounter` as `Equivalent`. This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. CarePlan activities conducted as a result of the care plan may well occur as part of other encounters.
CarePlan.period (period)is equivalent toCarePlan.periodElement `CarePlan.period` is mapped to FHIR R5 element `CarePlan.period` as `Equivalent`. Any activities scheduled as part of the plan should be constrained to the specified period regardless of whether the activities are planned within a single encounter/episode or across multiple encounters/episodes (e.g. the longitudinal management of a chronic condition).
CarePlan.created (created)is equivalent toCarePlan.createdElement `CarePlan.created` is mapped to FHIR R5 element `CarePlan.created` as `Equivalent`.
CarePlan.author (author)is equivalent toCarePlan.custodianElement `CarePlan.author` is mapped to FHIR R5 element `CarePlan.custodian` as `Equivalent`. The author may also be a contributor. For example, an organization can be an author, but not listed as a contributor.
CarePlan.contributor (contributor)is equivalent toCarePlan.contributorElement `CarePlan.contributor` is mapped to FHIR R5 element `CarePlan.contributor` as `Equivalent`. Collaborative care plans may have multiple contributors.
CarePlan.careTeam (careTeam)is equivalent toCarePlan.careTeamElement `CarePlan.careTeam` is mapped to FHIR R5 element `CarePlan.careTeam` as `Equivalent`.
CarePlan.addresses (addresses)is equivalent toCarePlan.addressesElement `CarePlan.addresses` is mapped to FHIR R5 element `CarePlan.addresses` as `SourceIsNarrowerThanTarget`. When the diagnosis is related to an allergy or intolerance, the Condition and AllergyIntolerance resources can both be used. However, to be actionable for decision support, using Condition alone is not sufficient as the allergy or intolerance condition needs to be represented as an AllergyIntolerance.
CarePlan.supportingInfo (supportingInfo)is equivalent toCarePlan.supportingInfoElement `CarePlan.supportingInfo` is mapped to FHIR R5 element `CarePlan.supportingInfo` as `Equivalent`. Use "concern" to identify specific conditions addressed by the care plan.
CarePlan.goal (goal)is equivalent toCarePlan.goalElement `CarePlan.goal` is mapped to FHIR R5 element `CarePlan.goal` as `Equivalent`. Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline.
CarePlan.activity (activity)is broader thanCarePlan.activityElement `CarePlan.activity` is mapped to FHIR R5 element `CarePlan.activity` as `Equivalent`.
CarePlan.activity.progress (progress)is equivalent toCarePlan.activity.progressElement `CarePlan.activity.progress` is mapped to FHIR R5 element `CarePlan.activity.progress` as `Equivalent`. This element should NOT be used to describe the activity to be performed - that occurs either within the resource pointed to by activity.detail.reference or in activity.detail.description.
CarePlan.activity.reference (reference)is equivalent toCarePlan.activity.plannedActivityReferenceElement `CarePlan.activity.reference` is mapped to FHIR R5 element `CarePlan.activity.plannedActivityReference` as `Equivalent`. Standard extension exists ([resource-pertainsToGoal](https://hl7.org/fhir/extension-resource-pertainstogoal.html)) that allows goals to be referenced from any of the referenced resources in CarePlan.activity.reference. The goal should be visible when the resource referenced by CarePlan.activity.reference is viewed independently from the CarePlan. Requests that are pointed to by a CarePlan using this element should *not* point to this CarePlan using the "basedOn" element. i.e. Requests that are part of a CarePlan are not "based on" the CarePlan.
CarePlan.note (note)is equivalent toCarePlan.noteElement `CarePlan.note` is mapped to FHIR R5 element `CarePlan.note` as `Equivalent`.

Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/CarePlan|4.3.0 to R4B: Results of the activity (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
CarePlan.activity.outcomeCodeableConcept (outcomeCodeableConcept)is broader thanExtension (R4B: Results of the activity (new))Element `CarePlan.activity.outcomeCodeableConcept` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.outcomeCodeableConcept` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). Note that this should not duplicate the activity status (e.g. completed or in progress).

Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/CarePlan|4.3.0 to R4B: Appointment, Encounter, Procedure, etc. (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
CarePlan.activity.outcomeReference (outcomeReference)is broader thanExtension (R4B: Appointment, Encounter, Procedure, etc. (new))Element `CarePlan.activity.outcomeReference` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.outcomeReference` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). The activity outcome is independent of the outcome of the related goal(s). For example, if the goal is to achieve a target body weight of 150 lbs and an activity is defined to diet, then the activity outcome could be calories consumed whereas the goal outcome is an observation for the actual body weight measured.

Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/CarePlan|4.3.0 to R4B: In-line definition of activity (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
CarePlan.activity.detail (detail)is broader thanExtension (R4B: In-line definition of activity (new))Element `CarePlan.activity.detail` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
CarePlan.activity.detail.kind (kind)is broader thanExtension.extension:kind (R4B: Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription (new))Element `CarePlan.activity.detail.kind` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.kind` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.kind` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
CarePlan.activity.detail.instantiatesCanonical (instantiatesCanonical)is broader thanExtension.extension:instantiatesCanonical (R4B: Instantiates FHIR protocol or definition (new))Element `CarePlan.activity.detail.instantiatesCanonical` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.instantiatesCanonical` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.instantiatesCanonical` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
CarePlan.activity.detail.instantiatesUri (instantiatesUri)is broader thanExtension.extension:instantiatesUri (R4B: Instantiates external protocol or definition (new))Element `CarePlan.activity.detail.instantiatesUri` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.instantiatesUri` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.instantiatesUri` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.
CarePlan.activity.detail.code (code)is broader thanExtension.extension:code (R4B: Detail type of activity (new))Element `CarePlan.activity.detail.code` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.code` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.code` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). Tends to be less relevant for activities involving particular products. Codes should not convey negation - use "prohibited" instead.
CarePlan.activity.detail.reasonCode (reasonCode)is broader thanExtension.extension:reasonCode (R4B: Why activity should be done or why activity was prohibited (new))Element `CarePlan.activity.detail.reasonCode` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.reasonCode` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.reasonCode` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonCondition instead.
CarePlan.activity.detail.reasonReference (reasonReference)is broader thanExtension.extension:reasonReference (R4B: Why activity is needed (new))Element `CarePlan.activity.detail.reasonReference` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.reasonReference` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.reasonReference` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). Conditions can be identified at the activity level that are not identified as reasons for the overall plan.
CarePlan.activity.detail.goal (goal)is broader thanExtension.extension:goal (R4B: Goals this activity relates to (new))Element `CarePlan.activity.detail.goal` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.goal` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.goal` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
CarePlan.activity.detail.status (status)is broader thanExtension.extension:status (R4B: not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error (new))Element `CarePlan.activity.detail.status` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.status` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.status` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). Some aspects of status can be inferred based on the resources linked in actionTaken. Note that "status" is only as current as the plan was most recently updated. The unknown code is not to be used to convey other statuses. The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the activity.
CarePlan.activity.detail.statusReason (statusReason)is broader thanExtension.extension:statusReason (R4B: Reason for current status (new))Element `CarePlan.activity.detail.statusReason` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.statusReason` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.statusReason` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). Will generally not be present if status is "complete". Be sure to prompt to update this (or at least remove the existing value) if the status is changed.
CarePlan.activity.detail.doNotPerform (doNotPerform)is broader thanExtension.extension:doNotPerform (R4B: If true, activity is prohibiting action (new))Element `CarePlan.activity.detail.doNotPerform` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.doNotPerform` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.doNotPerform` 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 an activity as an activity that is not to be performed.
CarePlan.activity.detail.scheduled[x] (scheduled[x])is broader thanExtension.extension:scheduled (R4B: When activity is to occur (new))Element `CarePlan.activity.detail.scheduled[x]` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.scheduled[x]` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.scheduled[x]` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
CarePlan.activity.detail.location (location)is broader thanExtension.extension:location (R4B: Where it should happen (new))Element `CarePlan.activity.detail.location` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.location` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.location` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). May reference a specific clinical location or may identify a type of location.
