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-Observation-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-Observation-element-map-to-R4B</b></p><a name="R3-Observation-element-map-to-R4B"> </a><a name="hcR3-Observation-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/Observation|3.0.2</code> to <a href="http://hl7.org/fhir/R4B/observation.html">Observationversion: 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/Observation|3.0.2</td><td/><td colspan="2" title="http://hl7.org/fhir/StructureDefinition/Observation|4.3.0"><b>Codes</b> from Observation</td><td/></tr><tr><td style="border-right-width: 0px">Observation.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">Observation.meta</td><td style="border-left-width: 0px">Observation.meta</td><td>Element `Observation.meta` is mapped to FHIR R4B element `Observation.meta` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.meta` do not cover the following types: Meta.
The mappings for `Observation.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">Observation.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">Observation.implicitRules</td><td style="border-left-width: 0px">Observation.implicitRules</td><td>Element `Observation.implicitRules` is mapped to FHIR R4B element `Observation.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">Observation.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">Observation.language</td><td style="border-left-width: 0px">Observation.language</td><td>Element `Observation.language` is mapped to FHIR R4B element `Observation.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">Observation.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">Observation.text</td><td style="border-left-width: 0px">Observation.text</td><td>Element `Observation.text` is mapped to FHIR R4B element `Observation.text` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.text` do not cover the following types: Narrative.
The mappings for `Observation.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">Observation.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">Observation.contained</td><td style="border-left-width: 0px">Observation.contained</td><td>Element `Observation.contained` is mapped to FHIR R4B element `Observation.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">Observation.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">Observation.identifier</td><td style="border-left-width: 0px">Observation.identifier</td><td>Element `Observation.identifier` is mapped to FHIR R4B element `Observation.identifier` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.identifier` do not cover the following types: Identifier.
The mappings for `Observation.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">Observation.basedOn</td><td style="border-left-width: 0px">basedOn</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">Observation.basedOn</td><td style="border-left-width: 0px">Observation.basedOn</td><td>Element `Observation.basedOn` is mapped to FHIR R4B element `Observation.basedOn` as `RelatedTo`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Observation.basedOn` with unmapped reference targets: CarePlan, DeviceRequest, ImmunizationRecommendation, MedicationRequest, NutritionOrder, ProcedureRequest, ReferralRequest.</td></tr><tr><td style="border-right-width: 0px">Observation.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">Observation.status</td><td style="border-left-width: 0px">Observation.status</td><td>Element `Observation.status` is mapped to FHIR R4B element `Observation.status` as `Equivalent`.
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">Observation.category</td><td style="border-left-width: 0px">category</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation.category</td><td style="border-left-width: 0px">Observation.category</td><td>Element `Observation.category` is mapped to FHIR R4B element `Observation.category` as `Equivalent`.
In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.</td></tr><tr><td style="border-right-width: 0px">Observation.code</td><td style="border-left-width: 0px">code</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation.code</td><td style="border-left-width: 0px">Observation.code</td><td>Element `Observation.code` is mapped to FHIR R4B element `Observation.code` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Observation.subject</td><td style="border-left-width: 0px">subject</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Observation.subject</td><td style="border-left-width: 0px">Observation.subject</td><td>Element `Observation.subject` is mapped to FHIR R4B element `Observation.subject` as `SourceIsBroaderThanTarget`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Observation.subject` with unmapped reference targets: Device, Group, Location, Patient.
One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.
If the target of the observation is different than the subject, the general extension [observation-focal-subject](https://hl7.org/fhir/extension-observation-focal-subject.html). may be used. However, the distinction between the patient's own value for an observation versus that of the fetus, or the donor or blood product unit, etc., are often specified in the observation code.</td></tr><tr><td style="border-right-width: 0px">Observation.context</td><td style="border-left-width: 0px">context</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">Observation.encounter</td><td style="border-left-width: 0px">Observation.encounter</td><td>Element `Observation.context` is mapped to FHIR R4B element `Observation.encounter` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.context` 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 `Observation.context` with unmapped reference targets: Encounter, EpisodeOfCare.
This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter or episode but still be tied to the context of the encounter or episode (e.g. pre-admission lab tests).</td></tr><tr><td style="border-right-width: 0px">Observation.effective[x]</td><td style="border-left-width: 0px">effective[x]</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation.effective[x]</td><td style="border-left-width: 0px">Observation.effective[x]</td><td>Element `Observation.effective[x]` is mapped to FHIR R4B element `Observation.effective[x]` as `SourceIsBroaderThanTarget`.
The target context `Observation.effective[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Observation`.
At least a date should be present unless this observation is a historical report.</td></tr><tr><td style="border-right-width: 0px">Observation.issued</td><td style="border-left-width: 0px">issued</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">Observation.issued</td><td style="border-left-width: 0px">Observation.issued</td><td>Element `Observation.issued` is mapped to FHIR R4B element `Observation.issued` as `Equivalent`.
Updated when the result is updated.</td></tr><tr><td style="border-right-width: 0px">Observation.performer</td><td style="border-left-width: 0px">performer</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Observation.performer</td><td style="border-left-width: 0px">Observation.performer</td><td>Element `Observation.performer` is mapped to FHIR R4B element `Observation.performer` as `SourceIsBroaderThanTarget`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Observation.performer` with unmapped reference targets: Organization, Patient, Practitioner, RelatedPerson.</td></tr><tr><td style="border-right-width: 0px">Observation.value[x]</td><td style="border-left-width: 0px">value[x]</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">Observation.value[x]</td><td style="border-left-width: 0px">Observation.value[x]</td><td>Element `Observation.value[x]` is mapped to FHIR R4B element `Observation.value[x]` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.value[x]` do not cover the following types: Attachment, Period, Range, Ratio, SampledData.
