Extensions for Using Data Elements from FHIR STU3 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR STU3 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR STU3 in FHIR R4B - 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-Immunization-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 R3-Immunization-element-map-to-R4B</b></p><a name="R3-Immunization-element-map-to-R4B"> </a><a name="hcR3-Immunization-element-map-to-R4B"> </a><p>Mapping from http://hl7.org/fhir/3.0 to http://hl7.org/fhir/4.3</p><br/><p><b>Group 1 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Immunization|3.0.2</code> to <a href="http://hl7.org/fhir/R4B/immunization.html">Immunizationversion: 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/Immunization|3.0.2</td><td/><td colspan="2" title="http://hl7.org/fhir/StructureDefinition/Immunization|4.3.0"><b>Codes</b> from Immunization</td><td/></tr><tr><td style="border-right-width: 0px">Immunization.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">Immunization.meta</td><td style="border-left-width: 0px">Immunization.meta</td><td>Element `Immunization.meta` is mapped to FHIR R4B element `Immunization.meta` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.meta` do not cover the following types: Meta.
The mappings for `Immunization.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">Immunization.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">Immunization.implicitRules</td><td style="border-left-width: 0px">Immunization.implicitRules</td><td>Element `Immunization.implicitRules` is mapped to FHIR R4B element `Immunization.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 style="border-right-width: 0px">Immunization.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">Immunization.language</td><td style="border-left-width: 0px">Immunization.language</td><td>Element `Immunization.language` is mapped to FHIR R4B element `Immunization.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">Immunization.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">Immunization.text</td><td style="border-left-width: 0px">Immunization.text</td><td>Element `Immunization.text` is mapped to FHIR R4B element `Immunization.text` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.text` do not cover the following types: Narrative.
The mappings for `Immunization.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. 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 style="border-right-width: 0px">Immunization.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">Immunization.contained</td><td style="border-left-width: 0px">Immunization.contained</td><td>Element `Immunization.contained` is mapped to FHIR R4B element `Immunization.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">Immunization.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">Immunization.identifier</td><td style="border-left-width: 0px">Immunization.identifier</td><td>Element `Immunization.identifier` is mapped to FHIR R4B element `Immunization.identifier` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.identifier` do not cover the following types: Identifier.
The mappings for `Immunization.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">Immunization.status</td><td style="border-left-width: 0px">status</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">Immunization.status</td><td style="border-left-width: 0px">Immunization.status</td><td>Element `Immunization.status` is mapped to FHIR R4B element `Immunization.status` as `SourceIsNarrowerThanTarget`.
The mappings for `Immunization.status` do not allow expression of the necessary codes, per the bindings on the source and target.
Will generally be set to show that the immunization has been completed.
This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.</td></tr><tr><td style="border-right-width: 0px; border-bottom-style: none">Immunization.notGiven</td><td style="border-left-width: 0px; border-bottom-style: none">notGiven</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">Immunization.status</td><td style="border-left-width: 0px">Immunization.status</td><td>Element `Immunization.notGiven` is mapped to FHIR R4B element `Immunization.status` as `SourceIsBroaderThanTarget`.
Element `Immunization.notGiven` is mapped to FHIR R4B element `Immunization.statusReason` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.notGiven` do not cover the following types: boolean.
The mappings for `Immunization.notGiven` do not cover the following types based on type expansion: value.
This element is labeled as a modifier because it indicates that an immunization didn't happen.</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">Immunization.statusReason</td><td style="border-left-width: 0px">Immunization.statusReason</td><td>Element `Immunization.notGiven` is mapped to FHIR R4B element `Immunization.status` as `SourceIsBroaderThanTarget`.
Element `Immunization.notGiven` is mapped to FHIR R4B element `Immunization.statusReason` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.notGiven` do not cover the following types: boolean.
The mappings for `Immunization.notGiven` do not cover the following types based on type expansion: value.
This element is labeled as a modifier because it indicates that an immunization didn't happen.</td></tr><tr><td style="border-right-width: 0px">Immunization.vaccineCode</td><td style="border-left-width: 0px">vaccineCode</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">Immunization.vaccineCode</td><td style="border-left-width: 0px">Immunization.vaccineCode</td><td>Element `Immunization.vaccineCode` is mapped to FHIR R4B element `Immunization.vaccineCode` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Immunization.patient</td><td style="border-left-width: 0px">patient</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">Immunization.patient</td><td style="border-left-width: 0px">Immunization.patient</td><td>Element `Immunization.patient` is mapped to FHIR R4B element `Immunization.patient` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.patient` do not cover the following types based on type expansion: display, identifier, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Immunization.patient` with unmapped reference targets: Patient.</td></tr><tr><td style="border-right-width: 0px">Immunization.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">Immunization.encounter</td><td style="border-left-width: 0px">Immunization.encounter</td><td>Element `Immunization.encounter` is mapped to FHIR R4B element `Immunization.encounter` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.encounter` do not cover the following types based on type expansion: display, identifier, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Immunization.encounter` with unmapped reference targets: Encounter.</td></tr><tr><td style="border-right-width: 0px">Immunization.date</td><td style="border-left-width: 0px">date</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">Immunization.occurrence[x]</td><td style="border-left-width: 0px">Immunization.occurrence[x]</td><td>Element `Immunization.date` is mapped to FHIR R4B element `Immunization.occurrence[x]` as `Equivalent`.
