R3-Specimen-element-map-to-R4B
type: ConceptMap
node role: treeRoot
id:
  v: R3-Specimen-element-map-to-R4B
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ConceptMap R3-Specimen-element-map-to-R4B Mapping from http://hl7.org/fhir/3.0 to http://hl7.org/fhir/4.3 Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/Specimen|3.0.2 to Specimenversion: 4.3.0) Source Code Relationship Target Code Comment Specimen.meta (meta) maps to wider concept Specimen.meta Element `Specimen.meta` is mapped to FHIR R4B element `Specimen.meta` as `SourceIsBroaderThanTarget`. The mappings for `Specimen.meta` do not cover the following types: Meta. The mappings for `Specimen.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId. Specimen.implicitRules (implicitRules) is equivalent to Specimen.implicitRules Element `Specimen.implicitRules` is mapped to FHIR R4B element `Specimen.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. Specimen.language (language) is equivalent to Specimen.language Element `Specimen.language` is mapped to FHIR R4B element `Specimen.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 t…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
    l: structuredefinition-wg
  value: Code
    v: fhir
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
    l: structuredefinition-fmm
  value: Integer
    v: 0
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Canonical
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r4b
        l: hl7.fhir.uv.xver-r3.r4b
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: trial-use
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Canonical
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r4b
        l: hl7.fhir.uv.xver-r3.r4b
url:
  v: http://hl7.org/fhir/uv/xver/ConceptMap/R3-Specimen-element-map-to-R4B
  l: R3-Specimen-element-map-to-R4B
version:
  v: 0.1.0
name:
  v: R3SpecimenElementMapToR4B
title:
  v: Cross-version mapping for FHIR STU3 Specimen to FHIR R4B Specimen
status:
  v: active
experimental:
  v: false
date:
  v: 2026-03-17T16:04:11.468285-05:00
contact:
  name:
    v: FHIR Infrastructure
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/fiwg
description:
  v: This ConceptMap represents cross-version mappings for elements from a FHIR STU3 Specimen to FHIR R4B.
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 001
    display:
      v: World
source: Canonical
  v: http://hl7.org/fhir/3.0
  l: http://hl7.org/fhir/3.0
target: Uri
  v: http://hl7.org/fhir/4.3
  l: http://hl7.org/fhir/4.3
group:
  source:
    v: http://hl7.org/fhir/StructureDefinition/Specimen
    l: Specimen
  source version:
    v: 3.0.2
  target:
    v: http://hl7.org/fhir/StructureDefinition/Specimen
    l: Specimen
  target version:
    v: 4.3.0
  element:
    code:
      v: Specimen.meta
    display:
      v: meta
    target:
      modifier extension:
        value: Code
      code:
        v: Specimen.meta
      display:
        v: Specimen.meta
      equivalence:
        v: wider
      comment:
        v: Element `Specimen.meta` is mapped to FHIR R4B element `Specimen.meta` as `SourceIsBroaderThanTarget`. The mappings for `Specimen.meta` do not cover the following types: Meta. The mappings for `Specimen.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.
  element:
    code:
      v: Specimen.implicitRules
    display:
      v: implicitRules
    target:
      modifier extension:
        value: Code
      code:
        v: Specimen.implicitRules
      display:
        v: Specimen.implicitRules
      equivalence:
        v: equivalent
      comment:
        v: Element `Specimen.implicitRules` is mapped to FHIR R4B element `Specimen.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.
  element:
    code:
      v: Specimen.language
    display:
      v: language
    target:
      modifier extension:
        value: Code
      code:
        v: Specimen.language
      display:
        v: Specimen.language
      equivalence:
        v: equivalent
      comment:
        v: Element `Specimen.language` is mapped to FHIR R4B element `Specimen.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).
  element:
    code:
      v: Specimen.text
    display:
      v: text
    target:
      modifier extension:
        value: Code
      code:
        v: Specimen.text
      display:
        v: Specimen.text
      equivalence:
        v: wider
      comment:
        v: Element `Specimen.text` is mapped to FHIR R4B element `Specimen.text` as `SourceIsBroaderThanTarget`. The mappings for `Specimen.text` do not cover the following types: Narrative. The mappings for `Specimen.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.
  element:
    code:
      v: Specimen.contained
    display:
      v: contained
    target:
      modifier extension:
        value: Code
      code:
        v: Specimen.contained
      display:
        v: Specimen.contained
      equivalence:
        v: equivalent
      comment:
        v: Element `Specimen.contained` is mapped to FHIR R4B element `Specimen.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.
  element:
    code:
      v: Specimen.identifier
    display:
      v: identifier
    target:
      modifier extension:
        value: Code
      code:
        v: Specimen.identifier
      display:
        v: Specimen.identifier
      equivalence:
        v: wider
      comment:
        v: Element `Specimen.identifier` is mapped to FHIR R4B element `Specimen.identifier` as `SourceIsBroaderThanTarget`. The mappings for `Specimen.identifier` do not cover the following types: Identifier. The mappings for `Specimen.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.
  element:
    code:
      v: Specimen.accessionIdentifier
    display:
      v: accessionIdentifier
    target:
      modifier extension:
        value: Code
      code:
        v: Specimen.accessionIdentifier
      display:
        v: Specimen.accessionIdentifier
      equivalence:
        v: wider
      comment:
        v: Element `Specimen.accessionIdentifier` is mapped to FHIR R4B element `Specimen.accessionIdentifier` as `SourceIsBroaderThanTarget`. The mappings for `Specimen.accessionIdentifier` do not cover the following types: Identifier. The mappings for `Specimen.accessionIdentifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.