The target context `Observation.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Observation`.
Normally, an observation will have either a single value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. This element has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueString, valueBoolean, valueRange, valueRatio, valueSampledData, valueAttachment, valueTime, valueDateTime, or valuePeriod. (The name format is "'value' + the type name" with a capital on the first letter of the type).
If the data element is usually coded or if the type associated with the Observation.value defines a coded value, use CodeableConcept instead of string datatype even if the value is uncoded text. A value set is bound to the ValueCodeableConcept element. For further discussion and examples see the [notes section](https://hl7.org/fhir/observ.html#notes) below.</td></tr><tr><td style="border-right-width: 0px">Observation.dataAbsentReason</td><td style="border-left-width: 0px">dataAbsentReason</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">Observation.dataAbsentReason</td><td style="border-left-width: 0px">Observation.dataAbsentReason</td><td>Element `Observation.dataAbsentReason` is mapped to FHIR R4B element `Observation.dataAbsentReason` as `Equivalent`.
Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be "detected", "not detected", "inconclusive", or "specimen unsatisfactory". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code "error" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.</td></tr><tr><td style="border-right-width: 0px">Observation.interpretation</td><td style="border-left-width: 0px">interpretation</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">Observation.interpretation</td><td style="border-left-width: 0px">Observation.interpretation</td><td>Element `Observation.interpretation` is mapped to FHIR R4B element `Observation.interpretation` as `SourceIsNarrowerThanTarget`.</td></tr><tr><td style="border-right-width: 0px">Observation.comment</td><td style="border-left-width: 0px">comment</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">Observation.note</td><td style="border-left-width: 0px">Observation.note</td><td>Element `Observation.comment` is mapped to FHIR R4B element `Observation.note` as `RelatedTo`.
The mappings for `Observation.comment` do not cover the following types: string.
The mappings for `Observation.comment` do not cover the following types based on type expansion: value.</td></tr><tr><td style="border-right-width: 0px">Observation.bodySite</td><td style="border-left-width: 0px">bodySite</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation.bodySite</td><td style="border-left-width: 0px">Observation.bodySite</td><td>Element `Observation.bodySite` is mapped to FHIR R4B element `Observation.bodySite` as `Equivalent`.
Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ body-site-instance](https://hl7.org/fhir/extension-body-site-instance.html).</td></tr><tr><td style="border-right-width: 0px">Observation.method</td><td style="border-left-width: 0px">method</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">Observation.method</td><td style="border-left-width: 0px">Observation.method</td><td>Element `Observation.method` is mapped to FHIR R4B element `Observation.method` as `Equivalent`.
Only used if not implicit in code for Observation.code.</td></tr><tr><td style="border-right-width: 0px">Observation.specimen</td><td style="border-left-width: 0px">specimen</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">Observation.specimen</td><td style="border-left-width: 0px">Observation.specimen</td><td>Element `Observation.specimen` is mapped to FHIR R4B element `Observation.specimen` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.specimen` 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 `Observation.specimen` with unmapped reference targets: Specimen.
Should only be used if not implicit in code found in `Observation.code`. Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).</td></tr><tr><td style="border-right-width: 0px">Observation.device</td><td style="border-left-width: 0px">device</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">Observation.device</td><td style="border-left-width: 0px">Observation.device</td><td>Element `Observation.device` is mapped to FHIR R4B element `Observation.device` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.device` 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 `Observation.device` with unmapped reference targets: Device, DeviceMetric.
An extension should be used if further typing of the device is needed. Devices used to support obtaining an observation can be represented using either an extension or through the Observation.related element.</td></tr><tr><td style="border-right-width: 0px">Observation.referenceRange</td><td style="border-left-width: 0px">referenceRange</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">Observation.referenceRange</td><td style="border-left-width: 0px">Observation.referenceRange</td><td>Element `Observation.referenceRange` is mapped to FHIR R4B element `Observation.referenceRange` as `Equivalent`.
Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.</td></tr><tr><td style="border-right-width: 0px">Observation.referenceRange.low</td><td style="border-left-width: 0px">low</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">Observation.referenceRange.low</td><td style="border-left-width: 0px">Observation.referenceRange.low</td><td>Element `Observation.referenceRange.low` is mapped to FHIR R4B element `Observation.referenceRange.low` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Observation.referenceRange.high</td><td style="border-left-width: 0px">high</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">Observation.referenceRange.high</td><td style="border-left-width: 0px">Observation.referenceRange.high</td><td>Element `Observation.referenceRange.high` is mapped to FHIR R4B element `Observation.referenceRange.high` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Observation.referenceRange.type</td><td style="border-left-width: 0px">type</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">Observation.referenceRange.type</td><td style="border-left-width: 0px">Observation.referenceRange.type</td><td>Element `Observation.referenceRange.type` is mapped to FHIR R4B element `Observation.referenceRange.type` as `Equivalent`.
This SHOULD be populated if there is more than one range. If this element is not present then the normal range is assumed.</td></tr><tr><td style="border-right-width: 0px">Observation.referenceRange.appliesTo</td><td style="border-left-width: 0px">appliesTo</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">Observation.referenceRange.appliesTo</td><td style="border-left-width: 0px">Observation.referenceRange.appliesTo</td><td>Element `Observation.referenceRange.appliesTo` is mapped to FHIR R4B element `Observation.referenceRange.appliesTo` as `Equivalent`.
