Extensions for Using Data Elements from FHIR DSTU2 in FHIR R4B
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Extensions for Using Data Elements from FHIR DSTU2 in FHIR R4B - Downloaded Version null See the Directory of published versions

: R2ProcedureElementMapToR4B - XML Representation

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<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="R2-Procedure-element-map-to-R4B"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap R2-Procedure-element-map-to-R4B</b></p><a name="R2-Procedure-element-map-to-R4B"> </a><a name="hcR2-Procedure-element-map-to-R4B"> </a><p>Mapping from http://hl7.org/fhir/1.0 to http://hl7.org/fhir/4.3</p><br/><p><b>Group 1 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Procedure|1.0.2</code> to <a href="http://hl7.org/fhir/R4B/procedure.html">Procedureversion: 4.3.0)</a></p><table class="grid"><tr><td colspan="2"><b>Source Concept Details</b></td><td><b>Relationship</b></td><td colspan="2"><b>Target Concept Details</b></td><td><b>Comment</b></td></tr><tr><td colspan="2"><b>Codes</b> from http://hl7.org/fhir/StructureDefinition/Procedure|1.0.2</td><td/><td colspan="2" title="http://hl7.org/fhir/StructureDefinition/Procedure|4.3.0"><b>Codes</b> from Procedure</td><td/></tr><tr><td style="border-right-width: 0px">Procedure.meta</td><td style="border-left-width: 0px">meta</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Procedure.meta</td><td style="border-left-width: 0px">Procedure.meta</td><td>Element `Procedure.meta` is mapped to FHIR R4B element `Procedure.meta` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.meta` do not cover the following types: Meta.
The mappings for `Procedure.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.</td></tr><tr><td style="border-right-width: 0px">Procedure.implicitRules</td><td style="border-left-width: 0px">implicitRules</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Procedure.implicitRules</td><td style="border-left-width: 0px">Procedure.implicitRules</td><td>Element `Procedure.implicitRules` is mapped to FHIR R4B element `Procedure.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 as much as possible.</td></tr><tr><td style="border-right-width: 0px">Procedure.language</td><td style="border-left-width: 0px">language</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Procedure.language</td><td style="border-left-width: 0px">Procedure.language</td><td>Element `Procedure.language` is mapped to FHIR R4B element `Procedure.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).</td></tr><tr><td style="border-right-width: 0px">Procedure.text</td><td style="border-left-width: 0px">text</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Procedure.text</td><td style="border-left-width: 0px">Procedure.text</td><td>Element `Procedure.text` is mapped to FHIR R4B element `Procedure.text` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.text` do not cover the following types: Narrative.
The mappings for `Procedure.text` do not cover the following types based on type expansion: div, status.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.</td></tr><tr><td style="border-right-width: 0px">Procedure.contained</td><td style="border-left-width: 0px">contained</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Procedure.contained</td><td style="border-left-width: 0px">Procedure.contained</td><td>Element `Procedure.contained` is mapped to FHIR R4B element `Procedure.contained` as `SourceIsBroaderThanTarget`.
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.</td></tr><tr><td style="border-right-width: 0px">Procedure.identifier</td><td style="border-left-width: 0px">identifier</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Procedure.identifier</td><td style="border-left-width: 0px">Procedure.identifier</td><td>Element `Procedure.identifier` is mapped to FHIR R4B element `Procedure.identifier` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.identifier` do not cover the following types: Identifier.
The mappings for `Procedure.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.</td></tr><tr><td style="border-right-width: 0px">Procedure.subject</td><td style="border-left-width: 0px">subject</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Procedure.subject</td><td style="border-left-width: 0px">Procedure.subject</td><td>Element `Procedure.subject` is mapped to FHIR R4B element `Procedure.subject` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.subject` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Procedure.subject` with unmapped reference targets: Group, Patient.</td></tr><tr><td style="border-right-width: 0px">Procedure.status</td><td style="border-left-width: 0px">status</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">Procedure.status</td><td style="border-left-width: 0px">Procedure.status</td><td>Element `Procedure.status` is mapped to FHIR R4B element `Procedure.status` as `RelatedTo`.
The mappings for `Procedure.status` do not allow expression of the necessary codes, per the bindings on the source and target.