Code
v: wider

Code
v: equivalent

Code
v: equivalent

Code
v: wider

Code
v: equivalent

Code
v: wider

Code
v: wider

code:
  v: Specimen.status
display:
  v: status
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: Specimen.status
  display:
    v: Specimen.status
  equivalence:
    v: equivalent
  comment:
    v: Element `Specimen.status` is mapped to FHIR R4B element `Specimen.status` as `Equivalent`. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

code:
  v: Specimen.type
display:
  v: type
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: Specimen.type
  display:
    v: Specimen.type
  equivalence:
    v: equivalent
  comment:
    v: Element `Specimen.type` is mapped to FHIR R4B element `Specimen.type` as `Equivalent`. The type can change the way that a specimen is handled, and drives what kind of analyses can properly be performed on the specimen. It is frequently used in diagnostic work flow decision making systems.

code:
  v: Specimen.subject
display:
  v: subject
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Specimen.subject
  display:
    v: Specimen.subject
  equivalence:
    v: wider
  comment:
    v: Element `Specimen.subject` is mapped to FHIR R4B element `Specimen.subject` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Specimen.subject` with unmapped reference targets: Device, Group, Patient, Substance.

code:
  v: Specimen.receivedTime
display:
  v: receivedTime
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: Specimen.receivedTime
  display:
    v: Specimen.receivedTime
  equivalence:
    v: equivalent
  comment:
    v: Element `Specimen.receivedTime` is mapped to FHIR R4B element `Specimen.receivedTime` as `Equivalent`.

code:
  v: Specimen.parent
display:
  v: parent
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Specimen.parent
  display:
    v: Specimen.parent
  equivalence:
    v: wider
  comment:
    v: Element `Specimen.parent` is mapped to FHIR R4B element `Specimen.parent` as `SourceIsBroaderThanTarget`. The mappings for `Specimen.parent` 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 `Specimen.parent` with unmapped reference targets: Specimen. The parent specimen could be the source from which the current specimen is derived by some processing step (e.g. an aliquot or isolate or extracted nucleic acids from clinical samples) or one of many specimens that were combined to create a pooled sample.

code:
  v: Specimen.request
display:
  v: request
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Specimen.request
  display:
    v: Specimen.request
  equivalence:
    v: wider
  comment:
    v: Element `Specimen.request` is mapped to FHIR R4B element `Specimen.request` as `RelatedTo`. The mappings for `Specimen.request` 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 `Specimen.request` with unmapped reference targets: ProcedureRequest. The request may be explicit or implied such with a ProcedureRequest that requires a blood draw.

code:
  v: Specimen.collection
display:
  v: collection
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Specimen.collection
  display:
    v: Specimen.collection
  equivalence:
    v: wider
  comment:
    v: Element `Specimen.collection` is mapped to FHIR R4B element `Specimen.collection` as `Equivalent`.

code:
  v: Specimen.collection.collector
display:
  v: collector
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Specimen.collection.collector
  display:
    v: Specimen.collection.collector
  equivalence:
    v: wider
  comment:
    v: Element `Specimen.collection.collector` is mapped to FHIR R4B element `Specimen.collection.collector` as `SourceIsBroaderThanTarget`. The mappings for `Specimen.collection.collector` 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 `Specimen.collection.collector` with unmapped reference targets: Practitioner.

code:
  v: Specimen.collection.collected[x]
display:
  v: collected[x]
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: Specimen.collection.collected[x]
  display:
    v: Specimen.collection.collected[x]
  equivalence:
    v: equivalent
  comment:
    v: Element `Specimen.collection.collected[x]` is mapped to FHIR R4B element `Specimen.collection.collected[x]` as `SourceIsBroaderThanTarget`. The target context `Specimen.collection.collected[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Specimen.collection`.