This SHOULD be populated if there is more than one range. If this element is not present then the normal population is assumed.</td></tr><tr><td style="border-right-width: 0px">Observation.referenceRange.age</td><td style="border-left-width: 0px">age</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">Observation.referenceRange.age</td><td style="border-left-width: 0px">Observation.referenceRange.age</td><td>Element `Observation.referenceRange.age` is mapped to FHIR R4B element `Observation.referenceRange.age` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.referenceRange.age` do not cover the following types: Range.
The mappings for `Observation.referenceRange.age` do not cover the following types based on type expansion: high, low.</td></tr><tr><td style="border-right-width: 0px">Observation.referenceRange.text</td><td style="border-left-width: 0px">text</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">Observation.referenceRange.text</td><td style="border-left-width: 0px">Observation.referenceRange.text</td><td>Element `Observation.referenceRange.text` is mapped to FHIR R4B element `Observation.referenceRange.text` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px; border-bottom-style: none">Observation.related</td><td style="border-left-width: 0px; border-bottom-style: none">related</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">Observation</td><td style="border-left-width: 0px">Observation</td><td>Element `Observation.related` is mapped to FHIR R4B element `Observation` as `SourceIsNarrowerThanTarget`.
Element `Observation.related` is mapped to FHIR R4B element `Observation.hasMember` as `Equivalent`.
Element `Observation.related` is mapped to FHIR R4B element `Observation.derivedFrom` as `Equivalent`.
For a discussion on the ways Observations can assembled in groups together see [Notes below](https://hl7.org/fhir/observa.html#4.20.4).</td></tr><tr><td style="border-right-width: 0px; border-top-style: none; border-bottom-style: none"/><td style="border-left-width: 0px; border-top-style: none; border-bottom-style: none"/><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">Observation.derivedFrom</td><td style="border-left-width: 0px">Observation.derivedFrom</td><td>Element `Observation.related` is mapped to FHIR R4B element `Observation` as `SourceIsNarrowerThanTarget`.
Element `Observation.related` is mapped to FHIR R4B element `Observation.hasMember` as `Equivalent`.
Element `Observation.related` is mapped to FHIR R4B element `Observation.derivedFrom` as `Equivalent`.
For a discussion on the ways Observations can assembled in groups together see [Notes below](https://hl7.org/fhir/observa.html#4.20.4).</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">Observation.hasMember</td><td style="border-left-width: 0px">Observation.hasMember</td><td>Element `Observation.related` is mapped to FHIR R4B element `Observation` as `SourceIsNarrowerThanTarget`.
Element `Observation.related` is mapped to FHIR R4B element `Observation.hasMember` as `Equivalent`.
Element `Observation.related` is mapped to FHIR R4B element `Observation.derivedFrom` as `Equivalent`.
For a discussion on the ways Observations can assembled in groups together see [Notes below](https://hl7.org/fhir/observa.html#4.20.4).</td></tr><tr><td style="border-right-width: 0px; border-bottom-style: none">Observation.related.target</td><td style="border-left-width: 0px; border-bottom-style: none">target</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">Observation.derivedFrom</td><td style="border-left-width: 0px">Observation.derivedFrom</td><td>Element `Observation.related.target` is mapped to FHIR R4B element `Observation.hasMember` as `RelatedTo`.
Element `Observation.related.target` is mapped to FHIR R4B element `Observation.derivedFrom` as `RelatedTo`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Observation.related.target` with unmapped reference targets: Observation, QuestionnaireResponse, Sequence.</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">Observation.hasMember</td><td style="border-left-width: 0px">Observation.hasMember</td><td>Element `Observation.related.target` is mapped to FHIR R4B element `Observation.hasMember` as `RelatedTo`.
Element `Observation.related.target` is mapped to FHIR R4B element `Observation.derivedFrom` as `RelatedTo`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Observation.related.target` with unmapped reference targets: Observation, QuestionnaireResponse, Sequence.</td></tr><tr><td style="border-right-width: 0px">Observation.component</td><td style="border-left-width: 0px">component</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">Observation.component</td><td style="border-left-width: 0px">Observation.component</td><td>Element `Observation.component` is mapped to FHIR R4B element `Observation.component` as `Equivalent`.
For a discussion on the ways Observations can be assembled in groups together see [Notes](https://hl7.org/fhir/observ.html#notes) below.</td></tr><tr><td style="border-right-width: 0px">Observation.component.code</td><td style="border-left-width: 0px">code</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation.component.code</td><td style="border-left-width: 0px">Observation.component.code</td><td>Element `Observation.component.code` is mapped to FHIR R4B element `Observation.component.code` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Observation.component.value[x]</td><td style="border-left-width: 0px">value[x]</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">Observation.component.value[x]</td><td style="border-left-width: 0px">Observation.component.value[x]</td><td>Element `Observation.component.value[x]` is mapped to FHIR R4B element `Observation.component.value[x]` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.component.value[x]` do not cover the following types: Attachment, Period, Range, Ratio, SampledData.
The target context `Observation.component.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Observation.component`.
Normally, an observation will have either a single value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For boolean values use valueCodeableConcept and select codes from <http://hl7.org/fhir/ValueSet/v2-0136> (these "yes/no" concepts can be mapped to the display name "true/false" or other mutually exclusive terms that may be needed"). The element, Observation.value[x], has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueRatio, valueChoice, valuePeriod, valueSampleData, or valueString (the name format is "'value' + the type name" with a capital on the first letter of the type).</td></tr><tr><td style="border-right-width: 0px">Observation.component.dataAbsentReason</td><td style="border-left-width: 0px">dataAbsentReason</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">Observation.component.dataAbsentReason</td><td style="border-left-width: 0px">Observation.component.dataAbsentReason</td><td>Element `Observation.component.dataAbsentReason` is mapped to FHIR R4B element `Observation.component.dataAbsentReason` as `Equivalent`.
