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-OperationOutcome-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-OperationOutcome-element-map-to-R4</b></p><a name="R3-OperationOutcome-element-map-to-R4"> </a><a name="hcR3-OperationOutcome-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/OperationOutcome|3.0.2</code> to <a href="http://hl7.org/fhir/R4/operationoutcome.html">OperationOutcomeversion: 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>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>OperationOutcome.meta</td><td>Element `OperationOutcome.meta` is mapped to FHIR R4 element `OperationOutcome.meta` as `Equivalent`.</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 R4 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.
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>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 R4 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#equivalent" title="equivalent">is equivalent to</a></td><td>OperationOutcome.text</td><td>Element `OperationOutcome.text` is mapped to FHIR R4 element `OperationOutcome.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>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 R4 element `OperationOutcome.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>OperationOutcome.issue (issue)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>OperationOutcome.issue</td><td>Element `OperationOutcome.issue` is mapped to FHIR R4 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 R4 element `OperationOutcome.issue.severity` as `Equivalent`.
This is labeled as "Is Modifier" 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#wider" title="wider">maps to wider concept</a></td><td>OperationOutcome.issue.code</td><td>Element `OperationOutcome.issue.code` is mapped to FHIR R4 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 R4 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 R4 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 R4 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. Note that expression is being trialed as an alternative to XPath.</td></tr><tr><td>OperationOutcome.issue.expression (expression)</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.expression</td><td>Element `OperationOutcome.issue.expression` is mapped to FHIR R4 element `OperationOutcome.issue.expression` as `Equivalent`.
The root of the FHIRPath is the resource or bundle that generated OperationOutcome. Each FHIRPath SHALL resolve to a single node.</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/OperationOutcome|3.0.2</code> to <a href="StructureDefinition-ext-R3-OperationOutcome.iss.code.html">STU3: 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 (STU3: code additional codes)</td><td>Element `OperationOutcome.issue.code` is mapped to FHIR R4 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-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-OperationOutcome-element-map-to-R4"/>
<version value="0.1.0"/>
<name value="R3OperationOutcomeElementMapToR4"/>
<title
value="Cross-version mapping for FHIR STU3 OperationOutcome to FHIR R4 OperationOutcome"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-03-17T16:03:24.0781591-05:00"/>
<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 OperationOutcome 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/OperationOutcome"/>
<sourceVersion value="3.0.2"/>
<target value="http://hl7.org/fhir/StructureDefinition/OperationOutcome"/>
<targetVersion value="4.0.1"/>
<element>
<code value="OperationOutcome.meta"/>
<display value="meta"/>
<target>
<code value="OperationOutcome.meta"/>
<display value="OperationOutcome.meta"/>
<equivalence value="equivalent"/>
<comment
value="Element `OperationOutcome.meta` is mapped to FHIR R4 element `OperationOutcome.meta` as `Equivalent`."/>
</target>
</element>
<element>
<code value="OperationOutcome.implicitRules"/>
<display value="implicitRules"/>
<target>
<code value="OperationOutcome.implicitRules"/>
<display value="OperationOutcome.implicitRules"/>
<equivalence value="equivalent"/>
<comment
value="Element `OperationOutcome.implicitRules` is mapped to FHIR R4 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.
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="OperationOutcome.language"/>
<display value="language"/>
<target>
<code value="OperationOutcome.language"/>
<display value="OperationOutcome.language"/>
<equivalence value="equivalent"/>
<comment
value="Element `OperationOutcome.language` is mapped to FHIR R4 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)."/>
</target>
</element>
<element>
<code value="OperationOutcome.text"/>
<display value="text"/>
<target>
<code value="OperationOutcome.text"/>
<display value="OperationOutcome.text"/>
<equivalence value="equivalent"/>
<comment
value="Element `OperationOutcome.text` is mapped to FHIR R4 element `OperationOutcome.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="OperationOutcome.contained"/>
<display value="contained"/>
<target>
<code value="OperationOutcome.contained"/>
<display value="OperationOutcome.contained"/>
<equivalence value="equivalent"/>
<comment
value="Element `OperationOutcome.contained` is mapped to FHIR R4 element `OperationOutcome.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="OperationOutcome.issue"/>
<display value="issue"/>
<target>
<code value="OperationOutcome.issue"/>
<display value="OperationOutcome.issue"/>
<equivalence value="wider"/>
<comment
value="Element `OperationOutcome.issue` is mapped to FHIR R4 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"/>
<equivalence value="equivalent"/>
<comment
value="Element `OperationOutcome.issue.severity` is mapped to FHIR R4 element `OperationOutcome.issue.severity` as `Equivalent`.
This is labeled as "Is Modifier" 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"/>
<equivalence value="wider"/>
<comment
value="Element `OperationOutcome.issue.code` is mapped to FHIR R4 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."/>
</target>
</element>
<element>
<code value="OperationOutcome.issue.details"/>
<display value="details"/>
<target>
<code value="OperationOutcome.issue.details"/>
<display value="OperationOutcome.issue.details"/>
<equivalence value="equivalent"/>
<comment
value="Element `OperationOutcome.issue.details` is mapped to FHIR R4 element `OperationOutcome.issue.details` as `Equivalent`.
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"/>
<equivalence value="equivalent"/>
<comment
value="Element `OperationOutcome.issue.diagnostics` is mapped to FHIR R4 element `OperationOutcome.issue.diagnostics` as `Equivalent`.
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"/>
<equivalence value="equivalent"/>
<comment
value="Element `OperationOutcome.issue.location` is mapped to FHIR R4 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. Note that expression is being trialed as an alternative to XPath."/>
</target>
</element>
<element>
<code value="OperationOutcome.issue.expression"/>
<display value="expression"/>
<target>
<code value="OperationOutcome.issue.expression"/>
<display value="OperationOutcome.issue.expression"/>
<equivalence value="equivalent"/>
<comment
value="Element `OperationOutcome.issue.expression` is mapped to FHIR R4 element `OperationOutcome.issue.expression` as `Equivalent`.
The root of the FHIRPath is the resource or bundle that generated OperationOutcome. Each FHIRPath SHALL resolve to a single node."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/OperationOutcome"/>
<sourceVersion value="3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-OperationOutcome.issue.code"/>
<targetVersion value="0.1.0"/>
<element>
<code value="OperationOutcome.issue.code"/>
<display value="code"/>
<target>
<code value="Extension"/>
<equivalence value="equivalent"/>
<comment
value="Element `OperationOutcome.issue.code` is mapped to FHIR R4 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."/>
</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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