code:
  v: Specimen.collection.quantity
display:
  v: quantity
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: Specimen.collection.quantity
  display:
    v: Specimen.collection.quantity
  equivalence:
    v: equivalent
  comment:
    v: Element `Specimen.collection.quantity` is mapped to FHIR R4B element `Specimen.collection.quantity` as `Equivalent`.

code:
  v: Specimen.collection.method
display:
  v: method
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: Specimen.collection.method
  display:
    v: Specimen.collection.method
  equivalence:
    v: equivalent
  comment:
    v: Element `Specimen.collection.method` is mapped to FHIR R4B element `Specimen.collection.method` as `Equivalent`.

code:
  v: Specimen.collection.bodySite
display:
  v: bodySite
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: Specimen.collection.bodySite
  display:
    v: Specimen.collection.bodySite
  equivalence:
    v: equivalent
  comment:
    v: Element `Specimen.collection.bodySite` is mapped to FHIR R4B element `Specimen.collection.bodySite` as `Equivalent`. If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension [body-site-instance](https://hl7.org/fhir/extension-body-site-instance.html).

code:
  v: Specimen.processing
display:
  v: processing
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Specimen.processing
  display:
    v: Specimen.processing
  equivalence:
    v: wider
  comment:
    v: Element `Specimen.processing` is mapped to FHIR R4B element `Specimen.processing` as `Equivalent`.

code:
  v: Specimen.processing.description
display:
  v: description
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: Specimen.processing.description
  display:
    v: Specimen.processing.description
  equivalence:
    v: equivalent
  comment:
    v: Element `Specimen.processing.description` is mapped to FHIR R4B element `Specimen.processing.description` as `Equivalent`.

code:
  v: Specimen.processing.procedure
display:
  v: procedure
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: Specimen.processing.procedure
  display:
    v: Specimen.processing.procedure
  equivalence:
    v: equivalent
  comment:
    v: Element `Specimen.processing.procedure` is mapped to FHIR R4B element `Specimen.processing.procedure` as `Equivalent`.

code:
  v: Specimen.processing.additive
display:
  v: additive
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Specimen.processing.additive
  display:
    v: Specimen.processing.additive
  equivalence:
    v: wider
  comment:
    v: Element `Specimen.processing.additive` is mapped to FHIR R4B element `Specimen.processing.additive` as `SourceIsBroaderThanTarget`. The mappings for `Specimen.processing.additive` 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 `Specimen.processing.additive` with unmapped reference targets: Substance.

code:
  v: Specimen.processing.time[x]
display:
  v: time[x]
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: Specimen.processing.time[x]
  display:
    v: Specimen.processing.time[x]
  equivalence:
    v: equivalent
  comment:
    v: Element `Specimen.processing.time[x]` is mapped to FHIR R4B element `Specimen.processing.time[x]` as `SourceIsBroaderThanTarget`. The target context `Specimen.processing.time[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Specimen.processing`.

code:
  v: Specimen.container
display:
  v: container
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Specimen.container
  display:
    v: Specimen.container
  equivalence:
    v: wider
  comment:
    v: Element `Specimen.container` is mapped to FHIR R4B element `Specimen.container` as `Equivalent`.

code:
  v: Specimen.container.identifier
display:
  v: identifier
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Specimen.container.identifier
  display:
    v: Specimen.container.identifier
  equivalence:
    v: wider
  comment:
    v: Element `Specimen.container.identifier` is mapped to FHIR R4B element `Specimen.container.identifier` as `SourceIsBroaderThanTarget`. The mappings for `Specimen.container.identifier` do not cover the following types: Identifier. The mappings for `Specimen.container.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.

code:
  v: Specimen.container.description
display:
  v: description
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: Specimen.container.description
  display:
    v: Specimen.container.description
  equivalence:
    v: equivalent
  comment:
    v: Element `Specimen.container.description` is mapped to FHIR R4B element `Specimen.container.description` as `Equivalent`.

code:
  v: Specimen.container.type
display:
  v: type
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: Specimen.container.type
  display:
    v: Specimen.container.type
  equivalence:
    v: equivalent
  comment:
    v: Element `Specimen.container.type` is mapped to FHIR R4B element `Specimen.container.type` as `Equivalent`.

code:
  v: Specimen.container.capacity
display:
  v: capacity
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: Specimen.container.capacity
  display:
    v: Specimen.container.capacity
  equivalence:
    v: equivalent
  comment:
    v: Element `Specimen.container.capacity` is mapped to FHIR R4B element `Specimen.container.capacity` as `Equivalent`.