"Null" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be "detected", "not detected", "inconclusive", or "test not done". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code "error" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values.</td></tr><tr><td style="border-right-width: 0px">Observation.component.interpretation</td><td style="border-left-width: 0px">interpretation</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">Observation.component.interpretation</td><td style="border-left-width: 0px">Observation.component.interpretation</td><td>Element `Observation.component.interpretation` is mapped to FHIR R4B element `Observation.component.interpretation` as `SourceIsNarrowerThanTarget`.
The component interpretation applies only to the individual component value. For an overall interpretation all components together use thes Observation.interpretation element.</td></tr><tr><td style="border-right-width: 0px">Observation.component.referenceRange</td><td style="border-left-width: 0px">referenceRange</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">Observation.component.referenceRange</td><td style="border-left-width: 0px">Observation.component.referenceRange</td><td>Element `Observation.component.referenceRange` is mapped to FHIR R4B element `Observation.component.referenceRange` as `Equivalent`.
Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Observation|3.0.2</code> to <a href="StructureDefinition-ext-R3-Observation.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>Observation.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 `Observation.meta` is mapped to FHIR R4B element `Observation.meta` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.meta` do not cover the following types: Meta.
The mappings for `Observation.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/Observation|3.0.2</code> to <a href="StructureDefinition-ext-R3-Observation.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>Observation.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 `Observation.text` is mapped to FHIR R4B element `Observation.text` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.text` do not cover the following types: Narrative.
The mappings for `Observation.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/Observation|3.0.2</code> to <a href="StructureDefinition-ext-R3-Observation.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>Observation.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 `Observation.identifier` is mapped to FHIR R4B element `Observation.identifier` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.identifier` do not cover the following types: Identifier.
The mappings for `Observation.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/Observation|3.0.2</code> to <a href="StructureDefinition-ext-R3-Observation.value.html">STU3: value 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>Observation.value[x] (value[x])</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: value additional types)</td><td>Element `Observation.value[x]` is mapped to FHIR R4B element `Observation.value[x]` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.value[x]` do not cover the following types: Attachment, Period, Range, Ratio, SampledData.
The target context `Observation.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Observation`.
Normally, an observation will have either a single value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. This element has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueString, valueBoolean, valueRange, valueRatio, valueSampledData, valueAttachment, valueTime, valueDateTime, or valuePeriod. (The name format is "'value' + the type name" with a capital on the first letter of the type).
If the data element is usually coded or if the type associated with the Observation.value defines a coded value, use CodeableConcept instead of string datatype even if the value is uncoded text. A value set is bound to the ValueCodeableConcept element. For further discussion and examples see the [notes section](https://hl7.org/fhir/observ.html#notes) below.</td></tr></table><hr/><p><b>Group 6 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Observation|3.0.2</code> to <a href="StructureDefinition-ext-R3-Observation.comment.html">STU3: Comments about result 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>Observation.comment (comment)</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: Comments about result additional types)</td><td>Element `Observation.comment` is mapped to FHIR R4B element `Observation.note` as `RelatedTo`.
The mappings for `Observation.comment` do not cover the following types: string.
The mappings for `Observation.comment` do not cover the following types based on type expansion: value.</td></tr></table><hr/><p><b>Group 7 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Observation|3.0.2</code> to <a href="StructureDefinition-ext-R3-Observation.ref.age.html">STU3: age 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>Observation.referenceRange.age (age)</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: age additional types)</td><td>Element `Observation.referenceRange.age` is mapped to FHIR R4B element `Observation.referenceRange.age` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.referenceRange.age` do not cover the following types: Range.
The mappings for `Observation.referenceRange.age` do not cover the following types based on type expansion: high, low.</td></tr></table><hr/><p><b>Group 8 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Observation|3.0.2</code> to <a href="StructureDefinition-ext-R3-Observation.rel.type.html">STU3: has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by (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>Observation.related.type (type)</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: has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by (new))</td><td>Element `Observation.related.type` has a context of Observation based on following the parent source element upwards and mapping to `Observation`.
Element `Observation.related.type` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).
The "derived-from" type is the only logical choice when referencing the QuestionnaireAnswer resource.</td></tr></table><hr/><p><b>Group 9 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Observation|3.0.2</code> to <a href="StructureDefinition-ext-R3-Observation.com.value.html">STU3: value 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>Observation.component.value[x] (value[x])</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: value additional types)</td><td>Element `Observation.component.value[x]` is mapped to FHIR R4B element `Observation.component.value[x]` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.component.value[x]` do not cover the following types: Attachment, Period, Range, Ratio, SampledData.
The target context `Observation.component.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Observation.component`.
Normally, an observation will have either a single value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For boolean values use valueCodeableConcept and select codes from <http://hl7.org/fhir/ValueSet/v2-0136> (these "yes/no" concepts can be mapped to the display name "true/false" or other mutually exclusive terms that may be needed"). The element, Observation.value[x], has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueRatio, valueChoice, valuePeriod, valueSampleData, or valueString (the name format is "'value' + the type name" with a capital on the first letter of the type).</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-Observation-element-map-to-R4B"/>
<version value="0.1.0"/>
<name value="R3ObservationElementMapToR4B"/>
<title
value="Cross-version mapping for FHIR STU3 Observation to FHIR R4B Observation"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-03-17T16:04:11.1203009-05:00"/>
<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 Observation 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/Observation"/>
<sourceVersion value="3.0.2"/>
<target value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<targetVersion value="4.3.0"/>
<element>
<code value="Observation.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="Observation.meta"/>
<display value="Observation.meta"/>
<equivalence value="wider"/>
<comment
value="Element `Observation.meta` is mapped to FHIR R4B element `Observation.meta` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.meta` do not cover the following types: Meta.
