Extensions for Using Data Elements from FHIR STU3 in FHIR R4
0.1.0 - STU
Extensions for Using Data Elements from FHIR STU3 in FHIR R4
0.1.0 - STU
Extensions for Using Data Elements from FHIR STU3 in FHIR R4 - Downloaded Version null See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 0 |
<ConceptMap xmlns="http://hl7.org/fhir">
<id value="R3-DetectedIssue-element-map-to-R4"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap R3-DetectedIssue-element-map-to-R4</b></p><a name="R3-DetectedIssue-element-map-to-R4"> </a><a name="hcR3-DetectedIssue-element-map-to-R4"> </a><p>Mapping from http://hl7.org/fhir/3.0 to http://hl7.org/fhir/4.0</p><br/><p><b>Group 1 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/DetectedIssue|3.0.2</code> to <a href="http://hl7.org/fhir/R4/detectedissue.html">DetectedIssueversion: 4.0.1)</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>DetectedIssue.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>DetectedIssue.meta</td><td>Element `DetectedIssue.meta` is mapped to FHIR R4 element `DetectedIssue.meta` as `Equivalent`.</td></tr><tr><td>DetectedIssue.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>DetectedIssue.implicitRules</td><td>Element `DetectedIssue.implicitRules` is mapped to FHIR R4 element `DetectedIssue.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.
This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.</td></tr><tr><td>DetectedIssue.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>DetectedIssue.language</td><td>Element `DetectedIssue.language` is mapped to FHIR R4 element `DetectedIssue.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>DetectedIssue.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>DetectedIssue.text</td><td>Element `DetectedIssue.text` is mapped to FHIR R4 element `DetectedIssue.text` as `Equivalent`.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.</td></tr><tr><td>DetectedIssue.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>DetectedIssue.contained</td><td>Element `DetectedIssue.contained` is mapped to FHIR R4 element `DetectedIssue.contained` as `Equivalent`.
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.</td></tr><tr><td>DetectedIssue.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>DetectedIssue.identifier</td><td>Element `DetectedIssue.identifier` is mapped to FHIR R4 element `DetectedIssue.identifier` as `SourceIsNarrowerThanTarget`.</td></tr><tr><td>DetectedIssue.status (status)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>DetectedIssue.status</td><td>Element `DetectedIssue.status` is mapped to FHIR R4 element `DetectedIssue.status` as `Equivalent`.
This element is labeled as a modifier because the status contains the codes cancelled and entered-in-error that mark the issue as not currently valid.</td></tr><tr><td>DetectedIssue.category (category)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>DetectedIssue.code</td><td>Element `DetectedIssue.category` is mapped to FHIR R4 element `DetectedIssue.code` as `Equivalent`.</td></tr><tr><td>DetectedIssue.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>DetectedIssue.severity</td><td>Element `DetectedIssue.severity` is mapped to FHIR R4 element `DetectedIssue.severity` as `Equivalent`.</td></tr><tr><td>DetectedIssue.patient (patient)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>DetectedIssue.patient</td><td>Element `DetectedIssue.patient` is mapped to FHIR R4 element `DetectedIssue.patient` as `Equivalent`.</td></tr><tr><td>DetectedIssue.date (date)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#narrower" title="narrower">narrower</a></td><td>DetectedIssue.identified[x]</td><td>Element `DetectedIssue.date` is mapped to FHIR R4 element `DetectedIssue.identified[x]` as `SourceIsNarrowerThanTarget`.
The target context `DetectedIssue.identified[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `DetectedIssue`.</td></tr><tr><td>DetectedIssue.author (author)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>DetectedIssue.author</td><td>Element `DetectedIssue.author` is mapped to FHIR R4 element `DetectedIssue.author` as `Equivalent`.</td></tr><tr><td>DetectedIssue.implicated (implicated)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>DetectedIssue.implicated</td><td>Element `DetectedIssue.implicated` is mapped to FHIR R4 element `DetectedIssue.implicated` as `Equivalent`.
There's an implicit constraint on the number of implicated resources based on DetectedIssue.type; e.g. For drug-drug, there would be more than one. For timing, there would typically only be one.</td></tr><tr><td>DetectedIssue.detail (detail)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>DetectedIssue.detail</td><td>Element `DetectedIssue.detail` is mapped to FHIR R4 element `DetectedIssue.detail` as `Equivalent`.
Should focus on information not covered elsewhere as discrete data - no need to duplicate the narrative.</td></tr><tr><td>DetectedIssue.reference (reference)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>DetectedIssue.reference</td><td>Element `DetectedIssue.reference` is mapped to FHIR R4 element `DetectedIssue.reference` as `Equivalent`.</td></tr><tr><td>DetectedIssue.mitigation (mitigation)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>DetectedIssue.mitigation</td><td>Element `DetectedIssue.mitigation` is mapped to FHIR R4 element `DetectedIssue.mitigation` as `Equivalent`.</td></tr><tr><td>DetectedIssue.mitigation.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>DetectedIssue.mitigation.action</td><td>Element `DetectedIssue.mitigation.action` is mapped to FHIR R4 element `DetectedIssue.mitigation.action` as `Equivalent`.