code:
  v: Specimen.container.specimenQuantity
display:
  v: specimenQuantity
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: Specimen.container.specimenQuantity
  display:
    v: Specimen.container.specimenQuantity
  equivalence:
    v: equivalent
  comment:
    v: Element `Specimen.container.specimenQuantity` is mapped to FHIR R4B element `Specimen.container.specimenQuantity` as `Equivalent`.

code:
  v: Specimen.container.additive[x]
display:
  v: additive[x]
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Specimen.container.additive[x]
  display:
    v: Specimen.container.additive[x]
  equivalence:
    v: wider
  comment:
    v: Element `Specimen.container.additive[x]` is mapped to FHIR R4B element `Specimen.container.additive[x]` as `SourceIsBroaderThanTarget`. The mappings for `Specimen.container.additive[x]` 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 `Specimen.container.additive[x]` with unmapped reference targets: Substance. Source element `Specimen.container.additive[x]` has unmapped reference types. While the target element `Specimen.container.additive[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.

code:
  v: Specimen.note
display:
  v: note
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: Specimen.note
  display:
    v: Specimen.note
  equivalence:
    v: wider
  comment:
    v: Element `Specimen.note` is mapped to FHIR R4B element `Specimen.note` as `SourceIsBroaderThanTarget`. The mappings for `Specimen.note` do not cover the following types: Annotation. The mappings for `Specimen.note` do not cover the following types based on type expansion: author[x], text, time.

source:
  v: http://hl7.org/fhir/StructureDefinition/Specimen
  l: Specimen
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-Specimen.meta
  l: extension-Specimen.meta
target version:
  v: 0.1.0
element:
  code:
    v: Specimen.meta
  display:
    v: meta
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `Specimen.meta` is mapped to FHIR R4B element `Specimen.meta` as `SourceIsBroaderThanTarget`. The mappings for `Specimen.meta` do not cover the following types: Meta. The mappings for `Specimen.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.

source:
  v: http://hl7.org/fhir/StructureDefinition/Specimen
  l: Specimen
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-Specimen.text
  l: extension-Specimen.text
target version:
  v: 0.1.0
element:
  code:
    v: Specimen.text
  display:
    v: text
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `Specimen.text` is mapped to FHIR R4B element `Specimen.text` as `SourceIsBroaderThanTarget`. The mappings for `Specimen.text` do not cover the following types: Narrative. The mappings for `Specimen.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.

source:
  v: http://hl7.org/fhir/StructureDefinition/Specimen
  l: Specimen
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-Specimen.identifier
  l: extension-Specimen.identifier
target version:
  v: 0.1.0
element:
  code:
    v: Specimen.identifier
  display:
    v: identifier
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `Specimen.identifier` is mapped to FHIR R4B element `Specimen.identifier` as `SourceIsBroaderThanTarget`. The mappings for `Specimen.identifier` do not cover the following types: Identifier. The mappings for `Specimen.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.

source:
  v: http://hl7.org/fhir/StructureDefinition/Specimen
  l: Specimen
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-Specimen.accessionIdentifier
  l: extension-Specimen.accessionIdentifier
target version:
  v: 0.1.0
element:
  code:
    v: Specimen.accessionIdentifier
  display:
    v: accessionIdentifier
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `Specimen.accessionIdentifier` is mapped to FHIR R4B element `Specimen.accessionIdentifier` as `SourceIsBroaderThanTarget`. The mappings for `Specimen.accessionIdentifier` do not cover the following types: Identifier. The mappings for `Specimen.accessionIdentifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.

source:
  v: http://hl7.org/fhir/StructureDefinition/Specimen
  l: Specimen
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-Specimen.container.identifier
  l: extension-Specimen.container.identifier
target version:
  v: 0.1.0
element:
  code:
    v: Specimen.container.identifier
  display:
    v: identifier
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `Specimen.container.identifier` is mapped to FHIR R4B element `Specimen.container.identifier` as `SourceIsBroaderThanTarget`. The mappings for `Specimen.container.identifier` do not cover the following types: Identifier. The mappings for `Specimen.container.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.

source:
  v: http://hl7.org/fhir/StructureDefinition/Specimen
  l: Specimen
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-Specimen.note
  l: extension-Specimen.note
target version:
  v: 0.1.0
element:
  code:
    v: Specimen.note
  display:
    v: note
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `Specimen.note` is mapped to FHIR R4B element `Specimen.note` as `SourceIsBroaderThanTarget`. The mappings for `Specimen.note` do not cover the following types: Annotation. The mappings for `Specimen.note` do not cover the following types based on type expansion: author[x], text, time.