Extensions for Using Data Elements from FHIR R5 in FHIR R4
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR R4
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR R4 - Downloaded Version null See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 0 |
<ConceptMap xmlns="http://hl7.org/fhir">
<id value="R5-AdverseEvent-element-map-to-R4"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap R5-AdverseEvent-element-map-to-R4</b></p><a name="R5-AdverseEvent-element-map-to-R4"> </a><a name="hcR5-AdverseEvent-element-map-to-R4"> </a><p>Mapping from http://hl7.org/fhir/5.0 to http://hl7.org/fhir/4.0</p><br/><p><b>Group 1 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/AdverseEvent|5.0.0</code> to <a href="http://hl7.org/fhir/R4/adverseevent.html">AdverseEventversion: 4.0.1)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>AdverseEvent.meta (meta)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>AdverseEvent.meta</td><td>Element `AdverseEvent.meta` is mapped to FHIR R4 element `AdverseEvent.meta` as `Equivalent`.</td></tr><tr><td>AdverseEvent.implicitRules (implicitRules)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>AdverseEvent.implicitRules</td><td>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.</td></tr><tr><td>AdverseEvent.language (language)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>AdverseEvent.language</td><td>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).</td></tr><tr><td>AdverseEvent.text (text)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>AdverseEvent.text</td><td>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.</td></tr><tr><td>AdverseEvent.contained (contained)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>AdverseEvent.contained</td><td>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.</td></tr><tr><td>AdverseEvent.identifier (identifier)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>AdverseEvent.identifier</td><td>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.</td></tr><tr><td>AdverseEvent.actuality (actuality)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>AdverseEvent.actuality</td><td>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.</td></tr><tr><td>AdverseEvent.category (category)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>AdverseEvent.category</td><td>Element `AdverseEvent.category` is mapped to FHIR R4 element `AdverseEvent.category` as `Equivalent`.</td></tr><tr><td>AdverseEvent.code (code)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>AdverseEvent.event</td><td>Element `AdverseEvent.code` is mapped to FHIR R4 element `AdverseEvent.event` as `Equivalent`.</td></tr><tr><td>AdverseEvent.subject (subject)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>AdverseEvent.subject</td><td>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.</td></tr><tr><td>AdverseEvent.encounter (encounter)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>AdverseEvent.encounter</td><td>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.</td></tr><tr><td>AdverseEvent.occurrence[x] (occurrence[x])</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>AdverseEvent.date</td><td>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.</td></tr><tr><td>AdverseEvent.detected (detected)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>AdverseEvent.detected</td><td>Element `AdverseEvent.detected` is mapped to FHIR R4 element `AdverseEvent.detected` as `Equivalent`.</td></tr><tr><td>AdverseEvent.recordedDate (recordedDate)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>AdverseEvent.recordedDate</td><td>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.</td></tr><tr><td>AdverseEvent.resultingEffect (resultingEffect)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>AdverseEvent.resultingCondition</td><td>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.</td></tr><tr><td>AdverseEvent.location (location)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>AdverseEvent.location</td><td>Element `AdverseEvent.location` is mapped to FHIR R4 element `AdverseEvent.location` as `Equivalent`.</td></tr><tr><td>AdverseEvent.seriousness (seriousness)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>AdverseEvent.seriousness</td><td>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.</td></tr><tr><td>AdverseEvent.outcome (outcome)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>AdverseEvent.outcome</td><td>Element `AdverseEvent.outcome` is mapped to FHIR R4 element `AdverseEvent.outcome` as `RelatedTo`.</td></tr><tr><td>AdverseEvent.recorder (recorder)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>AdverseEvent.recorder</td><td>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.</td></tr><tr><td>AdverseEvent.study (study)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>AdverseEvent.study</td><td>Element `AdverseEvent.study` is mapped to FHIR R4 element `AdverseEvent.study` as `Equivalent`.</td></tr><tr><td>AdverseEvent.suspectEntity (suspectEntity)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>AdverseEvent.suspectEntity</td><td>Element `AdverseEvent.suspectEntity` is mapped to FHIR R4 element `AdverseEvent.suspectEntity` as `Equivalent`.