R5-ConceptMap-element-map-to-R4
type: ConceptMap
node role: treeRoot
id:
  v: R5-ConceptMap-element-map-to-R4
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ConceptMap R5-ConceptMap-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/ConceptMap|5.0.0 to ConceptMapversion: 4.0.1) Source Code Relationship Target Code Comment ConceptMap.meta (meta) is equivalent to ConceptMap.meta Element `ConceptMap.meta` is mapped to FHIR R4 element `ConceptMap.meta` as `Equivalent`. ConceptMap.implicitRules (implicitRules) is equivalent to ConceptMap.implicitRules Element `ConceptMap.implicitRules` is mapped to FHIR R4 element `ConceptMap.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. ConceptMap.language (language) is equivalent to ConceptMap.language Element `ConceptMap.language` is mapped to FHIR R4 element `ConceptMap.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 an…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
    l: structuredefinition-wg
  value: Code
    v: fhir
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
    l: structuredefinition-fmm
  value: Integer
    v: 0
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Canonical
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4
        l: hl7.fhir.uv.xver-r5.r4
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: trial-use
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Canonical
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4
        l: hl7.fhir.uv.xver-r5.r4
url:
  v: http://hl7.org/fhir/uv/xver/ConceptMap/R5-ConceptMap-element-map-to-R4
  l: R5-ConceptMap-element-map-to-R4
version:
  v: 0.1.0
name:
  v: R5ConceptMapElementMapToR4
title:
  v: Cross-version mapping for FHIR R5 ConceptMap to FHIR R4 ConceptMap
status:
  v: active
experimental:
  v: false
date:
  v: 2026-03-17T16:04:44.6824311-05:00
contact:
  name:
    v: FHIR Infrastructure
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/fiwg
description:
  v: This ConceptMap represents cross-version mappings for elements from a FHIR R5 ConceptMap to FHIR R4.
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 001
    display:
      v: World
source: Canonical
  v: http://hl7.org/fhir/5.0
  l: http://hl7.org/fhir/5.0
target: Uri
  v: http://hl7.org/fhir/4.0
  l: http://hl7.org/fhir/4.0
group:
  source:
    v: http://hl7.org/fhir/StructureDefinition/ConceptMap
    l: ConceptMap
  source version:
    v: 5.0.0
  target:
    v: http://hl7.org/fhir/StructureDefinition/ConceptMap
    l: ConceptMap
  target version:
    v: 4.0.1
  element:
    code:
      v: ConceptMap.meta
    display:
      v: meta
    target:
      code:
        v: ConceptMap.meta
      display:
        v: ConceptMap.meta
      equivalence:
        v: equivalent
      comment:
        v: Element `ConceptMap.meta` is mapped to FHIR R4 element `ConceptMap.meta` as `Equivalent`.
  element:
    code:
      v: ConceptMap.implicitRules
    display:
      v: implicitRules
    target:
      code:
        v: ConceptMap.implicitRules
      display:
        v: ConceptMap.implicitRules
      equivalence:
        v: equivalent
      comment:
        v: Element `ConceptMap.implicitRules` is mapped to FHIR R4 element `ConceptMap.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:
    code:
      v: ConceptMap.language
    display:
      v: language
    target:
      code:
        v: ConceptMap.language
      display:
        v: ConceptMap.language
      equivalence:
        v: equivalent
      comment:
        v: Element `ConceptMap.language` is mapped to FHIR R4 element `ConceptMap.language` as `Equivalent`. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
  element:
    code:
      v: ConceptMap.text
    display:
      v: text
    target:
      code:
        v: ConceptMap.text
      display:
        v: ConceptMap.text
      equivalence:
        v: equivalent
      comment:
        v: Element `ConceptMap.text` is mapped to FHIR R4 element `ConceptMap.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:
    code:
      v: ConceptMap.contained
    display:
      v: contained
    target:
      code:
        v: ConceptMap.contained
      display:
        v: ConceptMap.contained
      equivalence:
        v: equivalent
      comment:
        v: Element `ConceptMap.contained` is mapped to FHIR R4 element `ConceptMap.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:
    code:
      v: ConceptMap.url
    display:
      v: url
    target:
      code:
        v: ConceptMap.url
      display:
        v: ConceptMap.url
      equivalence:
        v: equivalent
      comment:
        v: Element `ConceptMap.url` is mapped to FHIR R4 element `ConceptMap.url` as `Equivalent`. Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version. The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in [Technical and Business Versions](https://hl7.org/fhir/resource..html#versions). In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](https://hl7.org/fhir/resou.html#meta) element to indicate where the current master source of the resource can be found.
  element:
    code:
      v: ConceptMap.identifier
    display:
      v: identifier
    target:
      code:
        v: ConceptMap.identifier
      display:
        v: ConceptMap.identifier
      equivalence:
        v: equivalent
      comment:
        v: Element `ConceptMap.identifier` is mapped to FHIR R4 element `ConceptMap.identifier` as `SourceIsBroaderThanTarget`. Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this concept map outside of FHIR, where it is not possible to use the logical URI.
  element:
    code:
      v: ConceptMap.version
    display:
      v: version
    target:
      code:
        v: ConceptMap.version
      display:
        v: ConceptMap.version
      equivalence:
        v: equivalent
      comment:
        v: Element `ConceptMap.version` is mapped to FHIR R4 element `ConceptMap.version` as `Equivalent`. There may be different concept map instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the concept map with the format [url]|[version]. The version SHOULD NOT contain a '#' - see [Business Version](https://hl7.org/fhir/resource.h.html#bv-format).

