Generated Narrative: ConceptMap R5-AdverseEvent-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/AdverseEvent|5.0.0 to AdverseEventversion: 4.0.1) Source Code Relationship Target Code Comment AdverseEvent.meta (meta) is equivalent to AdverseEvent.meta Element `AdverseEvent.meta` is mapped to FHIR R4 element `AdverseEvent.meta` as `Equivalent`. AdverseEvent.implicitRules (implicitRules) is equivalent to AdverseEvent.implicitRules Element `AdverseEvent.implicitRules` is mapped to FHIR R4 element `AdverseEvent.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. AdverseEvent.language (language) is equivalent to AdverseEvent.language Element `AdverseEvent.language` is mapped to FHIR R4 element `AdverseEvent.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). AdverseEvent.text (text) is equivalent to AdverseEvent.text Element `AdverseEvent.text` is mapped to FHIR R4 element `AdverseEvent.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. AdverseEvent.contained (contained) is equivalent to AdverseEvent.contained Element `AdverseEvent.contained` is mapped to FHIR R4 element `AdverseEvent.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. AdverseEvent.identifier (identifier) is equivalent to AdverseEvent.identifier Element `AdverseEvent.identifier` is mapped to FHIR R4 element `AdverseEvent.identifier` as `SourceIsBroaderThanTarget`. This is a business identifier, not a resource identifier (see [discussion](https://hl7.org/fhir/resource.htm#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. AdverseEvent.actuality (actuality) is equivalent to AdverseEvent.actuality Element `AdverseEvent.actuality` is mapped to FHIR R4 element `AdverseEvent.actuality` as `Equivalent`. AllergyIntolerance should be used for the initial capture or recording of the individual's propensity to an adverse reaction to a substance. If an AllergyIntolerance does not exist, then an adverse reaction should be recorded as an AllergyIntolerance. If an AllergyIntolerance does exist and the substance was given, then an adverse reaction should be recorded as an AdverseEvent due to the aberrant workflow. AdverseEvent.category (category) is equivalent to AdverseEvent.category Element `AdverseEvent.category` is mapped to FHIR R4 element `AdverseEvent.category` as `Equivalent`. AdverseEvent.code (code) is equivalent to AdverseEvent.event Element `AdverseEvent.code` is mapped to FHIR R4 element `AdverseEvent.event` as `Equivalent`. AdverseEvent.subject (subject) maps to wider concept AdverseEvent.subject Element `AdverseEvent.subject` is mapped to FHIR R4 element `AdverseEvent.subject` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `AdverseEvent.subject` with unmapped reference targets: ResearchSubject. If AdverseEvent.resultingEffect differs among members of the group, then use Patient as the subject. AdverseEvent.encounter (encounter) is equivalent to AdverseEvent.encounter Element `AdverseEvent.encounter` is mapped to FHIR R4 element `AdverseEvent.encounter` as `Equivalent`. This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. For example, if a medication administration was considered an adverse event because it resulted in a rash, then the encounter when the medication administration was given is the associated encounter. If the patient reports the AdverseEvent during a second encounter, that second encounter is not the associated encounter. AdverseEvent.occurrence[x] (occurrence[x]) maps to wider concept AdverseEvent.date Element `AdverseEvent.occurrence[x]` is mapped to FHIR R4 element `AdverseEvent.date` as `SourceIsBroaderThanTarget`. The mappings for `AdverseEvent.occurrence[x]` do not cover the following types: Period, Timing. AdverseEvent.detected (detected) is equivalent to AdverseEvent.detected Element `AdverseEvent.detected` is mapped to FHIR R4 element `AdverseEvent.detected` as `Equivalent`. AdverseEvent.recordedDate (recordedDate) is equivalent to AdverseEvent.recordedDate Element `AdverseEvent.recordedDate` is mapped to FHIR R4 element `AdverseEvent.recordedDate` as `Equivalent`. The recordedDate represents the date when this particular AdverseEvent record was created in the system, not the date of the most recent update. The date of the last record modification can be retrieved from the resource metadata. AdverseEvent.resultingEffect (resultingEffect) maps to wider concept AdverseEvent.resultingCondition Element `AdverseEvent.resultingEffect` is mapped to FHIR R4 element `AdverseEvent.resultingCondition` as `SourceIsBroaderThanTarget`. The mappings for `AdverseEvent.resultingEffect` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `AdverseEvent.resultingEffect` with unmapped reference targets: Observation. AdverseEvent.location (location) is equivalent to AdverseEvent.location Element `AdverseEvent.location` is