CarePlan.activity.detail.performer (performer)is broader thanExtension.extension:performer (R4B: Who will be responsible? (new))Element `CarePlan.activity.detail.performer` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.performer` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.performer` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). A performer MAY also be a participant in the care plan.
CarePlan.activity.detail.product[x] (product[x])is broader thanExtension.extension:product (R4B: What is to be administered/supplied (new))Element `CarePlan.activity.detail.product[x]` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.product[x]` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.product[x]` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
CarePlan.activity.detail.dailyAmount (dailyAmount)is broader thanExtension.extension:dailyAmount (R4B: How to consume/day? (new))Element `CarePlan.activity.detail.dailyAmount` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.dailyAmount` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.dailyAmount` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
CarePlan.activity.detail.quantity (quantity)is broader thanExtension.extension:quantity (R4B: How much to administer/supply/consume (new))Element `CarePlan.activity.detail.quantity` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.quantity` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.quantity` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
CarePlan.activity.detail.description (description)is broader thanExtension.extension:description (R4B: Extra info describing activity to perform (new))Element `CarePlan.activity.detail.description` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension. Element `CarePlan.activity.detail.description` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`. Element `CarePlan.activity.detail.description` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

Source1

{
  "resourceType": "ConceptMap",
  "id": "R4B-CarePlan-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-CarePlan-element-map-to-R5",
  "version": "0.1.0",
  "name": "R4BCarePlanElementMapToR5",
  "title": "Cross-version mapping for FHIR R4B CarePlan to FHIR R5 CarePlan",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:03:50.1839134-05:00",
  "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 CarePlan 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/CarePlan|4.3.0",
      "target": "http://hl7.org/fhir/StructureDefinition/CarePlan|5.0.0",
      "element": [
        {
          "code": "CarePlan.meta",
          "display": "meta",
          "target": [
            {
              "code": "CarePlan.meta",
              "display": "CarePlan.meta",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.meta` is mapped to FHIR R5 element `CarePlan.meta` as `Equivalent`."
            }
          ]
        },
        {
          "code": "CarePlan.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "code": "CarePlan.implicitRules",
              "display": "CarePlan.implicitRules",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.implicitRules` is mapped to FHIR R5 element `CarePlan.implicitRules` as `Equivalent`.\nAsserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. 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": "CarePlan.language",
          "display": "language",
          "target": [
            {
              "code": "CarePlan.language",
              "display": "CarePlan.language",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.language` is mapped to FHIR R5 element `CarePlan.language` as `Equivalent`.\nLanguage is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."
            }
          ]
        },
        {
          "code": "CarePlan.text",
          "display": "text",
          "target": [
            {
              "code": "CarePlan.text",
              "display": "CarePlan.text",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.text` is mapped to FHIR R5 element `CarePlan.text` as `Equivalent`.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later."
            }
          ]
        },
        {
          "code": "CarePlan.contained",
          "display": "contained",
          "target": [
            {
              "code": "CarePlan.contained",
              "display": "CarePlan.contained",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.contained` is mapped to FHIR R5 element `CarePlan.contained` as `Equivalent`.\nThis should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."
            }
          ]
        },
        {
          "code": "CarePlan.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "CarePlan.identifier",
              "display": "CarePlan.identifier",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.identifier` is mapped to FHIR R5 element `CarePlan.identifier` as `Equivalent`.\nThis is a business identifier, not a resource identifier (see [discussion](https://hl7.org/fhir/resource.htm#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number."
            }
          ]
        },
        {
          "code": "CarePlan.instantiatesCanonical",
          "display": "instantiatesCanonical",
          "target": [
            {
              "code": "CarePlan.instantiatesCanonical",
              "display": "CarePlan.instantiatesCanonical",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.instantiatesCanonical` is mapped to FHIR R5 element `CarePlan.instantiatesCanonical` as `Equivalent`."
