FHIR IG analytics| Package | hl7.fhir.uv.xver-r5.r4b |
| Resource Type | ConceptMap |
| Id | ConceptMap-R5-Encounter-element-map-to-R4B.json |
| FHIR Version | R4B |
| Source | http://hl7.org/fhir/uv/xver-r5.r4b/0.1.0/ConceptMap-R5-Encounter-element-map-to-R4B.html |
| URL | http://hl7.org/fhir/uv/xver/ConceptMap/R5-Encounter-element-map-to-R4B |
| Version | 0.1.0 |
| Status | active |
| Date | 2026-03-17T16:03:56.5551791-05:00 |
| Name | R5EncounterElementMapToR4B |
| Title | Cross-version mapping for FHIR R5 Encounter to FHIR R4B Encounter |
| Realm | uv |
| Authority | hl7 |
| Description | This ConceptMap represents cross-version mappings for elements from a FHIR R5 Encounter to FHIR R4B. |
No resources found
| StructureDefinition | ||
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-Encounter.careTeam | Cross-version Extension for R5.Encounter.careTeam for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-Encounter.class | Cross-version Extension for R5.Encounter.class for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-Encounter.diagnosis.condition | Cross-version Extension for R5.Encounter.diagnosis.condition for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-Encounter.plannedEndDate | Cross-version Extension for R5.Encounter.plannedEndDate for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-Encounter.plannedStartDate | Cross-version Extension for R5.Encounter.plannedStartDate for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4#0.1.0 | extension-Encounter.reason.value | R5: Reason the encounter takes place (core or reference) additional types |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-Encounter.serviceType | Cross-version Extension for R5.Encounter.serviceType for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-Encounter.status | Cross-version Extension for R5.Encounter.status for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-Encounter.subjectStatus | Cross-version Extension for R5.Encounter.subjectStatus for use in FHIR R4 |
| hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2 | extension-Encounter.virtualService | Cross-version Extension for R5.Encounter.virtualService for use in FHIR R4 |
Note: links and images are rebased to the (stated) source
Generated Narrative: ConceptMap R5-Encounter-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/Encounter|5.0.0 to Encounterversion: 4.3.0)
| Source Concept Details | Relationship | Target Concept Details | Comment | ||
| Codes from http://hl7.org/fhir/StructureDefinition/Encounter|5.0.0 | Codes from Encounter | ||||
| Encounter.meta | meta | is equivalent to | Encounter.meta | Encounter.meta | Element `Encounter.meta` is mapped to FHIR R4B element `Encounter.meta` as `Equivalent`. |
| Encounter.implicitRules | implicitRules | is equivalent to | Encounter.implicitRules | Encounter.implicitRules | Element `Encounter.implicitRules` is mapped to FHIR R4B element `Encounter.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. |
| Encounter.language | language | is equivalent to | Encounter.language | Encounter.language | Element `Encounter.language` is mapped to FHIR R4B element `Encounter.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). |
| Encounter.text | text | is equivalent to | Encounter.text | Encounter.text | Element `Encounter.text` is mapped to FHIR R4B element `Encounter.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. |
| Encounter.contained | contained | is equivalent to | Encounter.contained | Encounter.contained | Element `Encounter.contained` is mapped to FHIR R4B element `Encounter.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. |
| Encounter.identifier | identifier | is equivalent to | Encounter.identifier | Encounter.identifier | Element `Encounter.identifier` is mapped to FHIR R4B element `Encounter.identifier` as `Equivalent`. |
| Encounter.status | status | maps to wider concept | Encounter.status | Encounter.status | Element `Encounter.status` is mapped to FHIR R4B element `Encounter.status` as `SourceIsBroaderThanTarget`. The target context `Encounter.status` is a modifier element, so this extension does not need to be defined as a modifier. Note that internal business rules will determine the appropriate transitions that may occur between statuses (and also classes). |
| Encounter.class | class | maps to wider concept | Encounter.class | Encounter.class | Element `Encounter.class` is mapped to FHIR R4B element `Encounter.class` as `SourceIsBroaderThanTarget`. The mappings for `Encounter.class` do not cover the following types: CodeableConcept. The mappings for `Encounter.class` do not cover the following types based on type expansion: text. |
| Encounter.priority | priority | is equivalent to | Encounter.priority | Encounter.priority | Element `Encounter.priority` is mapped to FHIR R4B element `Encounter.priority` as `Equivalent`. |
| Encounter.type | type | is equivalent to | Encounter.type | Encounter.type | Element `Encounter.type` is mapped to FHIR R4B element `Encounter.type` as `Equivalent`. Since there are many ways to further classify encounters, this element is 0..*. |
| Encounter.serviceType | serviceType | maps to wider concept | Encounter.serviceType | Encounter.serviceType | Element `Encounter.serviceType` is mapped to FHIR R4B element `Encounter.serviceType` as `SourceIsBroaderThanTarget`. The mappings for `Encounter.serviceType` do not cover the following types: CodeableReference. The mappings for `Encounter.serviceType` do not cover the following types based on type expansion: reference. |
| Encounter.subject | subject | is equivalent to | Encounter.subject | Encounter.subject | Element `Encounter.subject` is mapped to FHIR R4B element `Encounter.subject` as `Equivalent`. While the encounter is always about the patient, the patient might not actually be known in all contexts of use, and there may be a group of patients that could be anonymous (such as in a group therapy for Alcoholics Anonymous - where the recording of the encounter could be used for billing on the number of people/staff and not important to the context of the specific patients) or alternately in veterinary care a herd of sheep receiving treatment (where the animals are not individually tracked). |
| Encounter.episodeOfCare | episodeOfCare | is equivalent to | Encounter.episodeOfCare | Encounter.episodeOfCare | Element `Encounter.episodeOfCare` is mapped to FHIR R4B element `Encounter.episodeOfCare` as `Equivalent`. |
| Encounter.basedOn | basedOn | maps to wider concept | Encounter.basedOn | Encounter.basedOn | Element `Encounter.basedOn` is mapped to FHIR R4B element `Encounter.basedOn` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Encounter.basedOn` with unmapped reference targets: CarePlan, DeviceRequest, MedicationRequest. |