mapped to FHIR R4 element `AdverseEvent.location` as `Equivalent`. AdverseEvent.seriousness (seriousness) is equivalent to AdverseEvent.seriousness Element `AdverseEvent.seriousness` is mapped to FHIR R4 element `AdverseEvent.seriousness` as `Equivalent`. Using an example, a rash can have an AdverseEvent.resultingEffect.severity = severe, yet an AdverseEvent.seriousness = non-serious. Alternatively, a medication given with the wrong dose (chemotherapy given with too low of a dose) can have an AdverseEvent.resultingEffect.severity = mild, yet an adverseEvent.seriousness = serious. Another example would be a beta blocker clinical trial where patients with asthma should be excluded, yet a patient with asthma was included and had an asthmatic episode where AdverseEvent.resultingEffect.severity = mild, yet an adverseEvent.seriousness = serious. AdverseEvent.outcome (outcome) is equivalent to AdverseEvent.outcome Element `AdverseEvent.outcome` is mapped to FHIR R4 element `AdverseEvent.outcome` as `RelatedTo`. AdverseEvent.recorder (recorder) maps to wider concept AdverseEvent.recorder Element `AdverseEvent.recorder` is mapped to FHIR R4 element `AdverseEvent.recorder` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `AdverseEvent.recorder` with unmapped reference targets: ResearchSubject. AdverseEvent.study (study) is equivalent to AdverseEvent.study Element `AdverseEvent.study` is mapped to FHIR R4 element `AdverseEvent.study` as `Equivalent`. AdverseEvent.suspectEntity (suspectEntity) maps to wider concept AdverseEvent.suspectEntity Element `AdverseEvent.suspectEntity` is mapped to FHIR R4 element `AdverseEvent.suspectEntity` as `Equivalent`. AdverseEvent.suspectEntity.instance[x] (instance[x]) maps to wider concept AdverseEvent.suspectEntity.instance Element `AdverseEvent.suspectEntity.instance[x]` is mapped to FHIR R4 element `AdverseEvent.suspectEntity.instance` as `SourceIsBroaderThanTarget`. The mappings for `AdverseEvent.suspectEntity.instance[x]` do not cover the following types: CodeableConcept. The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R5 element `AdverseEvent.suspectEntity.instance[x]` with unmapped reference targets: BiologicallyDerivedProduct, ResearchStudy. AdverseEvent.suspectEntity.causality (causality) maps to wider concept AdverseEvent.suspectEntity.causality Element `AdverseEvent.suspectEntity.causality` is mapped to FHIR R4 element `AdverseEvent.suspectEntity.causality` as `SourceIsNarrowerThanTarget`. AdverseEvent.suspectEntity.causality.assessmentMethod (assessmentMethod) is equivalent to AdverseEvent.suspectEntity.causality.assessment Element `AdverseEvent.suspectEntity.causality.assessmentMethod` is mapped to FHIR R4 element `AdverseEvent.suspectEntity.causality.assessment` as `Equivalent`. AdverseEvent.suspectEntity.causality.entityRelatedness (entityRelatedness) maps to wider concept AdverseEvent.suspectEntity.causality.productRelatedness Element `AdverseEvent.suspectEntity.causality.entityRelatedness` is mapped to FHIR R4 element `AdverseEvent.suspectEntity.causality.productRelatedness` as `SourceIsBroaderThanTarget`. The mappings for `AdverseEvent.suspectEntity.causality.entityRelatedness` do not cover the following types: CodeableConcept. The mappings for `AdverseEvent.suspectEntity.causality.entityRelatedness` do not cover the following types based on type expansion: coding. AdverseEvent.suspectEntity.causality.author (author) maps to wider concept AdverseEvent.suspectEntity.causality.author Element `AdverseEvent.suspectEntity.causality.author` is mapped to FHIR R4 element `AdverseEvent.suspectEntity.causality.author` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `AdverseEvent.suspectEntity.causality.author` with unmapped reference targets: Patient, RelatedPerson, ResearchSubject. Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/AdverseEvent|5.0.0 to R5: in-progress | completed | entered-in-error | unknown (new)version: 0.1.0) Source Code Relationship Target Code Comment AdverseEvent.status (status) maps to wider concept Extension (R5: in-progress | completed | entered-in-error | unknown (new)) Element `AdverseEvent.status` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.status` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This is not the reporting of the event to any regulatory or quality organization. This is not the outcome of the patient's condition. Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/AdverseEvent|5.0.0 to R5: When the event occurred additional typesversion: 0.1.0) Source Code Relationship Target Code Comment AdverseEvent.occurrence[x] (occurrence[x]) maps to wider concept Extension (R5: When the event occurred additional types) Element `AdverseEvent.occurrence[x]` is mapped to FHIR R4 element `AdverseEvent.date` as `SourceIsBroaderThanTarget`. The mappings for `AdverseEvent.occurrence[x]` do not cover the following types: Period, Timing. Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/AdverseEvent|5.0.0 to R5: Who was involved in the adverse event or the potential adverse event and what they did (new)version: 0.1.0) Source Code Relationship Target Code Comment AdverseEvent.participant (participant) maps to wider concept Extension (R5: Who was involved in the adverse event or the potential adverse event and what they did (new)) Element `AdverseEvent.participant` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.participant` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). AdverseEvent.participant.function (function) maps to wider concept Extension.extension:function (R5: Type of involvement (new)) Element `AdverseEvent.participant.function` is part of an existing definition because parent element `AdverseEvent.participant` requires a cross-version extension. Element `AdverseEvent.participant.function` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.participant.function` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). AdverseEvent.participant.actor (actor) maps to wider concept Extension.extension:actor (R5: Who was involved in the adverse event or the potential adverse event (new)) Element `AdverseEvent.participant.actor` is part of an existing definition because parent element `AdverseEvent.participant` requires a cross-version extension. Element `AdverseEvent.participant.actor` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.participant.actor` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). For example, the physician prescribing a drug, a nurse administering the drug, a device that administered the drug, a witness to the event, or an informant of clinical history. Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/AdverseEvent|5.0.0 to R5: Considered likely or probable or anticipated in the research study (new)version: 0.1.0) Source Code Relationship Target Code Comment AdverseEvent.expectedInResearchStudy (expectedInResearchStudy) maps to wider concept Extension (R5: Considered likely or probable or anticipated in the research study (new)) Element `AdverseEvent.expectedInResearchStudy` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.expectedInResearchStudy` 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/AdverseEvent|5.0.0 to R5: instance additional typesversion: 0.1.0) Source Code Relationship Target Code Comment AdverseEvent.suspectEntity.instance[x] (instance[x]) maps to wider concept Extension (R5: instance additional types) Element `AdverseEvent.suspectEntity.instance[x]` is mapped to FHIR R4 element `AdverseEvent.suspectEntity.instance` as `SourceIsBroaderThanTarget`. The mappings for `AdverseEvent.suspectEntity.instance[x]` do not cover the following types: CodeableConcept. The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R5 element `AdverseEvent.suspectEntity.instance[x]` with unmapped reference targets: BiologicallyDerivedProduct, ResearchStudy. Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/AdverseEvent|5.0.0 to Alternate Referenceversion: 5.2.0) Source Code Relationship Target Code Comment AdverseEvent.suspectEntity.instance[x] (instance[x]) maps to wider concept Extension (Alternative reference (target type is wrong)) Element `AdverseEvent.suspectEntity.instance[x]` is mapped to FHIR R4 element `AdverseEvent.suspectEntity.instance` as `SourceIsBroaderThanTarget`. The mappings for `AdverseEvent.suspectEntity.instance[x]` do not cover the following types: CodeableConcept. The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R5 element `AdverseEvent.suspectEntity.instance[x]` with unmapped reference targets: BiologicallyDerivedProduct, ResearchStudy. Group 8 Mapping from http://hl7.org/fhir/StructureDefinition/AdverseEvent|5.0.0 to R5: Result of the assessment regarding the relatedness of the suspected entity to the event additional typesversion: 0.1.0) Source Code Relationship Target Code Comment AdverseEvent.suspectEntity.causality.entityRelatedness (entityRelatedness) maps to wider concept Extension (R5: Result of the assessment regarding the relatedness of the suspected entity to the event additional types) Element `AdverseEvent.suspectEntity.causality.entityRelatedness` is mapped to FHIR R4 element `AdverseEvent.suspectEntity.causality.productRelatedness` as `SourceIsBroaderThanTarget`. The mappings for `AdverseEvent.suspectEntity.causality.entityRelatedness` do not cover the following types: CodeableConcept. The mappings for `AdverseEvent.suspectEntity.causality.entityRelatedness` do not cover the following types based on type expansion: coding. Group 9 Mapping from http://hl7.org/fhir/StructureDefinition/AdverseEvent|5.0.0 to R5: Contributing factors