            }
          ]
        },
        {
          "code": "CarePlan.instantiatesUri",
          "display": "instantiatesUri",
          "target": [
            {
              "code": "CarePlan.instantiatesUri",
              "display": "CarePlan.instantiatesUri",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.instantiatesUri` is mapped to FHIR R5 element `CarePlan.instantiatesUri` as `Equivalent`.\nThis might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier."
            }
          ]
        },
        {
          "code": "CarePlan.basedOn",
          "display": "basedOn",
          "target": [
            {
              "code": "CarePlan.basedOn",
              "display": "CarePlan.basedOn",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.basedOn` is mapped to FHIR R5 element `CarePlan.basedOn` as `Equivalent`."
            }
          ]
        },
        {
          "code": "CarePlan.replaces",
          "display": "replaces",
          "target": [
            {
              "code": "CarePlan.replaces",
              "display": "CarePlan.replaces",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.replaces` is mapped to FHIR R5 element `CarePlan.replaces` as `Equivalent`.\nThe replacement could be because the initial care plan was immediately rejected (due to an issue) or because the previous care plan was completed, but the need for the action described by the care plan remains ongoing."
            }
          ]
        },
        {
          "code": "CarePlan.partOf",
          "display": "partOf",
          "target": [
            {
              "code": "CarePlan.partOf",
              "display": "CarePlan.partOf",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.partOf` is mapped to FHIR R5 element `CarePlan.partOf` as `Equivalent`.\nEach care plan is an independent request, such that having a care plan be part of another care plan can cause issues with cascading statuses.  As such, this element is still being discussed."
            }
          ]
        },
        {
          "code": "CarePlan.status",
          "display": "status",
          "target": [
            {
              "code": "CarePlan.status",
              "display": "CarePlan.status",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.status` is mapped to FHIR R5 element `CarePlan.status` as `Equivalent`.\nThe unknown code is not to be used to convey other statuses.  The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the care plan.\n\nThis element is labeled as a modifier because the status contains the code entered-in-error that marks the plan as not currently valid."
            }
          ]
        },
        {
          "code": "CarePlan.intent",
          "display": "intent",
          "target": [
            {
              "code": "CarePlan.intent",
              "display": "CarePlan.intent",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.intent` is mapped to FHIR R5 element `CarePlan.intent` as `SourceIsNarrowerThanTarget`.\nThe mappings for `CarePlan.intent` 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 intent alters when and how the resource is actually applicable."
            }
          ]
        },
        {
          "code": "CarePlan.category",
          "display": "category",
          "target": [
            {
              "code": "CarePlan.category",
              "display": "CarePlan.category",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.category` is mapped to FHIR R5 element `CarePlan.category` as `Equivalent`.\nThere may be multiple axes of categorization and one plan may serve multiple purposes.  In some cases, this may be redundant with references to CarePlan.concern."
            }
          ]
        },
        {
          "code": "CarePlan.title",
          "display": "title",
          "target": [
            {
              "code": "CarePlan.title",
              "display": "CarePlan.title",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.title` is mapped to FHIR R5 element `CarePlan.title` as `Equivalent`."
            }
          ]
        },
        {
          "code": "CarePlan.description",
          "display": "description",
          "target": [
            {
              "code": "CarePlan.description",
              "display": "CarePlan.description",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.description` is mapped to FHIR R5 element `CarePlan.description` as `Equivalent`."
            }
          ]
        },
        {
          "code": "CarePlan.subject",
          "display": "subject",
          "target": [
            {
              "code": "CarePlan.subject",
              "display": "CarePlan.subject",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.subject` is mapped to FHIR R5 element `CarePlan.subject` as `Equivalent`."
            }
          ]
        },
        {
          "code": "CarePlan.encounter",
          "display": "encounter",
          "target": [
            {
              "code": "CarePlan.encounter",
              "display": "CarePlan.encounter",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.encounter` is mapped to FHIR R5 element `CarePlan.encounter` as `Equivalent`.\nThis will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. CarePlan activities conducted as a result of the care plan may well occur as part of other encounters."