</td></tr><tr><td>AdverseEvent.suspectEntity.instance[x] (instance[x])</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>AdverseEvent.suspectEntity.instance</td><td>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.</td></tr><tr><td>AdverseEvent.suspectEntity.causality (causality)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>AdverseEvent.suspectEntity.causality</td><td>Element `AdverseEvent.suspectEntity.causality` is mapped to FHIR R4 element `AdverseEvent.suspectEntity.causality` as `SourceIsNarrowerThanTarget`.</td></tr><tr><td>AdverseEvent.suspectEntity.causality.assessmentMethod (assessmentMethod)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>AdverseEvent.suspectEntity.causality.assessment</td><td>Element `AdverseEvent.suspectEntity.causality.assessmentMethod` is mapped to FHIR R4 element `AdverseEvent.suspectEntity.causality.assessment` as `Equivalent`.</td></tr><tr><td>AdverseEvent.suspectEntity.causality.entityRelatedness (entityRelatedness)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>AdverseEvent.suspectEntity.causality.productRelatedness</td><td>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.</td></tr><tr><td>AdverseEvent.suspectEntity.causality.author (author)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>AdverseEvent.suspectEntity.causality.author</td><td>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.</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/AdverseEvent|5.0.0</code> to <a href="StructureDefinition-ext-R5-AdverseEvent.status.html">R5: in-progress | completed | entered-in-error | unknown (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>AdverseEvent.status (status)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: in-progress | completed | entered-in-error | unknown (new))</td><td>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.</td></tr></table><hr/><p><b>Group 3 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/AdverseEvent|5.0.0</code> to <a href="StructureDefinition-ext-R5-AdverseEvent.occurrence.html">R5: When the event occurred additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>AdverseEvent.occurrence[x] (occurrence[x])</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: When the event occurred additional types)</td><td>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.</td></tr></table><hr/><p><b>Group 4 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/AdverseEvent|5.0.0</code> to <a href="StructureDefinition-ext-R5-AdverseEvent.participant.html">R5: Who was involved in the adverse event or the potential adverse event and what they did (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>AdverseEvent.participant (participant)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Who was involved in the adverse event or the potential adverse event and what they did (new))</td><td>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).</td></tr><tr><td>AdverseEvent.participant.function (function)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension.extension:function (R5: Type of involvement (new))</td><td>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).</td></tr><tr><td>AdverseEvent.participant.actor (actor)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension.extension:actor (R5: Who was involved in the adverse event or the potential adverse event (new))</td><td>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.</td></tr></table><hr/><p><b>Group 5 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/AdverseEvent|5.0.0</code> to <a href="StructureDefinition-ext-R5-AdverseEvent.expectedInResearchStudy.html">R5: Considered likely or probable or anticipated in the research study (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>AdverseEvent.expectedInResearchStudy (expectedInResearchStudy)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Considered likely or probable or anticipated in the research study (new))</td><td>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).</td></tr></table><hr/><p><b>Group 6 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/AdverseEvent|5.0.0</code> to <a href="StructureDefinition-ext-R5-AdverseEvent.sus.instance.html">R5: instance additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>AdverseEvent.suspectEntity.instance[x] (instance[x])</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: instance additional types)</td><td>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.</td></tr></table><hr/><p><b>Group 7 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/AdverseEvent|5.0.0</code> to <a href="http://hl7.org/fhir/extensions/5.2.0/StructureDefinition-alternate-reference.html">Alternate Referenceversion: 5.2.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>AdverseEvent.suspectEntity.instance[x] (instance[x])</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (Alternative reference (target type is wrong))</td><td>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.