The mappings for `Observation.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."/>
</target>
</element>
<element>
<code value="Observation.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="Observation.implicitRules"/>
<display value="Observation.implicitRules"/>
<equivalence value="equivalent"/>
<comment
value="Element `Observation.implicitRules` is mapped to FHIR R4B element `Observation.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="Observation.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="Observation.language"/>
<display value="Observation.language"/>
<equivalence value="equivalent"/>
<comment
value="Element `Observation.language` is mapped to FHIR R4B element `Observation.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="Observation.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="Observation.text"/>
<display value="Observation.text"/>
<equivalence value="wider"/>
<comment
value="Element `Observation.text` is mapped to FHIR R4B element `Observation.text` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.text` do not cover the following types: Narrative.
The mappings for `Observation.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="Observation.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="Observation.contained"/>
<display value="Observation.contained"/>
<equivalence value="equivalent"/>
<comment
value="Element `Observation.contained` is mapped to FHIR R4B element `Observation.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="Observation.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="Observation.identifier"/>
<display value="Observation.identifier"/>
<equivalence value="wider"/>
<comment
value="Element `Observation.identifier` is mapped to FHIR R4B element `Observation.identifier` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.identifier` do not cover the following types: Identifier.
The mappings for `Observation.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."/>
</target>
</element>
<element>
<code value="Observation.basedOn"/>
<display value="basedOn"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Observation.basedOn"/>
<display value="Observation.basedOn"/>
<equivalence value="wider"/>
<comment
value="Element `Observation.basedOn` is mapped to FHIR R4B element `Observation.basedOn` as `RelatedTo`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Observation.basedOn` with unmapped reference targets: CarePlan, DeviceRequest, ImmunizationRecommendation, MedicationRequest, NutritionOrder, ProcedureRequest, ReferralRequest."/>
</target>
</element>
<element>
<code value="Observation.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="Observation.status"/>
<display value="Observation.status"/>
<equivalence value="equivalent"/>
<comment
value="Element `Observation.status` is mapped to FHIR R4B element `Observation.status` as `Equivalent`.
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="Observation.category"/>
<display value="category"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Observation.category"/>
<display value="Observation.category"/>
<equivalence value="equivalent"/>
<comment
value="Element `Observation.category` is mapped to FHIR R4B element `Observation.category` as `Equivalent`.
In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set."/>
</target>
</element>
<element>
<code value="Observation.code"/>
<display value="code"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Observation.code"/>
<display value="Observation.code"/>
<equivalence value="equivalent"/>
<comment
value="Element `Observation.code` is mapped to FHIR R4B element `Observation.code` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Observation.subject"/>
<display value="subject"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Observation.subject"/>
<display value="Observation.subject"/>
<equivalence value="wider"/>
<comment
value="Element `Observation.subject` is mapped to FHIR R4B element `Observation.subject` as `SourceIsBroaderThanTarget`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Observation.subject` with unmapped reference targets: Device, Group, Location, Patient.
One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.
If the target of the observation is different than the subject, the general extension [observation-focal-subject](https://hl7.org/fhir/extension-observation-focal-subject.html). may be used. However, the distinction between the patient's own value for an observation versus that of the fetus, or the donor or blood product unit, etc., are often specified in the observation code."/>
</target>
</element>
<element>
<code value="Observation.context"/>
<display value="context"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Observation.encounter"/>
<display value="Observation.encounter"/>
<equivalence value="wider"/>
<comment
value="Element `Observation.context` is mapped to FHIR R4B element `Observation.encounter` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.context` 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 `Observation.context` with unmapped reference targets: Encounter, EpisodeOfCare.
This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter or episode but still be tied to the context of the encounter or episode (e.g. pre-admission lab tests)."/>
</target>
</element>
<element>
<code value="Observation.effective[x]"/>
<display value="effective[x]"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Observation.effective[x]"/>
<display value="Observation.effective[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `Observation.effective[x]` is mapped to FHIR R4B element `Observation.effective[x]` as `SourceIsBroaderThanTarget`.
The target context `Observation.effective[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Observation`.
At least a date should be present unless this observation is a historical report."/>
</target>
</element>
<element>
<code value="Observation.issued"/>
<display value="issued"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Observation.issued"/>
<display value="Observation.issued"/>
<equivalence value="equivalent"/>
<comment
value="Element `Observation.issued` is mapped to FHIR R4B element `Observation.issued` as `Equivalent`.
Updated when the result is updated."/>
</target>
</element>
<element>
<code value="Observation.performer"/>
<display value="performer"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Observation.performer"/>
<display value="Observation.performer"/>
<equivalence value="wider"/>
<comment
value="Element `Observation.performer` is mapped to FHIR R4B element `Observation.performer` as `SourceIsBroaderThanTarget`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Observation.performer` with unmapped reference targets: Organization, Patient, Practitioner, RelatedPerson."/>
</target>
</element>
<element>
<code value="Observation.value[x]"/>
<display value="value[x]"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Observation.value[x]"/>
<display value="Observation.value[x]"/>
<equivalence value="wider"/>
<comment
value="Element `Observation.value[x]` is mapped to FHIR R4B element `Observation.value[x]` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.value[x]` do not cover the following types: Attachment, Period, Range, Ratio, SampledData.
