FHIR IG analytics| Package | hl7.fhir.uv.xver-r5.r4b |
| Resource Type | ConceptMap |
| Id | ConceptMap-R5-CarePlan-element-map-to-R4B.json |
| FHIR Version | R4B |
| Source | http://hl7.org/fhir/uv/xver-r5.r4b/0.1.0/ConceptMap-R5-CarePlan-element-map-to-R4B.html |
| URL | http://hl7.org/fhir/uv/xver/ConceptMap/R5-CarePlan-element-map-to-R4B |
| Version | 0.1.0 |
| Status | active |
| Date | 2026-03-17T16:03:55.9639491-05:00 |
| Name | R5CarePlanElementMapToR4B |
| Title | Cross-version mapping for FHIR R5 CarePlan to FHIR R4B CarePlan |
| Realm | uv |
| Authority | hl7 |
| Description | This ConceptMap represents cross-version mappings for elements from a FHIR R5 CarePlan to FHIR R4B. |
No resources found
| StructureDefinition | ||
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-CarePlan.addresses | Cross-version Extension for R5.CarePlan.addresses for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-CarePlan.intent | Cross-version Extension for R5.CarePlan.intent for use in FHIR R4 |
Note: links and images are rebased to the (stated) source
Generated Narrative: ConceptMap R5-CarePlan-element-map-to-R4B
Mapping from http://hl7.org/fhir/5.0 to http://hl7.org/fhir/4.3
Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/CarePlan|5.0.0 to CarePlanversion: 4.3.0)
| Source Concept Details | Relationship | Target Concept Details | Comment | ||
| Codes from http://hl7.org/fhir/StructureDefinition/CarePlan|5.0.0 | Codes from CarePlan | ||||
| CarePlan.meta | meta | is equivalent to | CarePlan.meta | CarePlan.meta | Element `CarePlan.meta` is mapped to FHIR R4B element `CarePlan.meta` as `Equivalent`. |
| CarePlan.implicitRules | implicitRules | is equivalent to | CarePlan.implicitRules | CarePlan.implicitRules | Element `CarePlan.implicitRules` is mapped to FHIR R4B 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 its narrative along with other profiles, value sets, etc. |
| CarePlan.language | language | is equivalent to | CarePlan.language | CarePlan.language | Element `CarePlan.language` is mapped to FHIR R4B 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 to | CarePlan.text | CarePlan.text | Element `CarePlan.text` is mapped to FHIR R4B element `CarePlan.text` as `Equivalent`. Contained resources do not have a 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 to | CarePlan.contained | CarePlan.contained | Element `CarePlan.contained` is mapped to FHIR R4B 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 to | CarePlan.identifier | CarePlan.identifier | Element `CarePlan.identifier` is mapped to FHIR R4B 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 to | CarePlan.instantiatesCanonical | CarePlan.instantiatesCanonical | Element `CarePlan.instantiatesCanonical` is mapped to FHIR R4B element `CarePlan.instantiatesCanonical` as `Equivalent`. |
| CarePlan.instantiatesUri | instantiatesUri | is equivalent to | CarePlan.instantiatesUri | CarePlan.instantiatesUri | Element `CarePlan.instantiatesUri` is mapped to FHIR R4B 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 | maps to wider concept | CarePlan.basedOn | CarePlan.basedOn | Element `CarePlan.basedOn` is mapped to FHIR R4B element `CarePlan.basedOn` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `CarePlan.basedOn` with unmapped reference targets: NutritionOrder, RequestOrchestration, ServiceRequest. |
| CarePlan.replaces | replaces | is equivalent to | CarePlan.replaces | CarePlan.replaces | Element `CarePlan.replaces` is mapped to FHIR R4B 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 to | CarePlan.partOf | CarePlan.partOf | Element `CarePlan.partOf` is mapped to FHIR R4B 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 to | CarePlan.status | CarePlan.status | Element `CarePlan.status` is mapped to FHIR R4B 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 | maps to wider concept | CarePlan.intent | CarePlan.intent | Element `CarePlan.intent` is mapped to FHIR R4B element `CarePlan.intent` as `SourceIsBroaderThanTarget`. The target context `CarePlan.intent` 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 intent alters when and how the resource is actually applicable. This element is expected to be immutable. E.g. A "proposal" instance should never change to be a "plan" instance or "order" instance. Instead, a new instance 'basedOn' the prior instance should be created with the new 'intent' value. |
