Generated Narrative: ConceptMap R5-ActivityDefinition-element-map-to-R4 Mapping from http://hl7.org/fhir/5.0 to http://hl7.org/fhir/4.0 Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/ActivityDefinition|5.0.0 to ActivityDefinitionversion: 4.0.1) Source Code Relationship Target Code Comment ActivityDefinition.meta (meta) is equivalent to ActivityDefinition.meta Element `ActivityDefinition.meta` is mapped to FHIR R4 element `ActivityDefinition.meta` as `Equivalent`. ActivityDefinition.implicitRules (implicitRules) is equivalent to ActivityDefinition.implicitRules Element `ActivityDefinition.implicitRules` is mapped to FHIR R4 element `ActivityDefinition.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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc. ActivityDefinition.language (language) is equivalent to ActivityDefinition.language Element `ActivityDefinition.language` is mapped to FHIR R4 element `ActivityDefinition.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). ActivityDefinition.text (text) is equivalent to ActivityDefinition.text Element `ActivityDefinition.text` is mapped to FHIR R4 element `ActivityDefinition.text` as `Equivalent`. Contained resources do not have a 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 information is added later. ActivityDefinition.contained (contained) is equivalent to ActivityDefinition.contained Element `ActivityDefinition.contained` is mapped to FHIR R4 element `ActivityDefinition.contained` as `Equivalent`. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. ActivityDefinition.url (url) is equivalent to ActivityDefinition.url Element `ActivityDefinition.url` is mapped to FHIR R4 element `ActivityDefinition.url` as `Equivalent`. Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version. The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in [Technical and Business Versions](https://hl7.org/fhir/resource..html#versions). In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](https://hl7.org/fhir/resou.html#meta) element to indicate where the current master source of the resource can be found. ActivityDefinition.identifier (identifier) is equivalent to ActivityDefinition.identifier Element `ActivityDefinition.identifier` is mapped to FHIR R4 element `ActivityDefinition.identifier` as `Equivalent`. Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this activity definition outside of FHIR, where it is not possible to use the logical URI. ActivityDefinition.version (version) is equivalent to ActivityDefinition.version Element `ActivityDefinition.version` is mapped to FHIR R4 element `ActivityDefinition.version` as `Equivalent`. There may be different activity definition instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the activity definition with the format [url]|[version]. The version SHOULD NOT contain a '#' - see [Business Version](https://hl7.org/fhir/resource.h.html#bv-format). ActivityDefinition.name (name) is equivalent to ActivityDefinition.name Element `ActivityDefinition.name` is mapped to FHIR R4 element `ActivityDefinition.name` as `Equivalent`. The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly. ActivityDefinition.title (title) is equivalent to ActivityDefinition.title Element `ActivityDefinition.title` is mapped to FHIR R4 element `ActivityDefinition.title` as `Equivalent`. This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc. ActivityDefinition.subtitle (subtitle) is equivalent to ActivityDefinition.subtitle Element `ActivityDefinition.subtitle` is mapped to FHIR R4 element `ActivityDefinition.subtitle` as `Equivalent`. ActivityDefinition.status (status) is equivalent to ActivityDefinition.status Element `ActivityDefinition.status` is mapped to FHIR R4 element `ActivityDefinition.status` as `Equivalent`. Allows filtering of activity definitions that are appropriate for use versus not. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization). ActivityDefinition.experimental (experimental) is equivalent to ActivityDefinition.experimental Element `ActivityDefinition.experimental` is mapped to FHIR R4 element `ActivityDefinition.experimental` as `Equivalent`. Allows filtering of activity definitions that are appropriate for use versus not. ActivityDefinition.subject[x] (subject[x]) is related to ActivityDefinition.subject[x] Element `ActivityDefinition.subject[x]` is mapped to FHIR R4 element `ActivityDefinition.subject[x]` as `SourceIsBroaderThanTarget`. The mappings for `ActivityDefinition.subject[x]` do not cover the following types: canonical. The target context `ActivityDefinition.subject[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ActivityDefinition`. The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R5 element `ActivityDefinition.subject[x]` with unmapped reference targets: AdministrableProductDefinition, ManufacturedItemDefinition, MedicinalProductDefinition, PackagedProductDefinition, SubstanceDefinition. Source element `ActivityDefinition.subject[x]` has unmapped reference types. While the target element `ActivityDefinition.subject[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it. Note that the choice of canonical for the subject element was introduced in R4B to support pharmaceutical quality use cases. To ensure as much backwards-compatibility as possible, it is recommended to only use the new canonical type with these use cases. ActivityDefinition.date (date) is equivalent to ActivityDefinition.date Element `ActivityDefinition.date` is mapped to FHIR R4 element `ActivityDefinition.date` as `Equivalent`. The date is often not tracked until the resource is published, but may be present on draft content. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the activity definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization). ActivityDefinition.publisher (publisher) is equivalent to ActivityDefinition.publisher Element `ActivityDefinition.publisher` is mapped to FHIR R4 element `ActivityDefinition.publisher` as `Equivalent`. Usually an organization but may be an individual. The publisher (or steward) of the activity definition is the organization or individual primarily responsible for the maintenance and upkeep of the activity definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the activity definition. This item SHOULD be populated unless the information is available from context. ActivityDefinition.contact (contact) is equivalent to ActivityDefinition.contact Element `ActivityDefinition.contact` is mapped to FHIR R4 element `ActivityDefinition.contact` as `Equivalent`. May be a web site, an email address, a telephone number, etc. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization). ActivityDefinition.description (description) is equivalent to ActivityDefinition.description Element `ActivityDefinition.description` is mapped to FHIR R4 element `ActivityDefinition.description` as `Equivalent`. This description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the activity definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the activity definition is presumed to be the predominant language in the place the activity definition was created). ActivityDefinition.useContext (useContext) is equivalent to ActivityDefinition.useContext Element `ActivityDefinition.useContext` is mapped to FHIR R4 element `ActivityDefinition.useContext` as `Equivalent`. When multiple useContexts are specified, there is no expectation that all or any of the contexts apply. ActivityDefinition.jurisdiction (jurisdiction) is equivalent to ActivityDefinition.jurisdiction Element `ActivityDefinition.jurisdiction` is mapped to FHIR R4 element `ActivityDefinition.jurisdiction` as `Equivalent`. Element `ActivityDefinition.jurisdiction` has been flagged as deprecated. It may be possible for the activity definition to be used in jurisdictions other than those for which it was originally designed or intended. DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'jurisdiction' code in the useContext element. (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#jurisdiction and useContext.valueCodeableConcept indicating the jurisdiction.) ActivityDefinition.purpose (purpose) is equivalent to ActivityDefinition.purpose Element `ActivityDefinition.purpose` is mapped to FHIR R4 element `ActivityDefinition.purpose` as `Equivalent`. This element does not describe the usage of the activity definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this activity definition. ActivityDefinition.usage (usage) is equivalent to ActivityDefinition.usage Element `ActivityDefinition.usage` is mapped to FHIR R4 element `ActivityDefinition.usage` as `Equivalent`. ActivityDefinition.copyright (copyright) is equivalent to ActivityDefinition.copyright Element `ActivityDefinition.copyright` is mapped to FHIR R4 element `ActivityDefinition.copyright` as `Equivalent`. The short copyright declaration (e.g. (c) '2015+ xyz organization' should be sent in the copyrightLabel element. ActivityDefinition.approvalDate (approvalDate) is equivalent to ActivityDefinition.approvalDate Element `ActivityDefinition.approvalDate` is mapped to FHIR R4 element `ActivityDefinition.approvalDate` as `Equivalent`. The 'date' element may be more recent than the approval date because of minor changes or editorial corrections. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization). ActivityDefinition.lastReviewDate (lastReviewDate) is equivalent to ActivityDefinition.lastReviewDate Element `ActivityDefinition.lastReviewDate` is mapped to FHIR R4 element `ActivityDefinition.lastReviewDate` as `Equivalent`. If specified, this date follows the original approval date. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization). ActivityDefinition.effectivePeriod (effectivePeriod) is equivalent to ActivityDefinition.effectivePeriod Element `ActivityDefinition.effectivePeriod` is mapped to FHIR R4 element `ActivityDefinition.effectivePeriod` as `Equivalent`. The effective period for an activity definition determines when the content is applicable for usage and is independent of publication and review dates. For example, a activity intended to be used for the year 2016 might be published in 2015. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization). ActivityDefinition.topic (topic) is equivalent to ActivityDefinition.topic Element `ActivityDefinition.topic` is mapped to FHIR R4 element `ActivityDefinition.topic` as `Equivalent`. Element `ActivityDefinition.topic` has been flagged as deprecated. DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'topic' code in the useContext element. (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#topic and useContext.valueCodeableConcept indicating the topic) ActivityDefinition.author (author) is equivalent to ActivityDefinition.author Element `ActivityDefinition.author` is mapped to FHIR R4 element `ActivityDefinition.author` as `Equivalent`. ActivityDefinition.editor (editor) is equivalent to ActivityDefinition.editor Element `ActivityDefinition.editor` is mapped to FHIR R4 element `ActivityDefinition.editor` as `Equivalent`. ActivityDefinition.reviewer (reviewer) is equivalent to ActivityDefinition.reviewer Element `ActivityDefinition.reviewer` is mapped to FHIR R4 element `ActivityDefinition.reviewer` as `Equivalent`. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization). ActivityDefinition.endorser (endorser) is equivalent to ActivityDefinition.endorser Element `ActivityDefinition.endorser` is mapped to FHIR R4 element `ActivityDefinition.endorser` as `Equivalent`. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization). ActivityDefinition.relatedArtifact (relatedArtifact) is equivalent to ActivityDefinition.relatedArtifact Element `ActivityDefinition.relatedArtifact` is mapped to FHIR R4 element `ActivityDefinition.relatedArtifact` as `Equivalent`. Each related artifact is either an attachment, or a reference to another resource, but not both. ActivityDefinition.library (library) is equivalent to ActivityDefinition.library Element `ActivityDefinition.library` is mapped to FHIR R4 element `ActivityDefinition.library` as `Equivalent`. ActivityDefinition.kind (kind) maps to wider concept ActivityDefinition.kind Element `ActivityDefinition.kind` is mapped to FHIR R4 element `ActivityDefinition.kind` as `SourceIsBroaderThanTarget`. The kind element may only specify Request resource types to facilitate considering user input as part of processing the result of any automated clinical reasoning processes. To support creation of event resources, such as Observations, RiskAssessments, and DetectedIssues, use a Task resource with the focus of the task set to the event resource to be created. Note that the kind of resource to be created may determine what types of extensions are permitted. ActivityDefinition.profile (profile) is equivalent to ActivityDefinition.profile Element `ActivityDefinition.profile` is mapped to FHIR R4 element `ActivityDefinition.profile` as `Equivalent`. ActivityDefinition.code (code) is equivalent to ActivityDefinition.code Element `ActivityDefinition.code` is mapped to FHIR R4 element `ActivityDefinition.code` as `Equivalent`. Tends to be less relevant for activities involving particular products. ActivityDefinition.intent (intent) is equivalent to ActivityDefinition.intent Element `ActivityDefinition.intent` is mapped to FHIR R4 element `ActivityDefinition.intent` as `Equivalent`. ActivityDefinition.priority (priority) is equivalent to ActivityDefinition.priority Element `ActivityDefinition.priority` is mapped to FHIR R4 element `ActivityDefinition.priority` as `Equivalent`. ActivityDefinition.doNotPerform (doNotPerform) is equivalent to ActivityDefinition.doNotPerform Element `ActivityDefinition.doNotPerform` is mapped to FHIR R4 element `ActivityDefinition.doNotPerform` as `Equivalent`. This element is not intended to be used to communicate a decision support response to cancel an order in progress. That should be done with the "remove" type of a PlanDefinition or RequestOrchestration. ActivityDefinition.timing[x] (timing[x]) is equivalent to ActivityDefinition.timing[x] Element `ActivityDefinition.timing[x]` is mapped to FHIR R4 element `ActivityDefinition.timing[x]` as `Equivalent`. The target context `ActivityDefinition.timing[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ActivityDefinition`. The intent of the timing element is to provide timing when the action should be performed. As a definitional resource, this timing is interpreted as part of an apply operation so that the timing of the result actions in a CarePlan or RequestOrchestration, for example, would be specified by evaluating the timing definition in the context of the apply and setting the resulting timing on the appropriate elements of the target resource. If the timing is an Age, the activity is expected to be performed when the subject is the given Age. When the timing is a Duration, the activity is expected to be performed within the specified duration from the apply. When the timing is a Range, it may be a range of Ages or Durations, providing a range for the expected timing of the resulting activity. When the timing is a Timing, it is establishing a schedule for the timing of the resulting activity. ActivityDefinition.location (location) maps to wider concept ActivityDefinition.location Element `ActivityDefinition.location` is mapped to FHIR R4 element `ActivityDefinition.location` as `SourceIsBroaderThanTarget`. The mappings for `ActivityDefinition.location` do not cover the following types: CodeableReference. The mappings for `ActivityDefinition.location` do not cover the following types based on type expansion: concept. May reference a specific clinical location or may just identify a type of location. ActivityDefinition.participant (participant) maps to wider concept ActivityDefinition.participant Element `ActivityDefinition.participant` is mapped to FHIR R4 element `ActivityDefinition.participant` as `Equivalent`. ActivityDefinition.participant.type (type) maps to wider concept ActivityDefinition.participant.type Element `ActivityDefinition.participant.type` is mapped to FHIR R4 element `ActivityDefinition.participant.type` as `SourceIsBroaderThanTarget`. ActivityDefinition.participant.role (role) is equivalent to ActivityDefinition.participant.role Element `ActivityDefinition.participant.role` is mapped to FHIR R4 element `ActivityDefinition.participant.role` as `Equivalent`. ActivityDefinition.product[x] (product[x]) maps to wider concept ActivityDefinition.product[x] Element `ActivityDefinition.product[x]` is mapped to FHIR R4 element `ActivityDefinition.product[x]` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `ActivityDefinition.product[x]` with unmapped reference targets: Ingredient, SubstanceDefinition. Source element `ActivityDefinition.product[x]` has unmapped reference types. While the target element `ActivityDefinition.product[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it. ActivityDefinition.quantity (quantity) is equivalent to ActivityDefinition.quantity Element `ActivityDefinition.quantity` is mapped to FHIR R4 element `ActivityDefinition.quantity` as `Equivalent`. ActivityDefinition.dosage (dosage) is equivalent to ActivityDefinition.dosage Element `ActivityDefinition.dosage` is mapped to FHIR R4 element `ActivityDefinition.dosage` as `Equivalent`. If a dosage instruction is used, the definition should not specify timing or quantity. ActivityDefinition.bodySite (bodySite) is equivalent to ActivityDefinition.bodySite Element `ActivityDefinition.bodySite` is mapped to FHIR R4 element `ActivityDefinition.bodySite` as `Equivalent`. Only used if not implicit in the code found in ServiceRequest.type. ActivityDefinition.specimenRequirement (specimenRequirement) maps to wider concept ActivityDefinition.specimenRequirement Element `ActivityDefinition.specimenRequirement` is mapped to FHIR R4 element `ActivityDefinition.specimenRequirement` as `SourceIsBroaderThanTarget`. The mappings for `ActivityDefinition.specimenRequirement` do not cover the following types: canonical. The mappings for `ActivityDefinition.specimenRequirement` do not cover the following types based on type expansion: value. ActivityDefinition.observationRequirement (observationRequirement) maps to wider concept ActivityDefinition.observationRequirement Element `ActivityDefinition.observationRequirement` is mapped to FHIR R4 element `ActivityDefinition.observationRequirement` as `SourceIsBroaderThanTarget`. The mappings for `ActivityDefinition.observationRequirement` do not cover the following types: canonical. The mappings for `ActivityDefinition.observationRequirement` do not cover the following types based on type expansion: value. ActivityDefinition.observationResultRequirement (observationResultRequirement) maps to wider concept ActivityDefinition.observationResultRequirement Element `ActivityDefinition.observationResultRequirement` is mapped to FHIR R4 element `ActivityDefinition.observationResultRequirement` as `SourceIsBroaderThanTarget`. The mappings for `ActivityDefinition.observationResultRequirement` do not cover the following types: canonical. The mappings for `ActivityDefinition.observationResultRequirement` do not cover the following types based on type expansion: value. ActivityDefinition.transform (transform) is equivalent to ActivityDefinition.transform Element `ActivityDefinition.transform` is mapped to FHIR R4 element `ActivityDefinition.transform` as `Equivalent`. Note that if both a transform and dynamic values are specified, the dynamic values will be applied to the result of the transform. ActivityDefinition.dynamicValue (dynamicValue) maps to wider concept ActivityDefinition.dynamicValue Element `ActivityDefinition.dynamicValue` is mapped to FHIR R4 element `ActivityDefinition.dynamicValue` as `Equivalent`. Dynamic values are applied in the order in which they are defined in the ActivityDefinition. Note that if both a transform and dynamic values are specified, the dynamic values will be applied to the result of the transform. ActivityDefinition.dynamicValue.path (path) is equivalent to ActivityDefinition.dynamicValue.path Element `ActivityDefinition.dynamicValue.path` is mapped to FHIR R4 element `ActivityDefinition.dynamicValue.path` as `Equivalent`. The path attribute contains a [Simple FHIRPath Subset](https://hl7.org/fhir/fhirpat.html#simple) that allows path traversal, but not calculation. ActivityDefinition.dynamicValue.expression (expression) is equivalent to ActivityDefinition.dynamicValue.expression Element `ActivityDefinition.dynamicValue.expression` is mapped to FHIR R4 element `ActivityDefinition.dynamicValue.expression` as `Equivalent`. The expression may be inlined, or may be a reference to a named expression within a logic library referenced by the library element. Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/ActivityDefinition|5.0.0 to R5: subject additional typesversion: 0.1.0) Source Code Relationship Target Code Comment ActivityDefinition.subject[x] (subject[x]) maps to wider concept Extension (R5: subject additional types) Element `ActivityDefinition.subject[x]` is mapped to FHIR R4 element `ActivityDefinition.subject[x]` as `SourceIsBroaderThanTarget`. The mappings for `ActivityDefinition.subject[x]` do not cover the following types: canonical. The target context `ActivityDefinition.subject[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ActivityDefinition`. The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R5 element `ActivityDefinition.subject[x]` with unmapped reference targets: AdministrableProductDefinition, ManufacturedItemDefinition, MedicinalProductDefinition, PackagedProductDefinition, SubstanceDefinition. Source element `ActivityDefinition.subject[x]` has unmapped reference types. While the target element `ActivityDefinition.subject[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it. Note that the choice of canonical for the subject element was introduced in R4B to support pharmaceutical quality use cases. To ensure as much backwards-compatibility as possible, it is recommended to only use the new canonical type with these use cases. Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/ActivityDefinition|5.0.0 to Alternate Referenceversion: 5.2.0) Source Code Relationship Target Code Comment ActivityDefinition.subject[x] (subject[x]) maps to wider concept Extension (Alternative reference (target type is wrong)) Element `ActivityDefinition.subject[x]` is mapped to FHIR R4 element `ActivityDefinition.subject[x]` as `SourceIsBroaderThanTarget`. The mappings for `ActivityDefinition.subject[x]` do not cover the following types: canonical. The target context `ActivityDefinition.subject[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ActivityDefinition`. The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R5 element `ActivityDefinition.subject[x]` with unmapped reference targets: AdministrableProductDefinition, ManufacturedItemDefinition, MedicinalProductDefinition, PackagedProductDefinition, SubstanceDefinition. Source element `ActivityDefinition.subject[x]` has unmapped reference types. While the target element `ActivityDefinition.subject[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it. Note that the choice of canonical for the subject element was introduced in R4B to support pharmaceutical quality use cases. To ensure as much backwards-compatibility as possible, it is recommended to only use the new canonical type with these use cases. Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/ActivityDefinition|5.0.0 to R5: kindversion: 0.1.0) Source Code Relationship Target Code Comment ActivityDefinition.kind (kind) is equivalent to Extension (R5: kind) Element `ActivityDefinition.kind` is mapped to FHIR R4 element `ActivityDefinition.kind` as `SourceIsBroaderThanTarget`. The kind element may only specify Request resource types to facilitate considering user input as part of processing the result of any automated clinical reasoning processes. To support creation of event resources, such as Observations, RiskAssessments, and DetectedIssues, use a Task resource with the focus of the task set to the event resource to be created. Note that the kind of resource to be created may determine what types of extensions are permitted. Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/ActivityDefinition|5.0.0 to R5: Preconditions for service (new)version: 0.1.0) Source Code Relationship Target Code Comment ActivityDefinition.asNeeded[x] (asNeeded[x]) maps to wider concept Extension (R5: Preconditions for service (new)) Element `ActivityDefinition.asNeeded[x]` has a context of ActivityDefinition based on following the parent source element upwards and mapping to `ActivityDefinition`. Element `ActivityDefinition.asNeeded[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/ActivityDefinition|5.0.0 to R5: location additional typesversion: 0.1.0) Source Code Relationship Target Code Comment ActivityDefinition.location (location) is equivalent to Extension (R5: location additional types) Element `ActivityDefinition.location` is mapped to FHIR R4 element `ActivityDefinition.location` as `SourceIsBroaderThanTarget`. The mappings for `ActivityDefinition.location` do not cover the following types: CodeableReference. The mappings for `ActivityDefinition.location` do not cover the following types based on type expansion: concept. May reference a specific clinical location or may just identify a type of location. Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/ActivityDefinition|5.0.0 to R5: careteam | device | group | healthcareservice | location | organization | patient | practitioner | practitionerrole | relatedpersonversion: 0.1.0) Source Code Relationship Target Code Comment ActivityDefinition.participant.type (type) is equivalent to Extension (R5: careteam | device | group | healthcareservice | location | organization | patient | practitioner | practitionerrole | relatedperson) Element `ActivityDefinition.participant.type` is mapped to FHIR R4 element `ActivityDefinition.participant.type` as `SourceIsBroaderThanTarget`. Group 8 Mapping from http://hl7.org/fhir/StructureDefinition/ActivityDefinition|5.0.0 to R5: Who or what can participate (new)version: 0.1.0) Source Code Relationship Target Code Comment ActivityDefinition.participant.typeCanonical (typeCanonical) maps to wider concept Extension (R5: Who or what can participate (new)) Element `ActivityDefinition.participant.typeCanonical` has a context of ActivityDefinition.participant based on following the parent source element upwards and mapping to `ActivityDefinition`. Element `ActivityDefinition.participant.typeCanonical` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Group 9 Mapping from http://hl7.org/fhir/StructureDefinition/ActivityDefinition|5.0.0 to R5: Who or what can participate (new)version: 0.1.0) Source Code Relationship Target Code Comment ActivityDefinition.participant.typeReference (typeReference) maps to wider concept Extension (R5: Who or what can participate (new)) Element `ActivityDefinition.participant.typeReference` has a context of ActivityDefinition.participant based on following the parent source element upwards and mapping to `ActivityDefinition`. Element `ActivityDefinition.participant.typeReference` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). When this element is a reference, it SHOULD be a reference to a definitional resource (for example, a location type, rather than a specific location). Group 10 Mapping from http://hl7.org/fhir/StructureDefinition/ActivityDefinition|5.0.0 to R5: E.g. Author, Reviewer, Witness, etc (new)version: 0.1.0) Source Code Relationship Target Code Comment ActivityDefinition.participant.function (function) maps to wider concept Extension (R5: E.g. Author, Reviewer, Witness, etc (new)) Element `ActivityDefinition.participant.function` has a context of ActivityDefinition.participant based on following the parent source element upwards and mapping to `ActivityDefinition`. Element `ActivityDefinition.participant.function` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Group 11 Mapping from http://hl7.org/fhir/StructureDefinition/ActivityDefinition|5.0.0 to R5: specimenRequirement additional typesversion: 0.1.0) Source Code Relationship Target Code Comment ActivityDefinition.specimenRequirement (specimenRequirement) is equivalent to Extension (R5: specimenRequirement additional types) Element `ActivityDefinition.specimenRequirement` is mapped to FHIR R4 element `ActivityDefinition.specimenRequirement` as `SourceIsBroaderThanTarget`. The mappings for `ActivityDefinition.specimenRequirement` do not cover the following types: canonical. The mappings for `ActivityDefinition.specimenRequirement` do not cover the following types based on type expansion: value. Group 12 Mapping from http://hl7.org/fhir/StructureDefinition/ActivityDefinition|5.0.0 to R5: observationRequirement additional typesversion: 0.1.0) Source Code Relationship Target Code Comment ActivityDefinition.observationRequirement (observationRequirement) is equivalent to Extension (R5: observationRequirement additional types) Element `ActivityDefinition.observationRequirement` is mapped to FHIR R4 element `ActivityDefinition.observationRequirement` as `SourceIsBroaderThanTarget`. The mappings for `ActivityDefinition.observationRequirement` do not cover the following types: canonical. The mappings for `ActivityDefinition.observationRequirement` do not cover the following types based on type expansion: value. Group 13 Mapping from http://hl7.org/fhir/StructureDefinition/ActivityDefinition|5.0.0 to R5: observationResultRequirement additional typesversion: 0.1.0) Source Code Relationship Target Code Comment ActivityDefinition.observationResultRequirement (observationResultRequirement) is equivalent to Extension (R5: observationResultRequirement additional types) Element `ActivityDefinition.observationResultRequirement` is mapped to FHIR R4 element `ActivityDefinition.observationResultRequirement` as `SourceIsBroaderThanTarget`. The mappings for `ActivityDefinition.observationResultRequirement` do not cover the following types: canonical. The mappings for `ActivityDefinition.observationResultRequirement` do not cover the following types based on type expansion: value.