The target context `Procedure.status` is a modifier element, so this extension does not need to be defined as a modifier.</td></tr><tr><td style="border-right-width: 0px">Procedure.category</td><td style="border-left-width: 0px">category</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Procedure.category</td><td style="border-left-width: 0px">Procedure.category</td><td>Element `Procedure.category` is mapped to FHIR R4B element `Procedure.category` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Procedure.code</td><td style="border-left-width: 0px">code</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Procedure.code</td><td style="border-left-width: 0px">Procedure.code</td><td>Element `Procedure.code` is mapped to FHIR R4B element `Procedure.code` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px; border-bottom-style: none">Procedure.reasonNotPerformed</td><td style="border-left-width: 0px; border-bottom-style: none">reasonNotPerformed</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">Procedure.reasonCode</td><td style="border-left-width: 0px">Procedure.reasonCode</td><td>Element `Procedure.reasonNotPerformed` is mapped to FHIR R4B element `Procedure.statusReason` as `SourceIsBroaderThanTarget`.
Element `Procedure.reasonNotPerformed` is mapped to FHIR R4B element `Procedure.reasonCode` as `RelatedTo`.</td></tr><tr><td style="border-right-width: 0px; border-top-style: none"/><td style="border-top-style: none; border-left-width: 0px"/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">Procedure.statusReason</td><td style="border-left-width: 0px">Procedure.statusReason</td><td>Element `Procedure.reasonNotPerformed` is mapped to FHIR R4B element `Procedure.statusReason` as `SourceIsBroaderThanTarget`.
Element `Procedure.reasonNotPerformed` is mapped to FHIR R4B element `Procedure.reasonCode` as `RelatedTo`.</td></tr><tr><td style="border-right-width: 0px">Procedure.bodySite</td><td style="border-left-width: 0px">bodySite</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Procedure.bodySite</td><td style="border-left-width: 0px">Procedure.bodySite</td><td>Element `Procedure.bodySite` is mapped to FHIR R4B element `Procedure.bodySite` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px; border-bottom-style: none">Procedure.reason[x]</td><td style="border-left-width: 0px; border-bottom-style: none">reason[x]</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">Procedure.reasonCode</td><td style="border-left-width: 0px">Procedure.reasonCode</td><td>Element `Procedure.reason[x]` is mapped to FHIR R4B element `Procedure.reasonCode` as `RelatedTo`.
Element `Procedure.reason[x]` is mapped to FHIR R4B element `Procedure.reasonReference` as `RelatedTo`.
The mappings for `Procedure.reason[x]` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Procedure.reason[x]` with unmapped reference targets: Condition.
e.g. endoscopy for dilatation and biopsy, combination diagnosis and therapeutic.</td></tr><tr><td style="border-right-width: 0px; border-top-style: none"/><td style="border-top-style: none; border-left-width: 0px"/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">Procedure.reasonReference</td><td style="border-left-width: 0px">Procedure.reasonReference</td><td>Element `Procedure.reason[x]` is mapped to FHIR R4B element `Procedure.reasonCode` as `RelatedTo`.
Element `Procedure.reason[x]` is mapped to FHIR R4B element `Procedure.reasonReference` as `RelatedTo`.
The mappings for `Procedure.reason[x]` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Procedure.reason[x]` with unmapped reference targets: Condition.
e.g. endoscopy for dilatation and biopsy, combination diagnosis and therapeutic.</td></tr><tr><td style="border-right-width: 0px">Procedure.performer</td><td style="border-left-width: 0px">performer</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Procedure.performer</td><td style="border-left-width: 0px">Procedure.performer</td><td>Element `Procedure.performer` is mapped to FHIR R4B element `Procedure.performer` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Procedure.performer.actor</td><td style="border-left-width: 0px">actor</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Procedure.performer.actor</td><td style="border-left-width: 0px">Procedure.performer.actor</td><td>Element `Procedure.performer.actor` is mapped to FHIR R4B element `Procedure.performer.actor` as `RelatedTo`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Procedure.performer.actor` with unmapped reference targets: Organization, Patient, Practitioner, RelatedPerson.</td></tr><tr><td style="border-right-width: 0px">Procedure.performer.role</td><td style="border-left-width: 0px">role</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Procedure.performer.function</td><td style="border-left-width: 0px">Procedure.performer.function</td><td>Element `Procedure.performer.role` is mapped to FHIR R4B element `Procedure.performer.function` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Procedure.performed[x]</td><td style="border-left-width: 0px">performed[x]</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Procedure.performed[x]</td><td style="border-left-width: 0px">Procedure.performed[x]</td><td>Element `Procedure.performed[x]` is mapped to FHIR R4B element `Procedure.performed[x]` as `SourceIsBroaderThanTarget`.