| Encounter.partOf | partOf | is equivalent to | Encounter.partOf | Encounter.partOf | Element `Encounter.partOf` is mapped to FHIR R4B element `Encounter.partOf` as `Equivalent`. This is also used for associating a child's encounter back to the mother's encounter. Refer to the Notes section in the Patient resource for further details. |
| Encounter.serviceProvider | serviceProvider | is equivalent to | Encounter.serviceProvider | Encounter.serviceProvider | Element `Encounter.serviceProvider` is mapped to FHIR R4B element `Encounter.serviceProvider` as `Equivalent`. |
| Encounter.participant | participant | maps to wider concept | Encounter.participant | Encounter.participant | Element `Encounter.participant` is mapped to FHIR R4B element `Encounter.participant` as `Equivalent`. Any Patient or Group present in the participation.actor must also be the subject, though the subject may be absent from the participation.actor for cases where the patient (or group) is not present, such as during a case review conference. |
| Encounter.participant.type | type | is equivalent to | Encounter.participant.type | Encounter.participant.type | Element `Encounter.participant.type` is mapped to FHIR R4B element `Encounter.participant.type` as `Equivalent`. The participant type indicates how an individual actor participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc. |
| Encounter.participant.period | period | is equivalent to | Encounter.participant.period | Encounter.participant.period | Element `Encounter.participant.period` is mapped to FHIR R4B element `Encounter.participant.period` as `Equivalent`. |
| Encounter.participant.actor | actor | maps to wider concept | Encounter.participant.individual | Encounter.participant.individual | Element `Encounter.participant.actor` is mapped to FHIR R4B element `Encounter.participant.individual` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Encounter.participant.actor` with unmapped reference targets: Device, Group, HealthcareService, Patient. For planning purposes, Appointments may include a CareTeam participant to indicate that one specific person from the CareTeam will be assigned, but that assignment might not happen until the Encounter begins. Hence CareTeam is not included in Encounter.participant, as the specific individual should be assigned and represented as a Practitioner or other person resource. Similarly, Location can be included in Appointment.participant to assist with planning. However, the patient location is tracked on the Encounter in the Encounter.location property to allow for additional metadata and history to be recorded. The role of the participant can be used to declare what the actor will be doing in the scope of this encounter participation. If the individual is not specified during planning, then it is expected that the individual will be filled in at a later stage prior to the encounter commencing. |
| Encounter.appointment | appointment | is equivalent to | Encounter.appointment | Encounter.appointment | Element `Encounter.appointment` is mapped to FHIR R4B element `Encounter.appointment` as `Equivalent`. |
| Encounter.actualPeriod | actualPeriod | is equivalent to | Encounter.period | Encounter.period | Element `Encounter.actualPeriod` is mapped to FHIR R4B element `Encounter.period` as `Equivalent`. If not (yet) known, the end of the Period may be omitted. |
| Encounter.length | length | is equivalent to | Encounter.length | Encounter.length | Element `Encounter.length` is mapped to FHIR R4B element `Encounter.length` as `Equivalent`. If the precision on these values is low (e.g. to the day only) then this may be considered was an all day (or multi-day) encounter, unless the duration is included, where that amount of time occurred sometime during the interval. May differ from the time in `Encounter.period` due to leave of absence(s). |
| Encounter.reason | reason | maps to wider concept | Encounter.reasonCode | Encounter.reasonCode | Element `Encounter.reason` is mapped to FHIR R4B element `Encounter.reasonCode` as `Equivalent`. The reason communicates what medical problem the patient has that should be addressed during the episode of care. This reason could be patient reported complaint, a clinical indication that was determined in a previous encounter or episode of care, or some planned care such as an immunization recommendation. In the case where you have a primary reason, but are expecting to also address other problems, you can list the primary reason with a use code of 'Chief Complaint', while the other problems being addressed would have a use code of 'Reason for Visit'. Examples: * pregnancy would use HealthcareService or a coding as the reason * patient home monitoring could use Condition as the reason |
| Encounter.reason.use | use | is equivalent to | Encounter.reasonCode | Encounter.reasonCode | Element `Encounter.reason.use` is mapped to FHIR R4B element `Encounter.reasonCode` as `Equivalent`. |
| Encounter.reason.value | value | is related to | Encounter.reasonCode | Encounter.reasonCode | Element `Encounter.reason.value` is mapped to FHIR R4B element `Encounter.reasonCode` as `SourceIsBroaderThanTarget`. Element `Encounter.reason.value` is mapped to FHIR R4B element `Encounter.reasonReference` as `SourceIsBroaderThanTarget`. The mappings for `Encounter.reason.value` do not cover the following types: CodeableReference. |
| is related to | Encounter.reasonReference | Encounter.reasonReference | Element `Encounter.reason.value` is mapped to FHIR R4B element `Encounter.reasonCode` as `SourceIsBroaderThanTarget`. Element `Encounter.reason.value` is mapped to FHIR R4B element `Encounter.reasonReference` as `SourceIsBroaderThanTarget`. The mappings for `Encounter.reason.value` do not cover the following types: CodeableReference. | ||
| Encounter.diagnosis | diagnosis | maps to wider concept | Encounter.diagnosis | Encounter.diagnosis | Element `Encounter.diagnosis` is mapped to FHIR R4B element `Encounter.diagnosis` as `Equivalent`. Also note that for the purpose of billing, the diagnoses are recorded in the account where they can be ranked appropriately for how the invoicing/claiming documentation needs to be prepared. |
| Encounter.diagnosis.condition | condition | maps to wider concept | Encounter.diagnosis.condition | Encounter.diagnosis.condition | Element `Encounter.diagnosis.condition` is mapped to FHIR R4B element `Encounter.diagnosis.condition` as `SourceIsBroaderThanTarget`. The mappings for `Encounter.diagnosis.condition` do not cover the following types: CodeableReference. The mappings for `Encounter.diagnosis.condition` do not cover the following types based on type expansion: concept. |
| Encounter.diagnosis.use | use | is equivalent to | Encounter.diagnosis.use | Encounter.diagnosis.use | Element `Encounter.diagnosis.use` is mapped to FHIR R4B element `Encounter.diagnosis.use` as `SourceIsBroaderThanTarget`. |
