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{
  "resourceType": "ConceptMap",
  "id": "R5-Communication-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-Communication-element-map-to-R4B",
  "version": "0.1.0",
  "name": "R5CommunicationElementMapToR4B",
  "title": "Cross-version mapping for FHIR R5 Communication to FHIR R4B Communication",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:03:56.0493742-05:00",
  "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 Communication 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/Communication",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/StructureDefinition/Communication",
      "targetVersion": "4.3.0",
      "element": [
        {
          "code": "Communication.meta",
          "display": "meta",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Communication.meta",
              "display": "Communication.meta",
              "equivalence": "equivalent",
              "comment": "Element `Communication.meta` is mapped to FHIR R4B element `Communication.meta` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Communication.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Communication.implicitRules",
              "display": "Communication.implicitRules",
              "equivalence": "equivalent",
              "comment": "Element `Communication.implicitRules` is mapped to FHIR R4B element `Communication.implicitRules` as `Equivalent`.\nAsserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. 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": "Communication.language",
          "display": "language",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Communication.language",
              "display": "Communication.language",
              "equivalence": "equivalent",
              "comment": "Element `Communication.language` is mapped to FHIR R4B element `Communication.language` as `Equivalent`.\nLanguage is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."
            }
          ]
        },
        {
          "code": "Communication.text",
          "display": "text",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Communication.text",
              "display": "Communication.text",
              "equivalence": "equivalent",
              "comment": "Element `Communication.text` is mapped to FHIR R4B element `Communication.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": "Communication.contained",
          "display": "contained",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Communication.contained",
              "display": "Communication.contained",
              "equivalence": "equivalent",
              "comment": "Element `Communication.contained` is mapped to FHIR R4B element `Communication.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": "Communication.identifier",
          "display": "identifier",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Communication.identifier",
              "display": "Communication.identifier",
              "equivalence": "equivalent",
              "comment": "Element `Communication.identifier` is mapped to FHIR R4B element `Communication.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": "Communication.instantiatesCanonical",
          "display": "instantiatesCanonical",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Communication.instantiatesCanonical",
              "display": "Communication.instantiatesCanonical",
              "equivalence": "equivalent",
              "comment": "Element `Communication.instantiatesCanonical` is mapped to FHIR R4B element `Communication.instantiatesCanonical` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Communication.instantiatesUri",
          "display": "instantiatesUri",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Communication.instantiatesUri",
              "display": "Communication.instantiatesUri",
              "equivalence": "equivalent",
              "comment": "Element `Communication.instantiatesUri` is mapped to FHIR R4B element `Communication.instantiatesUri` as `Equivalent`.\nThis might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier."
            }
          ]
        },
        {
          "code": "Communication.basedOn",
          "display": "basedOn",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Communication.basedOn",
              "display": "Communication.basedOn",
              "equivalence": "equivalent",
              "comment": "Element `Communication.basedOn` is mapped to FHIR R4B element `Communication.basedOn` as `Equivalent`.\nThis must point to some sort of a 'Request' resource, such as CarePlan, CommunicationRequest, ServiceRequest, MedicationRequest, etc."
            }
          ]
        },
        {
          "code": "Communication.partOf",
          "display": "partOf",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Communication.partOf",
              "display": "Communication.partOf",
              "equivalence": "equivalent",
              "comment": "Element `Communication.partOf` is mapped to FHIR R4B element `Communication.partOf` as `Equivalent`.\nThe event the communication was part of - e.g. if you disclosed as \"part\" of counselling, it would be partOf that Procedure."
            }
          ]
        },
        {
          "code": "Communication.inResponseTo",
          "display": "inResponseTo",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Communication.inResponseTo",
              "display": "Communication.inResponseTo",
              "equivalence": "equivalent",
              "comment": "Element `Communication.inResponseTo` is mapped to FHIR R4B element `Communication.inResponseTo` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Communication.status",
          "display": "status",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Communication.status",
              "display": "Communication.status",
              "equivalence": "equivalent",
              "comment": "Element `Communication.status` is mapped to FHIR R4B element `Communication.status` as `Equivalent`.\nThis element is labeled as a modifier because the status contains the codes aborted and entered-in-error that mark the communication as not currently valid."
            }
          ]
        },
        {
          "code": "Communication.statusReason",
          "display": "statusReason",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Communication.statusReason",
              "display": "Communication.statusReason",
              "equivalence": "equivalent",
              "comment": "Element `Communication.statusReason` is mapped to FHIR R4B element `Communication.statusReason` as `Equivalent`.\nThis is generally only used for \"exception\" statuses such as \"not-done\", \"suspended\" or \"aborted\". The reason for performing the event at all is captured in reasonCode, not here."
            }
          ]
        },
        {
          "code": "Communication.category",
          "display": "category",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Communication.category",
              "display": "Communication.category",
              "equivalence": "equivalent",
              "comment": "Element `Communication.category` is mapped to FHIR R4B element `Communication.category` as `Equivalent`.\nThere may be multiple axes of categorization and one communication may serve multiple purposes."
            }
          ]
        },
        {
          "code": "Communication.priority",
          "display": "priority",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Communication.priority",
              "display": "Communication.priority",
              "equivalence": "equivalent",
              "comment": "Element `Communication.priority` is mapped to FHIR R4B element `Communication.priority` as `Equivalent`.\nUsed to prioritize workflow (such as which communication to read first) when the communication is planned or in progress."
