Release 5 Preview #2

This page is part of the FHIR Specification (v4.4.0: R5 Preview #2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Vocabulary Work GroupMaturity Level: 3 Trial UseSecurity Category: Anonymous Compartments: Not linked to any defined compartments

Detailed Descriptions for the elements in the ConceptMap resource.

ConceptMap
Element IdConceptMap
Definition

A statement of relationships from one set of concepts to one or more other concepts - either concepts in code systems, or data element/data element concepts, or classes in class models.

Cardinality0..*
TypeCanonicalResource
Invariants
Defined on this element
cnl-0Warning Name should be usable as an identifier for the module by machine processing applications such as code generationname.matches('[A-Z]([A-Za-z0-9_]){0,254}')
ConceptMap.url
Element IdConceptMap.url
Definition

An absolute URI that is used to identify this concept map when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this concept map is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the concept map is stored on different servers.

Cardinality0..1
Typeuri
Requirements

Allows the concept map to be referenced by a single globally unique identifier.

Summarytrue
Comments

Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.

The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions.

In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found.

ConceptMap.identifier
Element IdConceptMap.identifier
Definition

A formal identifier that is used to identify this concept map when it is represented in other formats, or referenced in a specification, model, design or an instance.

NoteThis is a business identifier, not a resource identifier (see discussion)
Cardinality0..1
TypeIdentifier
Requirements

Allows externally provided and/or usable business identifiers to be easily associated with the module.

Summarytrue
Comments

Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this concept map outside of FHIR, where it is not possible to use the logical URI.

ConceptMap.version
Element IdConceptMap.version
Definition

The identifier that is used to identify this version of the concept map when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the concept map author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.

NoteThis is a business versionId, not a resource version id (see discussion)
Cardinality0..1
Typestring
Summarytrue
Comments

There may be different concept map instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the concept map with the format [url]|[version].

ConceptMap.name
Element IdConceptMap.name
Definition

A natural language name identifying the concept map. This name should be usable as an identifier for the module by machine processing applications such as code generation.

Cardinality0..1
Typestring
Requirements

Support human navigation and code generation.

Summarytrue
Comments

The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.

Invariants
Affect this element
cnl-0Warning Name should be usable as an identifier for the module by machine processing applications such as code generationname.matches('[A-Z]([A-Za-z0-9_]){0,254}')
ConceptMap.title
Element IdConceptMap.title
Definition

A short, descriptive, user-friendly title for the concept map.

Cardinality0..1
Typestring
Summarytrue
Comments

This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.

ConceptMap.status
Element IdConceptMap.status
Definition

The status of this concept map. Enables tracking the life-cycle of the content.

Cardinality1..1
Terminology BindingPublicationStatus (Required)
Typecode
Is Modifiertrue (Reason: This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration)
Summarytrue
Comments

Allows filtering of concept maps that are appropriate for use versus not.

ConceptMap.experimental
Element IdConceptMap.experimental
Definition

A Boolean value to indicate that this concept map is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.

Cardinality0..1
Typeboolean
Requirements

Enables experimental content to be developed following the same lifecycle that would be used for a production-level concept map.

Summarytrue
Comments

Allows filtering of concept maps that are appropriate for use versus not.

ConceptMap.date
Element IdConceptMap.date
Definition

The date (and optionally time) when the concept map was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the concept map changes.

Cardinality0..1
TypedateTime
Alternate NamesRevision Date
Summarytrue
Comments

Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the concept map. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

ConceptMap.publisher
Element IdConceptMap.publisher
Definition

The name of the organization or individual that published the concept map.

Cardinality0..1
Typestring
Requirements

Helps establish the "authority/credibility" of the concept map. May also allow for contact.

Summarytrue
Comments

Usually an organization but may be an individual. The publisher (or steward) of the concept map is the organization or individual primarily responsible for the maintenance and upkeep of the concept map. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the concept map. This item SHOULD be populated unless the information is available from context.

ConceptMap.contact
Element IdConceptMap.contact
Definition

Contact details to assist a user in finding and communicating with the publisher.

Cardinality0..*
TypeContactDetail
Summarytrue
Comments

May be a web site, an email address, a telephone number, etc.

ConceptMap.description
Element IdConceptMap.description
Definition

A free text natural language description of the concept map from a consumer's perspective.

Cardinality0..1
Typemarkdown
Comments

The description is not intended to describe the semantics of the concept map. The description should capture its intended use, which is needed for ensuring integrity for its use in models across future changes.

ConceptMap.useContext
Element IdConceptMap.useContext
Definition

The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate concept map instances.

Cardinality0..*
TypeUsageContext
Requirements

Assist in searching for appropriate content.

Summarytrue
Comments

When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

ConceptMap.jurisdiction
Element IdConceptMap.jurisdiction
Definition

A legal or geographic region in which the concept map is intended to be used.