The target context `Immunization.occurrence[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Immunization`.
When immunizations are given a specific date and time should always be known. When immunizations are patient reported, a specific date might not be known. Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given.</td></tr><tr><td style="border-right-width: 0px">Immunization.primarySource</td><td style="border-left-width: 0px">primarySource</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">Immunization.primarySource</td><td style="border-left-width: 0px">Immunization.primarySource</td><td>Element `Immunization.primarySource` is mapped to FHIR R4B element `Immunization.primarySource` as `Equivalent`.
Reflects the “reliability” of the content.</td></tr><tr><td style="border-right-width: 0px">Immunization.reportOrigin</td><td style="border-left-width: 0px">reportOrigin</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">Immunization.reportOrigin</td><td style="border-left-width: 0px">Immunization.reportOrigin</td><td>Element `Immunization.reportOrigin` is mapped to FHIR R4B element `Immunization.reportOrigin` as `Equivalent`.
Should not be populated if primarySource = True, will not be required even if primarySource = False.</td></tr><tr><td style="border-right-width: 0px">Immunization.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">Immunization.location</td><td style="border-left-width: 0px">Immunization.location</td><td>Element `Immunization.location` is mapped to FHIR R4B element `Immunization.location` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.location` do not cover the following types based on type expansion: display, identifier, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Immunization.location` with unmapped reference targets: Location.</td></tr><tr><td style="border-right-width: 0px">Immunization.manufacturer</td><td style="border-left-width: 0px">manufacturer</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">Immunization.manufacturer</td><td style="border-left-width: 0px">Immunization.manufacturer</td><td>Element `Immunization.manufacturer` is mapped to FHIR R4B element `Immunization.manufacturer` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.manufacturer` do not cover the following types based on type expansion: display, identifier, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Immunization.manufacturer` with unmapped reference targets: Organization.</td></tr><tr><td style="border-right-width: 0px">Immunization.lotNumber</td><td style="border-left-width: 0px">lotNumber</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">Immunization.lotNumber</td><td style="border-left-width: 0px">Immunization.lotNumber</td><td>Element `Immunization.lotNumber` is mapped to FHIR R4B element `Immunization.lotNumber` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Immunization.expirationDate</td><td style="border-left-width: 0px">expirationDate</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">Immunization.expirationDate</td><td style="border-left-width: 0px">Immunization.expirationDate</td><td>Element `Immunization.expirationDate` is mapped to FHIR R4B element `Immunization.expirationDate` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Immunization.site</td><td style="border-left-width: 0px">site</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">Immunization.site</td><td style="border-left-width: 0px">Immunization.site</td><td>Element `Immunization.site` is mapped to FHIR R4B element `Immunization.site` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Immunization.route</td><td style="border-left-width: 0px">route</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">Immunization.route</td><td style="border-left-width: 0px">Immunization.route</td><td>Element `Immunization.route` is mapped to FHIR R4B element `Immunization.route` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Immunization.doseQuantity</td><td style="border-left-width: 0px">doseQuantity</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">Immunization.doseQuantity</td><td style="border-left-width: 0px">Immunization.doseQuantity</td><td>Element `Immunization.doseQuantity` is mapped to FHIR R4B element `Immunization.doseQuantity` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Immunization.practitioner</td><td style="border-left-width: 0px">practitioner</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">Immunization.performer</td><td style="border-left-width: 0px">Immunization.performer</td><td>Element `Immunization.practitioner` is mapped to FHIR R4B element `Immunization.performer` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Immunization.practitioner.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">Immunization.performer.function</td><td style="border-left-width: 0px">Immunization.performer.function</td><td>Element `Immunization.practitioner.role` is mapped to FHIR R4B element `Immunization.performer.function` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Immunization.practitioner.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">Immunization.performer.actor</td><td style="border-left-width: 0px">Immunization.performer.actor</td><td>Element `Immunization.practitioner.actor` is mapped to FHIR R4B element `Immunization.performer.actor` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.practitioner.actor` do not cover the following types based on type expansion: display, identifier, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Immunization.practitioner.actor` with unmapped reference targets: Practitioner.</td></tr><tr><td style="border-right-width: 0px">Immunization.note</td><td style="border-left-width: 0px">note</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">Immunization.note</td><td style="border-left-width: 0px">Immunization.note</td><td>Element `Immunization.note` is mapped to FHIR R4B element `Immunization.note` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.note` do not cover the following types: Annotation.