| CarePlan.category | category | is equivalent to | CarePlan.category | CarePlan.category | Element `CarePlan.category` is mapped to FHIR R4B 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.addresses. |
| CarePlan.title | title | is equivalent to | CarePlan.title | CarePlan.title | Element `CarePlan.title` is mapped to FHIR R4B element `CarePlan.title` as `Equivalent`. |
| CarePlan.description | description | is equivalent to | CarePlan.description | CarePlan.description | Element `CarePlan.description` is mapped to FHIR R4B element `CarePlan.description` as `Equivalent`. |
| CarePlan.subject | subject | is equivalent to | CarePlan.subject | CarePlan.subject | Element `CarePlan.subject` is mapped to FHIR R4B element `CarePlan.subject` as `Equivalent`. |
| CarePlan.encounter | encounter | is equivalent to | CarePlan.encounter | CarePlan.encounter | Element `CarePlan.encounter` is mapped to FHIR R4B 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 to | CarePlan.period | CarePlan.period | Element `CarePlan.period` is mapped to FHIR R4B 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 to | CarePlan.created | CarePlan.created | Element `CarePlan.created` is mapped to FHIR R4B element `CarePlan.created` as `Equivalent`. |
| CarePlan.custodian | custodian | is equivalent to | CarePlan.author | CarePlan.author | Element `CarePlan.custodian` is mapped to FHIR R4B element `CarePlan.author` as `Equivalent`. The custodian might or might not be a contributor. |
| CarePlan.contributor | contributor | is equivalent to | CarePlan.contributor | CarePlan.contributor | Element `CarePlan.contributor` is mapped to FHIR R4B element `CarePlan.contributor` as `Equivalent`. Collaborative care plans may have multiple contributors. |
| CarePlan.careTeam | careTeam | is equivalent to | CarePlan.careTeam | CarePlan.careTeam | Element `CarePlan.careTeam` is mapped to FHIR R4B element `CarePlan.careTeam` as `Equivalent`. |
| CarePlan.addresses | addresses | maps to wider concept | CarePlan.addresses | CarePlan.addresses | Element `CarePlan.addresses` is mapped to FHIR R4B element `CarePlan.addresses` as `SourceIsBroaderThanTarget`. The mappings for `CarePlan.addresses` do not cover the following types: CodeableReference. The mappings for `CarePlan.addresses` do not cover the following types based on type expansion: concept. Use CarePlan.addresses.concept when a code sufficiently describes the concern (e.g. condition, problem, diagnosis, risk). Use CarePlan.addresses.reference when referencing a resource, which allows more information to be conveyed, such as onset date. CarePlan.addresses.concept and CarePlan.addresses.reference are not meant to be duplicative. For a single concern, either CarePlan.addresses.concept or CarePlan.addresses.reference can be used. CarePlan.addresses.concept may be a summary code, or CarePlan.addresses.reference may be used to reference a very precise definition of the concern using Condition. Both CarePlan.addresses.concept and CarePlan.addresses.reference can be used if they are describing different concerns for the care plan. |
| CarePlan.supportingInfo | supportingInfo | is equivalent to | CarePlan.supportingInfo | CarePlan.supportingInfo | Element `CarePlan.supportingInfo` is mapped to FHIR R4B element `CarePlan.supportingInfo` as `Equivalent`. Use "concern" to identify specific conditions addressed by the care plan. supportingInfo can be used to convey one or more Advance Directives or Medical Treatment Consent Directives by referencing Consent or any other request resource with intent = directive. |
| CarePlan.goal | goal | is equivalent to | CarePlan.goal | CarePlan.goal | Element `CarePlan.goal` is mapped to FHIR R4B 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 | maps to wider concept | CarePlan.activity | CarePlan.activity | Element `CarePlan.activity` is mapped to FHIR R4B element `CarePlan.activity` as `Equivalent`. |