suspected to have increased the probability or severity of the adverse event (new)version: 0.1.0) Source Code Relationship Target Code Comment AdverseEvent.contributingFactor (contributingFactor) maps to wider concept Extension (R5: Contributing factors suspected to have increased the probability or severity of the adverse event (new)) Element `AdverseEvent.contributingFactor` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.contributingFactor` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). AdverseEvent.contributingFactor.item[x] (item[x]) maps to wider concept Extension.extension:item (R5: Item suspected to have increased the probability or severity of the adverse event (new)) Element `AdverseEvent.contributingFactor.item[x]` is part of an existing definition because parent element `AdverseEvent.contributingFactor` requires a cross-version extension. Element `AdverseEvent.contributingFactor.item[x]` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.contributingFactor.item[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Group 10 Mapping from http://hl7.org/fhir/StructureDefinition/AdverseEvent|5.0.0 to R5: Preventive actions that contributed to avoiding the adverse event (new)version: 0.1.0) Source Code Relationship Target Code Comment AdverseEvent.preventiveAction (preventiveAction) maps to wider concept Extension (R5: Preventive actions that contributed to avoiding the adverse event (new)) Element `AdverseEvent.preventiveAction` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.preventiveAction` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). AdverseEvent.preventiveAction.item[x] (item[x]) maps to wider concept Extension.extension:item (R5: Action that contributed to avoiding the adverse event (new)) Element `AdverseEvent.preventiveAction.item[x]` is part of an existing definition because parent element `AdverseEvent.preventiveAction` requires a cross-version extension. Element `AdverseEvent.preventiveAction.item[x]` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.preventiveAction.item[x]` 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/AdverseEvent|5.0.0 to R5: Ameliorating actions taken after the adverse event occured in order to reduce the extent of harm (new)version: 0.1.0) Source Code Relationship Target Code Comment AdverseEvent.mitigatingAction (mitigatingAction) maps to wider concept Extension (R5: Ameliorating actions taken after the adverse event occured in order to reduce the extent of harm (new)) Element `AdverseEvent.mitigatingAction` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.mitigatingAction` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). AdverseEvent.mitigatingAction.item[x] (item[x]) maps to wider concept Extension.extension:item (R5: Ameliorating action taken after the adverse event occured in order to reduce the extent of harm (new)) Element `AdverseEvent.mitigatingAction.item[x]` is part of an existing definition because parent element `AdverseEvent.mitigatingAction` requires a cross-version extension. Element `AdverseEvent.mitigatingAction.item[x]` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.mitigatingAction.item[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Group 12 Mapping from http://hl7.org/fhir/StructureDefinition/AdverseEvent|5.0.0 to R5: Supporting information relevant to the event (new)version: 0.1.0) Source Code Relationship Target Code Comment AdverseEvent.supportingInfo (supportingInfo) maps to wider concept Extension (R5: Supporting information relevant to the event (new)) Element `AdverseEvent.supportingInfo` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.supportingInfo` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). AdverseEvent.supportingInfo.item[x] (item[x]) maps to wider concept Extension.extension:item (R5: Subject medical history or document relevant to this adverse event (new)) Element `AdverseEvent.supportingInfo.item[x]` is part of an existing definition because parent element `AdverseEvent.supportingInfo` requires a cross-version extension. Element `AdverseEvent.supportingInfo.item[x]` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.supportingInfo.item[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Group 13 Mapping from http://hl7.org/fhir/StructureDefinition/AdverseEvent|5.0.0 to R5: Comment on adverse event (new)version: 0.1.0) Source Code Relationship Target Code Comment AdverseEvent.note (note) maps to wider concept Extension (R5: Comment on adverse event (new)) Element `AdverseEvent.note` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.note` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Cross-version mapping for FHIR R5 AdverseEvent to FHIR R4 AdverseEvent
This ConceptMap represents cross-version mappings for elements from a FHIR R5 AdverseEvent to FHIR R4.