The mappings for `Immunization.note` do not cover the following types based on type expansion: author[x], text, time.</td></tr><tr><td style="border-right-width: 0px">Immunization.explanation</td><td style="border-left-width: 0px">explanation</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">Immunization</td><td style="border-left-width: 0px">Immunization</td><td>Element `Immunization.explanation` is mapped to FHIR R4B element `Immunization` as `SourceIsNarrowerThanTarget`.</td></tr><tr><td style="border-right-width: 0px">Immunization.explanation.reason</td><td style="border-left-width: 0px">reason</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#narrower" title="narrower">narrower</a></td><td style="border-right-width: 0px">Immunization.reasonCode</td><td style="border-left-width: 0px">Immunization.reasonCode</td><td>Element `Immunization.explanation.reason` is mapped to FHIR R4B element `Immunization.reasonCode` as `SourceIsNarrowerThanTarget`.</td></tr><tr><td style="border-right-width: 0px">Immunization.explanation.reasonNotGiven</td><td style="border-left-width: 0px">reasonNotGiven</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#narrower" title="narrower">narrower</a></td><td style="border-right-width: 0px">Immunization.reasonCode</td><td style="border-left-width: 0px">Immunization.reasonCode</td><td>Element `Immunization.explanation.reasonNotGiven` is mapped to FHIR R4B element `Immunization.reasonCode` as `SourceIsNarrowerThanTarget`.</td></tr><tr><td style="border-right-width: 0px">Immunization.reaction</td><td style="border-left-width: 0px">reaction</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">Immunization.reaction</td><td style="border-left-width: 0px">Immunization.reaction</td><td>Element `Immunization.reaction` is mapped to FHIR R4B element `Immunization.reaction` as `Equivalent`.
A reaction may be an indication of an allergy or intolerance and, if this is determined to be the case, it should be recorded as a new [AllergyIntolerance](https://hl7.org/fhir/allergyintolerance.html) resource instance as most systems will not query against past Immunization.reaction elements.</td></tr><tr><td style="border-right-width: 0px">Immunization.reaction.date</td><td style="border-left-width: 0px">date</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">Immunization.reaction.date</td><td style="border-left-width: 0px">Immunization.reaction.date</td><td>Element `Immunization.reaction.date` is mapped to FHIR R4B element `Immunization.reaction.date` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Immunization.reaction.detail</td><td style="border-left-width: 0px">detail</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">Immunization.reaction.detail</td><td style="border-left-width: 0px">Immunization.reaction.detail</td><td>Element `Immunization.reaction.detail` is mapped to FHIR R4B element `Immunization.reaction.detail` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.reaction.detail` do not cover the following types based on type expansion: display, identifier, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Immunization.reaction.detail` with unmapped reference targets: Observation.</td></tr><tr><td style="border-right-width: 0px">Immunization.reaction.reported</td><td style="border-left-width: 0px">reported</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">Immunization.reaction.reported</td><td style="border-left-width: 0px">Immunization.reaction.reported</td><td>Element `Immunization.reaction.reported` is mapped to FHIR R4B element `Immunization.reaction.reported` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Immunization.vaccinationProtocol</td><td style="border-left-width: 0px">vaccinationProtocol</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">Immunization.protocolApplied</td><td style="border-left-width: 0px">Immunization.protocolApplied</td><td>Element `Immunization.vaccinationProtocol` is mapped to FHIR R4B element `Immunization.protocolApplied` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Immunization.vaccinationProtocol.doseSequence</td><td style="border-left-width: 0px">doseSequence</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">Immunization.protocolApplied.doseNumber[x]</td><td style="border-left-width: 0px">Immunization.protocolApplied.doseNumber[x]</td><td>Element `Immunization.vaccinationProtocol.doseSequence` is mapped to FHIR R4B element `Immunization.protocolApplied.doseNumber[x]` as `Equivalent`.
The target context `Immunization.protocolApplied.doseNumber[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Immunization.protocolApplied`.</td></tr><tr><td style="border-right-width: 0px">Immunization.vaccinationProtocol.authority</td><td style="border-left-width: 0px">authority</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">Immunization.protocolApplied.authority</td><td style="border-left-width: 0px">Immunization.protocolApplied.authority</td><td>Element `Immunization.vaccinationProtocol.authority` is mapped to FHIR R4B element `Immunization.protocolApplied.authority` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.vaccinationProtocol.authority` do not cover the following types based on type expansion: display, identifier, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Immunization.vaccinationProtocol.authority` with unmapped reference targets: Organization.</td></tr><tr><td style="border-right-width: 0px">Immunization.vaccinationProtocol.series</td><td style="border-left-width: 0px">series</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">Immunization.protocolApplied.series</td><td style="border-left-width: 0px">Immunization.protocolApplied.series</td><td>Element `Immunization.vaccinationProtocol.series` is mapped to FHIR R4B element `Immunization.protocolApplied.series` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Immunization.vaccinationProtocol.seriesDoses</td><td style="border-left-width: 0px">seriesDoses</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">Immunization.protocolApplied.seriesDoses[x]</td><td style="border-left-width: 0px">Immunization.protocolApplied.seriesDoses[x]</td><td>Element `Immunization.vaccinationProtocol.seriesDoses` is mapped to FHIR R4B element `Immunization.protocolApplied.seriesDoses[x]` as `Equivalent`.