| Encounter.account | account | is equivalent to | Encounter.account | Encounter.account | Element `Encounter.account` is mapped to FHIR R4B element `Encounter.account` as `Equivalent`. The billing system may choose to allocate billable items associated with the Encounter to different referenced Accounts based on internal business rules. |
| Encounter.dietPreference | dietPreference | is equivalent to | Encounter.hospitalization.dietPreference | Encounter.hospitalization.dietPreference | Element `Encounter.dietPreference` is mapped to FHIR R4B element `Encounter.hospitalization.dietPreference` as `Equivalent`. For example, a patient may request both a dairy-free and nut-free diet preference (not mutually exclusive). |
| Encounter.specialArrangement | specialArrangement | is equivalent to | Encounter.hospitalization.specialArrangement | Encounter.hospitalization.specialArrangement | Element `Encounter.specialArrangement` is mapped to FHIR R4B element `Encounter.hospitalization.specialArrangement` as `Equivalent`. |
| Encounter.specialCourtesy | specialCourtesy | is equivalent to | Encounter.hospitalization.specialCourtesy | Encounter.hospitalization.specialCourtesy | Element `Encounter.specialCourtesy` is mapped to FHIR R4B element `Encounter.hospitalization.specialCourtesy` as `Equivalent`. Although the specialCourtesy property can contain values like VIP, the purpose of this field is intended to be used for flagging additional `benefits` that might occur for the patient during the encounter. It could include things like the patient is to have a private room, special room features, receive a friendly visit from hospital adminisitration, or should be briefed on treatment by senior staff during the stay. It is not specifically intended to be used for securing the specific record - that is the purpose of the security meta tag, and where appropriate, both fields could be used. |
| Encounter.admission | admission | maps to wider concept | Encounter.hospitalization | Encounter.hospitalization | Element `Encounter.admission` is mapped to FHIR R4B element `Encounter.hospitalization` as `Equivalent`. An Encounter may cover more than just the inpatient stay. Contexts such as outpatients, community clinics, and aged care facilities are also included. The duration recorded in the period of this encounter covers the entire scope of this admission record. |
| Encounter.admission.preAdmissionIdentifier | preAdmissionIdentifier | is equivalent to | Encounter.hospitalization.preAdmissionIdentifier | Encounter.hospitalization.preAdmissionIdentifier | Element `Encounter.admission.preAdmissionIdentifier` is mapped to FHIR R4B element `Encounter.hospitalization.preAdmissionIdentifier` as `Equivalent`. |
| Encounter.admission.origin | origin | is equivalent to | Encounter.hospitalization.origin | Encounter.hospitalization.origin | Element `Encounter.admission.origin` is mapped to FHIR R4B element `Encounter.hospitalization.origin` as `Equivalent`. |
| Encounter.admission.admitSource | admitSource | is equivalent to | Encounter.hospitalization.admitSource | Encounter.hospitalization.admitSource | Element `Encounter.admission.admitSource` is mapped to FHIR R4B element `Encounter.hospitalization.admitSource` as `Equivalent`. |
| Encounter.admission.reAdmission | reAdmission | is equivalent to | Encounter.hospitalization.reAdmission | Encounter.hospitalization.reAdmission | Element `Encounter.admission.reAdmission` is mapped to FHIR R4B element `Encounter.hospitalization.reAdmission` as `Equivalent`. |
| Encounter.admission.destination | destination | is equivalent to | Encounter.hospitalization.destination | Encounter.hospitalization.destination | Element `Encounter.admission.destination` is mapped to FHIR R4B element `Encounter.hospitalization.destination` as `Equivalent`. |
| Encounter.admission.dischargeDisposition | dischargeDisposition | is equivalent to | Encounter.hospitalization.dischargeDisposition | Encounter.hospitalization.dischargeDisposition | Element `Encounter.admission.dischargeDisposition` is mapped to FHIR R4B element `Encounter.hospitalization.dischargeDisposition` as `Equivalent`. |
| Encounter.location | location | maps to wider concept | Encounter.location | Encounter.location | Element `Encounter.location` is mapped to FHIR R4B element `Encounter.location` as `Equivalent`. Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type "kind" such as "client's home" and an encounter.class = "virtual". |
| Encounter.location.location | location | is equivalent to | Encounter.location.location | Encounter.location.location | Element `Encounter.location.location` is mapped to FHIR R4B element `Encounter.location.location` as `Equivalent`. |
| Encounter.location.status | status | is equivalent to | Encounter.location.status | Encounter.location.status | Element `Encounter.location.status` is mapped to FHIR R4B element `Encounter.location.status` as `Equivalent`. When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed. |
| Encounter.location.form | form | is equivalent to | Encounter.location.physicalType | Encounter.location.physicalType | Element `Encounter.location.form` is mapped to FHIR R4B element `Encounter.location.physicalType` as `Equivalent`. This information is de-normalized from the Location resource to support the easier understanding of the encounter resource and processing in messaging or query. There may be many levels in the hierachy, and this may only pic specific levels that are required for a specific usage scenario. |
| Encounter.location.period | period | is equivalent to | Encounter.location.period | Encounter.location.period | Element `Encounter.location.period` is mapped to FHIR R4B element `Encounter.location.period` as `Equivalent`. |
Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/Encounter|5.0.0 to R5: planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknownversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Encounter.status (status) | is equivalent to | Extension (R5: planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown) | Element `Encounter.status` is mapped to FHIR R4B element `Encounter.status` as `SourceIsBroaderThanTarget`. The target context `Encounter.status` is a modifier element, so this extension does not need to be defined as a modifier. Note that internal business rules will determine the appropriate transitions that may occur between statuses (and also classes). |
Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/Encounter|5.0.0 to R5: Classification of patient encounter context - e.g. Inpatient, outpatient additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Encounter.class (class) | is equivalent to | Extension (R5: Classification of patient encounter context - e.g. Inpatient, outpatient additional types) | Element `Encounter.class` is mapped to FHIR R4B element `Encounter.class` as `SourceIsBroaderThanTarget`. The mappings for `Encounter.class` do not cover the following types: CodeableConcept. The mappings for `Encounter.class` do not cover the following types based on type expansion: text. |
Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/Encounter|5.0.0 to R5: serviceType additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Encounter.serviceType (serviceType) | is equivalent to | Extension (R5: serviceType additional types) | Element `Encounter.serviceType` is mapped to FHIR R4B element `Encounter.serviceType` as `SourceIsBroaderThanTarget`. The mappings for `Encounter.serviceType` do not cover the following types: CodeableReference. The mappings for `Encounter.serviceType` do not cover the following types based on type expansion: reference. |
Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/Encounter|5.0.0 to R5: The current status of the subject in relation to the Encounter (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Encounter.subjectStatus (subjectStatus) | maps to wider concept | Extension (R5: The current status of the subject in relation to the Encounter (new)) | Element `Encounter.subjectStatus` has a context of Encounter based on following the parent source element upwards and mapping to `Encounter`. Element `Encounter.subjectStatus` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). Different use-cases are likely to have different permitted transitions between states, such as an Emergency department could use `arrived` when the patient first presents, then `triaged` once has been assessed by a nurse, then `receiving-care` once treatment begins, however other sectors may use a different set of these values, or their own custom set in place of this example valueset provided. |
Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/Encounter|5.0.0 to R5: The group(s) that are allocated to participate in this encounter (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Encounter.careTeam (careTeam) | maps to wider concept | Extension (R5: The group(s) that are allocated to participate in this encounter (new)) | Element `Encounter.careTeam` has a context of Encounter based on following the parent source element upwards and mapping to `Encounter`. Element `Encounter.careTeam` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). |
Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/Encounter|5.0.0 to R5: Connection details of a virtual service (e.g. conference call) (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Encounter.virtualService (virtualService) | maps to wider concept | Extension (R5: Connection details of a virtual service (e.g. conference call) (new)) | Element `Encounter.virtualService` has a context of Encounter based on following the parent source element upwards and mapping to `Encounter`. Element `Encounter.virtualService` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). There are two types of virtual meetings that often exist: * a persistent, virtual meeting room that can only be used for a single purpose at a time, * and a dynamic virtual meeting room that is generated on demand for a specific purpose. Implementers may consider using Location.virtualService for persistent meeting rooms. If each participant would have a different meeting link, an extension using the VirtualServiceContactDetail can be applied to the Encounter.participant BackboneElement. |
Group 8 Mapping from http://hl7.org/fhir/StructureDefinition/Encounter|5.0.0 to R5: The planned start date/time (or admission date) of the encounter (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Encounter.plannedStartDate (plannedStartDate) | maps to wider concept | Extension (R5: The planned start date/time (or admission date) of the encounter (new)) | Element `Encounter.plannedStartDate` has a context of Encounter based on following the parent source element upwards and mapping to `Encounter`. Element `Encounter.plannedStartDate` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). |
Group 9 Mapping from http://hl7.org/fhir/StructureDefinition/Encounter|5.0.0 to R5: The planned end date/time (or discharge date) of the encounter (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Encounter.plannedEndDate (plannedEndDate) | maps to wider concept | Extension (R5: The planned end date/time (or discharge date) of the encounter (new)) | Element `Encounter.plannedEndDate` has a context of Encounter based on following the parent source element upwards and mapping to `Encounter`. Element `Encounter.plannedEndDate` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). |
Group 10 Mapping from http://hl7.org/fhir/StructureDefinition/Encounter|5.0.0 to R5: Reason the encounter takes place (core or reference) additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Encounter.reason.value (value) | maps to wider concept | Extension (R5: Reason the encounter takes place (core or reference) additional types) | Element `Encounter.reason.value` is mapped to FHIR R4B element `Encounter.reasonCode` as `SourceIsBroaderThanTarget`. Element `Encounter.reason.value` is mapped to FHIR R4B element `Encounter.reasonReference` as `SourceIsBroaderThanTarget`. The mappings for `Encounter.reason.value` do not cover the following types: CodeableReference. |
Group 11 Mapping from http://hl7.org/fhir/StructureDefinition/Encounter|5.0.0 to R5: The diagnosis relevant to the encounter additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Encounter.diagnosis.condition (condition) | is equivalent to | Extension (R5: The diagnosis relevant to the encounter additional types) | Element `Encounter.diagnosis.condition` is mapped to FHIR R4B element `Encounter.diagnosis.condition` as `SourceIsBroaderThanTarget`. The mappings for `Encounter.diagnosis.condition` do not cover the following types: CodeableReference. The mappings for `Encounter.diagnosis.condition` do not cover the following types based on type expansion: concept. |
FHIR
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}
],
"url": "http://hl7.org/fhir/uv/xver/ConceptMap/R5-Encounter-element-map-to-R4B",
"version": "0.1.0",
"name": "R5EncounterElementMapToR4B",
"title": "Cross-version mapping for FHIR R5 Encounter to FHIR R4B Encounter",
"status": "active",
"experimental": false,
"date": "2026-03-17T16:03:56.5551791-05:00",
"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 Encounter 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/Encounter",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/StructureDefinition/Encounter",
"targetVersion": "4.3.0",
"element": [
{
"code": "Encounter.meta",
"display": "meta",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.meta",
"display": "Encounter.meta",
"equivalence": "equivalent",
"comment": "Element `Encounter.meta` is mapped to FHIR R4B element `Encounter.meta` as `Equivalent`."
