<?xml version="1.0" encoding="UTF-8"?>

<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="R2-OperationOutcome-element-map-to-R5"/>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap R2-OperationOutcome-element-map-to-R5</b></p><a name="R2-OperationOutcome-element-map-to-R5"> </a><a name="hcR2-OperationOutcome-element-map-to-R5"> </a><p>Mapping from http://hl7.org/fhir/1.0 to http://hl7.org/fhir/5.0</p><br/><p><b>Group 1 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/OperationOutcome|1.0.2</code> to <a href="http://hl7.org/fhir/R5/operationoutcome.html">OperationOutcomeversion: 5.0.0)</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>OperationOutcome.meta (meta)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>OperationOutcome.meta</td><td>Element `OperationOutcome.meta` is mapped to FHIR R5 element `OperationOutcome.meta` as `SourceIsBroaderThanTarget`.
The mappings for `OperationOutcome.meta` do not cover the following types: Meta.
The mappings for `OperationOutcome.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.</td></tr><tr><td>OperationOutcome.implicitRules (implicitRules)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>OperationOutcome.implicitRules</td><td>Element `OperationOutcome.implicitRules` is mapped to FHIR R5 element `OperationOutcome.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>OperationOutcome.language (language)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>OperationOutcome.language</td><td>Element `OperationOutcome.language` is mapped to FHIR R5 element `OperationOutcome.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>OperationOutcome.text (text)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>OperationOutcome.text</td><td>Element `OperationOutcome.text` is mapped to FHIR R5 element `OperationOutcome.text` as `SourceIsBroaderThanTarget`.
The mappings for `OperationOutcome.text` do not cover the following types: Narrative.
The mappings for `OperationOutcome.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>OperationOutcome.contained (contained)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>OperationOutcome.contained</td><td>Element `OperationOutcome.contained` is mapped to FHIR R5 element `OperationOutcome.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>OperationOutcome.issue (issue)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>OperationOutcome.issue</td><td>Element `OperationOutcome.issue` is mapped to FHIR R5 element `OperationOutcome.issue` as `Equivalent`.</td></tr><tr><td>OperationOutcome.issue.severity (severity)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>OperationOutcome.issue.severity</td><td>Element `OperationOutcome.issue.severity` is mapped to FHIR R5 element `OperationOutcome.issue.severity` as `SourceIsNarrowerThanTarget`.
The mappings for `OperationOutcome.issue.severity` do not allow expression of the necessary codes, per the bindings on the source and target.
This is labeled as &quot;Is Modifier&quot; because applications should not confuse hints and warnings with errors.</td></tr><tr><td>OperationOutcome.issue.code (code)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>OperationOutcome.issue.code</td><td>Element `OperationOutcome.issue.code` is mapped to FHIR R5 element `OperationOutcome.issue.code` as `RelatedTo`.
The mappings for `OperationOutcome.issue.code` do not allow expression of the necessary codes, per the bindings on the source and target.</td></tr><tr><td>OperationOutcome.issue.details (details)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>OperationOutcome.issue.details</td><td>Element `OperationOutcome.issue.details` is mapped to FHIR R5 element `OperationOutcome.issue.details` as `Equivalent`.
A human readable description of the error issue SHOULD be placed in details.text.</td></tr><tr><td>OperationOutcome.issue.diagnostics (diagnostics)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>OperationOutcome.issue.diagnostics</td><td>Element `OperationOutcome.issue.diagnostics` is mapped to FHIR R5 element `OperationOutcome.issue.diagnostics` as `Equivalent`.
Typically this field is used to provide troubleshooting information about the error.</td></tr><tr><td>OperationOutcome.issue.location (location)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>OperationOutcome.issue.location</td><td>Element `OperationOutcome.issue.location` is mapped to FHIR R5 element `OperationOutcome.issue.location` as `Equivalent`.
The root of the XPath is the resource or bundle that generated OperationOutcome.  Each XPath SHALL resolve to a single node.  The XPath syntax is used whether the referenced instance is expressed in XML or JSON.</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/OperationOutcome|1.0.2</code> to <a href="StructureDefinition-ext-R2-OperationOutcome.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>OperationOutcome.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 `OperationOutcome.meta` is mapped to FHIR R5 element `OperationOutcome.meta` as `SourceIsBroaderThanTarget`.
The mappings for `OperationOutcome.meta` do not cover the following types: Meta.
The mappings for `OperationOutcome.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/OperationOutcome|1.0.2</code> to <a href="StructureDefinition-ext-R2-OperationOutcome.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>OperationOutcome.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 `OperationOutcome.text` is mapped to FHIR R5 element `OperationOutcome.text` as `SourceIsBroaderThanTarget`.