            }
          ]
        },
        {
          "code": "CarePlan.period",
          "display": "period",
          "target": [
            {
              "code": "CarePlan.period",
              "display": "CarePlan.period",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.period` is mapped to FHIR R5 element `CarePlan.period` as `Equivalent`.\nAny activities scheduled as part of the plan should be constrained to the specified period regardless of whether the activities are planned within a single encounter/episode or across multiple encounters/episodes (e.g. the longitudinal management of a chronic condition)."
            }
          ]
        },
        {
          "code": "CarePlan.created",
          "display": "created",
          "target": [
            {
              "code": "CarePlan.created",
              "display": "CarePlan.created",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.created` is mapped to FHIR R5 element `CarePlan.created` as `Equivalent`."
            }
          ]
        },
        {
          "code": "CarePlan.author",
          "display": "author",
          "target": [
            {
              "code": "CarePlan.custodian",
              "display": "CarePlan.custodian",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.author` is mapped to FHIR R5 element `CarePlan.custodian` as `Equivalent`.\nThe author may also be a contributor.  For example, an organization can be an author, but not listed as a contributor."
            }
          ]
        },
        {
          "code": "CarePlan.contributor",
          "display": "contributor",
          "target": [
            {
              "code": "CarePlan.contributor",
              "display": "CarePlan.contributor",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.contributor` is mapped to FHIR R5 element `CarePlan.contributor` as `Equivalent`.\nCollaborative care plans may have multiple contributors."
            }
          ]
        },
        {
          "code": "CarePlan.careTeam",
          "display": "careTeam",
          "target": [
            {
              "code": "CarePlan.careTeam",
              "display": "CarePlan.careTeam",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.careTeam` is mapped to FHIR R5 element `CarePlan.careTeam` as `Equivalent`."
            }
          ]
        },
        {
          "code": "CarePlan.addresses",
          "display": "addresses",
          "target": [
            {
              "code": "CarePlan.addresses",
              "display": "CarePlan.addresses",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.addresses` is mapped to FHIR R5 element `CarePlan.addresses` as `SourceIsNarrowerThanTarget`.\nWhen the diagnosis is related to an allergy or intolerance, the Condition and AllergyIntolerance resources can both be used. However, to be actionable for decision support, using Condition alone is not sufficient as the allergy or intolerance condition needs to be represented as an AllergyIntolerance."
            }
          ]
        },
        {
          "code": "CarePlan.supportingInfo",
          "display": "supportingInfo",
          "target": [
            {
              "code": "CarePlan.supportingInfo",
              "display": "CarePlan.supportingInfo",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.supportingInfo` is mapped to FHIR R5 element `CarePlan.supportingInfo` as `Equivalent`.\nUse \"concern\" to identify specific conditions addressed by the care plan."
            }
          ]
        },
        {
          "code": "CarePlan.goal",
          "display": "goal",
          "target": [
            {
              "code": "CarePlan.goal",
              "display": "CarePlan.goal",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.goal` is mapped to FHIR R5 element `CarePlan.goal` as `Equivalent`.\nGoal can be achieving a particular change or merely maintaining a current state or even slowing a decline."
            }
          ]
        },
        {
          "code": "CarePlan.activity",
          "display": "activity",
          "target": [
            {
              "code": "CarePlan.activity",
              "display": "CarePlan.activity",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `CarePlan.activity` is mapped to FHIR R5 element `CarePlan.activity` as `Equivalent`."
            }
          ]
        },
        {
          "code": "CarePlan.activity.progress",
          "display": "progress",
          "target": [
            {
              "code": "CarePlan.activity.progress",
              "display": "CarePlan.activity.progress",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.activity.progress` is mapped to FHIR R5 element `CarePlan.activity.progress` as `Equivalent`.\nThis element should NOT be used to describe the activity to be performed - that occurs either within the resource pointed to by activity.detail.reference or in activity.detail.description."