</td></tr></table><hr/><p><b>Group 8 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/AdverseEvent|5.0.0</code> to <a href="StructureDefinition-ext-R5-AdverseEvent.sus.cau.entityRelatedness.html">R5: Result of the assessment regarding the relatedness of the suspected entity to the event additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>AdverseEvent.suspectEntity.causality.entityRelatedness (entityRelatedness)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Result of the assessment regarding the relatedness of the suspected entity to the event additional types)</td><td>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.</td></tr></table><hr/><p><b>Group 9 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/AdverseEvent|5.0.0</code> to <a href="StructureDefinition-ext-R5-AdverseEvent.contributingFactor.html">R5: Contributing factors suspected to have increased the probability or severity of the adverse event (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>AdverseEvent.contributingFactor (contributingFactor)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Contributing factors suspected to have increased the probability or severity of the adverse event (new))</td><td>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).</td></tr><tr><td>AdverseEvent.contributingFactor.item[x] (item[x])</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension.extension:item (R5: Item suspected to have increased the probability or severity of the adverse event (new))</td><td>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).</td></tr></table><hr/><p><b>Group 10 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/AdverseEvent|5.0.0</code> to <a href="StructureDefinition-ext-R5-AdverseEvent.preventiveAction.html">R5: Preventive actions that contributed to avoiding the adverse event (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>AdverseEvent.preventiveAction (preventiveAction)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Preventive actions that contributed to avoiding the adverse event (new))</td><td>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).</td></tr><tr><td>AdverseEvent.preventiveAction.item[x] (item[x])</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension.extension:item (R5: Action that contributed to avoiding the adverse event (new))</td><td>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).</td></tr></table><hr/><p><b>Group 11 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/AdverseEvent|5.0.0</code> to <a href="StructureDefinition-ext-R5-AdverseEvent.mitigatingAction.html">R5: Ameliorating actions taken after the adverse event occured in order to reduce the extent of harm (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>AdverseEvent.mitigatingAction (mitigatingAction)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Ameliorating actions taken after the adverse event occured in order to reduce the extent of harm (new))</td><td>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).</td></tr><tr><td>AdverseEvent.mitigatingAction.item[x] (item[x])</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension.extension:item (R5: Ameliorating action taken after the adverse event occured in order to reduce the extent of harm (new))</td><td>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).</td></tr></table><hr/><p><b>Group 12 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/AdverseEvent|5.0.0</code> to <a href="StructureDefinition-ext-R5-AdverseEvent.supportingInfo.html">R5: Supporting information relevant to the event (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>AdverseEvent.supportingInfo (supportingInfo)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Supporting information relevant to the event (new))</td><td>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).</td></tr><tr><td>AdverseEvent.supportingInfo.item[x] (item[x])</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension.extension:item (R5: Subject medical history or document relevant to this adverse event (new))</td><td>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).</td></tr></table><hr/><p><b>Group 13 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/AdverseEvent|5.0.0</code> to <a href="StructureDefinition-ext-R5-AdverseEvent.note.html">R5: Comment on adverse event (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>AdverseEvent.note (note)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Comment on adverse event (new))</td><td>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).</td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fhir"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="0">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
</extension>
</valueInteger>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="trial-use">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/uv/xver/ConceptMap/R5-AdverseEvent-element-map-to-R4"/>
<version value="0.1.0"/>
<name value="R5AdverseEventElementMapToR4"/>
<title
value="Cross-version mapping for FHIR R5 AdverseEvent to FHIR R4 AdverseEvent"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-03-17T16:04:43.8087064-05:00"/>
<contact>
<name value="FHIR Infrastructure"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/fiwg"/>