The target context `Observation.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Observation`.
Normally, an observation will have either a single value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. This element has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueString, valueBoolean, valueRange, valueRatio, valueSampledData, valueAttachment, valueTime, valueDateTime, or valuePeriod. (The name format is "'value' + the type name" with a capital on the first letter of the type).
If the data element is usually coded or if the type associated with the Observation.value defines a coded value, use CodeableConcept instead of string datatype even if the value is uncoded text. A value set is bound to the ValueCodeableConcept element. For further discussion and examples see the [notes section](https://hl7.org/fhir/observ.html#notes) below."/>
</target>
</element>
<element>
<code value="Observation.dataAbsentReason"/>
<display value="dataAbsentReason"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Observation.dataAbsentReason"/>
<display value="Observation.dataAbsentReason"/>
<equivalence value="equivalent"/>
<comment
value="Element `Observation.dataAbsentReason` is mapped to FHIR R4B element `Observation.dataAbsentReason` as `Equivalent`.
Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be "detected", "not detected", "inconclusive", or "specimen unsatisfactory". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code "error" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values."/>
</target>
</element>
<element>
<code value="Observation.interpretation"/>
<display value="interpretation"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Observation.interpretation"/>
<display value="Observation.interpretation"/>
<equivalence value="equivalent"/>
<comment
value="Element `Observation.interpretation` is mapped to FHIR R4B element `Observation.interpretation` as `SourceIsNarrowerThanTarget`."/>
</target>
</element>
<element>
<code value="Observation.comment"/>
<display value="comment"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="relatedto"/>
</modifierExtension>
<code value="Observation.note"/>
<display value="Observation.note"/>
<equivalence value="relatedto"/>
<comment
value="Element `Observation.comment` is mapped to FHIR R4B element `Observation.note` as `RelatedTo`.
The mappings for `Observation.comment` do not cover the following types: string.
The mappings for `Observation.comment` do not cover the following types based on type expansion: value."/>
</target>
</element>
<element>
<code value="Observation.bodySite"/>
<display value="bodySite"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Observation.bodySite"/>
<display value="Observation.bodySite"/>
<equivalence value="equivalent"/>
<comment
value="Element `Observation.bodySite` is mapped to FHIR R4B element `Observation.bodySite` as `Equivalent`.
Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ body-site-instance](https://hl7.org/fhir/extension-body-site-instance.html)."/>
</target>
</element>
<element>
<code value="Observation.method"/>
<display value="method"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Observation.method"/>
<display value="Observation.method"/>
<equivalence value="equivalent"/>
<comment
value="Element `Observation.method` is mapped to FHIR R4B element `Observation.method` as `Equivalent`.
Only used if not implicit in code for Observation.code."/>
</target>
</element>
<element>
<code value="Observation.specimen"/>
<display value="specimen"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Observation.specimen"/>
<display value="Observation.specimen"/>
<equivalence value="wider"/>
<comment
value="Element `Observation.specimen` is mapped to FHIR R4B element `Observation.specimen` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.specimen` 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 `Observation.specimen` with unmapped reference targets: Specimen.
Should only be used if not implicit in code found in `Observation.code`. Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report)."/>
</target>
</element>
<element>
<code value="Observation.device"/>
<display value="device"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Observation.device"/>
<display value="Observation.device"/>
<equivalence value="wider"/>
<comment
value="Element `Observation.device` is mapped to FHIR R4B element `Observation.device` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.device` 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 `Observation.device` with unmapped reference targets: Device, DeviceMetric.
An extension should be used if further typing of the device is needed. Devices used to support obtaining an observation can be represented using either an extension or through the Observation.related element."/>
</target>
</element>
<element>
<code value="Observation.referenceRange"/>
<display value="referenceRange"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Observation.referenceRange"/>
<display value="Observation.referenceRange"/>
<equivalence value="wider"/>
<comment
value="Element `Observation.referenceRange` is mapped to FHIR R4B element `Observation.referenceRange` as `Equivalent`.
Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties."/>
</target>
</element>
<element>
<code value="Observation.referenceRange.low"/>
<display value="low"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Observation.referenceRange.low"/>
<display value="Observation.referenceRange.low"/>
<equivalence value="equivalent"/>
<comment
value="Element `Observation.referenceRange.low` is mapped to FHIR R4B element `Observation.referenceRange.low` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Observation.referenceRange.high"/>
<display value="high"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Observation.referenceRange.high"/>
<display value="Observation.referenceRange.high"/>
<equivalence value="equivalent"/>
<comment
value="Element `Observation.referenceRange.high` is mapped to FHIR R4B element `Observation.referenceRange.high` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Observation.referenceRange.type"/>
<display value="type"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Observation.referenceRange.type"/>
<display value="Observation.referenceRange.type"/>
<equivalence value="equivalent"/>
<comment
value="Element `Observation.referenceRange.type` is mapped to FHIR R4B element `Observation.referenceRange.type` as `Equivalent`.
This SHOULD be populated if there is more than one range. If this element is not present then the normal range is assumed."/>
</target>
</element>
<element>
<code value="Observation.referenceRange.appliesTo"/>
<display value="appliesTo"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Observation.referenceRange.appliesTo"/>
<display value="Observation.referenceRange.appliesTo"/>
<equivalence value="equivalent"/>
<comment
value="Element `Observation.referenceRange.appliesTo` is mapped to FHIR R4B element `Observation.referenceRange.appliesTo` as `Equivalent`.