code:
  v: ConceptMap.name
display:
  v: name
target:
  code:
    v: ConceptMap.name
  display:
    v: ConceptMap.name
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.name` is mapped to FHIR R4 element `ConceptMap.name` as `Equivalent`. The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.

code:
  v: ConceptMap.title
display:
  v: title
target:
  code:
    v: ConceptMap.title
  display:
    v: ConceptMap.title
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.title` is mapped to FHIR R4 element `ConceptMap.title` as `Equivalent`. This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.

code:
  v: ConceptMap.status
display:
  v: status
target:
  code:
    v: ConceptMap.status
  display:
    v: ConceptMap.status
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.status` is mapped to FHIR R4 element `ConceptMap.status` as `Equivalent`. Allows filtering of concept maps that are appropriate for use versus not. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).

code:
  v: ConceptMap.experimental
display:
  v: experimental
target:
  code:
    v: ConceptMap.experimental
  display:
    v: ConceptMap.experimental
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.experimental` is mapped to FHIR R4 element `ConceptMap.experimental` as `Equivalent`. Allows filtering of concept maps that are appropriate for use versus not.

code:
  v: ConceptMap.date
display:
  v: date
target:
  code:
    v: ConceptMap.date
  display:
    v: ConceptMap.date
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.date` is mapped to FHIR R4 element `ConceptMap.date` as `Equivalent`. The date is often not tracked until the resource is published, but may be present on draft content. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the concept map. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).

code:
  v: ConceptMap.publisher
display:
  v: publisher
target:
  code:
    v: ConceptMap.publisher
  display:
    v: ConceptMap.publisher
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.publisher` is mapped to FHIR R4 element `ConceptMap.publisher` as `Equivalent`. Usually an organization but may be an individual. The publisher (or steward) of the concept map is the organization or individual primarily responsible for the maintenance and upkeep of the concept map. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the concept map. This item SHOULD be populated unless the information is available from context.

code:
  v: ConceptMap.contact
display:
  v: contact
target:
  code:
    v: ConceptMap.contact
  display:
    v: ConceptMap.contact
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.contact` is mapped to FHIR R4 element `ConceptMap.contact` as `Equivalent`. May be a web site, an email address, a telephone number, etc. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).