The target context `Immunization.protocolApplied.seriesDoses[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Immunization.protocolApplied`.</td></tr><tr><td style="border-right-width: 0px">Immunization.vaccinationProtocol.targetDisease</td><td style="border-left-width: 0px">targetDisease</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">Immunization.protocolApplied.targetDisease</td><td style="border-left-width: 0px">Immunization.protocolApplied.targetDisease</td><td>Element `Immunization.vaccinationProtocol.targetDisease` is mapped to FHIR R4B element `Immunization.protocolApplied.targetDisease` as `Equivalent`.</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Immunization|3.0.2</code> to <a href="StructureDefinition-ext-R3-Immunization.meta.html">STU3: 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>Immunization.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 (STU3: meta additional types)</td><td>Element `Immunization.meta` is mapped to FHIR R4B element `Immunization.meta` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.meta` do not cover the following types: Meta.
The mappings for `Immunization.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/Immunization|3.0.2</code> to <a href="StructureDefinition-ext-R3-Immunization.text.html">STU3: 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>Immunization.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 (STU3: text additional types)</td><td>Element `Immunization.text` is mapped to FHIR R4B element `Immunization.text` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.text` do not cover the following types: Narrative.
The mappings for `Immunization.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. 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></table><hr/><p><b>Group 4 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Immunization|3.0.2</code> to <a href="StructureDefinition-ext-R3-Immunization.identifier.html">STU3: 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>Immunization.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 (STU3: identifier additional types)</td><td>Element `Immunization.identifier` is mapped to FHIR R4B element `Immunization.identifier` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.identifier` do not cover the following types: Identifier.
The mappings for `Immunization.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/Immunization|3.0.2</code> to <a href="StructureDefinition-ext-R3-Immunization.notGiven.html">STU3: Flag for whether immunization was given 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>Immunization.notGiven (notGiven)</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 (STU3: Flag for whether immunization was given additional types)</td><td>Element `Immunization.notGiven` is mapped to FHIR R4B element `Immunization.status` as `SourceIsBroaderThanTarget`.
Element `Immunization.notGiven` is mapped to FHIR R4B element `Immunization.statusReason` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.notGiven` do not cover the following types: boolean.
The mappings for `Immunization.notGiven` do not cover the following types based on type expansion: value.
This element is labeled as a modifier because it indicates that an immunization didn't happen.</td></tr></table><hr/><p><b>Group 6 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Immunization|3.0.2</code> to <a href="StructureDefinition-ext-R3-Immunization.note.html">STU3: Vaccination 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>Immunization.note (note)</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: Vaccination notes additional types)</td><td>Element `Immunization.note` is mapped to FHIR R4B element `Immunization.note` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.note` do not cover the following types: Annotation.
The mappings for `Immunization.note` do not cover the following types based on type expansion: author[x], text, time.</td></tr></table><hr/><p><b>Group 7 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Immunization|3.0.2</code> to <a href="StructureDefinition-ext-R3-Immunization.vac.description.html">STU3: Details of vaccine protocol (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>Immunization.vaccinationProtocol.description (description)</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: Details of vaccine protocol (new))</td><td>Element `Immunization.vaccinationProtocol.description` has a context of Immunization.protocolApplied based on following the parent source element upwards and mapping to `Immunization`.
Element `Immunization.vaccinationProtocol.description` 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 8 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Immunization|3.0.2</code> to <a href="StructureDefinition-ext-R3-Immunization.vac.doseStatus.html">STU3: Indicates if dose counts towards immunity (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>Immunization.vaccinationProtocol.doseStatus (doseStatus)</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: Indicates if dose counts towards immunity (new))</td><td>Element `Immunization.vaccinationProtocol.doseStatus` has a context of Immunization.protocolApplied based on following the parent source element upwards and mapping to `Immunization`.
Element `Immunization.vaccinationProtocol.doseStatus` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).
May need to differentiate between status declarations by a provider vs. a CDS engine.</td></tr></table><hr/><p><b>Group 9 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Immunization|3.0.2</code> to <a href="StructureDefinition-ext-R3-Immunization.vac.doseStatusReason.html">STU3: Why dose does (not) count (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>Immunization.vaccinationProtocol.doseStatusReason (doseStatusReason)</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: Why dose does (not) count (new))</td><td>Element `Immunization.vaccinationProtocol.doseStatusReason` has a context of Immunization.protocolApplied based on following the parent source element upwards and mapping to `Immunization`.