The "text" component can be used for detail or when no appropriate code exists.</td></tr><tr><td>DetectedIssue.mitigation.date (date)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>DetectedIssue.mitigation.date</td><td>Element `DetectedIssue.mitigation.date` is mapped to FHIR R4 element `DetectedIssue.mitigation.date` as `Equivalent`.
This may not be the same as when the mitigating step was actually taken.</td></tr><tr><td>DetectedIssue.mitigation.author (author)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>DetectedIssue.mitigation.author</td><td>Element `DetectedIssue.mitigation.author` is mapped to FHIR R4 element `DetectedIssue.mitigation.author` as `Equivalent`.</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-r3.r4"/>
</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-r3.r4"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/uv/xver/ConceptMap/R3-DetectedIssue-element-map-to-R4"/>
<version value="0.1.0"/>
<name value="R3DetectedIssueElementMapToR4"/>
<title
value="Cross-version mapping for FHIR STU3 DetectedIssue to FHIR R4 DetectedIssue"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-03-17T16:03:23.3605125-05:00"/>
<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 STU3 DetectedIssue to FHIR R4."/>
<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/3.0"/>
<targetUri value="http://hl7.org/fhir/4.0"/>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/DetectedIssue"/>
<sourceVersion value="3.0.2"/>
<target value="http://hl7.org/fhir/StructureDefinition/DetectedIssue"/>
<targetVersion value="4.0.1"/>
<element>
<code value="DetectedIssue.meta"/>
<display value="meta"/>
<target>
<code value="DetectedIssue.meta"/>
<display value="DetectedIssue.meta"/>
<equivalence value="equivalent"/>
<comment
value="Element `DetectedIssue.meta` is mapped to FHIR R4 element `DetectedIssue.meta` as `Equivalent`."/>
</target>
</element>
<element>
<code value="DetectedIssue.implicitRules"/>
<display value="implicitRules"/>
<target>
<code value="DetectedIssue.implicitRules"/>
<display value="DetectedIssue.implicitRules"/>
<equivalence value="equivalent"/>
<comment
value="Element `DetectedIssue.implicitRules` is mapped to FHIR R4 element `DetectedIssue.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.
This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation."/>
</target>
</element>
<element>
<code value="DetectedIssue.language"/>
<display value="language"/>
<target>
<code value="DetectedIssue.language"/>
<display value="DetectedIssue.language"/>
<equivalence value="equivalent"/>
<comment
value="Element `DetectedIssue.language` is mapped to FHIR R4 element `DetectedIssue.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="DetectedIssue.text"/>
<display value="text"/>
<target>
<code value="DetectedIssue.text"/>
<display value="DetectedIssue.text"/>
<equivalence value="equivalent"/>
<comment
value="Element `DetectedIssue.text` is mapped to FHIR R4 element `DetectedIssue.text` as `Equivalent`.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later."/>
</target>
</element>
<element>
<code value="DetectedIssue.contained"/>
<display value="contained"/>
<target>
<code value="DetectedIssue.contained"/>
<display value="DetectedIssue.contained"/>
<equivalence value="equivalent"/>
<comment
value="Element `DetectedIssue.contained` is mapped to FHIR R4 element `DetectedIssue.contained` as `Equivalent`.
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/>
</target>
</element>
<element>
<code value="DetectedIssue.identifier"/>
<display value="identifier"/>
<target>
<code value="DetectedIssue.identifier"/>
<display value="DetectedIssue.identifier"/>
<equivalence value="equivalent"/>
<comment
value="Element `DetectedIssue.identifier` is mapped to FHIR R4 element `DetectedIssue.identifier` as `SourceIsNarrowerThanTarget`."/>
</target>
</element>
<element>
<code value="DetectedIssue.status"/>
<display value="status"/>
<target>
<code value="DetectedIssue.status"/>
<display value="DetectedIssue.status"/>
<equivalence value="equivalent"/>
<comment
value="Element `DetectedIssue.status` is mapped to FHIR R4 element `DetectedIssue.status` as `Equivalent`.