code:
  v: ConceptMap.description
display:
  v: description
target:
  code:
    v: ConceptMap.description
  display:
    v: ConceptMap.description
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.description` is mapped to FHIR R4 element `ConceptMap.description` as `Equivalent`. The description is not intended to describe the semantics of the concept map. The description should capture its intended use, which is needed for ensuring integrity for its use in models across future changes.

code:
  v: ConceptMap.useContext
display:
  v: useContext
target:
  code:
    v: ConceptMap.useContext
  display:
    v: ConceptMap.useContext
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.useContext` is mapped to FHIR R4 element `ConceptMap.useContext` as `Equivalent`. When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

code:
  v: ConceptMap.jurisdiction
display:
  v: jurisdiction
target:
  code:
    v: ConceptMap.jurisdiction
  display:
    v: ConceptMap.jurisdiction
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.jurisdiction` is mapped to FHIR R4 element `ConceptMap.jurisdiction` as `Equivalent`. Element `ConceptMap.jurisdiction` has been flagged as deprecated. It may be possible for the concept map to be used in jurisdictions other than those for which it was originally designed or intended. DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'jurisdiction' code in the useContext element. (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#jurisdiction and useContext.valueCodeableConcept indicating the jurisdiction.)

code:
  v: ConceptMap.purpose
display:
  v: purpose
target:
  code:
    v: ConceptMap.purpose
  display:
    v: ConceptMap.purpose
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.purpose` is mapped to FHIR R4 element `ConceptMap.purpose` as `Equivalent`. This element does not describe the usage of the concept map. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this concept map.

code:
  v: ConceptMap.copyright
display:
  v: copyright
target:
  code:
    v: ConceptMap.copyright
  display:
    v: ConceptMap.copyright
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.copyright` is mapped to FHIR R4 element `ConceptMap.copyright` as `Equivalent`. Frequently the copyright differs between the concept map and codes that are included. The copyright statement should clearly differentiate between these when required.

code:
  v: ConceptMap.sourceScope[x]
display:
  v: sourceScope[x]
target:
  code:
    v: ConceptMap.source[x]
  display:
    v: ConceptMap.source[x]
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.sourceScope[x]` is mapped to FHIR R4 element `ConceptMap.source[x]` as `Equivalent`. The target context `ConceptMap.source[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ConceptMap`. Should be a version specific reference. URIs SHOULD be absolute. If there is no sourceScope or targetScope value set, there is no specified context for the map (not recommended). The sourceScope value set may select codes from either an explicit (standard or local) or implicit code system.

code:
  v: ConceptMap.targetScope[x]
display:
  v: targetScope[x]
target:
  code:
    v: ConceptMap.target[x]
  display:
    v: ConceptMap.target[x]
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.targetScope[x]` is mapped to FHIR R4 element `ConceptMap.target[x]` as `Equivalent`. The target context `ConceptMap.target[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ConceptMap`. Should be a version specific reference. URIs SHOULD be absolute. If there is no sourceScope or targetScope value set, there is no specified context for the map (not recommended). The targetScope value set may select codes from either an explicit (standard or local) or implicit code system.

code:
  v: ConceptMap.group
display:
  v: group
target:
  code:
    v: ConceptMap.group
  display:
    v: ConceptMap.group
  equivalence:
    v: wider
  comment:
    v: Element `ConceptMap.group` is mapped to FHIR R4 element `ConceptMap.group` as `Equivalent`.

code:
  v: ConceptMap.group.source
display:
  v: source
target:
  code:
    v: ConceptMap.group.source
  display:
    v: ConceptMap.group.source
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.group.source` is mapped to FHIR R4 element `ConceptMap.group.source` as `Equivalent`. This is not needed if the source value set is specified and it contains concepts from only a single system.