Element `Immunization.vaccinationProtocol.doseStatusReason` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).</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.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-r3.r4b"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/uv/xver/ConceptMap/R3-Immunization-element-map-to-R4B"/>
<version value="0.1.0"/>
<name value="R3ImmunizationElementMapToR4B"/>
<title
value="Cross-version mapping for FHIR STU3 Immunization to FHIR R4B Immunization"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-03-17T16:04:11.0326734-05:00"/>
<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 Immunization 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/3.0"/>
<targetUri value="http://hl7.org/fhir/4.3"/>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<sourceVersion value="3.0.2"/>
<target value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<targetVersion value="4.3.0"/>
<element>
<code value="Immunization.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="Immunization.meta"/>
<display value="Immunization.meta"/>
<equivalence value="wider"/>
<comment
value="Element `Immunization.meta` is mapped to FHIR R4B element `Immunization.meta` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.meta` do not cover the following types: Meta.
The mappings for `Immunization.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."/>
</target>
</element>
<element>
<code value="Immunization.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="Immunization.implicitRules"/>
<display value="Immunization.implicitRules"/>
<equivalence value="equivalent"/>
<comment
value="Element `Immunization.implicitRules` is mapped to FHIR R4B element `Immunization.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="Immunization.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="Immunization.language"/>
<display value="Immunization.language"/>
<equivalence value="equivalent"/>
<comment
value="Element `Immunization.language` is mapped to FHIR R4B element `Immunization.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="Immunization.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="Immunization.text"/>
<display value="Immunization.text"/>
<equivalence value="wider"/>
<comment
value="Element `Immunization.text` is mapped to FHIR R4B element `Immunization.text` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.text` do not cover the following types: Narrative.
The mappings for `Immunization.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. 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="Immunization.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="Immunization.contained"/>
<display value="Immunization.contained"/>
<equivalence value="equivalent"/>
<comment
value="Element `Immunization.contained` is mapped to FHIR R4B element `Immunization.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="Immunization.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="Immunization.identifier"/>
<display value="Immunization.identifier"/>
<equivalence value="wider"/>
<comment
value="Element `Immunization.identifier` is mapped to FHIR R4B element `Immunization.identifier` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.identifier` do not cover the following types: Identifier.
The mappings for `Immunization.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."/>
</target>
</element>
<element>
<code value="Immunization.status"/>
<display value="status"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Immunization.status"/>
<display value="Immunization.status"/>
<equivalence value="equivalent"/>
<comment
value="Element `Immunization.status` is mapped to FHIR R4B element `Immunization.status` as `SourceIsNarrowerThanTarget`.
The mappings for `Immunization.status` do not allow expression of the necessary codes, per the bindings on the source and target.
Will generally be set to show that the immunization has been completed.
This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."/>
</target>
</element>
<element>
<code value="Immunization.notGiven"/>
<display value="notGiven"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="relatedto"/>
</modifierExtension>
<code value="Immunization.status"/>
<display value="Immunization.status"/>
<equivalence value="relatedto"/>
<comment
value="Element `Immunization.notGiven` is mapped to FHIR R4B element `Immunization.status` as `SourceIsBroaderThanTarget`.
Element `Immunization.notGiven` is mapped to FHIR R4B element `Immunization.statusReason` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.notGiven` do not cover the following types: boolean.
The mappings for `Immunization.notGiven` do not cover the following types based on type expansion: value.
This element is labeled as a modifier because it indicates that an immunization didn't happen."/>
</target>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="relatedto"/>
</modifierExtension>
<code value="Immunization.statusReason"/>
<display value="Immunization.statusReason"/>
<equivalence value="relatedto"/>
<comment
value="Element `Immunization.notGiven` is mapped to FHIR R4B element `Immunization.status` as `SourceIsBroaderThanTarget`.
Element `Immunization.notGiven` is mapped to FHIR R4B element `Immunization.statusReason` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.notGiven` do not cover the following types: boolean.
The mappings for `Immunization.notGiven` do not cover the following types based on type expansion: value.