The target context `Procedure.performed[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Procedure`.</td></tr><tr><td style="border-right-width: 0px">Procedure.encounter</td><td style="border-left-width: 0px">encounter</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Procedure.encounter</td><td style="border-left-width: 0px">Procedure.encounter</td><td>Element `Procedure.encounter` is mapped to FHIR R4B element `Procedure.encounter` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.encounter` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Procedure.encounter` with unmapped reference targets: Encounter.</td></tr><tr><td style="border-right-width: 0px">Procedure.location</td><td style="border-left-width: 0px">location</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Procedure.location</td><td style="border-left-width: 0px">Procedure.location</td><td>Element `Procedure.location` is mapped to FHIR R4B element `Procedure.location` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.location` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Procedure.location` with unmapped reference targets: Location.</td></tr><tr><td style="border-right-width: 0px">Procedure.outcome</td><td style="border-left-width: 0px">outcome</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Procedure.outcome</td><td style="border-left-width: 0px">Procedure.outcome</td><td>Element `Procedure.outcome` is mapped to FHIR R4B element `Procedure.outcome` as `Equivalent`.
If outcome contains narrative text only, it can be captured using the CodeableConcept.text.</td></tr><tr><td style="border-right-width: 0px">Procedure.report</td><td style="border-left-width: 0px">report</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Procedure.report</td><td style="border-left-width: 0px">Procedure.report</td><td>Element `Procedure.report` is mapped to FHIR R4B element `Procedure.report` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.report` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Procedure.report` with unmapped reference targets: DiagnosticReport.
There could potentially be multiple reports - e.g. if this was a procedure which took multiple biopsies resulting in a number of anatomical pathology reports.</td></tr><tr><td style="border-right-width: 0px">Procedure.complication</td><td style="border-left-width: 0px">complication</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Procedure.complication</td><td style="border-left-width: 0px">Procedure.complication</td><td>Element `Procedure.complication` is mapped to FHIR R4B element `Procedure.complication` as `Equivalent`.
If complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text.</td></tr><tr><td style="border-right-width: 0px">Procedure.followUp</td><td style="border-left-width: 0px">followUp</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Procedure.followUp</td><td style="border-left-width: 0px">Procedure.followUp</td><td>Element `Procedure.followUp` is mapped to FHIR R4B element `Procedure.followUp` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Procedure.request</td><td style="border-left-width: 0px">request</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">Procedure.basedOn</td><td style="border-left-width: 0px">Procedure.basedOn</td><td>Element `Procedure.request` is mapped to FHIR R4B element `Procedure.basedOn` as `RelatedTo`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Procedure.request` with unmapped reference targets: CarePlan, DiagnosticOrder, ProcedureRequest, ReferralRequest.</td></tr><tr><td style="border-right-width: 0px">Procedure.notes</td><td style="border-left-width: 0px">notes</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Procedure.note</td><td style="border-left-width: 0px">Procedure.note</td><td>Element `Procedure.notes` is mapped to FHIR R4B element `Procedure.note` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.notes` do not cover the following types: Annotation.
The mappings for `Procedure.notes` do not cover the following types based on type expansion: author[x], text, time.</td></tr><tr><td style="border-right-width: 0px">Procedure.focalDevice</td><td style="border-left-width: 0px">focalDevice</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Procedure.focalDevice</td><td style="border-left-width: 0px">Procedure.focalDevice</td><td>Element `Procedure.focalDevice` is mapped to FHIR R4B element `Procedure.focalDevice` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Procedure.focalDevice.action</td><td style="border-left-width: 0px">action</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Procedure.focalDevice.action</td><td style="border-left-width: 0px">Procedure.focalDevice.action</td><td>Element `Procedure.focalDevice.action` is mapped to FHIR R4B element `Procedure.focalDevice.action` as `SourceIsBroaderThanTarget`.</td></tr><tr><td style="border-right-width: 0px">Procedure.focalDevice.manipulated</td><td style="border-left-width: 0px">manipulated</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Procedure.focalDevice.manipulated</td><td style="border-left-width: 0px">Procedure.focalDevice.manipulated</td><td>Element `Procedure.focalDevice.manipulated` is mapped to FHIR R4B element `Procedure.focalDevice.manipulated` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.focalDevice.manipulated` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Procedure.focalDevice.manipulated` with unmapped reference targets: Device.</td></tr><tr><td style="border-right-width: 0px">Procedure.used</td><td style="border-left-width: 0px">used</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Procedure.usedReference</td><td style="border-left-width: 0px">Procedure.usedReference</td><td>Element `Procedure.used` is mapped to FHIR R4B element `Procedure.usedReference` as `SourceIsBroaderThanTarget`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Procedure.used` with unmapped reference targets: Device, Medication, Substance.