}
]
},
{
"code": "Encounter.implicitRules",
"display": "implicitRules",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.implicitRules",
"display": "Encounter.implicitRules",
"equivalence": "equivalent",
"comment": "Element `Encounter.implicitRules` is mapped to FHIR R4B element `Encounter.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": "Encounter.language",
"display": "language",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.language",
"display": "Encounter.language",
"equivalence": "equivalent",
"comment": "Element `Encounter.language` is mapped to FHIR R4B element `Encounter.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": "Encounter.text",
"display": "text",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.text",
"display": "Encounter.text",
"equivalence": "equivalent",
"comment": "Element `Encounter.text` is mapped to FHIR R4B element `Encounter.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": "Encounter.contained",
"display": "contained",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.contained",
"display": "Encounter.contained",
"equivalence": "equivalent",
"comment": "Element `Encounter.contained` is mapped to FHIR R4B element `Encounter.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": "Encounter.identifier",
"display": "identifier",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.identifier",
"display": "Encounter.identifier",
"equivalence": "equivalent",
"comment": "Element `Encounter.identifier` is mapped to FHIR R4B element `Encounter.identifier` as `Equivalent`."
}
]
},
{
"code": "Encounter.status",
"display": "status",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Encounter.status",
"display": "Encounter.status",
"equivalence": "wider",
"comment": "Element `Encounter.status` is mapped to FHIR R4B element `Encounter.status` as `SourceIsBroaderThanTarget`.\nThe target context `Encounter.status` is a modifier element, so this extension does not need to be defined as a modifier.\nNote that internal business rules will determine the appropriate transitions that may occur between statuses (and also classes)."
}
]
},
{
"code": "Encounter.class",
"display": "class",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Encounter.class",
"display": "Encounter.class",
"equivalence": "wider",
"comment": "Element `Encounter.class` is mapped to FHIR R4B element `Encounter.class` as `SourceIsBroaderThanTarget`.\nThe mappings for `Encounter.class` do not cover the following types: CodeableConcept.\nThe mappings for `Encounter.class` do not cover the following types based on type expansion: text."
}
]
},
{
"code": "Encounter.priority",
"display": "priority",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.priority",
"display": "Encounter.priority",
"equivalence": "equivalent",
"comment": "Element `Encounter.priority` is mapped to FHIR R4B element `Encounter.priority` as `Equivalent`."
}
]
},
{
"code": "Encounter.type",
"display": "type",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.type",
"display": "Encounter.type",
"equivalence": "equivalent",
"comment": "Element `Encounter.type` is mapped to FHIR R4B element `Encounter.type` as `Equivalent`.\nSince there are many ways to further classify encounters, this element is 0..*."
}
]
},
{
"code": "Encounter.serviceType",
"display": "serviceType",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Encounter.serviceType",
"display": "Encounter.serviceType",
"equivalence": "wider",
"comment": "Element `Encounter.serviceType` is mapped to FHIR R4B element `Encounter.serviceType` as `SourceIsBroaderThanTarget`.\nThe mappings for `Encounter.serviceType` do not cover the following types: CodeableReference.\nThe mappings for `Encounter.serviceType` do not cover the following types based on type expansion: reference."
}
]
},
{
"code": "Encounter.subject",
"display": "subject",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.subject",
"display": "Encounter.subject",
"equivalence": "equivalent",
"comment": "Element `Encounter.subject` is mapped to FHIR R4B element `Encounter.subject` as `Equivalent`.\nWhile the encounter is always about the patient, the patient might not actually be known in all contexts of use, and there may be a group of patients that could be anonymous (such as in a group therapy for Alcoholics Anonymous - where the recording of the encounter could be used for billing on the number of people/staff and not important to the context of the specific patients) or alternately in veterinary care a herd of sheep receiving treatment (where the animals are not individually tracked)."
}
]
},
{
"code": "Encounter.episodeOfCare",
"display": "episodeOfCare",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.episodeOfCare",
"display": "Encounter.episodeOfCare",
"equivalence": "equivalent",
"comment": "Element `Encounter.episodeOfCare` is mapped to FHIR R4B element `Encounter.episodeOfCare` as `Equivalent`."
}
]
},
{
"code": "Encounter.basedOn",
"display": "basedOn",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Encounter.basedOn",
"display": "Encounter.basedOn",
"equivalence": "wider",
"comment": "Element `Encounter.basedOn` is mapped to FHIR R4B element `Encounter.basedOn` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Encounter.basedOn` with unmapped reference targets: CarePlan, DeviceRequest, MedicationRequest."
}
]
},
{
"code": "Encounter.partOf",
"display": "partOf",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.partOf",
"display": "Encounter.partOf",
"equivalence": "equivalent",
"comment": "Element `Encounter.partOf` is mapped to FHIR R4B element `Encounter.partOf` as `Equivalent`.\nThis is also used for associating a child's encounter back to the mother's encounter.\r\rRefer to the Notes section in the Patient resource for further details."
}
]
},
{
"code": "Encounter.serviceProvider",
"display": "serviceProvider",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.serviceProvider",
"display": "Encounter.serviceProvider",
"equivalence": "equivalent",
"comment": "Element `Encounter.serviceProvider` is mapped to FHIR R4B element `Encounter.serviceProvider` as `Equivalent`."
}
]
},
{
"code": "Encounter.participant",
"display": "participant",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Encounter.participant",
"display": "Encounter.participant",
"equivalence": "wider",
"comment": "Element `Encounter.participant` is mapped to FHIR R4B element `Encounter.participant` as `Equivalent`.\nAny Patient or Group present in the participation.actor must also be the subject, though the subject may be absent from the participation.actor for cases where the patient (or group) is not present, such as during a case review conference."
}
]
},
{
"code": "Encounter.participant.type",
"display": "type",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.participant.type",
"display": "Encounter.participant.type",
"equivalence": "equivalent",
"comment": "Element `Encounter.participant.type` is mapped to FHIR R4B element `Encounter.participant.type` as `Equivalent`.\nThe participant type indicates how an individual actor participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc."