This element is labeled as a modifier because it indicates that an immunization didn't happen."/>
</target>
</element>
<element>
<code value="Immunization.vaccineCode"/>
<display value="vaccineCode"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Immunization.vaccineCode"/>
<display value="Immunization.vaccineCode"/>
<equivalence value="equivalent"/>
<comment
value="Element `Immunization.vaccineCode` is mapped to FHIR R4B element `Immunization.vaccineCode` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Immunization.patient"/>
<display value="patient"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Immunization.patient"/>
<display value="Immunization.patient"/>
<equivalence value="wider"/>
<comment
value="Element `Immunization.patient` is mapped to FHIR R4B element `Immunization.patient` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.patient` do not cover the following types based on type expansion: display, identifier, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Immunization.patient` with unmapped reference targets: Patient."/>
</target>
</element>
<element>
<code value="Immunization.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="Immunization.encounter"/>
<display value="Immunization.encounter"/>
<equivalence value="wider"/>
<comment
value="Element `Immunization.encounter` is mapped to FHIR R4B element `Immunization.encounter` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.encounter` do not cover the following types based on type expansion: display, identifier, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Immunization.encounter` with unmapped reference targets: Encounter."/>
</target>
</element>
<element>
<code value="Immunization.date"/>
<display value="date"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Immunization.occurrence[x]"/>
<display value="Immunization.occurrence[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `Immunization.date` is mapped to FHIR R4B element `Immunization.occurrence[x]` as `Equivalent`.
The target context `Immunization.occurrence[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Immunization`.
When immunizations are given a specific date and time should always be known. When immunizations are patient reported, a specific date might not be known. Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given."/>
</target>
</element>
<element>
<code value="Immunization.primarySource"/>
<display value="primarySource"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Immunization.primarySource"/>
<display value="Immunization.primarySource"/>
<equivalence value="equivalent"/>
<comment
value="Element `Immunization.primarySource` is mapped to FHIR R4B element `Immunization.primarySource` as `Equivalent`.
Reflects the “reliability” of the content."/>
</target>
</element>
<element>
<code value="Immunization.reportOrigin"/>
<display value="reportOrigin"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Immunization.reportOrigin"/>
<display value="Immunization.reportOrigin"/>
<equivalence value="equivalent"/>
<comment
value="Element `Immunization.reportOrigin` is mapped to FHIR R4B element `Immunization.reportOrigin` as `Equivalent`.
Should not be populated if primarySource = True, will not be required even if primarySource = False."/>
</target>
</element>
<element>
<code value="Immunization.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="Immunization.location"/>
<display value="Immunization.location"/>
<equivalence value="wider"/>
<comment
value="Element `Immunization.location` is mapped to FHIR R4B element `Immunization.location` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.location` do not cover the following types based on type expansion: display, identifier, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Immunization.location` with unmapped reference targets: Location."/>
</target>
</element>
<element>
<code value="Immunization.manufacturer"/>
<display value="manufacturer"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Immunization.manufacturer"/>
<display value="Immunization.manufacturer"/>
<equivalence value="wider"/>
<comment
value="Element `Immunization.manufacturer` is mapped to FHIR R4B element `Immunization.manufacturer` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.manufacturer` do not cover the following types based on type expansion: display, identifier, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Immunization.manufacturer` with unmapped reference targets: Organization."/>
</target>
</element>
<element>
<code value="Immunization.lotNumber"/>
<display value="lotNumber"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Immunization.lotNumber"/>
<display value="Immunization.lotNumber"/>
<equivalence value="equivalent"/>
<comment
value="Element `Immunization.lotNumber` is mapped to FHIR R4B element `Immunization.lotNumber` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Immunization.expirationDate"/>
<display value="expirationDate"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Immunization.expirationDate"/>
<display value="Immunization.expirationDate"/>
<equivalence value="equivalent"/>
<comment
value="Element `Immunization.expirationDate` is mapped to FHIR R4B element `Immunization.expirationDate` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Immunization.site"/>
<display value="site"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Immunization.site"/>
<display value="Immunization.site"/>
<equivalence value="equivalent"/>
<comment
value="Element `Immunization.site` is mapped to FHIR R4B element `Immunization.site` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Immunization.route"/>
<display value="route"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Immunization.route"/>
<display value="Immunization.route"/>
<equivalence value="equivalent"/>
<comment
value="Element `Immunization.route` is mapped to FHIR R4B element `Immunization.route` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Immunization.doseQuantity"/>
<display value="doseQuantity"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Immunization.doseQuantity"/>
<display value="Immunization.doseQuantity"/>
<equivalence value="equivalent"/>
<comment
value="Element `Immunization.doseQuantity` is mapped to FHIR R4B element `Immunization.doseQuantity` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Immunization.practitioner"/>
<display value="practitioner"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Immunization.performer"/>
<display value="Immunization.performer"/>
<equivalence value="wider"/>
<comment
value="Element `Immunization.practitioner` is mapped to FHIR R4B element `Immunization.performer` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Immunization.practitioner.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="Immunization.performer.function"/>
<display value="Immunization.performer.function"/>
<equivalence value="equivalent"/>
<comment
value="Element `Immunization.practitioner.role` is mapped to FHIR R4B element `Immunization.performer.function` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Immunization.practitioner.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="Immunization.performer.actor"/>
<display value="Immunization.performer.actor"/>
<equivalence value="wider"/>
<comment
value="Element `Immunization.practitioner.actor` is mapped to FHIR R4B element `Immunization.performer.actor` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.practitioner.actor` do not cover the following types based on type expansion: display, identifier, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Immunization.practitioner.actor` with unmapped reference targets: Practitioner."/>
</target>
</element>
<element>
<code value="Immunization.note"/>
<display value="note"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Immunization.note"/>
<display value="Immunization.note"/>
<equivalence value="wider"/>
<comment
value="Element `Immunization.note` is mapped to FHIR R4B element `Immunization.note` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.note` do not cover the following types: Annotation.