</telecom>
</contact>
<description
value="This ConceptMap represents cross-version mappings for elements from a FHIR R5 AdverseEvent to FHIR R4."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<sourceCanonical value="http://hl7.org/fhir/5.0"/>
<targetUri value="http://hl7.org/fhir/4.0"/>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/AdverseEvent"/>
<sourceVersion value="5.0.0"/>
<target value="http://hl7.org/fhir/StructureDefinition/AdverseEvent"/>
<targetVersion value="4.0.1"/>
<element>
<code value="AdverseEvent.meta"/>
<display value="meta"/>
<target>
<code value="AdverseEvent.meta"/>
<display value="AdverseEvent.meta"/>
<equivalence value="equivalent"/>
<comment
value="Element `AdverseEvent.meta` is mapped to FHIR R4 element `AdverseEvent.meta` as `Equivalent`."/>
</target>
</element>
<element>
<code value="AdverseEvent.implicitRules"/>
<display value="implicitRules"/>
<target>
<code value="AdverseEvent.implicitRules"/>
<display value="AdverseEvent.implicitRules"/>
<equivalence value="equivalent"/>
<comment
value="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."/>
</target>
</element>
<element>
<code value="AdverseEvent.language"/>
<display value="language"/>
<target>
<code value="AdverseEvent.language"/>
<display value="AdverseEvent.language"/>
<equivalence value="equivalent"/>
<comment
value="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)."/>
</target>
</element>
<element>
<code value="AdverseEvent.text"/>
<display value="text"/>
<target>
<code value="AdverseEvent.text"/>
<display value="AdverseEvent.text"/>
<equivalence value="equivalent"/>
<comment
value="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."/>
</target>
</element>
<element>
<code value="AdverseEvent.contained"/>
<display value="contained"/>
<target>
<code value="AdverseEvent.contained"/>
<display value="AdverseEvent.contained"/>
<equivalence value="equivalent"/>
<comment
value="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."/>
</target>
</element>
<element>
<code value="AdverseEvent.identifier"/>
<display value="identifier"/>
<target>
<code value="AdverseEvent.identifier"/>
<display value="AdverseEvent.identifier"/>
<equivalence value="equivalent"/>
<comment
value="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."/>
</target>
</element>
<element>
<code value="AdverseEvent.actuality"/>
<display value="actuality"/>
<target>
<code value="AdverseEvent.actuality"/>
<display value="AdverseEvent.actuality"/>
<equivalence value="equivalent"/>
<comment
value="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."/>
</target>
</element>
<element>
<code value="AdverseEvent.category"/>
<display value="category"/>
<target>
<code value="AdverseEvent.category"/>
<display value="AdverseEvent.category"/>
<equivalence value="equivalent"/>
<comment
value="Element `AdverseEvent.category` is mapped to FHIR R4 element `AdverseEvent.category` as `Equivalent`."/>
</target>
</element>
<element>
<code value="AdverseEvent.code"/>
<display value="code"/>
<target>
<code value="AdverseEvent.event"/>
<display value="AdverseEvent.event"/>
<equivalence value="equivalent"/>
<comment
value="Element `AdverseEvent.code` is mapped to FHIR R4 element `AdverseEvent.event` as `Equivalent`."/>
</target>
</element>
<element>
<code value="AdverseEvent.subject"/>
<display value="subject"/>
<target>
<code value="AdverseEvent.subject"/>
<display value="AdverseEvent.subject"/>
<equivalence value="wider"/>
<comment
value="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."/>
</target>
</element>
<element>
<code value="AdverseEvent.encounter"/>
<display value="encounter"/>
<target>
<code value="AdverseEvent.encounter"/>
<display value="AdverseEvent.encounter"/>
<equivalence value="equivalent"/>
<comment
value="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."/>
</target>
</element>
<element>
<code value="AdverseEvent.occurrence[x]"/>
<display value="occurrence[x]"/>
<target>
<code value="AdverseEvent.date"/>
<display value="AdverseEvent.date"/>
<equivalence value="wider"/>
<comment
value="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."/>
</target>
</element>
<element>
<code value="AdverseEvent.detected"/>
<display value="detected"/>
<target>
<code value="AdverseEvent.detected"/>
<display value="AdverseEvent.detected"/>
<equivalence value="equivalent"/>
<comment
value="Element `AdverseEvent.detected` is mapped to FHIR R4 element `AdverseEvent.detected` as `Equivalent`."/>
</target>
</element>
<element>
<code value="AdverseEvent.recordedDate"/>
<display value="recordedDate"/>
<target>
<code value="AdverseEvent.recordedDate"/>
<display value="AdverseEvent.recordedDate"/>
<equivalence value="equivalent"/>
<comment
value="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."/>
</target>
</element>
<element>
<code value="AdverseEvent.resultingEffect"/>
<display value="resultingEffect"/>
<target>
<code value="AdverseEvent.resultingCondition"/>
<display value="AdverseEvent.resultingCondition"/>
<equivalence value="wider"/>
<comment
value="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."/>
</target>
</element>
<element>
<code value="AdverseEvent.location"/>