For devices actually implanted or removed, use Procedure.device.</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Procedure|1.0.2</code> to <a href="StructureDefinition-ext-R2-Procedure.meta.html">DSTU2: meta additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Procedure.meta (meta)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (DSTU2: meta additional types)</td><td>Element `Procedure.meta` is mapped to FHIR R4B element `Procedure.meta` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.meta` do not cover the following types: Meta.
The mappings for `Procedure.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.</td></tr></table><hr/><p><b>Group 3 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Procedure|1.0.2</code> to <a href="StructureDefinition-ext-R2-Procedure.text.html">DSTU2: text additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Procedure.text (text)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (DSTU2: text additional types)</td><td>Element `Procedure.text` is mapped to FHIR R4B element `Procedure.text` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.text` do not cover the following types: Narrative.
The mappings for `Procedure.text` do not cover the following types based on type expansion: div, status.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.</td></tr></table><hr/><p><b>Group 4 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Procedure|1.0.2</code> to <a href="StructureDefinition-ext-R2-Procedure.identifier.html">DSTU2: identifier additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Procedure.identifier (identifier)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (DSTU2: identifier additional types)</td><td>Element `Procedure.identifier` is mapped to FHIR R4B element `Procedure.identifier` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.identifier` do not cover the following types: Identifier.
The mappings for `Procedure.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.</td></tr></table><hr/><p><b>Group 5 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Procedure|1.0.2</code> to <a href="StructureDefinition-ext-R2-Procedure.status.html">DSTU2: in-progress | aborted | completed | entered-in-error additional codesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Procedure.status (status)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (DSTU2: in-progress | aborted | completed | entered-in-error additional codes)</td><td>Element `Procedure.status` is mapped to FHIR R4B element `Procedure.status` as `RelatedTo`.
The mappings for `Procedure.status` do not allow expression of the necessary codes, per the bindings on the source and target.
The target context `Procedure.status` is a modifier element, so this extension does not need to be defined as a modifier.</td></tr></table><hr/><p><b>Group 6 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Procedure|1.0.2</code> to <a href="StructureDefinition-ext-R2-Procedure.notPerformed.html">DSTU2: True if procedure was not performed as scheduled (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Procedure.notPerformed (notPerformed)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (DSTU2: True if procedure was not performed as scheduled (new))</td><td>Element `Procedure.notPerformed` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`.
Element `Procedure.notPerformed` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 7 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Procedure|1.0.2</code> to <a href="StructureDefinition-ext-R2-Procedure.notes.html">DSTU2: notes additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Procedure.notes (notes)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (DSTU2: notes additional types)</td><td>Element `Procedure.notes` is mapped to FHIR R4B element `Procedure.note` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.notes` do not cover the following types: Annotation.
The mappings for `Procedure.notes` do not cover the following types based on type expansion: author[x], text, time.</td></tr></table><hr/><p><b>Group 8 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Procedure|1.0.2</code> to <a href="StructureDefinition-ext-R2-Procedure.foc.action.html">DSTU2: actionversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Procedure.focalDevice.action (action)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (DSTU2: action)</td><td>Element `Procedure.focalDevice.action` is mapped to FHIR R4B element `Procedure.focalDevice.action` as `SourceIsBroaderThanTarget`.</td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fhir"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r4b"/>
      </extension>
    </valueInteger>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r4b"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/uv/xver/ConceptMap/R2-Procedure-element-map-to-R4B"/>
  <version value="0.1.0"/>
  <name value="R2ProcedureElementMapToR4B"/>
  <title
         value="Cross-version mapping for FHIR DSTU2 Procedure to FHIR R4B Procedure"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-03-17T16:04:54.7618652-05:00"/>
  <contact>
    <name value="FHIR Infrastructure"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fiwg"/>
    </telecom>
  </contact>
  <description
               value="This ConceptMap represents cross-version mappings for elements from a FHIR DSTU2 Procedure to FHIR R4B."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <sourceCanonical value="http://hl7.org/fhir/1.0"/>
  <targetUri value="http://hl7.org/fhir/4.3"/>
  <group>
    <source value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
    <sourceVersion value="1.0.2"/>
    <target value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
    <targetVersion value="4.3.0"/>
    <element>
      <code value="Procedure.meta"/>
      <display value="meta"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="wider"/>
        </modifierExtension>
        <code value="Procedure.meta"/>
        <display value="Procedure.meta"/>
        <equivalence value="wider"/>
        <comment
                 value="Element `Procedure.meta` is mapped to FHIR R4B element `Procedure.meta` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.meta` do not cover the following types: Meta.