| CarePlan.activity.performedActivity | performedActivity | is related to | CarePlan.activity.outcomeCodeableConcept | CarePlan.activity.outcomeCodeableConcept | Element `CarePlan.activity.performedActivity` is mapped to FHIR R4B element `CarePlan.activity.outcomeCodeableConcept` as `SourceIsBroaderThanTarget`. Element `CarePlan.activity.performedActivity` is mapped to FHIR R4B element `CarePlan.activity.outcomeReference` as `SourceIsBroaderThanTarget`. Element `CarePlan.activity.performedActivity` is mapped to FHIR R4B element `CarePlan.activity.reference` as `RelatedTo`. Note that this should not duplicate the activity status (e.g. completed or in progress). The activity performed 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 exercise, then the activity performed could be amount and intensity of exercise performed whereas the goal outcome is an observation for the actual body weight measured. |
| is related to | CarePlan.activity.outcomeReference | CarePlan.activity.outcomeReference | Element `CarePlan.activity.performedActivity` is mapped to FHIR R4B element `CarePlan.activity.outcomeCodeableConcept` as `SourceIsBroaderThanTarget`. Element `CarePlan.activity.performedActivity` is mapped to FHIR R4B element `CarePlan.activity.outcomeReference` as `SourceIsBroaderThanTarget`. Element `CarePlan.activity.performedActivity` is mapped to FHIR R4B element `CarePlan.activity.reference` as `RelatedTo`. Note that this should not duplicate the activity status (e.g. completed or in progress). The activity performed 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 exercise, then the activity performed could be amount and intensity of exercise performed whereas the goal outcome is an observation for the actual body weight measured. | ||
| is related to | CarePlan.activity.reference | CarePlan.activity.reference | Element `CarePlan.activity.performedActivity` is mapped to FHIR R4B element `CarePlan.activity.outcomeCodeableConcept` as `SourceIsBroaderThanTarget`. Element `CarePlan.activity.performedActivity` is mapped to FHIR R4B element `CarePlan.activity.outcomeReference` as `SourceIsBroaderThanTarget`. Element `CarePlan.activity.performedActivity` is mapped to FHIR R4B element `CarePlan.activity.reference` as `RelatedTo`. Note that this should not duplicate the activity status (e.g. completed or in progress). The activity performed 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 exercise, then the activity performed could be amount and intensity of exercise performed whereas the goal outcome is an observation for the actual body weight measured. | ||
| CarePlan.activity.progress | progress | is equivalent to | CarePlan.activity.progress | CarePlan.activity.progress | Element `CarePlan.activity.progress` is mapped to FHIR R4B 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.plannedActivityReference | plannedActivityReference | maps to wider concept | CarePlan.activity.reference | CarePlan.activity.reference | Element `CarePlan.activity.plannedActivityReference` is mapped to FHIR R4B element `CarePlan.activity.reference` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `CarePlan.activity.plannedActivityReference` with unmapped reference targets: ImmunizationRecommendation, SupplyRequest. Standard extension exists ([http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal](http://hl7.org/fhir/extensions/StructureDefinition-resource-pertainsToGoal.html)) that allows goals to be referenced from any of the referenced resources in CarePlan.activity.plannedActivityReference. The goal should be visible when the resource referenced by CarePlan.activity.plannedActivityReference 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 to | CarePlan.note | CarePlan.note | Element `CarePlan.note` is mapped to FHIR R4B element `CarePlan.note` as `Equivalent`. |
Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/CarePlan|5.0.0 to R5: proposal | plan | order | option | directiveversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| CarePlan.intent (intent) | is equivalent to | Extension (R5: proposal | plan | order | option | directive) | Element `CarePlan.intent` is mapped to FHIR R4B element `CarePlan.intent` as `SourceIsBroaderThanTarget`. The target context `CarePlan.intent` 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 intent alters when and how the resource is actually applicable. This element is expected to be immutable. E.g. A "proposal" instance should never change to be a "plan" instance or "order" instance. Instead, a new instance 'basedOn' the prior instance should be created with the new 'intent' value. |
Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/CarePlan|5.0.0 to R5: addresses additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| CarePlan.addresses (addresses) | is equivalent to | Extension (R5: addresses additional types) | Element `CarePlan.addresses` is mapped to FHIR R4B element `CarePlan.addresses` as `SourceIsBroaderThanTarget`. The mappings for `CarePlan.addresses` do not cover the following types: CodeableReference. The mappings for `CarePlan.addresses` do not cover the following types based on type expansion: concept. Use CarePlan.addresses.concept when a code sufficiently describes the concern (e.g. condition, problem, diagnosis, risk). Use CarePlan.addresses.reference when referencing a resource, which allows more information to be conveyed, such as onset date. CarePlan.addresses.concept and CarePlan.addresses.reference are not meant to be duplicative. For a single concern, either CarePlan.addresses.concept or CarePlan.addresses.reference can be used. CarePlan.addresses.concept may be a summary code, or CarePlan.addresses.reference may be used to reference a very precise definition of the concern using Condition. Both CarePlan.addresses.concept and CarePlan.addresses.reference can be used if they are describing different concerns for the care plan. |
{
"resourceType": "ConceptMap",
"id": "R5-CarePlan-element-map-to-R4B",
"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-r5.r4b"
}
]
}
},
{
"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-r5.r4b"
}
]
}
}
],
"url": "http://hl7.org/fhir/uv/xver/ConceptMap/R5-CarePlan-element-map-to-R4B",
"version": "0.1.0",
"name": "R5CarePlanElementMapToR4B",
"title": "Cross-version mapping for FHIR R5 CarePlan to FHIR R4B CarePlan",
"status": "active",
"experimental": false,
"date": "2026-03-17T16:03:55.9639491-05:00",
"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 R5 CarePlan to FHIR R4B.",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001",
"display": "World"
}
]
}
],
"sourceCanonical": "http://hl7.org/fhir/5.0",
"targetUri": "http://hl7.org/fhir/4.3",
"group": [
{
"source": "http://hl7.org/fhir/StructureDefinition/CarePlan",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/StructureDefinition/CarePlan",
"targetVersion": "4.3.0",
"element": [
{
"code": "CarePlan.meta",
"display": "meta",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "CarePlan.meta",
"display": "CarePlan.meta",
"equivalence": "equivalent",
"comment": "Element `CarePlan.meta` is mapped to FHIR R4B element `CarePlan.meta` as `Equivalent`."
}
]
},
{
"code": "CarePlan.implicitRules",
"display": "implicitRules",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "CarePlan.implicitRules",
"display": "CarePlan.implicitRules",
"equivalence": "equivalent",
"comment": "Element `CarePlan.implicitRules` is mapped to FHIR R4B 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 its narrative along with other profiles, value sets, etc."
}
]
},
{
"code": "CarePlan.language",
"display": "language",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "CarePlan.language",
"display": "CarePlan.language",
"equivalence": "equivalent",
"comment": "Element `CarePlan.language` is mapped to FHIR R4B 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": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "CarePlan.text",
"display": "CarePlan.text",
"equivalence": "equivalent",
"comment": "Element `CarePlan.text` is mapped to FHIR R4B element `CarePlan.text` as `Equivalent`.\nContained resources do not have a 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": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "CarePlan.contained",
"display": "CarePlan.contained",
"equivalence": "equivalent",
"comment": "Element `CarePlan.contained` is mapped to FHIR R4B 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": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "CarePlan.identifier",
"display": "CarePlan.identifier",
"equivalence": "equivalent",
"comment": "Element `CarePlan.identifier` is mapped to FHIR R4B 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": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "CarePlan.instantiatesCanonical",
"display": "CarePlan.instantiatesCanonical",
"equivalence": "equivalent",
"comment": "Element `CarePlan.instantiatesCanonical` is mapped to FHIR R4B element `CarePlan.instantiatesCanonical` as `Equivalent`."