This element is labeled as a modifier because the status contains the codes cancelled and entered-in-error that mark the issue as not currently valid."/>
</target>
</element>
<element>
<code value="DetectedIssue.category"/>
<display value="category"/>
<target>
<code value="DetectedIssue.code"/>
<display value="DetectedIssue.code"/>
<equivalence value="equivalent"/>
<comment
value="Element `DetectedIssue.category` is mapped to FHIR R4 element `DetectedIssue.code` as `Equivalent`."/>
</target>
</element>
<element>
<code value="DetectedIssue.severity"/>
<display value="severity"/>
<target>
<code value="DetectedIssue.severity"/>
<display value="DetectedIssue.severity"/>
<equivalence value="equivalent"/>
<comment
value="Element `DetectedIssue.severity` is mapped to FHIR R4 element `DetectedIssue.severity` as `Equivalent`."/>
</target>
</element>
<element>
<code value="DetectedIssue.patient"/>
<display value="patient"/>
<target>
<code value="DetectedIssue.patient"/>
<display value="DetectedIssue.patient"/>
<equivalence value="equivalent"/>
<comment
value="Element `DetectedIssue.patient` is mapped to FHIR R4 element `DetectedIssue.patient` as `Equivalent`."/>
</target>
</element>
<element>
<code value="DetectedIssue.date"/>
<display value="date"/>
<target>
<code value="DetectedIssue.identified[x]"/>
<display value="DetectedIssue.identified[x]"/>
<equivalence value="narrower"/>
<comment
value="Element `DetectedIssue.date` is mapped to FHIR R4 element `DetectedIssue.identified[x]` as `SourceIsNarrowerThanTarget`.
The target context `DetectedIssue.identified[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `DetectedIssue`."/>
</target>
</element>
<element>
<code value="DetectedIssue.author"/>
<display value="author"/>
<target>
<code value="DetectedIssue.author"/>
<display value="DetectedIssue.author"/>
<equivalence value="equivalent"/>
<comment
value="Element `DetectedIssue.author` is mapped to FHIR R4 element `DetectedIssue.author` as `Equivalent`."/>
</target>
</element>
<element>
<code value="DetectedIssue.implicated"/>
<display value="implicated"/>
<target>
<code value="DetectedIssue.implicated"/>
<display value="DetectedIssue.implicated"/>
<equivalence value="equivalent"/>
<comment
value="Element `DetectedIssue.implicated` is mapped to FHIR R4 element `DetectedIssue.implicated` as `Equivalent`.
There's an implicit constraint on the number of implicated resources based on DetectedIssue.type; e.g. For drug-drug, there would be more than one. For timing, there would typically only be one."/>
</target>
</element>
<element>
<code value="DetectedIssue.detail"/>
<display value="detail"/>
<target>
<code value="DetectedIssue.detail"/>
<display value="DetectedIssue.detail"/>
<equivalence value="equivalent"/>
<comment
value="Element `DetectedIssue.detail` is mapped to FHIR R4 element `DetectedIssue.detail` as `Equivalent`.
Should focus on information not covered elsewhere as discrete data - no need to duplicate the narrative."/>
</target>
</element>
<element>
<code value="DetectedIssue.reference"/>
<display value="reference"/>
<target>
<code value="DetectedIssue.reference"/>
<display value="DetectedIssue.reference"/>
<equivalence value="equivalent"/>
<comment
value="Element `DetectedIssue.reference` is mapped to FHIR R4 element `DetectedIssue.reference` as `Equivalent`."/>
</target>
</element>
<element>
<code value="DetectedIssue.mitigation"/>
<display value="mitigation"/>
<target>
<code value="DetectedIssue.mitigation"/>
<display value="DetectedIssue.mitigation"/>
<equivalence value="wider"/>
<comment
value="Element `DetectedIssue.mitigation` is mapped to FHIR R4 element `DetectedIssue.mitigation` as `Equivalent`."/>
</target>
</element>
<element>
<code value="DetectedIssue.mitigation.action"/>
<display value="action"/>
<target>
<code value="DetectedIssue.mitigation.action"/>
<display value="DetectedIssue.mitigation.action"/>
<equivalence value="equivalent"/>
<comment
value="Element `DetectedIssue.mitigation.action` is mapped to FHIR R4 element `DetectedIssue.mitigation.action` as `Equivalent`.
The "text" component can be used for detail or when no appropriate code exists."/>
</target>
</element>
<element>
<code value="DetectedIssue.mitigation.date"/>
<display value="date"/>
<target>
<code value="DetectedIssue.mitigation.date"/>
<display value="DetectedIssue.mitigation.date"/>
<equivalence value="equivalent"/>
<comment
value="Element `DetectedIssue.mitigation.date` is mapped to FHIR R4 element `DetectedIssue.mitigation.date` as `Equivalent`.
This may not be the same as when the mitigating step was actually taken."/>
</target>
</element>
<element>
<code value="DetectedIssue.mitigation.author"/>
<display value="author"/>
<target>
<code value="DetectedIssue.mitigation.author"/>
<display value="DetectedIssue.mitigation.author"/>
<equivalence value="equivalent"/>
<comment
value="Element `DetectedIssue.mitigation.author` is mapped to FHIR R4 element `DetectedIssue.mitigation.author` as `Equivalent`."/>
</target>
</element>
</group>
</ConceptMap>
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r3.r4#0.1.0 based on FHIR 4.0.1. Generated 2026-03-20
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