The mappings for `Procedure.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."/>
      </target>
    </element>
    <element>
      <code value="Procedure.implicitRules"/>
      <display value="implicitRules"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Procedure.implicitRules"/>
        <display value="Procedure.implicitRules"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Procedure.implicitRules` is mapped to FHIR R4B element `Procedure.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 as much as possible."/>
      </target>
    </element>
    <element>
      <code value="Procedure.language"/>
      <display value="language"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Procedure.language"/>
        <display value="Procedure.language"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Procedure.language` is mapped to FHIR R4B element `Procedure.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)."/>
      </target>
    </element>
    <element>
      <code value="Procedure.text"/>
      <display value="text"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="wider"/>
        </modifierExtension>
        <code value="Procedure.text"/>
        <display value="Procedure.text"/>
        <equivalence value="wider"/>
        <comment
                 value="Element `Procedure.text` is mapped to FHIR R4B element `Procedure.text` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.text` do not cover the following types: Narrative.
The mappings for `Procedure.text` do not cover the following types based on type expansion: div, status.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative."/>
      </target>
    </element>
    <element>
      <code value="Procedure.contained"/>
      <display value="contained"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Procedure.contained"/>
        <display value="Procedure.contained"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Procedure.contained` is mapped to FHIR R4B element `Procedure.contained` as `SourceIsBroaderThanTarget`.
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."/>
      </target>
    </element>
    <element>
      <code value="Procedure.identifier"/>
      <display value="identifier"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="wider"/>
        </modifierExtension>
        <code value="Procedure.identifier"/>
        <display value="Procedure.identifier"/>
        <equivalence value="wider"/>
        <comment
                 value="Element `Procedure.identifier` is mapped to FHIR R4B element `Procedure.identifier` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.identifier` do not cover the following types: Identifier.
The mappings for `Procedure.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."/>
      </target>
    </element>
    <element>
      <code value="Procedure.subject"/>
      <display value="subject"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="wider"/>
        </modifierExtension>
        <code value="Procedure.subject"/>
        <display value="Procedure.subject"/>
        <equivalence value="wider"/>
        <comment
                 value="Element `Procedure.subject` is mapped to FHIR R4B element `Procedure.subject` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.subject` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Procedure.subject` with unmapped reference targets: Group, Patient."/>
      </target>
    </element>
    <element>
      <code value="Procedure.status"/>
      <display value="status"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="relatedto"/>
        </modifierExtension>
        <code value="Procedure.status"/>
        <display value="Procedure.status"/>
        <equivalence value="relatedto"/>
        <comment
                 value="Element `Procedure.status` is mapped to FHIR R4B element `Procedure.status` as `RelatedTo`.
The mappings for `Procedure.status` do not allow expression of the necessary codes, per the bindings on the source and target.
The target context `Procedure.status` is a modifier element, so this extension does not need to be defined as a modifier."/>
      </target>
    </element>
    <element>
      <code value="Procedure.category"/>
      <display value="category"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Procedure.category"/>
        <display value="Procedure.category"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Procedure.category` is mapped to FHIR R4B element `Procedure.category` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Procedure.code"/>
      <display value="code"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Procedure.code"/>
        <display value="Procedure.code"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Procedure.code` is mapped to FHIR R4B element `Procedure.code` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Procedure.reasonNotPerformed"/>
      <display value="reasonNotPerformed"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="relatedto"/>
        </modifierExtension>
        <code value="Procedure.reasonCode"/>
        <display value="Procedure.reasonCode"/>
        <equivalence value="relatedto"/>
        <comment
                 value="Element `Procedure.reasonNotPerformed` is mapped to FHIR R4B element `Procedure.statusReason` as `SourceIsBroaderThanTarget`.