}
]
},
{
"code": "Encounter.participant.period",
"display": "period",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.participant.period",
"display": "Encounter.participant.period",
"equivalence": "equivalent",
"comment": "Element `Encounter.participant.period` is mapped to FHIR R4B element `Encounter.participant.period` as `Equivalent`."
}
]
},
{
"code": "Encounter.participant.actor",
"display": "actor",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Encounter.participant.individual",
"display": "Encounter.participant.individual",
"equivalence": "wider",
"comment": "Element `Encounter.participant.actor` is mapped to FHIR R4B element `Encounter.participant.individual` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Encounter.participant.actor` with unmapped reference targets: Device, Group, HealthcareService, Patient.\nFor planning purposes, Appointments may include a CareTeam participant to indicate that one specific person from the CareTeam will be assigned, but that assignment might not happen until the Encounter begins. Hence CareTeam is not included in Encounter.participant, as the specific individual should be assigned and represented as a Practitioner or other person resource.\r\rSimilarly, Location can be included in Appointment.participant to assist with planning. However, the patient location is tracked on the Encounter in the Encounter.location property to allow for additional metadata and history to be recorded.\r\rThe role of the participant can be used to declare what the actor will be doing in the scope of this encounter participation.\r\rIf the individual is not specified during planning, then it is expected that the individual will be filled in at a later stage prior to the encounter commencing."
}
]
},
{
"code": "Encounter.appointment",
"display": "appointment",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.appointment",
"display": "Encounter.appointment",
"equivalence": "equivalent",
"comment": "Element `Encounter.appointment` is mapped to FHIR R4B element `Encounter.appointment` as `Equivalent`."
}
]
},
{
"code": "Encounter.actualPeriod",
"display": "actualPeriod",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.period",
"display": "Encounter.period",
"equivalence": "equivalent",
"comment": "Element `Encounter.actualPeriod` is mapped to FHIR R4B element `Encounter.period` as `Equivalent`.\nIf not (yet) known, the end of the Period may be omitted."
}
]
},
{
"code": "Encounter.length",
"display": "length",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.length",
"display": "Encounter.length",
"equivalence": "equivalent",
"comment": "Element `Encounter.length` is mapped to FHIR R4B element `Encounter.length` as `Equivalent`.\nIf the precision on these values is low (e.g. to the day only) then this may be considered was an all day (or multi-day) encounter, unless the duration is included, where that amount of time occurred sometime during the interval.\r\rMay differ from the time in `Encounter.period` due to leave of absence(s)."
}
]
},
{
"code": "Encounter.reason",
"display": "reason",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Encounter.reasonCode",
"display": "Encounter.reasonCode",
"equivalence": "wider",
"comment": "Element `Encounter.reason` is mapped to FHIR R4B element `Encounter.reasonCode` as `Equivalent`.\nThe reason communicates what medical problem the patient has that should be addressed during the episode of care. This reason could be patient reported complaint, a clinical indication that was determined in a previous encounter or episode of care, or some planned care such as an immunization recommendation. In the case where you have a primary reason, but are expecting to also address other problems, you can list the primary reason with a use code of 'Chief Complaint', while the other problems being addressed would have a use code of 'Reason for Visit'.\r\rExamples:\r * pregnancy would use HealthcareService or a coding as the reason\r * patient home monitoring could use Condition as the reason"
}
]
},
{
"code": "Encounter.reason.use",
"display": "use",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.reasonCode",
"display": "Encounter.reasonCode",
"equivalence": "equivalent",
"comment": "Element `Encounter.reason.use` is mapped to FHIR R4B element `Encounter.reasonCode` as `Equivalent`."
}
]
},
{
"code": "Encounter.reason.value",
"display": "value",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "relatedto"
}
],
"code": "Encounter.reasonCode",
"display": "Encounter.reasonCode",
"equivalence": "relatedto",
"comment": "Element `Encounter.reason.value` is mapped to FHIR R4B element `Encounter.reasonCode` as `SourceIsBroaderThanTarget`.\nElement `Encounter.reason.value` is mapped to FHIR R4B element `Encounter.reasonReference` as `SourceIsBroaderThanTarget`.\nThe mappings for `Encounter.reason.value` do not cover the following types: CodeableReference."
},
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "relatedto"
}
],
"code": "Encounter.reasonReference",
"display": "Encounter.reasonReference",
"equivalence": "relatedto",
"comment": "Element `Encounter.reason.value` is mapped to FHIR R4B element `Encounter.reasonCode` as `SourceIsBroaderThanTarget`.\nElement `Encounter.reason.value` is mapped to FHIR R4B element `Encounter.reasonReference` as `SourceIsBroaderThanTarget`.\nThe mappings for `Encounter.reason.value` do not cover the following types: CodeableReference."
}
]
},
{
"code": "Encounter.diagnosis",
"display": "diagnosis",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Encounter.diagnosis",
"display": "Encounter.diagnosis",
"equivalence": "wider",
"comment": "Element `Encounter.diagnosis` is mapped to FHIR R4B element `Encounter.diagnosis` as `Equivalent`.\nAlso note that for the purpose of billing, the diagnoses are recorded in the account where they can be ranked appropriately for how the invoicing/claiming documentation needs to be prepared."
}
]
},
{
"code": "Encounter.diagnosis.condition",
"display": "condition",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Encounter.diagnosis.condition",
"display": "Encounter.diagnosis.condition",
"equivalence": "wider",
"comment": "Element `Encounter.diagnosis.condition` is mapped to FHIR R4B element `Encounter.diagnosis.condition` as `SourceIsBroaderThanTarget`.\nThe mappings for `Encounter.diagnosis.condition` do not cover the following types: CodeableReference.\nThe mappings for `Encounter.diagnosis.condition` do not cover the following types based on type expansion: concept."
}
]
},
{
"code": "Encounter.diagnosis.use",
"display": "use",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.diagnosis.use",
"display": "Encounter.diagnosis.use",
"equivalence": "equivalent",
"comment": "Element `Encounter.diagnosis.use` is mapped to FHIR R4B element `Encounter.diagnosis.use` as `SourceIsBroaderThanTarget`."