The mappings for `Immunization.note` do not cover the following types based on type expansion: author[x], text, time."/>
</target>
</element>
<element>
<code value="Immunization.explanation"/>
<display value="explanation"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="relatedto"/>
</modifierExtension>
<code value="Immunization"/>
<display value="Immunization"/>
<equivalence value="relatedto"/>
<comment
value="Element `Immunization.explanation` is mapped to FHIR R4B element `Immunization` as `SourceIsNarrowerThanTarget`."/>
</target>
</element>
<element>
<code value="Immunization.explanation.reason"/>
<display value="reason"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="narrower"/>
</modifierExtension>
<code value="Immunization.reasonCode"/>
<display value="Immunization.reasonCode"/>
<equivalence value="narrower"/>
<comment
value="Element `Immunization.explanation.reason` is mapped to FHIR R4B element `Immunization.reasonCode` as `SourceIsNarrowerThanTarget`."/>
</target>
</element>
<element>
<code value="Immunization.explanation.reasonNotGiven"/>
<display value="reasonNotGiven"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="narrower"/>
</modifierExtension>
<code value="Immunization.reasonCode"/>
<display value="Immunization.reasonCode"/>
<equivalence value="narrower"/>
<comment
value="Element `Immunization.explanation.reasonNotGiven` is mapped to FHIR R4B element `Immunization.reasonCode` as `SourceIsNarrowerThanTarget`."/>
</target>
</element>
<element>
<code value="Immunization.reaction"/>
<display value="reaction"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Immunization.reaction"/>
<display value="Immunization.reaction"/>
<equivalence value="wider"/>
<comment
value="Element `Immunization.reaction` is mapped to FHIR R4B element `Immunization.reaction` as `Equivalent`.
A reaction may be an indication of an allergy or intolerance and, if this is determined to be the case, it should be recorded as a new [AllergyIntolerance](https://hl7.org/fhir/allergyintolerance.html) resource instance as most systems will not query against past Immunization.reaction elements."/>
</target>
</element>
<element>
<code value="Immunization.reaction.date"/>
<display value="date"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Immunization.reaction.date"/>
<display value="Immunization.reaction.date"/>
<equivalence value="equivalent"/>
<comment
value="Element `Immunization.reaction.date` is mapped to FHIR R4B element `Immunization.reaction.date` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Immunization.reaction.detail"/>
<display value="detail"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Immunization.reaction.detail"/>
<display value="Immunization.reaction.detail"/>
<equivalence value="wider"/>
<comment
value="Element `Immunization.reaction.detail` is mapped to FHIR R4B element `Immunization.reaction.detail` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.reaction.detail` do not cover the following types based on type expansion: display, identifier, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Immunization.reaction.detail` with unmapped reference targets: Observation."/>
</target>
</element>
<element>
<code value="Immunization.reaction.reported"/>
<display value="reported"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Immunization.reaction.reported"/>
<display value="Immunization.reaction.reported"/>
<equivalence value="equivalent"/>
<comment
value="Element `Immunization.reaction.reported` is mapped to FHIR R4B element `Immunization.reaction.reported` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Immunization.vaccinationProtocol"/>
<display value="vaccinationProtocol"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Immunization.protocolApplied"/>
<display value="Immunization.protocolApplied"/>
<equivalence value="wider"/>
<comment
value="Element `Immunization.vaccinationProtocol` is mapped to FHIR R4B element `Immunization.protocolApplied` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Immunization.vaccinationProtocol.doseSequence"/>
<display value="doseSequence"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Immunization.protocolApplied.doseNumber[x]"/>
<display value="Immunization.protocolApplied.doseNumber[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `Immunization.vaccinationProtocol.doseSequence` is mapped to FHIR R4B element `Immunization.protocolApplied.doseNumber[x]` as `Equivalent`.