            }
          ]
        },
        {
          "code": "CarePlan.activity.reference",
          "display": "reference",
          "target": [
            {
              "code": "CarePlan.activity.plannedActivityReference",
              "display": "CarePlan.activity.plannedActivityReference",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.activity.reference` is mapped to FHIR R5 element `CarePlan.activity.plannedActivityReference` as `Equivalent`.\nStandard extension exists ([resource-pertainsToGoal](https://hl7.org/fhir/extension-resource-pertainstogoal.html)) that allows goals to be referenced from any of the referenced resources in CarePlan.activity.reference.  \rThe goal should be visible when the resource referenced by CarePlan.activity.reference is viewed independently from the CarePlan.  Requests that are pointed to by a CarePlan using this element should *not* point to this CarePlan using the \"basedOn\" element.  i.e. Requests that are part of a CarePlan are not \"based on\" the CarePlan."
            }
          ]
        },
        {
          "code": "CarePlan.note",
          "display": "note",
          "target": [
            {
              "code": "CarePlan.note",
              "display": "CarePlan.note",
              "relationship": "equivalent",
              "comment": "Element `CarePlan.note` is mapped to FHIR R5 element `CarePlan.note` as `Equivalent`."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/CarePlan|4.3.0",
      "target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-CarePlan.activity.outcomeCodeableConcept|0.1.0",
      "element": [
        {
          "code": "CarePlan.activity.outcomeCodeableConcept",
          "display": "outcomeCodeableConcept",
          "target": [
            {
              "code": "Extension",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `CarePlan.activity.outcomeCodeableConcept` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.activity.outcomeCodeableConcept` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nNote that this should not duplicate the activity status (e.g. completed or in progress)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/CarePlan|4.3.0",
      "target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-CarePlan.activity.outcomeReference|0.1.0",
      "element": [
        {
          "code": "CarePlan.activity.outcomeReference",
          "display": "outcomeReference",
          "target": [
            {
              "code": "Extension",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `CarePlan.activity.outcomeReference` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.activity.outcomeReference` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nThe activity outcome is independent of the outcome of the related goal(s).  For example, if the goal is to achieve a target body weight of 150 lbs and an activity is defined to diet, then the activity outcome could be calories consumed whereas the goal outcome is an observation for the actual body weight measured."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/CarePlan|4.3.0",
      "target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-CarePlan.activity.detail|0.1.0",
      "element": [
        {
          "code": "CarePlan.activity.detail",
          "display": "detail",
          "target": [
            {
              "code": "Extension",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `CarePlan.activity.detail` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.activity.detail` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.kind",
          "display": "kind",
          "target": [
            {
              "code": "Extension.extension:kind",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `CarePlan.activity.detail.kind` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension.\nElement `CarePlan.activity.detail.kind` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.activity.detail.kind` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.instantiatesCanonical",
          "display": "instantiatesCanonical",
          "target": [
            {
              "code": "Extension.extension:instantiatesCanonical",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `CarePlan.activity.detail.instantiatesCanonical` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension.\nElement `CarePlan.activity.detail.instantiatesCanonical` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.activity.detail.instantiatesCanonical` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.instantiatesUri",
          "display": "instantiatesUri",
          "target": [
            {
              "code": "Extension.extension:instantiatesUri",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `CarePlan.activity.detail.instantiatesUri` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension.\nElement `CarePlan.activity.detail.instantiatesUri` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.activity.detail.instantiatesUri` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nThis might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.code",
          "display": "code",
          "target": [
            {
              "code": "Extension.extension:code",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `CarePlan.activity.detail.code` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension.\nElement `CarePlan.activity.detail.code` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.activity.detail.code` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nTends to be less relevant for activities involving particular products.  Codes should not convey negation - use \"prohibited\" instead."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.reasonCode",
          "display": "reasonCode",
          "target": [
            {
              "code": "Extension.extension:reasonCode",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `CarePlan.activity.detail.reasonCode` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension.\nElement `CarePlan.activity.detail.reasonCode` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.activity.detail.reasonCode` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nThis could be a diagnosis code.  If a full condition record exists or additional detail is needed, use reasonCondition instead."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.reasonReference",
          "display": "reasonReference",
          "target": [
            {