Element `Procedure.reasonNotPerformed` is mapped to FHIR R4B element `Procedure.reasonCode` as `RelatedTo`."/>
      </target>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="relatedto"/>
        </modifierExtension>
        <code value="Procedure.statusReason"/>
        <display value="Procedure.statusReason"/>
        <equivalence value="relatedto"/>
        <comment
                 value="Element `Procedure.reasonNotPerformed` is mapped to FHIR R4B element `Procedure.statusReason` as `SourceIsBroaderThanTarget`.
Element `Procedure.reasonNotPerformed` is mapped to FHIR R4B element `Procedure.reasonCode` as `RelatedTo`."/>
      </target>
    </element>
    <element>
      <code value="Procedure.bodySite"/>
      <display value="bodySite"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Procedure.bodySite"/>
        <display value="Procedure.bodySite"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Procedure.bodySite` is mapped to FHIR R4B element `Procedure.bodySite` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Procedure.reason[x]"/>
      <display value="reason[x]"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="relatedto"/>
        </modifierExtension>
        <code value="Procedure.reasonCode"/>
        <display value="Procedure.reasonCode"/>
        <equivalence value="relatedto"/>
        <comment
                 value="Element `Procedure.reason[x]` is mapped to FHIR R4B element `Procedure.reasonCode` as `RelatedTo`.
Element `Procedure.reason[x]` is mapped to FHIR R4B element `Procedure.reasonReference` as `RelatedTo`.
The mappings for `Procedure.reason[x]` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Procedure.reason[x]` with unmapped reference targets: Condition.
e.g. endoscopy for dilatation and biopsy, combination diagnosis and therapeutic."/>
      </target>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="relatedto"/>
        </modifierExtension>
        <code value="Procedure.reasonReference"/>
        <display value="Procedure.reasonReference"/>
        <equivalence value="relatedto"/>
        <comment
                 value="Element `Procedure.reason[x]` is mapped to FHIR R4B element `Procedure.reasonCode` as `RelatedTo`.
Element `Procedure.reason[x]` is mapped to FHIR R4B element `Procedure.reasonReference` as `RelatedTo`.
The mappings for `Procedure.reason[x]` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Procedure.reason[x]` with unmapped reference targets: Condition.
e.g. endoscopy for dilatation and biopsy, combination diagnosis and therapeutic."/>
      </target>
    </element>
    <element>
      <code value="Procedure.performer"/>
      <display value="performer"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="wider"/>
        </modifierExtension>
        <code value="Procedure.performer"/>
        <display value="Procedure.performer"/>
        <equivalence value="wider"/>
        <comment
                 value="Element `Procedure.performer` is mapped to FHIR R4B element `Procedure.performer` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Procedure.performer.actor"/>
      <display value="actor"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="wider"/>
        </modifierExtension>
        <code value="Procedure.performer.actor"/>
        <display value="Procedure.performer.actor"/>
        <equivalence value="wider"/>
        <comment
                 value="Element `Procedure.performer.actor` is mapped to FHIR R4B element `Procedure.performer.actor` as `RelatedTo`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Procedure.performer.actor` with unmapped reference targets: Organization, Patient, Practitioner, RelatedPerson."/>
      </target>
    </element>
    <element>
      <code value="Procedure.performer.role"/>
      <display value="role"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Procedure.performer.function"/>
        <display value="Procedure.performer.function"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Procedure.performer.role` is mapped to FHIR R4B element `Procedure.performer.function` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Procedure.performed[x]"/>
      <display value="performed[x]"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Procedure.performed[x]"/>
        <display value="Procedure.performed[x]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Procedure.performed[x]` is mapped to FHIR R4B element `Procedure.performed[x]` as `SourceIsBroaderThanTarget`.