The target context `Immunization.protocolApplied.doseNumber[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Immunization.protocolApplied`."/>
</target>
</element>
<element>
<code value="Immunization.vaccinationProtocol.authority"/>
<display value="authority"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Immunization.protocolApplied.authority"/>
<display value="Immunization.protocolApplied.authority"/>
<equivalence value="wider"/>
<comment
value="Element `Immunization.vaccinationProtocol.authority` is mapped to FHIR R4B element `Immunization.protocolApplied.authority` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.vaccinationProtocol.authority` do not cover the following types based on type expansion: display, identifier, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Immunization.vaccinationProtocol.authority` with unmapped reference targets: Organization."/>
</target>
</element>
<element>
<code value="Immunization.vaccinationProtocol.series"/>
<display value="series"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Immunization.protocolApplied.series"/>
<display value="Immunization.protocolApplied.series"/>
<equivalence value="equivalent"/>
<comment
value="Element `Immunization.vaccinationProtocol.series` is mapped to FHIR R4B element `Immunization.protocolApplied.series` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Immunization.vaccinationProtocol.seriesDoses"/>
<display value="seriesDoses"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Immunization.protocolApplied.seriesDoses[x]"/>
<display value="Immunization.protocolApplied.seriesDoses[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `Immunization.vaccinationProtocol.seriesDoses` is mapped to FHIR R4B element `Immunization.protocolApplied.seriesDoses[x]` as `Equivalent`.
The target context `Immunization.protocolApplied.seriesDoses[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Immunization.protocolApplied`."/>
</target>
</element>
<element>
<code value="Immunization.vaccinationProtocol.targetDisease"/>
<display value="targetDisease"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Immunization.protocolApplied.targetDisease"/>
<display value="Immunization.protocolApplied.targetDisease"/>
<equivalence value="equivalent"/>
<comment
value="Element `Immunization.vaccinationProtocol.targetDisease` is mapped to FHIR R4B element `Immunization.protocolApplied.targetDisease` as `Equivalent`."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<sourceVersion value="3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Immunization.meta"/>
<targetVersion value="0.1.0"/>
<element>
<code value="Immunization.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 `Immunization.meta` is mapped to FHIR R4B element `Immunization.meta` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.meta` do not cover the following types: Meta.
The mappings for `Immunization.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/Immunization"/>
<sourceVersion value="3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Immunization.text"/>
<targetVersion value="0.1.0"/>
<element>
<code value="Immunization.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 `Immunization.text` is mapped to FHIR R4B element `Immunization.text` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.text` do not cover the following types: Narrative.
The mappings for `Immunization.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. 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>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<sourceVersion value="3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Immunization.identifier"/>
<targetVersion value="0.1.0"/>
<element>
<code value="Immunization.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 `Immunization.identifier` is mapped to FHIR R4B element `Immunization.identifier` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.identifier` do not cover the following types: Identifier.
The mappings for `Immunization.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/Immunization"/>
<sourceVersion value="3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Immunization.notGiven"/>
<targetVersion value="0.1.0"/>
<element>
<code value="Immunization.notGiven"/>
<display value="notGiven"/>
<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 `Immunization.notGiven` is mapped to FHIR R4B element `Immunization.status` as `SourceIsBroaderThanTarget`.
Element `Immunization.notGiven` is mapped to FHIR R4B element `Immunization.statusReason` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.notGiven` do not cover the following types: boolean.
The mappings for `Immunization.notGiven` do not cover the following types based on type expansion: value.
This element is labeled as a modifier because it indicates that an immunization didn't happen."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<sourceVersion value="3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Immunization.note"/>
<targetVersion value="0.1.0"/>
<element>
<code value="Immunization.note"/>
<display value="note"/>
<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 `Immunization.note` is mapped to FHIR R4B element `Immunization.note` as `SourceIsBroaderThanTarget`.
The mappings for `Immunization.note` do not cover the following types: Annotation.
The mappings for `Immunization.note` 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/Immunization"/>
<sourceVersion value="3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Immunization.vaccinationProtocol.description"/>
<targetVersion value="0.1.0"/>
<element>
<code value="Immunization.vaccinationProtocol.description"/>
<display value="description"/>
<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 `Immunization.vaccinationProtocol.description` has a context of Immunization.protocolApplied based on following the parent source element upwards and mapping to `Immunization`.
Element `Immunization.vaccinationProtocol.description` 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/Immunization"/>
<sourceVersion value="3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Immunization.vaccinationProtocol.doseStatus"/>
<targetVersion value="0.1.0"/>
<element>
<code value="Immunization.vaccinationProtocol.doseStatus"/>
<display value="doseStatus"/>
<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 `Immunization.vaccinationProtocol.doseStatus` has a context of Immunization.protocolApplied based on following the parent source element upwards and mapping to `Immunization`.
Element `Immunization.vaccinationProtocol.doseStatus` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).
May need to differentiate between status declarations by a provider vs. a CDS engine."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
<sourceVersion value="3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Immunization.vaccinationProtocol.doseStatusReason"/>
<targetVersion value="0.1.0"/>
<element>
<code value="Immunization.vaccinationProtocol.doseStatusReason"/>
<display value="doseStatusReason"/>
<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 `Immunization.vaccinationProtocol.doseStatusReason` has a context of Immunization.protocolApplied based on following the parent source element upwards and mapping to `Immunization`.
Element `Immunization.vaccinationProtocol.doseStatusReason` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
</ConceptMap>
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r3.r4b#0.1.0 based on FHIR 4.3.0. Generated 2026-03-20
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