}
]
},
{
"code": "CarePlan.instantiatesUri",
"display": "instantiatesUri",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "CarePlan.instantiatesUri",
"display": "CarePlan.instantiatesUri",
"equivalence": "equivalent",
"comment": "Element `CarePlan.instantiatesUri` is mapped to FHIR R4B 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": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "CarePlan.basedOn",
"display": "CarePlan.basedOn",
"equivalence": "wider",
"comment": "Element `CarePlan.basedOn` is mapped to FHIR R4B element `CarePlan.basedOn` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `CarePlan.basedOn` with unmapped reference targets: NutritionOrder, RequestOrchestration, ServiceRequest."
}
]
},
{
"code": "CarePlan.replaces",
"display": "replaces",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "CarePlan.replaces",
"display": "CarePlan.replaces",
"equivalence": "equivalent",
"comment": "Element `CarePlan.replaces` is mapped to FHIR R4B 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": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "CarePlan.partOf",
"display": "CarePlan.partOf",
"equivalence": "equivalent",
"comment": "Element `CarePlan.partOf` is mapped to FHIR R4B 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": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "CarePlan.status",
"display": "CarePlan.status",
"equivalence": "equivalent",
"comment": "Element `CarePlan.status` is mapped to FHIR R4B 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": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "CarePlan.intent",
"display": "CarePlan.intent",
"equivalence": "wider",
"comment": "Element `CarePlan.intent` is mapped to FHIR R4B element `CarePlan.intent` as `SourceIsBroaderThanTarget`.\nThe target context `CarePlan.intent` 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 intent alters when and how the resource is actually applicable.\nThis element is expected to be immutable. E.g. A \"proposal\" instance should never change to be a \"plan\" instance or \"order\" instance. Instead, a new instance 'basedOn' the prior instance should be created with the new 'intent' value."
}
]
},
{
"code": "CarePlan.category",
"display": "category",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "CarePlan.category",
"display": "CarePlan.category",
"equivalence": "equivalent",
"comment": "Element `CarePlan.category` is mapped to FHIR R4B 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.addresses."
}
]
},
{
"code": "CarePlan.title",
"display": "title",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "CarePlan.title",
"display": "CarePlan.title",
"equivalence": "equivalent",
"comment": "Element `CarePlan.title` is mapped to FHIR R4B element `CarePlan.title` as `Equivalent`."
}
]
},
{
"code": "CarePlan.description",
"display": "description",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "CarePlan.description",
"display": "CarePlan.description",
"equivalence": "equivalent",
"comment": "Element `CarePlan.description` is mapped to FHIR R4B element `CarePlan.description` as `Equivalent`."
}
]
},
{
"code": "CarePlan.subject",
"display": "subject",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "CarePlan.subject",
"display": "CarePlan.subject",
"equivalence": "equivalent",
"comment": "Element `CarePlan.subject` is mapped to FHIR R4B element `CarePlan.subject` as `Equivalent`."
}
]
},
{
"code": "CarePlan.encounter",
"display": "encounter",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "CarePlan.encounter",
"display": "CarePlan.encounter",
"equivalence": "equivalent",
"comment": "Element `CarePlan.encounter` is mapped to FHIR R4B 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": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "CarePlan.period",
"display": "CarePlan.period",
"equivalence": "equivalent",
"comment": "Element `CarePlan.period` is mapped to FHIR R4B 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": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "CarePlan.created",
"display": "CarePlan.created",
"equivalence": "equivalent",
"comment": "Element `CarePlan.created` is mapped to FHIR R4B element `CarePlan.created` as `Equivalent`."
}
]
},
{
"code": "CarePlan.custodian",
"display": "custodian",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "CarePlan.author",
"display": "CarePlan.author",
"equivalence": "equivalent",
"comment": "Element `CarePlan.custodian` is mapped to FHIR R4B element `CarePlan.author` as `Equivalent`.\nThe custodian might or might not be a contributor."
}
]
},
{
"code": "CarePlan.contributor",
"display": "contributor",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "CarePlan.contributor",
"display": "CarePlan.contributor",
"equivalence": "equivalent",
"comment": "Element `CarePlan.contributor` is mapped to FHIR R4B element `CarePlan.contributor` as `Equivalent`.\nCollaborative care plans may have multiple contributors."