Cardinality0..*
Terminology BindingJurisdiction (Extensible)
TypeCodeableConcept
Summarytrue
Comments

It may be possible for the concept map to be used in jurisdictions other than those for which it was originally designed or intended.

ConceptMap.purpose
Element IdConceptMap.purpose
Definition

Explanation of why this concept map is needed and why it has been designed as it has.

Cardinality0..1
Typemarkdown
Comments

This element does not describe the usage of the concept map. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this concept map.

ConceptMap.copyright
Element IdConceptMap.copyright
Definition

A copyright statement relating to the concept map and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the concept map.

Cardinality0..1
Typemarkdown
Requirements

Consumers must be able to determine any legal restrictions on the use of the concept map and/or its content.

Alternate NamesLicense; Restrictions
Comments

Frequently the copyright differs between the concept map and codes that are included. The copyright statement should clearly differentiate between these when required.

ConceptMap.source[x]
Element IdConceptMap.source[x]
Definition

Identifier for the source value set that contains the concepts that are being mapped and provides context for the mappings.

Cardinality0..1
Typeuri|canonical(ValueSet)
[x] NoteSee Choice of Data Types for further information about how to use [x]
Summarytrue
Comments

Should be a version specific reference. URIs SHOULD be absolute. If there is no source or target value set, there is no specified context for the map (not recommended). The source value set may select codes from either an explicit (standard or local) or implicit code system.

ConceptMap.target[x]
Element IdConceptMap.target[x]
Definition

The target value set provides context for the mappings. Note that the mapping is made between concepts, not between value sets, but the value set provides important context about how the concept mapping choices are made.

Cardinality0..1
Typeuri|canonical(ValueSet)
[x] NoteSee Choice of Data Types for further information about how to use [x]
Summarytrue
Comments

Should be a version specific reference. URIs SHOULD be absolute. If there is no source or target value set, the is no specified context for the map.

ConceptMap.group
Element IdConceptMap.group
Definition

A group of mappings that all have the same source and target system.

Cardinality0..*
ConceptMap.group.source
Element IdConceptMap.group.source
Definition

An absolute URI that identifies the source system where the concepts to be mapped are defined.

Cardinality0..1
Typeuri
Comments

This is not needed if the source value set is specified and it contains concepts from only a single system.

ConceptMap.group.sourceVersion
Element IdConceptMap.group.sourceVersion
Definition

The specific version of the code system, as determined by the code system authority.

Cardinality0..1
Typestring
Comments

The specification of a particular code system version may be required for code systems which lack concept permanence.

ConceptMap.group.target
Element IdConceptMap.group.target
Definition

An absolute URI that identifies the target system that the concepts will be mapped to.

Cardinality0..1
Typeuri
Comments

This is not needed if the target value set is specified and it contains concepts from only a single system. The group target may also be omitted if all of the target element relationship values are 'not-related-to'.

ConceptMap.group.targetVersion
Element IdConceptMap.group.targetVersion
Definition

The specific version of the code system, as determined by the code system authority.

Cardinality0..1
Typestring
Comments

The specification of a particular code system version may be required for code systems which lack concept permanence.

ConceptMap.group.element
Element IdConceptMap.group.element
Definition

Mappings for an individual concept in the source to one or more concepts in the target.

Cardinality1..*
Alternate Namescode; concept; item
Comments

Generally, the ideal is that there would only be one mapping for each concept in the source value set, but a given concept may be mapped multiple times with different comments or dependencies.

Invariants
Defined on this element
cmd-4Rule If noMap is present, target SHALL NOT be present(noMap.exists() and target.empty()) or noMap.empty()
ConceptMap.group.element.code
Element IdConceptMap.group.element.code
Definition

Identity (code or path) or the element/item being mapped.

Cardinality0..1
Typecode
ConceptMap.group.element.display
Element IdConceptMap.group.element.display
Definition

The display for the code. The display is only provided to help editors when editing the concept map.

Cardinality0..1
Typestring
Comments

The display is ignored when processing the map.

ConceptMap.group.element.noMap
Element IdConceptMap.group.element.noMap
Definition

If noMap = true this indicates that no mapping to a target concept exists for this source concept.

Cardinality0..1
Typeboolean
ConceptMap.group.element.target
Element IdConceptMap.group.element.target
Definition

A concept from the target value set that this concept maps to.

Cardinality0..*
Comments

Ideally there would only be one map, with an 'equivalent' mapping. But multiple maps are allowed for several narrower (i.e. source-is-broader-than-target) options, or to assert that other concepts are not related.

Invariants
Defined on this element
cmd-1Rule If the map is source-is-broader-than-target or not-related-to, there SHALL be some commentscomment.exists() or relationship.empty() or ((relationship != 'source-is-broader-than-target') and (relationship != 'not-related-to'))
ConceptMap.group.element.target.code
Element IdConceptMap.group.element.target.code
Definition

Identity (code or path) or the element/item that the map refers to.