Cross-version mapping for FHIR R5 ActivityDefinition to FHIR R4 ActivityDefinition
This ConceptMap represents cross-version mappings for elements from a FHIR R5 ActivityDefinition to FHIR R4.
Element `ActivityDefinition.meta` is mapped to FHIR R4 element `ActivityDefinition.meta` as `Equivalent`.
Element `ActivityDefinition.implicitRules` is mapped to FHIR R4 element `ActivityDefinition.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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.
Element `ActivityDefinition.language` is mapped to FHIR R4 element `ActivityDefinition.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 `ActivityDefinition.text` is mapped to FHIR R4 element `ActivityDefinition.text` as `Equivalent`. Contained resources do not have a 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 information is added later.
Element `ActivityDefinition.contained` is mapped to FHIR R4 element `ActivityDefinition.contained` as `Equivalent`. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.
Element `ActivityDefinition.url` is mapped to FHIR R4 element `ActivityDefinition.url` as `Equivalent`. Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version. The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in [Technical and Business Versions](https://hl7.org/fhir/resource..html#versions). In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](https://hl7.org/fhir/resou.html#meta) element to indicate where the current master source of the resource can be found.
Element `ActivityDefinition.identifier` is mapped to FHIR R4 element `ActivityDefinition.identifier` as `Equivalent`. Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this activity definition outside of FHIR, where it is not possible to use the logical URI.
Element `ActivityDefinition.version` is mapped to FHIR R4 element `ActivityDefinition.version` as `Equivalent`. There may be different activity definition instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the activity definition with the format [url]|[version]. The version SHOULD NOT contain a '#' - see [Business Version](https://hl7.org/fhir/resource.h.html#bv-format).
Element `ActivityDefinition.name` is mapped to FHIR R4 element `ActivityDefinition.name` as `Equivalent`. The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.
Element `ActivityDefinition.title` is mapped to FHIR R4 element `ActivityDefinition.title` as `Equivalent`. This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.
Element `ActivityDefinition.subtitle` is mapped to FHIR R4 element `ActivityDefinition.subtitle` as `Equivalent`.
Element `ActivityDefinition.status` is mapped to FHIR R4 element `ActivityDefinition.status` as `Equivalent`. Allows filtering of activity definitions that are appropriate for use versus not. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).
Element `ActivityDefinition.experimental` is mapped to FHIR R4 element `ActivityDefinition.experimental` as `Equivalent`. Allows filtering of activity definitions that are appropriate for use versus not.
Element `ActivityDefinition.subject[x]` is mapped to FHIR R4 element `ActivityDefinition.subject[x]` as `SourceIsBroaderThanTarget`. The mappings for `ActivityDefinition.subject[x]` do not cover the following types: canonical. The target context `ActivityDefinition.subject[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ActivityDefinition`. The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R5 element `ActivityDefinition.subject[x]` with unmapped reference targets: AdministrableProductDefinition, ManufacturedItemDefinition, MedicinalProductDefinition, PackagedProductDefinition, SubstanceDefinition. Source element `ActivityDefinition.subject[x]` has unmapped reference types. While the target element `ActivityDefinition.subject[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it. Note that the choice of canonical for the subject element was introduced in R4B to support pharmaceutical quality use cases. To ensure as much backwards-compatibility as possible, it is recommended to only use the new canonical type with these use cases.
Element `ActivityDefinition.date` is mapped to FHIR R4 element `ActivityDefinition.date` as `Equivalent`. The date is often not tracked until the resource is published, but may be present on draft content. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the activity definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).
Element `ActivityDefinition.publisher` is mapped to FHIR R4 element `ActivityDefinition.publisher` as `Equivalent`. Usually an organization but may be an individual. The publisher (or steward) of the activity definition is the organization or individual primarily responsible for the maintenance and upkeep of the activity definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the activity definition. This item SHOULD be populated unless the information is available from context.
Element `ActivityDefinition.contact` is mapped to FHIR R4 element `ActivityDefinition.contact` as `Equivalent`. May be a web site, an email address, a telephone number, etc. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).