            }
          ]
        },
        {
          "code": "Communication.medium",
          "display": "medium",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Communication.medium",
              "display": "Communication.medium",
              "equivalence": "equivalent",
              "comment": "Element `Communication.medium` is mapped to FHIR R4B element `Communication.medium` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Communication.subject",
          "display": "subject",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Communication.subject",
              "display": "Communication.subject",
              "equivalence": "equivalent",
              "comment": "Element `Communication.subject` is mapped to FHIR R4B element `Communication.subject` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Communication.topic",
          "display": "topic",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Communication.topic",
              "display": "Communication.topic",
              "equivalence": "equivalent",
              "comment": "Element `Communication.topic` is mapped to FHIR R4B element `Communication.topic` as `Equivalent`.\nCommunication.topic.text can be used without any codings."
            }
          ]
        },
        {
          "code": "Communication.about",
          "display": "about",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Communication.about",
              "display": "Communication.about",
              "equivalence": "equivalent",
              "comment": "Element `Communication.about` is mapped to FHIR R4B element `Communication.about` as `Equivalent`.\nDon't use Communication.about element when a more specific element exists, such as basedOn or reasonReference."
            }
          ]
        },
        {
          "code": "Communication.encounter",
          "display": "encounter",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Communication.encounter",
              "display": "Communication.encounter",
              "equivalence": "equivalent",
              "comment": "Element `Communication.encounter` is mapped to FHIR R4B element `Communication.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."
            }
          ]
        },
        {
          "code": "Communication.sent",
          "display": "sent",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Communication.sent",
              "display": "Communication.sent",
              "equivalence": "equivalent",
              "comment": "Element `Communication.sent` is mapped to FHIR R4B element `Communication.sent` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Communication.received",
          "display": "received",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Communication.received",
              "display": "Communication.received",
              "equivalence": "equivalent",
              "comment": "Element `Communication.received` is mapped to FHIR R4B element `Communication.received` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Communication.recipient",
          "display": "recipient",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Communication.recipient",
              "display": "Communication.recipient",
              "equivalence": "wider",
              "comment": "Element `Communication.recipient` is mapped to FHIR R4B element `Communication.recipient` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Communication.recipient` with unmapped reference targets: Endpoint, Location.\nIf receipts need to be tracked by an individual, a separate resource instance will need to be created for each recipient.  Multiple recipient communications are intended where either receipts are not tracked (e.g. a mass mail-out) or a receipt is captured in aggregate (all emails confirmed received by a particular time)."
            }
          ]
        },
        {
          "code": "Communication.sender",
          "display": "sender",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Communication.sender",
              "display": "Communication.sender",
              "equivalence": "wider",
              "comment": "Element `Communication.sender` is mapped to FHIR R4B element `Communication.sender` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Communication.sender` with unmapped reference targets: CareTeam, Endpoint."
            }
          ]
        },
        {
          "code": "Communication.reason",
          "display": "reason",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "Communication.reasonCode",
              "display": "Communication.reasonCode",
              "equivalence": "relatedto",
              "comment": "Element `Communication.reason` is mapped to FHIR R4B element `Communication.reasonCode` as `SourceIsBroaderThanTarget`.\nElement `Communication.reason` is mapped to FHIR R4B element `Communication.reasonReference` as `SourceIsBroaderThanTarget`.\nTextual reasons can be captured using reason.concept.text."
            },
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "Communication.reasonReference",
              "display": "Communication.reasonReference",
              "equivalence": "relatedto",
              "comment": "Element `Communication.reason` is mapped to FHIR R4B element `Communication.reasonCode` as `SourceIsBroaderThanTarget`.\nElement `Communication.reason` is mapped to FHIR R4B element `Communication.reasonReference` as `SourceIsBroaderThanTarget`.\nTextual reasons can be captured using reason.concept.text."
            }
          ]
        },
        {
          "code": "Communication.payload",
          "display": "payload",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Communication.payload",
              "display": "Communication.payload",
              "equivalence": "wider",
              "comment": "Element `Communication.payload` is mapped to FHIR R4B element `Communication.payload` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Communication.payload.content[x]",
          "display": "content[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Communication.payload.content[x]",
              "display": "Communication.payload.content[x]",
              "equivalence": "wider",
              "comment": "Element `Communication.payload.content[x]` is mapped to FHIR R4B element `Communication.payload.content[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `Communication.payload.content[x]` do not cover the following types: CodeableConcept.\nThe target context `Communication.payload.content[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Communication.payload`.\nThe content can be codified or textual.  As an example of codified content, when working with machine generated communications, the payload may be drawn from a finite, terminology defined set of communications, especially for short, status update kinds of communications where more of a natural language approach isn't appropriate.\n\nIf the content isn't codified, contentCodeableConcept.text can be used.  \n\nWhen using contentCodeableConcept, the CodeableConcept is what is being communicated and is not a categorization of the content."
            }
          ]
        },
        {
          "code": "Communication.note",
          "display": "note",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Communication.note",
              "display": "Communication.note",
              "equivalence": "equivalent",
              "comment": "Element `Communication.note` is mapped to FHIR R4B element `Communication.note` as `Equivalent`."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Communication",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Communication.payload.content",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Communication.payload.content[x]",
          "display": "content[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Communication.payload.content[x]` is mapped to FHIR R4B element `Communication.payload.content[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `Communication.payload.content[x]` do not cover the following types: CodeableConcept.\nThe target context `Communication.payload.content[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Communication.payload`.\nThe content can be codified or textual.  As an example of codified content, when working with machine generated communications, the payload may be drawn from a finite, terminology defined set of communications, especially for short, status update kinds of communications where more of a natural language approach isn't appropriate.\n\nIf the content isn't codified, contentCodeableConcept.text can be used.  \n\nWhen using contentCodeableConcept, the CodeableConcept is what is being communicated and is not a categorization of the content."
            }
          ]
        }
      ]
    }
  ]
}