Element `AdverseEvent.meta` is mapped to FHIR R4 element `AdverseEvent.meta` as `Equivalent`.
Element `AdverseEvent.implicitRules` is mapped to FHIR R4 element `AdverseEvent.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 `AdverseEvent.language` is mapped to FHIR R4 element `AdverseEvent.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 `AdverseEvent.text` is mapped to FHIR R4 element `AdverseEvent.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 `AdverseEvent.contained` is mapped to FHIR R4 element `AdverseEvent.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 `AdverseEvent.identifier` is mapped to FHIR R4 element `AdverseEvent.identifier` as `SourceIsBroaderThanTarget`. This is a business identifier, not a resource identifier (see [discussion](https://hl7.org/fhir/resource.htm#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
Element `AdverseEvent.actuality` is mapped to FHIR R4 element `AdverseEvent.actuality` as `Equivalent`. AllergyIntolerance should be used for the initial capture or recording of the individual's propensity to an adverse reaction to a substance. If an AllergyIntolerance does not exist, then an adverse reaction should be recorded as an AllergyIntolerance. If an AllergyIntolerance does exist and the substance was given, then an adverse reaction should be recorded as an AdverseEvent due to the aberrant workflow.
Element `AdverseEvent.category` is mapped to FHIR R4 element `AdverseEvent.category` as `Equivalent`.
Element `AdverseEvent.code` is mapped to FHIR R4 element `AdverseEvent.event` as `Equivalent`.
Element `AdverseEvent.subject` is mapped to FHIR R4 element `AdverseEvent.subject` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `AdverseEvent.subject` with unmapped reference targets: ResearchSubject. If AdverseEvent.resultingEffect differs among members of the group, then use Patient as the subject.
Element `AdverseEvent.encounter` is mapped to FHIR R4 element `AdverseEvent.encounter` as `Equivalent`. This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. For example, if a medication administration was considered an adverse event because it resulted in a rash, then the encounter when the medication administration was given is the associated encounter. If the patient reports the AdverseEvent during a second encounter, that second encounter is not the associated encounter.
Element `AdverseEvent.occurrence[x]` is mapped to FHIR R4 element `AdverseEvent.date` as `SourceIsBroaderThanTarget`. The mappings for `AdverseEvent.occurrence[x]` do not cover the following types: Period, Timing.
Element `AdverseEvent.detected` is mapped to FHIR R4 element `AdverseEvent.detected` as `Equivalent`.
Element `AdverseEvent.recordedDate` is mapped to FHIR R4 element `AdverseEvent.recordedDate` as `Equivalent`. The recordedDate represents the date when this particular AdverseEvent record was created in the system, not the date of the most recent update. The date of the last record modification can be retrieved from the resource metadata.
Element `AdverseEvent.resultingEffect` is mapped to FHIR R4 element `AdverseEvent.resultingCondition` as `SourceIsBroaderThanTarget`. The mappings for `AdverseEvent.resultingEffect` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `AdverseEvent.resultingEffect` with unmapped reference targets: Observation.
Element `AdverseEvent.location` is mapped to FHIR R4 element `AdverseEvent.location` as `Equivalent`.
Element `AdverseEvent.seriousness` is mapped to FHIR R4 element `AdverseEvent.seriousness` as `Equivalent`. Using an example, a rash can have an AdverseEvent.resultingEffect.severity = severe, yet an AdverseEvent.seriousness = non-serious. Alternatively, a medication given with the wrong dose (chemotherapy given with too low of a dose) can have an AdverseEvent.resultingEffect.severity = mild, yet an adverseEvent.seriousness = serious. Another example would be a beta blocker clinical trial where patients with asthma should be excluded, yet a patient with asthma was included and had an asthmatic episode where AdverseEvent.resultingEffect.severity = mild, yet an adverseEvent.seriousness = serious.