Cardinality0..1
Typecode
ConceptMap.group.element.target.display
Element IdConceptMap.group.element.target.display
Definition

The display for the code. The display is only provided to help editors when editing the concept map.

Cardinality0..1
Typestring
Comments

The display is ignored when processing the map.

ConceptMap.group.element.target.relationship
Element IdConceptMap.group.element.target.relationship
Definition

The relationship between the source and target concepts. The relationship is read from source to target (e.g. source-is-narrower-than-target).

Cardinality1..1
Terminology BindingConceptMapRelationship (Required)
Typecode
Is Modifiertrue (Reason: The 'not-related-to' relationship means that there is no mapping from the source to the target, and the mapping cannot be interpreted without knowing this value as it could mean the elements are equivalent, totally mismatched or anything in between)
Comments

This element is labeled as a modifier because it may indicate that there is no mapping.

ConceptMap.group.element.target.comment
Element IdConceptMap.group.element.target.comment
Definition

A description of status/issues in mapping that conveys additional information not represented in the structured data.

Cardinality0..1
Typestring
Invariants
Affect this element
cmd-1Rule If the map is source-is-broader-than-target or not-related-to, there SHALL be some commentscomment.exists() or relationship.empty() or ((relationship != 'source-is-broader-than-target') and (relationship != 'not-related-to'))
ConceptMap.group.element.target.dependsOn
Element IdConceptMap.group.element.target.dependsOn
Definition

A set of additional dependencies for this mapping to hold. This mapping is only applicable if the specified element can be resolved, and it has the specified value.

Cardinality0..*
ConceptMap.group.element.target.dependsOn.property
Element IdConceptMap.group.element.target.dependsOn.property
Definition

A reference to an element that holds a coded value that corresponds to a code system property. The idea is that the information model carries an element somewhere that is labeled to correspond with a code system property.

Cardinality1..1
Typeuri
ConceptMap.group.element.target.dependsOn.system
Element IdConceptMap.group.element.target.dependsOn.system
Definition

An absolute URI that identifies the code system of the dependency code (if the source/dependency is a value set that crosses code systems).

Cardinality0..1
Typecanonical(CodeSystem)
Meaning if MissingThe code is in the source (dependsOn) or target (product) system
ConceptMap.group.element.target.dependsOn.value
Element IdConceptMap.group.element.target.dependsOn.value
Definition

Identity (code or path) or the element/item/ValueSet/text that the map depends on / refers to.

Cardinality1..1
Typestring
ConceptMap.group.element.target.dependsOn.display
Element IdConceptMap.group.element.target.dependsOn.display
Definition

The display for the code. The display is only provided to help editors when editing the concept map.

Cardinality0..1
Typestring
Comments

The display is ignored when processing the map.

ConceptMap.group.element.target.product
Element IdConceptMap.group.element.target.product
Definition

A set of additional outcomes from this mapping to other elements. To properly execute this mapping, the specified element must be mapped to some data element or source that is in context. The mapping may still be useful without a place for the additional data elements, but the relationship (e.g., equivalent) cannot be relied on.

Cardinality0..*
TypeSee ConceptMap.group.element.target.dependsOn
ConceptMap.group.unmapped
Element IdConceptMap.group.unmapped
Definition

What to do when there is no mapping to a target concept from the source concept. This provides the "default" to be applied when there is no target concept mapping specified. The 'unmapped' element is ignored if a code is specified to have relationship = not-related-to.

Cardinality0..1
Comments

This only applies if the source code has a system value that matches the system defined for the group.

Invariants
Defined on this element
cmd-2Rule If the mode is 'fixed', a code must be provided(mode = 'fixed') implies code.exists()
cmd-3Rule If the mode is 'other-map', a url must be provided(mode = 'other-map') implies url.exists()
ConceptMap.group.unmapped.mode
Element IdConceptMap.group.unmapped.mode
Definition

Defines which action to take if there is no match for the source concept in the target system designated for the group. One of 3 actions are possible: use the unmapped code (this is useful when doing a mapping between versions, and only a few codes have changed), use a fixed code (a default code), or alternatively, a reference to a different concept map can be provided (by canonical URL).

Cardinality1..1
Terminology BindingConceptMapGroupUnmappedMode (Required)
Typecode
ConceptMap.group.unmapped.code
Element IdConceptMap.group.unmapped.code
Definition

The fixed code to use when the mode = 'fixed' - all unmapped codes are mapped to a single fixed code.

Cardinality0..1
Typecode
ConceptMap.group.unmapped.display
Element IdConceptMap.group.unmapped.display
Definition

The display for the code. The display is only provided to help editors when editing the concept map.

Cardinality0..1
Typestring
Comments

The display is ignored when processing the map.

ConceptMap.group.unmapped.url
Element IdConceptMap.group.unmapped.url
Definition

The canonical reference to an additional ConceptMap resource instance to use for mapping if this ConceptMap resource contains no matching mapping for the source concept.

Cardinality0..1
Typecanonical(ConceptMap)