}
]
},
{
"code": "Encounter.account",
"display": "account",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.account",
"display": "Encounter.account",
"equivalence": "equivalent",
"comment": "Element `Encounter.account` is mapped to FHIR R4B element `Encounter.account` as `Equivalent`.\nThe billing system may choose to allocate billable items associated with the Encounter to different referenced Accounts based on internal business rules."
}
]
},
{
"code": "Encounter.dietPreference",
"display": "dietPreference",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.hospitalization.dietPreference",
"display": "Encounter.hospitalization.dietPreference",
"equivalence": "equivalent",
"comment": "Element `Encounter.dietPreference` is mapped to FHIR R4B element `Encounter.hospitalization.dietPreference` as `Equivalent`.\nFor example, a patient may request both a dairy-free and nut-free diet preference (not mutually exclusive)."
}
]
},
{
"code": "Encounter.specialArrangement",
"display": "specialArrangement",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.hospitalization.specialArrangement",
"display": "Encounter.hospitalization.specialArrangement",
"equivalence": "equivalent",
"comment": "Element `Encounter.specialArrangement` is mapped to FHIR R4B element `Encounter.hospitalization.specialArrangement` as `Equivalent`."
}
]
},
{
"code": "Encounter.specialCourtesy",
"display": "specialCourtesy",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.hospitalization.specialCourtesy",
"display": "Encounter.hospitalization.specialCourtesy",
"equivalence": "equivalent",
"comment": "Element `Encounter.specialCourtesy` is mapped to FHIR R4B element `Encounter.hospitalization.specialCourtesy` as `Equivalent`.\nAlthough the specialCourtesy property can contain values like VIP, the purpose of this field is intended to be used for flagging additional `benefits` that might occur for the patient during the encounter.\r\rIt could include things like the patient is to have a private room, special room features, receive a friendly visit from hospital adminisitration, or should be briefed on treatment by senior staff during the stay.\r\rIt is not specifically intended to be used for securing the specific record - that is the purpose of the security meta tag, and where appropriate, both fields could be used."
}
]
},
{
"code": "Encounter.admission",
"display": "admission",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Encounter.hospitalization",
"display": "Encounter.hospitalization",
"equivalence": "wider",
"comment": "Element `Encounter.admission` is mapped to FHIR R4B element `Encounter.hospitalization` as `Equivalent`.\nAn Encounter may cover more than just the inpatient stay. Contexts such as outpatients, community clinics, and aged care facilities are also included.\r\rThe duration recorded in the period of this encounter covers the entire scope of this admission record."
}
]
},
{
"code": "Encounter.admission.preAdmissionIdentifier",
"display": "preAdmissionIdentifier",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.hospitalization.preAdmissionIdentifier",
"display": "Encounter.hospitalization.preAdmissionIdentifier",
"equivalence": "equivalent",
"comment": "Element `Encounter.admission.preAdmissionIdentifier` is mapped to FHIR R4B element `Encounter.hospitalization.preAdmissionIdentifier` as `Equivalent`."
}
]
},
{
"code": "Encounter.admission.origin",
"display": "origin",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.hospitalization.origin",
"display": "Encounter.hospitalization.origin",
"equivalence": "equivalent",
"comment": "Element `Encounter.admission.origin` is mapped to FHIR R4B element `Encounter.hospitalization.origin` as `Equivalent`."
}
]
},
{
"code": "Encounter.admission.admitSource",
"display": "admitSource",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.hospitalization.admitSource",
"display": "Encounter.hospitalization.admitSource",
"equivalence": "equivalent",
"comment": "Element `Encounter.admission.admitSource` is mapped to FHIR R4B element `Encounter.hospitalization.admitSource` as `Equivalent`."
}
]
},
{
"code": "Encounter.admission.reAdmission",
"display": "reAdmission",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.hospitalization.reAdmission",
"display": "Encounter.hospitalization.reAdmission",
"equivalence": "equivalent",
"comment": "Element `Encounter.admission.reAdmission` is mapped to FHIR R4B element `Encounter.hospitalization.reAdmission` as `Equivalent`."
}
]
},
{
"code": "Encounter.admission.destination",
"display": "destination",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.hospitalization.destination",
"display": "Encounter.hospitalization.destination",
"equivalence": "equivalent",
"comment": "Element `Encounter.admission.destination` is mapped to FHIR R4B element `Encounter.hospitalization.destination` as `Equivalent`."
}
]
},
{
"code": "Encounter.admission.dischargeDisposition",
"display": "dischargeDisposition",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.hospitalization.dischargeDisposition",
"display": "Encounter.hospitalization.dischargeDisposition",
"equivalence": "equivalent",
"comment": "Element `Encounter.admission.dischargeDisposition` is mapped to FHIR R4B element `Encounter.hospitalization.dischargeDisposition` as `Equivalent`."
}
]
},
{
"code": "Encounter.location",
"display": "location",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Encounter.location",
"display": "Encounter.location",
"equivalence": "wider",
"comment": "Element `Encounter.location` is mapped to FHIR R4B element `Encounter.location` as `Equivalent`.\nVirtual encounters can be recorded in the Encounter by specifying a location reference to a location of type \"kind\" such as \"client's home\" and an encounter.class = \"virtual\"."
}
]
},
{
"code": "Encounter.location.location",
"display": "location",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.location.location",
"display": "Encounter.location.location",
"equivalence": "equivalent",
"comment": "Element `Encounter.location.location` is mapped to FHIR R4B element `Encounter.location.location` as `Equivalent`."
}
]
},
{
"code": "Encounter.location.status",
"display": "status",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.location.status",
"display": "Encounter.location.status",
"equivalence": "equivalent",
"comment": "Element `Encounter.location.status` is mapped to FHIR R4B element `Encounter.location.status` as `Equivalent`.\nWhen the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed."