Element `ActivityDefinition.description` is mapped to FHIR R4 element `ActivityDefinition.description` as `Equivalent`. This description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the activity definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the activity definition is presumed to be the predominant language in the place the activity definition was created).
Element `ActivityDefinition.useContext` is mapped to FHIR R4 element `ActivityDefinition.useContext` as `Equivalent`. When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.
Element `ActivityDefinition.jurisdiction` is mapped to FHIR R4 element `ActivityDefinition.jurisdiction` as `Equivalent`. Element `ActivityDefinition.jurisdiction` has been flagged as deprecated. It may be possible for the activity definition to be used in jurisdictions other than those for which it was originally designed or intended. DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'jurisdiction' code in the useContext element. (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#jurisdiction and useContext.valueCodeableConcept indicating the jurisdiction.)
Element `ActivityDefinition.purpose` is mapped to FHIR R4 element `ActivityDefinition.purpose` as `Equivalent`. This element does not describe the usage of the activity definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this activity definition.
Element `ActivityDefinition.usage` is mapped to FHIR R4 element `ActivityDefinition.usage` as `Equivalent`.
Element `ActivityDefinition.copyright` is mapped to FHIR R4 element `ActivityDefinition.copyright` as `Equivalent`. The short copyright declaration (e.g. (c) '2015+ xyz organization' should be sent in the copyrightLabel element.
Element `ActivityDefinition.approvalDate` is mapped to FHIR R4 element `ActivityDefinition.approvalDate` as `Equivalent`. The 'date' element may be more recent than the approval date because of minor changes or editorial corrections. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).
Element `ActivityDefinition.lastReviewDate` is mapped to FHIR R4 element `ActivityDefinition.lastReviewDate` as `Equivalent`. If specified, this date follows the original approval date. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).
Element `ActivityDefinition.effectivePeriod` is mapped to FHIR R4 element `ActivityDefinition.effectivePeriod` as `Equivalent`. The effective period for an activity definition determines when the content is applicable for usage and is independent of publication and review dates. For example, a activity intended to be used for the year 2016 might be published in 2015. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).
Element `ActivityDefinition.topic` is mapped to FHIR R4 element `ActivityDefinition.topic` as `Equivalent`. Element `ActivityDefinition.topic` has been flagged as deprecated. DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'topic' code in the useContext element. (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#topic and useContext.valueCodeableConcept indicating the topic)
Element `ActivityDefinition.author` is mapped to FHIR R4 element `ActivityDefinition.author` as `Equivalent`.
Element `ActivityDefinition.editor` is mapped to FHIR R4 element `ActivityDefinition.editor` as `Equivalent`.
Element `ActivityDefinition.reviewer` is mapped to FHIR R4 element `ActivityDefinition.reviewer` as `Equivalent`. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).
Element `ActivityDefinition.endorser` is mapped to FHIR R4 element `ActivityDefinition.endorser` as `Equivalent`. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).
Element `ActivityDefinition.relatedArtifact` is mapped to FHIR R4 element `ActivityDefinition.relatedArtifact` as `Equivalent`. Each related artifact is either an attachment, or a reference to another resource, but not both.
Element `ActivityDefinition.library` is mapped to FHIR R4 element `ActivityDefinition.library` as `Equivalent`.
Element `ActivityDefinition.kind` is mapped to FHIR R4 element `ActivityDefinition.kind` as `SourceIsBroaderThanTarget`. The kind element may only specify Request resource types to facilitate considering user input as part of processing the result of any automated clinical reasoning processes. To support creation of event resources, such as Observations, RiskAssessments, and DetectedIssues, use a Task resource with the focus of the task set to the event resource to be created. Note that the kind of resource to be created may determine what types of extensions are permitted.
Element `ActivityDefinition.profile` is mapped to FHIR R4 element `ActivityDefinition.profile` as `Equivalent`.
Element `ActivityDefinition.code` is mapped to FHIR R4 element `ActivityDefinition.code` as `Equivalent`. Tends to be less relevant for activities involving particular products.
Element `ActivityDefinition.intent` is mapped to FHIR R4 element `ActivityDefinition.intent` as `Equivalent`.
Element `ActivityDefinition.priority` is mapped to FHIR R4 element `ActivityDefinition.priority` as `Equivalent`.
Element `ActivityDefinition.doNotPerform` is mapped to FHIR R4 element `ActivityDefinition.doNotPerform` as `Equivalent`. This element is not intended to be used to communicate a decision support response to cancel an order in progress. That should be done with the "remove" type of a PlanDefinition or RequestOrchestration.
Element `ActivityDefinition.timing[x]` is mapped to FHIR R4 element `ActivityDefinition.timing[x]` as `Equivalent`. The target context `ActivityDefinition.timing[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ActivityDefinition`. The intent of the timing element is to provide timing when the action should be performed. As a definitional resource, this timing is interpreted as part of an apply operation so that the timing of the result actions in a CarePlan or RequestOrchestration, for example, would be specified by evaluating the timing definition in the context of the apply and setting the resulting timing on the appropriate elements of the target resource. If the timing is an Age, the activity is expected to be performed when the subject is the given Age. When the timing is a Duration, the activity is expected to be performed within the specified duration from the apply. When the timing is a Range, it may be a range of Ages or Durations, providing a range for the expected timing of the resulting activity. When the timing is a Timing, it is establishing a schedule for the timing of the resulting activity.