The mappings for `OperationOutcome.text` do not cover the following types: Narrative.
The mappings for `OperationOutcome.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/OperationOutcome|1.0.2</code> to <a href="StructureDefinition-ext-R2-OperationOutcome.iss.code.html">DSTU2: code 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>OperationOutcome.issue.code (code)</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: code additional codes)</td><td>Element `OperationOutcome.issue.code` is mapped to FHIR R5 element `OperationOutcome.issue.code` as `RelatedTo`.
The mappings for `OperationOutcome.issue.code` do not allow expression of the necessary codes, per the bindings on the source and target.</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.r5"/>
      </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.r5"/>
      </extension>
    </valueCode>
  </extension>
  <url value="http://hl7.org/fhir/uv/xver/ConceptMap/R2-OperationOutcome-element-map-to-R5"/>
  <version value="0.1.0"/>
  <name value="R2OperationOutcomeElementMapToR5"/>
  <title value="Cross-version mapping for FHIR DSTU2 OperationOutcome to FHIR R5 OperationOutcome"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-03-17T16:05:26.1077038-05:00"/>
  <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 OperationOutcome to FHIR R5."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <sourceScopeCanonical value="http://hl7.org/fhir/1.0"/>
  <targetScopeUri value="http://hl7.org/fhir/5.0"/>
  <group>
    <source value="http://hl7.org/fhir/StructureDefinition/OperationOutcome|1.0.2"/>
    <target value="http://hl7.org/fhir/StructureDefinition/OperationOutcome|5.0.0"/>
    <element>
      <code value="OperationOutcome.meta"/>
      <display value="meta"/>
      <target>
        <code value="OperationOutcome.meta"/>
        <display value="OperationOutcome.meta"/>
        <relationship value="source-is-broader-than-target"/>
        <comment value="Element `OperationOutcome.meta` is mapped to FHIR R5 element `OperationOutcome.meta` as `SourceIsBroaderThanTarget`.&#xA;The mappings for `OperationOutcome.meta` do not cover the following types: Meta.&#xA;The mappings for `OperationOutcome.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."/>
      </target>
    </element>
    <element>
      <code value="OperationOutcome.implicitRules"/>
      <display value="implicitRules"/>
      <target>
        <code value="OperationOutcome.implicitRules"/>
        <display value="OperationOutcome.implicitRules"/>
        <relationship value="equivalent"/>
        <comment value="Element `OperationOutcome.implicitRules` is mapped to FHIR R5 element `OperationOutcome.implicitRules` as `Equivalent`.&#xA;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="OperationOutcome.language"/>
      <display value="language"/>
      <target>
        <code value="OperationOutcome.language"/>
        <display value="OperationOutcome.language"/>
        <relationship value="equivalent"/>
        <comment value="Element `OperationOutcome.language` is mapped to FHIR R5 element `OperationOutcome.language` as `Equivalent`.&#xA;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="OperationOutcome.text"/>
      <display value="text"/>
      <target>
        <code value="OperationOutcome.text"/>
        <display value="OperationOutcome.text"/>
        <relationship value="source-is-broader-than-target"/>
        <comment value="Element `OperationOutcome.text` is mapped to FHIR R5 element `OperationOutcome.text` as `SourceIsBroaderThanTarget`.&#xA;The mappings for `OperationOutcome.text` do not cover the following types: Narrative.&#xA;The mappings for `OperationOutcome.text` do not cover the following types based on type expansion: div, status.&#xA;Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative."/>
      </target>
    </element>
    <element>
      <code value="OperationOutcome.contained"/>
      <display value="contained"/>
      <target>
        <code value="OperationOutcome.contained"/>
        <display value="OperationOutcome.contained"/>
        <relationship value="equivalent"/>
        <comment value="Element `OperationOutcome.contained` is mapped to FHIR R5 element `OperationOutcome.contained` as `SourceIsBroaderThanTarget`.&#xA;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="OperationOutcome.issue"/>
      <display value="issue"/>
      <target>
        <code value="OperationOutcome.issue"/>
        <display value="OperationOutcome.issue"/>
        <relationship value="source-is-broader-than-target"/>
        <comment value="Element `OperationOutcome.issue` is mapped to FHIR R5 element `OperationOutcome.issue` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="OperationOutcome.issue.severity"/>
      <display value="severity"/>
      <target>
        <code value="OperationOutcome.issue.severity"/>
        <display value="OperationOutcome.issue.severity"/>