}
]
},
{
"code": "CarePlan.careTeam",
"display": "careTeam",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "CarePlan.careTeam",
"display": "CarePlan.careTeam",
"equivalence": "equivalent",
"comment": "Element `CarePlan.careTeam` is mapped to FHIR R4B element `CarePlan.careTeam` as `Equivalent`."
}
]
},
{
"code": "CarePlan.addresses",
"display": "addresses",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "CarePlan.addresses",
"display": "CarePlan.addresses",
"equivalence": "wider",
"comment": "Element `CarePlan.addresses` is mapped to FHIR R4B element `CarePlan.addresses` as `SourceIsBroaderThanTarget`.\nThe mappings for `CarePlan.addresses` do not cover the following types: CodeableReference.\nThe mappings for `CarePlan.addresses` do not cover the following types based on type expansion: concept.\nUse CarePlan.addresses.concept when a code sufficiently describes the concern (e.g. condition, problem, diagnosis, risk). Use CarePlan.addresses.reference when referencing a resource, which allows more information to be conveyed, such as onset date. CarePlan.addresses.concept and CarePlan.addresses.reference are not meant to be duplicative. For a single concern, either CarePlan.addresses.concept or CarePlan.addresses.reference can be used. CarePlan.addresses.concept may be a summary code, or CarePlan.addresses.reference may be used to reference a very precise definition of the concern using Condition. Both CarePlan.addresses.concept and CarePlan.addresses.reference can be used if they are describing different concerns for the care plan."
}
]
},
{
"code": "CarePlan.supportingInfo",
"display": "supportingInfo",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "CarePlan.supportingInfo",
"display": "CarePlan.supportingInfo",
"equivalence": "equivalent",
"comment": "Element `CarePlan.supportingInfo` is mapped to FHIR R4B element `CarePlan.supportingInfo` as `Equivalent`.\nUse \"concern\" to identify specific conditions addressed by the care plan. supportingInfo can be used to convey one or more Advance Directives or Medical Treatment Consent Directives by referencing Consent or any other request resource with intent = directive."
}
]
},
{
"code": "CarePlan.goal",
"display": "goal",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "CarePlan.goal",
"display": "CarePlan.goal",
"equivalence": "equivalent",
"comment": "Element `CarePlan.goal` is mapped to FHIR R4B 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": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "CarePlan.activity",
"display": "CarePlan.activity",
"equivalence": "wider",
"comment": "Element `CarePlan.activity` is mapped to FHIR R4B element `CarePlan.activity` as `Equivalent`."
}
]
},
{
"code": "CarePlan.activity.performedActivity",
"display": "performedActivity",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "relatedto"
}
],
"code": "CarePlan.activity.outcomeCodeableConcept",
"display": "CarePlan.activity.outcomeCodeableConcept",
"equivalence": "relatedto",
"comment": "Element `CarePlan.activity.performedActivity` is mapped to FHIR R4B element `CarePlan.activity.outcomeCodeableConcept` as `SourceIsBroaderThanTarget`.\nElement `CarePlan.activity.performedActivity` is mapped to FHIR R4B element `CarePlan.activity.outcomeReference` as `SourceIsBroaderThanTarget`.\nElement `CarePlan.activity.performedActivity` is mapped to FHIR R4B element `CarePlan.activity.reference` as `RelatedTo`.\nNote that this should not duplicate the activity status (e.g. completed or in progress). The activity performed 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 exercise, then the activity performed could be amount and intensity of exercise performed whereas the goal outcome is an observation for the actual body weight measured."
},
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "relatedto"
}
],
"code": "CarePlan.activity.outcomeReference",
"display": "CarePlan.activity.outcomeReference",
"equivalence": "relatedto",
"comment": "Element `CarePlan.activity.performedActivity` is mapped to FHIR R4B element `CarePlan.activity.outcomeCodeableConcept` as `SourceIsBroaderThanTarget`.\nElement `CarePlan.activity.performedActivity` is mapped to FHIR R4B element `CarePlan.activity.outcomeReference` as `SourceIsBroaderThanTarget`.\nElement `CarePlan.activity.performedActivity` is mapped to FHIR R4B element `CarePlan.activity.reference` as `RelatedTo`.\nNote that this should not duplicate the activity status (e.g. completed or in progress). The activity performed 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 exercise, then the activity performed could be amount and intensity of exercise performed whereas the goal outcome is an observation for the actual body weight measured."