The target context `Procedure.performed[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Procedure`."/>
      </target>
    </element>
    <element>
      <code value="Procedure.encounter"/>
      <display value="encounter"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="wider"/>
        </modifierExtension>
        <code value="Procedure.encounter"/>
        <display value="Procedure.encounter"/>
        <equivalence value="wider"/>
        <comment
                 value="Element `Procedure.encounter` is mapped to FHIR R4B element `Procedure.encounter` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.encounter` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Procedure.encounter` with unmapped reference targets: Encounter."/>
      </target>
    </element>
    <element>
      <code value="Procedure.location"/>
      <display value="location"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="wider"/>
        </modifierExtension>
        <code value="Procedure.location"/>
        <display value="Procedure.location"/>
        <equivalence value="wider"/>
        <comment
                 value="Element `Procedure.location` is mapped to FHIR R4B element `Procedure.location` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.location` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Procedure.location` with unmapped reference targets: Location."/>
      </target>
    </element>
    <element>
      <code value="Procedure.outcome"/>
      <display value="outcome"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Procedure.outcome"/>
        <display value="Procedure.outcome"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Procedure.outcome` is mapped to FHIR R4B element `Procedure.outcome` as `Equivalent`.
If outcome contains narrative text only, it can be captured using the CodeableConcept.text."/>
      </target>
    </element>
    <element>
      <code value="Procedure.report"/>
      <display value="report"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="wider"/>
        </modifierExtension>
        <code value="Procedure.report"/>
        <display value="Procedure.report"/>
        <equivalence value="wider"/>
        <comment
                 value="Element `Procedure.report` is mapped to FHIR R4B element `Procedure.report` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.report` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Procedure.report` with unmapped reference targets: DiagnosticReport.
There could potentially be multiple reports - e.g. if this was a procedure which took multiple biopsies resulting in a number of anatomical pathology reports."/>
      </target>
    </element>
    <element>
      <code value="Procedure.complication"/>
      <display value="complication"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Procedure.complication"/>
        <display value="Procedure.complication"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Procedure.complication` is mapped to FHIR R4B element `Procedure.complication` as `Equivalent`.
If complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text."/>
      </target>
    </element>
    <element>
      <code value="Procedure.followUp"/>
      <display value="followUp"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Procedure.followUp"/>
        <display value="Procedure.followUp"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Procedure.followUp` is mapped to FHIR R4B element `Procedure.followUp` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Procedure.request"/>
      <display value="request"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="relatedto"/>
        </modifierExtension>
        <code value="Procedure.basedOn"/>
        <display value="Procedure.basedOn"/>
        <equivalence value="relatedto"/>
        <comment
                 value="Element `Procedure.request` is mapped to FHIR R4B element `Procedure.basedOn` as `RelatedTo`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Procedure.request` with unmapped reference targets: CarePlan, DiagnosticOrder, ProcedureRequest, ReferralRequest."/>
      </target>
    </element>
    <element>
      <code value="Procedure.notes"/>
      <display value="notes"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="wider"/>
        </modifierExtension>
        <code value="Procedure.note"/>
        <display value="Procedure.note"/>
        <equivalence value="wider"/>
        <comment
                 value="Element `Procedure.notes` is mapped to FHIR R4B element `Procedure.note` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.notes` do not cover the following types: Annotation.
The mappings for `Procedure.notes` do not cover the following types based on type expansion: author[x], text, time."/>
      </target>
    </element>
    <element>
      <code value="Procedure.focalDevice"/>
      <display value="focalDevice"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="wider"/>
        </modifierExtension>
        <code value="Procedure.focalDevice"/>
        <display value="Procedure.focalDevice"/>
        <equivalence value="wider"/>
        <comment
                 value="Element `Procedure.focalDevice` is mapped to FHIR R4B element `Procedure.focalDevice` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Procedure.focalDevice.action"/>
      <display value="action"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="wider"/>
        </modifierExtension>
        <code value="Procedure.focalDevice.action"/>
        <display value="Procedure.focalDevice.action"/>
        <equivalence value="wider"/>
        <comment
                 value="Element `Procedure.focalDevice.action` is mapped to FHIR R4B element `Procedure.focalDevice.action` as `SourceIsBroaderThanTarget`."/>
      </target>
    </element>
    <element>
      <code value="Procedure.focalDevice.manipulated"/>
      <display value="manipulated"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="wider"/>
        </modifierExtension>
        <code value="Procedure.focalDevice.manipulated"/>
        <display value="Procedure.focalDevice.manipulated"/>
        <equivalence value="wider"/>
        <comment
                 value="Element `Procedure.focalDevice.manipulated` is mapped to FHIR R4B element `Procedure.focalDevice.manipulated` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.focalDevice.manipulated` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Procedure.focalDevice.manipulated` with unmapped reference targets: Device."/>
      </target>
    </element>
    <element>
      <code value="Procedure.used"/>
      <display value="used"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="wider"/>
        </modifierExtension>
        <code value="Procedure.usedReference"/>
        <display value="Procedure.usedReference"/>
        <equivalence value="wider"/>
        <comment
                 value="Element `Procedure.used` is mapped to FHIR R4B element `Procedure.usedReference` as `SourceIsBroaderThanTarget`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `Procedure.used` with unmapped reference targets: Device, Medication, Substance.