        <relationship value="equivalent"/>
        <comment value="Element `OperationOutcome.issue.severity` is mapped to FHIR R5 element `OperationOutcome.issue.severity` as `SourceIsNarrowerThanTarget`.&#xA;The mappings for `OperationOutcome.issue.severity` do not allow expression of the necessary codes, per the bindings on the source and target.&#xA;This is labeled as &quot;Is Modifier&quot; because applications should not confuse hints and warnings with errors."/>
      </target>
    </element>
    <element>
      <code value="OperationOutcome.issue.code"/>
      <display value="code"/>
      <target>
        <code value="OperationOutcome.issue.code"/>
        <display value="OperationOutcome.issue.code"/>
        <relationship value="source-is-broader-than-target"/>
        <comment value="Element `OperationOutcome.issue.code` is mapped to FHIR R5 element `OperationOutcome.issue.code` as `RelatedTo`.&#xA;The mappings for `OperationOutcome.issue.code` do not allow expression of the necessary codes, per the bindings on the source and target."/>
      </target>
    </element>
    <element>
      <code value="OperationOutcome.issue.details"/>
      <display value="details"/>
      <target>
        <code value="OperationOutcome.issue.details"/>
        <display value="OperationOutcome.issue.details"/>
        <relationship value="equivalent"/>
        <comment value="Element `OperationOutcome.issue.details` is mapped to FHIR R5 element `OperationOutcome.issue.details` as `Equivalent`.&#xA;A human readable description of the error issue SHOULD be placed in details.text."/>
      </target>
    </element>
    <element>
      <code value="OperationOutcome.issue.diagnostics"/>
      <display value="diagnostics"/>
      <target>
        <code value="OperationOutcome.issue.diagnostics"/>
        <display value="OperationOutcome.issue.diagnostics"/>
        <relationship value="equivalent"/>
        <comment value="Element `OperationOutcome.issue.diagnostics` is mapped to FHIR R5 element `OperationOutcome.issue.diagnostics` as `Equivalent`.&#xA;Typically this field is used to provide troubleshooting information about the error."/>
      </target>
    </element>
    <element>
      <code value="OperationOutcome.issue.location"/>
      <display value="location"/>
      <target>
        <code value="OperationOutcome.issue.location"/>
        <display value="OperationOutcome.issue.location"/>
        <relationship value="equivalent"/>
        <comment value="Element `OperationOutcome.issue.location` is mapped to FHIR R5 element `OperationOutcome.issue.location` as `Equivalent`.&#xA;The root of the XPath is the resource or bundle that generated OperationOutcome.  Each XPath SHALL resolve to a single node.  The XPath syntax is used whether the referenced instance is expressed in XML or JSON."/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://hl7.org/fhir/StructureDefinition/OperationOutcome|1.0.2"/>
    <target value="http://hl7.org/fhir/1.0/StructureDefinition/extension-OperationOutcome.meta|0.1.0"/>
    <element>
      <code value="OperationOutcome.meta"/>
      <display value="meta"/>
      <target>
        <code value="Extension"/>
        <relationship value="equivalent"/>
        <comment value="Element `OperationOutcome.meta` is mapped to FHIR R5 element `OperationOutcome.meta` as `SourceIsBroaderThanTarget`.&#xA;The mappings for `OperationOutcome.meta` do not cover the following types: Meta.&#xA;The mappings for `OperationOutcome.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/OperationOutcome|1.0.2"/>
    <target value="http://hl7.org/fhir/1.0/StructureDefinition/extension-OperationOutcome.text|0.1.0"/>
    <element>
      <code value="OperationOutcome.text"/>
      <display value="text"/>
      <target>
        <code value="Extension"/>
        <relationship value="equivalent"/>
        <comment value="Element `OperationOutcome.text` is mapped to FHIR R5 element `OperationOutcome.text` as `SourceIsBroaderThanTarget`.&#xA;The mappings for `OperationOutcome.text` do not cover the following types: Narrative.&#xA;The mappings for `OperationOutcome.text` do not cover the following types based on type expansion: div, status.&#xA;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/OperationOutcome|1.0.2"/>
    <target value="http://hl7.org/fhir/1.0/StructureDefinition/extension-OperationOutcome.issue.code|0.1.0"/>
    <element>
      <code value="OperationOutcome.issue.code"/>
      <display value="code"/>
      <target>
        <code value="Extension"/>
        <relationship value="equivalent"/>
        <comment value="Element `OperationOutcome.issue.code` is mapped to FHIR R5 element `OperationOutcome.issue.code` as `RelatedTo`.&#xA;The mappings for `OperationOutcome.issue.code` do not allow expression of the necessary codes, per the bindings on the source and target."/>
      </target>
    </element>
  </group>
</ConceptMap>