              "code": "Extension.extension:reasonReference",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `CarePlan.activity.detail.reasonReference` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension.\nElement `CarePlan.activity.detail.reasonReference` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.activity.detail.reasonReference` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nConditions can be identified at the activity level that are not identified as reasons for the overall plan."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.goal",
          "display": "goal",
          "target": [
            {
              "code": "Extension.extension:goal",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `CarePlan.activity.detail.goal` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension.\nElement `CarePlan.activity.detail.goal` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.activity.detail.goal` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.status",
          "display": "status",
          "target": [
            {
              "code": "Extension.extension:status",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `CarePlan.activity.detail.status` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension.\nElement `CarePlan.activity.detail.status` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.activity.detail.status` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nSome aspects of status can be inferred based on the resources linked in actionTaken.  Note that \"status\" is only as current as the plan was most recently updated.  \nThe unknown code is not to be used to convey other statuses.  The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the activity."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.statusReason",
          "display": "statusReason",
          "target": [
            {
              "code": "Extension.extension:statusReason",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `CarePlan.activity.detail.statusReason` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension.\nElement `CarePlan.activity.detail.statusReason` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.activity.detail.statusReason` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nWill generally not be present if status is \"complete\".  Be sure to prompt to update this (or at least remove the existing value) if the status is changed."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.doNotPerform",
          "display": "doNotPerform",
          "target": [
            {
              "code": "Extension.extension:doNotPerform",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `CarePlan.activity.detail.doNotPerform` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension.\nElement `CarePlan.activity.detail.doNotPerform` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.activity.detail.doNotPerform` 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 an activity as an activity that is not to be performed."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.scheduled[x]",
          "display": "scheduled[x]",
          "target": [
            {
              "code": "Extension.extension:scheduled",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `CarePlan.activity.detail.scheduled[x]` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension.\nElement `CarePlan.activity.detail.scheduled[x]` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.activity.detail.scheduled[x]` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.location",
          "display": "location",
          "target": [
            {
              "code": "Extension.extension:location",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `CarePlan.activity.detail.location` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension.\nElement `CarePlan.activity.detail.location` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.activity.detail.location` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nMay reference a specific clinical location or may identify a type of location."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.performer",
          "display": "performer",
          "target": [
            {
              "code": "Extension.extension:performer",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `CarePlan.activity.detail.performer` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension.\nElement `CarePlan.activity.detail.performer` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.activity.detail.performer` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nA performer MAY also be a participant in the care plan."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.product[x]",
          "display": "product[x]",
          "target": [
            {
              "code": "Extension.extension:product",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `CarePlan.activity.detail.product[x]` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension.\nElement `CarePlan.activity.detail.product[x]` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.activity.detail.product[x]` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.dailyAmount",
          "display": "dailyAmount",
          "target": [
            {
              "code": "Extension.extension:dailyAmount",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `CarePlan.activity.detail.dailyAmount` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension.\nElement `CarePlan.activity.detail.dailyAmount` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.activity.detail.dailyAmount` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.quantity",
          "display": "quantity",
          "target": [
            {
              "code": "Extension.extension:quantity",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `CarePlan.activity.detail.quantity` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension.\nElement `CarePlan.activity.detail.quantity` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.activity.detail.quantity` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "CarePlan.activity.detail.description",
          "display": "description",
          "target": [
            {
              "code": "Extension.extension:description",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `CarePlan.activity.detail.description` is part of an existing definition because parent element `CarePlan.activity.detail` requires a cross-version extension.\nElement `CarePlan.activity.detail.description` has a context of CarePlan.activity based on following the parent source element upwards and mapping to `CarePlan`.\nElement `CarePlan.activity.detail.description` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    }
  ]
}