Element `AdverseEvent.outcome` is mapped to FHIR R4 element `AdverseEvent.outcome` as `RelatedTo`.
Element `AdverseEvent.recorder` is mapped to FHIR R4 element `AdverseEvent.recorder` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `AdverseEvent.recorder` with unmapped reference targets: ResearchSubject.
Element `AdverseEvent.study` is mapped to FHIR R4 element `AdverseEvent.study` as `Equivalent`.
Element `AdverseEvent.suspectEntity` is mapped to FHIR R4 element `AdverseEvent.suspectEntity` as `Equivalent`.
Element `AdverseEvent.suspectEntity.instance[x]` is mapped to FHIR R4 element `AdverseEvent.suspectEntity.instance` as `SourceIsBroaderThanTarget`. The mappings for `AdverseEvent.suspectEntity.instance[x]` do not cover the following types: CodeableConcept. The standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R5 element `AdverseEvent.suspectEntity.instance[x]` with unmapped reference targets: BiologicallyDerivedProduct, ResearchStudy.
Element `AdverseEvent.suspectEntity.causality` is mapped to FHIR R4 element `AdverseEvent.suspectEntity.causality` as `SourceIsNarrowerThanTarget`.
Element `AdverseEvent.suspectEntity.causality.assessmentMethod` is mapped to FHIR R4 element `AdverseEvent.suspectEntity.causality.assessment` as `Equivalent`.
Element `AdverseEvent.suspectEntity.causality.entityRelatedness` is mapped to FHIR R4 element `AdverseEvent.suspectEntity.causality.productRelatedness` as `SourceIsBroaderThanTarget`. The mappings for `AdverseEvent.suspectEntity.causality.entityRelatedness` do not cover the following types: CodeableConcept. The mappings for `AdverseEvent.suspectEntity.causality.entityRelatedness` do not cover the following types based on type expansion: coding.
Element `AdverseEvent.suspectEntity.causality.author` is mapped to FHIR R4 element `AdverseEvent.suspectEntity.causality.author` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `AdverseEvent.suspectEntity.causality.author` with unmapped reference targets: Patient, RelatedPerson, ResearchSubject.
Element `AdverseEvent.status` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.status` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This is not the reporting of the event to any regulatory or quality organization. This is not the outcome of the patient's condition.
Element `AdverseEvent.participant` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.participant` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `AdverseEvent.participant.function` is part of an existing definition because parent element `AdverseEvent.participant` requires a cross-version extension. Element `AdverseEvent.participant.function` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.participant.function` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `AdverseEvent.participant.actor` is part of an existing definition because parent element `AdverseEvent.participant` requires a cross-version extension. Element `AdverseEvent.participant.actor` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.participant.actor` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). For example, the physician prescribing a drug, a nurse administering the drug, a device that administered the drug, a witness to the event, or an informant of clinical history.
Element `AdverseEvent.expectedInResearchStudy` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.expectedInResearchStudy` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `AdverseEvent.contributingFactor` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.contributingFactor` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `AdverseEvent.contributingFactor.item[x]` is part of an existing definition because parent element `AdverseEvent.contributingFactor` requires a cross-version extension. Element `AdverseEvent.contributingFactor.item[x]` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.contributingFactor.item[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `AdverseEvent.preventiveAction` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.preventiveAction` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `AdverseEvent.preventiveAction.item[x]` is part of an existing definition because parent element `AdverseEvent.preventiveAction` requires a cross-version extension. Element `AdverseEvent.preventiveAction.item[x]` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.preventiveAction.item[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `AdverseEvent.mitigatingAction` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.mitigatingAction` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `AdverseEvent.mitigatingAction.item[x]` is part of an existing definition because parent element `AdverseEvent.mitigatingAction` requires a cross-version extension. Element `AdverseEvent.mitigatingAction.item[x]` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.mitigatingAction.item[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `AdverseEvent.supportingInfo` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.supportingInfo` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `AdverseEvent.supportingInfo.item[x]` is part of an existing definition because parent element `AdverseEvent.supportingInfo` requires a cross-version extension. Element `AdverseEvent.supportingInfo.item[x]` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.supportingInfo.item[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `AdverseEvent.note` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`. Element `AdverseEvent.note` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).