Element `ActivityDefinition.location` is mapped to FHIR R4 element `ActivityDefinition.location` as `SourceIsBroaderThanTarget`. The mappings for `ActivityDefinition.location` do not cover the following types: CodeableReference. The mappings for `ActivityDefinition.location` do not cover the following types based on type expansion: concept. May reference a specific clinical location or may just identify a type of location.
Element `ActivityDefinition.participant` is mapped to FHIR R4 element `ActivityDefinition.participant` as `Equivalent`.
Element `ActivityDefinition.participant.type` is mapped to FHIR R4 element `ActivityDefinition.participant.type` as `SourceIsBroaderThanTarget`.
Element `ActivityDefinition.participant.role` is mapped to FHIR R4 element `ActivityDefinition.participant.role` as `Equivalent`.
Element `ActivityDefinition.product[x]` is mapped to FHIR R4 element `ActivityDefinition.product[x]` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `ActivityDefinition.product[x]` with unmapped reference targets: Ingredient, SubstanceDefinition. Source element `ActivityDefinition.product[x]` has unmapped reference types. While the target element `ActivityDefinition.product[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.
Element `ActivityDefinition.quantity` is mapped to FHIR R4 element `ActivityDefinition.quantity` as `Equivalent`.
Element `ActivityDefinition.dosage` is mapped to FHIR R4 element `ActivityDefinition.dosage` as `Equivalent`. If a dosage instruction is used, the definition should not specify timing or quantity.
Element `ActivityDefinition.bodySite` is mapped to FHIR R4 element `ActivityDefinition.bodySite` as `Equivalent`. Only used if not implicit in the code found in ServiceRequest.type.
Element `ActivityDefinition.specimenRequirement` is mapped to FHIR R4 element `ActivityDefinition.specimenRequirement` as `SourceIsBroaderThanTarget`. The mappings for `ActivityDefinition.specimenRequirement` do not cover the following types: canonical. The mappings for `ActivityDefinition.specimenRequirement` do not cover the following types based on type expansion: value.
Element `ActivityDefinition.observationRequirement` is mapped to FHIR R4 element `ActivityDefinition.observationRequirement` as `SourceIsBroaderThanTarget`. The mappings for `ActivityDefinition.observationRequirement` do not cover the following types: canonical. The mappings for `ActivityDefinition.observationRequirement` do not cover the following types based on type expansion: value.
Element `ActivityDefinition.observationResultRequirement` is mapped to FHIR R4 element `ActivityDefinition.observationResultRequirement` as `SourceIsBroaderThanTarget`. The mappings for `ActivityDefinition.observationResultRequirement` do not cover the following types: canonical. The mappings for `ActivityDefinition.observationResultRequirement` do not cover the following types based on type expansion: value.
Element `ActivityDefinition.transform` is mapped to FHIR R4 element `ActivityDefinition.transform` as `Equivalent`. Note that if both a transform and dynamic values are specified, the dynamic values will be applied to the result of the transform.
Element `ActivityDefinition.dynamicValue` is mapped to FHIR R4 element `ActivityDefinition.dynamicValue` as `Equivalent`. Dynamic values are applied in the order in which they are defined in the ActivityDefinition. Note that if both a transform and dynamic values are specified, the dynamic values will be applied to the result of the transform.
Element `ActivityDefinition.dynamicValue.path` is mapped to FHIR R4 element `ActivityDefinition.dynamicValue.path` as `Equivalent`. The path attribute contains a [Simple FHIRPath Subset](https://hl7.org/fhir/fhirpat.html#simple) that allows path traversal, but not calculation.
Element `ActivityDefinition.dynamicValue.expression` is mapped to FHIR R4 element `ActivityDefinition.dynamicValue.expression` as `Equivalent`. The expression may be inlined, or may be a reference to a named expression within a logic library referenced by the library element.
Element `ActivityDefinition.asNeeded[x]` has a context of ActivityDefinition based on following the parent source element upwards and mapping to `ActivityDefinition`. Element `ActivityDefinition.asNeeded[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `ActivityDefinition.participant.typeCanonical` has a context of ActivityDefinition.participant based on following the parent source element upwards and mapping to `ActivityDefinition`. Element `ActivityDefinition.participant.typeCanonical` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `ActivityDefinition.participant.typeReference` has a context of ActivityDefinition.participant based on following the parent source element upwards and mapping to `ActivityDefinition`. Element `ActivityDefinition.participant.typeReference` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). When this element is a reference, it SHOULD be a reference to a definitional resource (for example, a location type, rather than a specific location).
Element `ActivityDefinition.participant.function` has a context of ActivityDefinition.participant based on following the parent source element upwards and mapping to `ActivityDefinition`. Element `ActivityDefinition.participant.function` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).