For devices actually implanted or removed, use Procedure.device."/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
    <sourceVersion value="1.0.2"/>
    <target
            value="http://hl7.org/fhir/1.0/StructureDefinition/extension-Procedure.meta"/>
    <targetVersion value="0.1.0"/>
    <element>
      <code value="Procedure.meta"/>
      <display value="meta"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Extension"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Procedure.meta` is mapped to FHIR R4B element `Procedure.meta` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.meta` do not cover the following types: Meta.
The mappings for `Procedure.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
    <sourceVersion value="1.0.2"/>
    <target
            value="http://hl7.org/fhir/1.0/StructureDefinition/extension-Procedure.text"/>
    <targetVersion value="0.1.0"/>
    <element>
      <code value="Procedure.text"/>
      <display value="text"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Extension"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Procedure.text` is mapped to FHIR R4B element `Procedure.text` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.text` do not cover the following types: Narrative.
The mappings for `Procedure.text` do not cover the following types based on type expansion: div, status.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative."/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
    <sourceVersion value="1.0.2"/>
    <target
            value="http://hl7.org/fhir/1.0/StructureDefinition/extension-Procedure.identifier"/>
    <targetVersion value="0.1.0"/>
    <element>
      <code value="Procedure.identifier"/>
      <display value="identifier"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Extension"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Procedure.identifier` is mapped to FHIR R4B element `Procedure.identifier` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.identifier` do not cover the following types: Identifier.
The mappings for `Procedure.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
    <sourceVersion value="1.0.2"/>
    <target
            value="http://hl7.org/fhir/1.0/StructureDefinition/extension-Procedure.status"/>
    <targetVersion value="0.1.0"/>
    <element>
      <code value="Procedure.status"/>
      <display value="status"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="wider"/>
        </modifierExtension>
        <code value="Extension"/>
        <equivalence value="wider"/>
        <comment
                 value="Element `Procedure.status` is mapped to FHIR R4B element `Procedure.status` as `RelatedTo`.
The mappings for `Procedure.status` do not allow expression of the necessary codes, per the bindings on the source and target.
The target context `Procedure.status` is a modifier element, so this extension does not need to be defined as a modifier."/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
    <sourceVersion value="1.0.2"/>
    <target
            value="http://hl7.org/fhir/1.0/StructureDefinition/extension-Procedure.notPerformed"/>
    <targetVersion value="0.1.0"/>
    <element>
      <code value="Procedure.notPerformed"/>
      <display value="notPerformed"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Extension"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Procedure.notPerformed` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`.
Element `Procedure.notPerformed` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
    <sourceVersion value="1.0.2"/>
    <target
            value="http://hl7.org/fhir/1.0/StructureDefinition/extension-Procedure.notes"/>
    <targetVersion value="0.1.0"/>
    <element>
      <code value="Procedure.notes"/>
      <display value="notes"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="wider"/>
        </modifierExtension>
        <code value="Extension"/>
        <equivalence value="wider"/>
        <comment
                 value="Element `Procedure.notes` is mapped to FHIR R4B element `Procedure.note` as `SourceIsBroaderThanTarget`.
The mappings for `Procedure.notes` do not cover the following types: Annotation.
The mappings for `Procedure.notes` do not cover the following types based on type expansion: author[x], text, time."/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
    <sourceVersion value="1.0.2"/>
    <target
            value="http://hl7.org/fhir/1.0/StructureDefinition/extension-Procedure.focalDevice.action"/>
    <targetVersion value="0.1.0"/>
    <element>
      <code value="Procedure.focalDevice.action"/>
      <display value="action"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Extension"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Procedure.focalDevice.action` is mapped to FHIR R4B element `Procedure.focalDevice.action` as `SourceIsBroaderThanTarget`."/>
      </target>
    </element>
  </group>
</ConceptMap>