}
]
},
{
"code": "Encounter.location.form",
"display": "form",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.location.physicalType",
"display": "Encounter.location.physicalType",
"equivalence": "equivalent",
"comment": "Element `Encounter.location.form` is mapped to FHIR R4B element `Encounter.location.physicalType` as `Equivalent`.\nThis information is de-normalized from the Location resource to support the easier understanding of the encounter resource and processing in messaging or query.\n\nThere may be many levels in the hierachy, and this may only pic specific levels that are required for a specific usage scenario."
}
]
},
{
"code": "Encounter.location.period",
"display": "period",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Encounter.location.period",
"display": "Encounter.location.period",
"equivalence": "equivalent",
"comment": "Element `Encounter.location.period` is mapped to FHIR R4B element `Encounter.location.period` as `Equivalent`."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/Encounter",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.status",
"targetVersion": "0.1.0",
"element": [
{
"code": "Encounter.status",
"display": "status",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `Encounter.status` is mapped to FHIR R4B element `Encounter.status` as `SourceIsBroaderThanTarget`.\nThe target context `Encounter.status` is a modifier element, so this extension does not need to be defined as a modifier.\nNote that internal business rules will determine the appropriate transitions that may occur between statuses (and also classes)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/Encounter",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.class",
"targetVersion": "0.1.0",
"element": [
{
"code": "Encounter.class",
"display": "class",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `Encounter.class` is mapped to FHIR R4B element `Encounter.class` as `SourceIsBroaderThanTarget`.\nThe mappings for `Encounter.class` do not cover the following types: CodeableConcept.\nThe mappings for `Encounter.class` do not cover the following types based on type expansion: text."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/Encounter",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.serviceType",
"targetVersion": "0.1.0",
"element": [
{
"code": "Encounter.serviceType",
"display": "serviceType",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `Encounter.serviceType` is mapped to FHIR R4B element `Encounter.serviceType` as `SourceIsBroaderThanTarget`.\nThe mappings for `Encounter.serviceType` do not cover the following types: CodeableReference.\nThe mappings for `Encounter.serviceType` do not cover the following types based on type expansion: reference."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/Encounter",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.subjectStatus",
"targetVersion": "0.1.0",
"element": [
{
"code": "Encounter.subjectStatus",
"display": "subjectStatus",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Extension",
"equivalence": "wider",
"comment": "Element `Encounter.subjectStatus` has a context of Encounter based on following the parent source element upwards and mapping to `Encounter`.\nElement `Encounter.subjectStatus` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).\nDifferent use-cases are likely to have different permitted transitions between states, such as an Emergency department could use `arrived` when the patient first presents, then `triaged` once has been assessed by a nurse, then `receiving-care` once treatment begins, however other sectors may use a different set of these values, or their own custom set in place of this example valueset provided."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/Encounter",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.careTeam",
"targetVersion": "0.1.0",
"element": [
{
"code": "Encounter.careTeam",
"display": "careTeam",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Extension",
"equivalence": "wider",
"comment": "Element `Encounter.careTeam` has a context of Encounter based on following the parent source element upwards and mapping to `Encounter`.\nElement `Encounter.careTeam` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/Encounter",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.virtualService",
"targetVersion": "0.1.0",
"element": [
{
"code": "Encounter.virtualService",
"display": "virtualService",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Extension",
"equivalence": "wider",
"comment": "Element `Encounter.virtualService` has a context of Encounter based on following the parent source element upwards and mapping to `Encounter`.\nElement `Encounter.virtualService` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).\nThere are two types of virtual meetings that often exist:\r\r* a persistent, virtual meeting room that can only be used for a single purpose at a time, \r* and a dynamic virtual meeting room that is generated on demand for a specific purpose.\r\rImplementers may consider using Location.virtualService for persistent meeting rooms.\r\rIf each participant would have a different meeting link, an extension using the VirtualServiceContactDetail can be applied to the Encounter.participant BackboneElement."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/Encounter",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate",
"targetVersion": "0.1.0",
"element": [
{
"code": "Encounter.plannedStartDate",
"display": "plannedStartDate",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Extension",
"equivalence": "wider",
"comment": "Element `Encounter.plannedStartDate` has a context of Encounter based on following the parent source element upwards and mapping to `Encounter`.\nElement `Encounter.plannedStartDate` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/Encounter",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate",
"targetVersion": "0.1.0",
"element": [
{
"code": "Encounter.plannedEndDate",
"display": "plannedEndDate",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Extension",
"equivalence": "wider",
"comment": "Element `Encounter.plannedEndDate` has a context of Encounter based on following the parent source element upwards and mapping to `Encounter`.\nElement `Encounter.plannedEndDate` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/Encounter",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.reason.value",
"targetVersion": "0.1.0",
"element": [
{
"code": "Encounter.reason.value",
"display": "value",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "wider"
}
],
"code": "Extension",
"equivalence": "wider",
"comment": "Element `Encounter.reason.value` is mapped to FHIR R4B element `Encounter.reasonCode` as `SourceIsBroaderThanTarget`.\nElement `Encounter.reason.value` is mapped to FHIR R4B element `Encounter.reasonReference` as `SourceIsBroaderThanTarget`.\nThe mappings for `Encounter.reason.value` do not cover the following types: CodeableReference."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/Encounter",
"sourceVersion": "5.0.0",
"target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.diagnosis.condition",
"targetVersion": "0.1.0",
"element": [
{
"code": "Encounter.diagnosis.condition",
"display": "condition",
"target": [
{
"modifierExtension": [
{
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode": "equivalent"
}
],
"code": "Extension",
"equivalence": "equivalent",
"comment": "Element `Encounter.diagnosis.condition` is mapped to FHIR R4B element `Encounter.diagnosis.condition` as `SourceIsBroaderThanTarget`.\nThe mappings for `Encounter.diagnosis.condition` do not cover the following types: CodeableReference.\nThe mappings for `Encounter.diagnosis.condition` do not cover the following types based on type expansion: concept."
}
]
}
]
}
]
}