<display value="location"/>
<target>
<code value="AdverseEvent.location"/>
<display value="AdverseEvent.location"/>
<equivalence value="equivalent"/>
<comment
value="Element `AdverseEvent.location` is mapped to FHIR R4 element `AdverseEvent.location` as `Equivalent`."/>
</target>
</element>
<element>
<code value="AdverseEvent.seriousness"/>
<display value="seriousness"/>
<target>
<code value="AdverseEvent.seriousness"/>
<display value="AdverseEvent.seriousness"/>
<equivalence value="equivalent"/>
<comment
value="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."/>
</target>
</element>
<element>
<code value="AdverseEvent.outcome"/>
<display value="outcome"/>
<target>
<code value="AdverseEvent.outcome"/>
<display value="AdverseEvent.outcome"/>
<equivalence value="equivalent"/>
<comment
value="Element `AdverseEvent.outcome` is mapped to FHIR R4 element `AdverseEvent.outcome` as `RelatedTo`."/>
</target>
</element>
<element>
<code value="AdverseEvent.recorder"/>
<display value="recorder"/>
<target>
<code value="AdverseEvent.recorder"/>
<display value="AdverseEvent.recorder"/>
<equivalence value="wider"/>
<comment
value="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."/>
</target>
</element>
<element>
<code value="AdverseEvent.study"/>
<display value="study"/>
<target>
<code value="AdverseEvent.study"/>
<display value="AdverseEvent.study"/>
<equivalence value="equivalent"/>
<comment
value="Element `AdverseEvent.study` is mapped to FHIR R4 element `AdverseEvent.study` as `Equivalent`."/>
</target>
</element>
<element>
<code value="AdverseEvent.suspectEntity"/>
<display value="suspectEntity"/>
<target>
<code value="AdverseEvent.suspectEntity"/>
<display value="AdverseEvent.suspectEntity"/>
<equivalence value="wider"/>
<comment
value="Element `AdverseEvent.suspectEntity` is mapped to FHIR R4 element `AdverseEvent.suspectEntity` as `Equivalent`."/>
</target>
</element>
<element>
<code value="AdverseEvent.suspectEntity.instance[x]"/>
<display value="instance[x]"/>
<target>
<code value="AdverseEvent.suspectEntity.instance"/>
<display value="AdverseEvent.suspectEntity.instance"/>
<equivalence value="wider"/>
<comment
value="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."/>
</target>
</element>
<element>
<code value="AdverseEvent.suspectEntity.causality"/>
<display value="causality"/>
<target>
<code value="AdverseEvent.suspectEntity.causality"/>
<display value="AdverseEvent.suspectEntity.causality"/>
<equivalence value="wider"/>
<comment
value="Element `AdverseEvent.suspectEntity.causality` is mapped to FHIR R4 element `AdverseEvent.suspectEntity.causality` as `SourceIsNarrowerThanTarget`."/>
</target>
</element>
<element>
<code value="AdverseEvent.suspectEntity.causality.assessmentMethod"/>
<display value="assessmentMethod"/>
<target>
<code value="AdverseEvent.suspectEntity.causality.assessment"/>
<display value="AdverseEvent.suspectEntity.causality.assessment"/>
<equivalence value="equivalent"/>
<comment
value="Element `AdverseEvent.suspectEntity.causality.assessmentMethod` is mapped to FHIR R4 element `AdverseEvent.suspectEntity.causality.assessment` as `Equivalent`."/>
</target>
</element>
<element>
<code value="AdverseEvent.suspectEntity.causality.entityRelatedness"/>
<display value="entityRelatedness"/>
<target>
<code
value="AdverseEvent.suspectEntity.causality.productRelatedness"/>
<display
value="AdverseEvent.suspectEntity.causality.productRelatedness"/>
<equivalence value="wider"/>
<comment
value="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."/>
</target>
</element>
<element>
<code value="AdverseEvent.suspectEntity.causality.author"/>
<display value="author"/>
<target>
<code value="AdverseEvent.suspectEntity.causality.author"/>
<display value="AdverseEvent.suspectEntity.causality.author"/>
<equivalence value="wider"/>
<comment
value="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."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/AdverseEvent"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-AdverseEvent.status"/>
<targetVersion value="0.1.0"/>
<element>
<code value="AdverseEvent.status"/>
<display value="status"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="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."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/AdverseEvent"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-AdverseEvent.occurrence"/>
<targetVersion value="0.1.0"/>
<element>
<code value="AdverseEvent.occurrence[x]"/>
<display value="occurrence[x]"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="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."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/AdverseEvent"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-AdverseEvent.participant"/>
<targetVersion value="0.1.0"/>
<element>
<code value="AdverseEvent.participant"/>
<display value="participant"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="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)."/>
</target>
</element>
<element>
<code value="AdverseEvent.participant.function"/>
<display value="function"/>
<target>
<code value="Extension.extension:function"/>