},
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "relatedto"
}
],
"code": "CarePlan.activity.reference",
"display": "CarePlan.activity.reference",
"equivalence": "relatedto",
"comment": "Element `CarePlan.activity.performedActivity` is mapped to FHIR R4B element `CarePlan.activity.outcomeCodeableConcept` as `SourceIsBroaderThanTarget`.\nElement `CarePlan.activity.performedActivity` is mapped to FHIR R4B element `CarePlan.activity.outcomeReference` as `SourceIsBroaderThanTarget`.\nElement `CarePlan.activity.performedActivity` is mapped to FHIR R4B element `CarePlan.activity.reference` as `RelatedTo`.\nNote that this should not duplicate the activity status (e.g. completed or in progress). The activity performed 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 exercise, then the activity performed could be amount and intensity of exercise performed whereas the goal outcome is an observation for the actual body weight measured."
}
]
},
{
"code": "CarePlan.activity.progress",
"display": "progress",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "CarePlan.activity.progress",
"display": "CarePlan.activity.progress",
"equivalence": "equivalent",
"comment": "Element `CarePlan.activity.progress` is mapped to FHIR R4B 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.plannedActivityReference",
"display": "plannedActivityReference",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "CarePlan.activity.reference",
"display": "CarePlan.activity.reference",
"equivalence": "wider",
"comment": "Element `CarePlan.activity.plannedActivityReference` is mapped to FHIR R4B element `CarePlan.activity.reference` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `CarePlan.activity.plannedActivityReference` with unmapped reference targets: ImmunizationRecommendation, SupplyRequest.\nStandard extension exists ([http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal](http://hl7.org/fhir/extensions/StructureDefinition-resource-pertainsToGoal.html)) that allows goals to be referenced from any of the referenced resources in CarePlan.activity.plannedActivityReference. \nThe goal should be visible when the resource referenced by CarePlan.activity.plannedActivityReference 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": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "CarePlan.note",
"display": "CarePlan.note",
"equivalence": "equivalent",
"comment": "Element `CarePlan.note` is mapped to FHIR R4B element `CarePlan.note` as `Equivalent`."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/CarePlan",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-CarePlan.intent",
"targetVersion": "0.1.0",
"element": [
{
"code": "CarePlan.intent",
"display": "intent",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `CarePlan.intent` is mapped to FHIR R4B element `CarePlan.intent` as `SourceIsBroaderThanTarget`.\nThe target context `CarePlan.intent` 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 intent alters when and how the resource is actually applicable.\nThis element is expected to be immutable. E.g. A \"proposal\" instance should never change to be a \"plan\" instance or \"order\" instance. Instead, a new instance 'basedOn' the prior instance should be created with the new 'intent' value."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/CarePlan",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-CarePlan.addresses",
"targetVersion": "0.1.0",
"element": [
{
"code": "CarePlan.addresses",
"display": "addresses",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `CarePlan.addresses` is mapped to FHIR R4B element `CarePlan.addresses` as `SourceIsBroaderThanTarget`.\nThe mappings for `CarePlan.addresses` do not cover the following types: CodeableReference.\nThe mappings for `CarePlan.addresses` do not cover the following types based on type expansion: concept.\nUse CarePlan.addresses.concept when a code sufficiently describes the concern (e.g. condition, problem, diagnosis, risk). Use CarePlan.addresses.reference when referencing a resource, which allows more information to be conveyed, such as onset date. CarePlan.addresses.concept and CarePlan.addresses.reference are not meant to be duplicative. For a single concern, either CarePlan.addresses.concept or CarePlan.addresses.reference can be used. CarePlan.addresses.concept may be a summary code, or CarePlan.addresses.reference may be used to reference a very precise definition of the concern using Condition. Both CarePlan.addresses.concept and CarePlan.addresses.reference can be used if they are describing different concerns for the care plan."
}
]
}
]
}
]
}