This SHOULD be populated if there is more than one range. If this element is not present then the normal population is assumed."/>
</target>
</element>
<element>
<code value="Observation.referenceRange.age"/>
<display value="age"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Observation.referenceRange.age"/>
<display value="Observation.referenceRange.age"/>
<equivalence value="wider"/>
<comment
value="Element `Observation.referenceRange.age` is mapped to FHIR R4B element `Observation.referenceRange.age` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.referenceRange.age` do not cover the following types: Range.
The mappings for `Observation.referenceRange.age` do not cover the following types based on type expansion: high, low."/>
</target>
</element>
<element>
<code value="Observation.referenceRange.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="Observation.referenceRange.text"/>
<display value="Observation.referenceRange.text"/>
<equivalence value="equivalent"/>
<comment
value="Element `Observation.referenceRange.text` is mapped to FHIR R4B element `Observation.referenceRange.text` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Observation.related"/>
<display value="related"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="relatedto"/>
</modifierExtension>
<code value="Observation"/>
<display value="Observation"/>
<equivalence value="relatedto"/>
<comment
value="Element `Observation.related` is mapped to FHIR R4B element `Observation` as `SourceIsNarrowerThanTarget`.
Element `Observation.related` is mapped to FHIR R4B element `Observation.hasMember` as `Equivalent`.
Element `Observation.related` is mapped to FHIR R4B element `Observation.derivedFrom` as `Equivalent`.
For a discussion on the ways Observations can assembled in groups together see [Notes below](https://hl7.org/fhir/observa.html#4.20.4)."/>
</target>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="relatedto"/>
</modifierExtension>
<code value="Observation.derivedFrom"/>
<display value="Observation.derivedFrom"/>
<equivalence value="relatedto"/>
<comment
value="Element `Observation.related` is mapped to FHIR R4B element `Observation` as `SourceIsNarrowerThanTarget`.
Element `Observation.related` is mapped to FHIR R4B element `Observation.hasMember` as `Equivalent`.
Element `Observation.related` is mapped to FHIR R4B element `Observation.derivedFrom` as `Equivalent`.
For a discussion on the ways Observations can assembled in groups together see [Notes below](https://hl7.org/fhir/observa.html#4.20.4)."/>
</target>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="relatedto"/>
</modifierExtension>
<code value="Observation.hasMember"/>
<display value="Observation.hasMember"/>
<equivalence value="relatedto"/>
<comment
value="Element `Observation.related` is mapped to FHIR R4B element `Observation` as `SourceIsNarrowerThanTarget`.
Element `Observation.related` is mapped to FHIR R4B element `Observation.hasMember` as `Equivalent`.
Element `Observation.related` is mapped to FHIR R4B element `Observation.derivedFrom` as `Equivalent`.
For a discussion on the ways Observations can assembled in groups together see [Notes below](https://hl7.org/fhir/observa.html#4.20.4)."/>
</target>
</element>
<element>
<code value="Observation.related.target"/>
<display value="target"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="relatedto"/>
</modifierExtension>
<code value="Observation.derivedFrom"/>
<display value="Observation.derivedFrom"/>
<equivalence value="relatedto"/>
<comment
value="Element `Observation.related.target` is mapped to FHIR R4B element `Observation.hasMember` as `RelatedTo`.
Element `Observation.related.target` is mapped to FHIR R4B element `Observation.derivedFrom` as `RelatedTo`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Observation.related.target` with unmapped reference targets: Observation, QuestionnaireResponse, Sequence."/>
</target>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="relatedto"/>
</modifierExtension>
<code value="Observation.hasMember"/>
<display value="Observation.hasMember"/>
<equivalence value="relatedto"/>
<comment
value="Element `Observation.related.target` is mapped to FHIR R4B element `Observation.hasMember` as `RelatedTo`.
Element `Observation.related.target` is mapped to FHIR R4B element `Observation.derivedFrom` as `RelatedTo`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Observation.related.target` with unmapped reference targets: Observation, QuestionnaireResponse, Sequence."/>
</target>
</element>
<element>
<code value="Observation.component"/>
<display value="component"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Observation.component"/>
<display value="Observation.component"/>
<equivalence value="wider"/>
<comment
value="Element `Observation.component` is mapped to FHIR R4B element `Observation.component` as `Equivalent`.
For a discussion on the ways Observations can be assembled in groups together see [Notes](https://hl7.org/fhir/observ.html#notes) below."/>
</target>
</element>
<element>
<code value="Observation.component.code"/>
<display value="code"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Observation.component.code"/>
<display value="Observation.component.code"/>
<equivalence value="equivalent"/>
<comment
value="Element `Observation.component.code` is mapped to FHIR R4B element `Observation.component.code` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Observation.component.value[x]"/>
<display value="value[x]"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Observation.component.value[x]"/>
<display value="Observation.component.value[x]"/>
<equivalence value="wider"/>
<comment
value="Element `Observation.component.value[x]` is mapped to FHIR R4B element `Observation.component.value[x]` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.component.value[x]` do not cover the following types: Attachment, Period, Range, Ratio, SampledData.
The target context `Observation.component.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Observation.component`.