<equivalence value="wider"/>
<comment
value="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)."/>
</target>
</element>
<element>
<code value="AdverseEvent.participant.actor"/>
<display value="actor"/>
<target>
<code value="Extension.extension:actor"/>
<equivalence value="wider"/>
<comment
value="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."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/AdverseEvent"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-AdverseEvent.expectedInResearchStudy"/>
<targetVersion value="0.1.0"/>
<element>
<code value="AdverseEvent.expectedInResearchStudy"/>
<display value="expectedInResearchStudy"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="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)."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/AdverseEvent"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-AdverseEvent.suspectEntity.instance"/>
<targetVersion value="0.1.0"/>
<element>
<code value="AdverseEvent.suspectEntity.instance[x]"/>
<display value="instance[x]"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="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."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/AdverseEvent"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/>
<targetVersion value="5.2.0"/>
<element>
<code value="AdverseEvent.suspectEntity.instance[x]"/>
<display value="instance[x]"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="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."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/AdverseEvent"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-AdverseEvent.suspectEntity.causality.entityRelatedness"/>
<targetVersion value="0.1.0"/>
<element>
<code value="AdverseEvent.suspectEntity.causality.entityRelatedness"/>
<display value="entityRelatedness"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="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."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/AdverseEvent"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-AdverseEvent.contributingFactor"/>
<targetVersion value="0.1.0"/>
<element>
<code value="AdverseEvent.contributingFactor"/>
<display value="contributingFactor"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="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)."/>
</target>
</element>
<element>
<code value="AdverseEvent.contributingFactor.item[x]"/>
<display value="item[x]"/>
<target>
<code value="Extension.extension:item"/>
<equivalence value="wider"/>
<comment
value="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)."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/AdverseEvent"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-AdverseEvent.preventiveAction"/>
<targetVersion value="0.1.0"/>
<element>
<code value="AdverseEvent.preventiveAction"/>
<display value="preventiveAction"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="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)."/>
</target>
</element>
<element>
<code value="AdverseEvent.preventiveAction.item[x]"/>
<display value="item[x]"/>
<target>
<code value="Extension.extension:item"/>
<equivalence value="wider"/>
<comment
value="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)."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/AdverseEvent"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-AdverseEvent.mitigatingAction"/>
<targetVersion value="0.1.0"/>
<element>
<code value="AdverseEvent.mitigatingAction"/>
<display value="mitigatingAction"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="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)."/>
</target>
</element>
<element>
<code value="AdverseEvent.mitigatingAction.item[x]"/>
<display value="item[x]"/>
<target>
<code value="Extension.extension:item"/>
<equivalence value="wider"/>
<comment
value="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)."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/AdverseEvent"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-AdverseEvent.supportingInfo"/>
<targetVersion value="0.1.0"/>
<element>
<code value="AdverseEvent.supportingInfo"/>
<display value="supportingInfo"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="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)."/>
</target>
</element>
<element>
<code value="AdverseEvent.supportingInfo.item[x]"/>
<display value="item[x]"/>
<target>
<code value="Extension.extension:item"/>
<equivalence value="wider"/>
<comment
value="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)."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/AdverseEvent"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-AdverseEvent.note"/>
<targetVersion value="0.1.0"/>
<element>
<code value="AdverseEvent.note"/>
<display value="note"/>
<target>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="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)."/>
</target>
</element>
</group>
</ConceptMap>
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r5.r4#0.1.0 based on FHIR 4.0.1. Generated 2026-03-20
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