Normally, an observation will have either a single value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For boolean values use valueCodeableConcept and select codes from <http://hl7.org/fhir/ValueSet/v2-0136> (these "yes/no" concepts can be mapped to the display name "true/false" or other mutually exclusive terms that may be needed"). The element, Observation.value[x], has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueRatio, valueChoice, valuePeriod, valueSampleData, or valueString (the name format is "'value' + the type name" with a capital on the first letter of the type)."/>
</target>
</element>
<element>
<code value="Observation.component.dataAbsentReason"/>
<display value="dataAbsentReason"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Observation.component.dataAbsentReason"/>
<display value="Observation.component.dataAbsentReason"/>
<equivalence value="equivalent"/>
<comment
value="Element `Observation.component.dataAbsentReason` is mapped to FHIR R4B element `Observation.component.dataAbsentReason` as `Equivalent`.
"Null" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be "detected", "not detected", "inconclusive", or "test not done". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code "error" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values."/>
</target>
</element>
<element>
<code value="Observation.component.interpretation"/>
<display value="interpretation"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Observation.component.interpretation"/>
<display value="Observation.component.interpretation"/>
<equivalence value="equivalent"/>
<comment
value="Element `Observation.component.interpretation` is mapped to FHIR R4B element `Observation.component.interpretation` as `SourceIsNarrowerThanTarget`.
The component interpretation applies only to the individual component value. For an overall interpretation all components together use thes Observation.interpretation element."/>
</target>
</element>
<element>
<code value="Observation.component.referenceRange"/>
<display value="referenceRange"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Observation.component.referenceRange"/>
<display value="Observation.component.referenceRange"/>
<equivalence value="equivalent"/>
<comment
value="Element `Observation.component.referenceRange` is mapped to FHIR R4B element `Observation.component.referenceRange` as `Equivalent`.
Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<sourceVersion value="3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Observation.meta"/>
<targetVersion value="0.1.0"/>
<element>
<code value="Observation.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 `Observation.meta` is mapped to FHIR R4B element `Observation.meta` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.meta` do not cover the following types: Meta.
The mappings for `Observation.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/Observation"/>
<sourceVersion value="3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Observation.text"/>
<targetVersion value="0.1.0"/>
<element>
<code value="Observation.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 `Observation.text` is mapped to FHIR R4B element `Observation.text` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.text` do not cover the following types: Narrative.
The mappings for `Observation.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/Observation"/>
<sourceVersion value="3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Observation.identifier"/>
<targetVersion value="0.1.0"/>
<element>
<code value="Observation.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 `Observation.identifier` is mapped to FHIR R4B element `Observation.identifier` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.identifier` do not cover the following types: Identifier.
The mappings for `Observation.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/Observation"/>
<sourceVersion value="3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Observation.value"/>
<targetVersion value="0.1.0"/>
<element>
<code value="Observation.value[x]"/>
<display value="value[x]"/>
<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 `Observation.value[x]` is mapped to FHIR R4B element `Observation.value[x]` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.value[x]` do not cover the following types: Attachment, Period, Range, Ratio, SampledData.
The target context `Observation.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Observation`.
Normally, an observation will have either a single value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. This element has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueString, valueBoolean, valueRange, valueRatio, valueSampledData, valueAttachment, valueTime, valueDateTime, or valuePeriod. (The name format is "'value' + the type name" with a capital on the first letter of the type).
If the data element is usually coded or if the type associated with the Observation.value defines a coded value, use CodeableConcept instead of string datatype even if the value is uncoded text. A value set is bound to the ValueCodeableConcept element. For further discussion and examples see the [notes section](https://hl7.org/fhir/observ.html#notes) below."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<sourceVersion value="3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Observation.comment"/>
<targetVersion value="0.1.0"/>
<element>
<code value="Observation.comment"/>
<display value="comment"/>
<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 `Observation.comment` is mapped to FHIR R4B element `Observation.note` as `RelatedTo`.
The mappings for `Observation.comment` do not cover the following types: string.
The mappings for `Observation.comment` do not cover the following types based on type expansion: value."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<sourceVersion value="3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Observation.referenceRange.age"/>
<targetVersion value="0.1.0"/>
<element>
<code value="Observation.referenceRange.age"/>
<display value="age"/>
<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 `Observation.referenceRange.age` is mapped to FHIR R4B element `Observation.referenceRange.age` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.referenceRange.age` do not cover the following types: Range.
The mappings for `Observation.referenceRange.age` do not cover the following types based on type expansion: high, low."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<sourceVersion value="3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Observation.related.type"/>
<targetVersion value="0.1.0"/>
<element>
<code value="Observation.related.type"/>
<display value="type"/>
<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 `Observation.related.type` has a context of Observation based on following the parent source element upwards and mapping to `Observation`.
Element `Observation.related.type` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).
The "derived-from" type is the only logical choice when referencing the QuestionnaireAnswer resource."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<sourceVersion value="3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Observation.component.value"/>
<targetVersion value="0.1.0"/>
<element>
<code value="Observation.component.value[x]"/>
<display value="value[x]"/>
<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 `Observation.component.value[x]` is mapped to FHIR R4B element `Observation.component.value[x]` as `SourceIsBroaderThanTarget`.
The mappings for `Observation.component.value[x]` do not cover the following types: Attachment, Period, Range, Ratio, SampledData.
The target context `Observation.component.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Observation.component`.
Normally, an observation will have either a single value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For boolean values use valueCodeableConcept and select codes from <http://hl7.org/fhir/ValueSet/v2-0136> (these "yes/no" concepts can be mapped to the display name "true/false" or other mutually exclusive terms that may be needed"). The element, Observation.value[x], has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueRatio, valueChoice, valuePeriod, valueSampleData, or valueString (the name format is "'value' + the type name" with a capital on the first letter of the type)."/>
</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
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change