code:
  v: ConceptMap.group.target
display:
  v: target
target:
  code:
    v: ConceptMap.group.target
  display:
    v: ConceptMap.group.target
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.group.target` is mapped to FHIR R4 element `ConceptMap.group.target` as `Equivalent`. This is not needed if the target value set is specified and it contains concepts from only a single system. The group target may also be omitted if all of the target element relationship values are 'not-related-to'.

code:
  v: ConceptMap.group.element
display:
  v: element
target:
  code:
    v: ConceptMap.group.element
  display:
    v: ConceptMap.group.element
  equivalence:
    v: wider
  comment:
    v: Element `ConceptMap.group.element` is mapped to FHIR R4 element `ConceptMap.group.element` as `Equivalent`. Generally, the ideal is that there would only be one mapping for each concept in the source value set, but a given concept may be mapped multiple times with different comments or dependencies.

code:
  v: ConceptMap.group.element.code
display:
  v: code
target:
  code:
    v: ConceptMap.group.element.code
  display:
    v: ConceptMap.group.element.code
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.group.element.code` is mapped to FHIR R4 element `ConceptMap.group.element.code` as `Equivalent`.

code:
  v: ConceptMap.group.element.display
display:
  v: display
target:
  code:
    v: ConceptMap.group.element.display
  display:
    v: ConceptMap.group.element.display
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.group.element.display` is mapped to FHIR R4 element `ConceptMap.group.element.display` as `Equivalent`. The display is ignored when processing the map.

code:
  v: ConceptMap.group.element.noMap
display:
  v: noMap
target:
  code:
    v: ConceptMap.group.element.target.equivalence
  display:
    v: ConceptMap.group.element.target.equivalence
  equivalence:
    v: wider
  comment:
    v: Element `ConceptMap.group.element.noMap` is mapped to FHIR R4 element `ConceptMap.group.element.target.equivalence` as `SourceIsBroaderThanTarget`. The mappings for `ConceptMap.group.element.noMap` do not cover the following types: boolean. The mappings for `ConceptMap.group.element.noMap` do not cover the following types based on type expansion: value. If noMap = true, then the behavior of ConceptMap.group.unmapped (if present) does not apply.

code:
  v: ConceptMap.group.element.target
display:
  v: target
target:
  code:
    v: ConceptMap.group.element.target
  display:
    v: ConceptMap.group.element.target
  equivalence:
    v: wider
  comment:
    v: Element `ConceptMap.group.element.target` is mapped to FHIR R4 element `ConceptMap.group.element.target` as `Equivalent`. Ideally there would only be one map, with an 'equivalent' mapping. But multiple maps are allowed for several narrower (i.e. source-is-broader-than-target) options, or to assert that other concepts are not related.

code:
  v: ConceptMap.group.element.target.code
display:
  v: code
target:
  code:
    v: ConceptMap.group.element.target.code
  display:
    v: ConceptMap.group.element.target.code
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.group.element.target.code` is mapped to FHIR R4 element `ConceptMap.group.element.target.code` as `Equivalent`.

code:
  v: ConceptMap.group.element.target.display
display:
  v: display
target:
  code:
    v: ConceptMap.group.element.target.display
  display:
    v: ConceptMap.group.element.target.display
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.group.element.target.display` is mapped to FHIR R4 element `ConceptMap.group.element.target.display` as `Equivalent`. The display is ignored when processing the map.

code:
  v: ConceptMap.group.element.target.relationship
display:
  v: relationship
target:
  code:
    v: ConceptMap.group.element.target.equivalence
  display:
    v: ConceptMap.group.element.target.equivalence
  equivalence:
    v: narrower
  comment:
    v: Element `ConceptMap.group.element.target.relationship` is mapped to FHIR R4 element `ConceptMap.group.element.target.equivalence` as `SourceIsNarrowerThanTarget`. The mappings for `ConceptMap.group.element.target.relationship` do not allow expression of the necessary codes, per the bindings on the source and target. This element is labeled as a modifier because it may indicate that there is no mapping.

code:
  v: ConceptMap.group.element.target.comment
display:
  v: comment
target:
  code:
    v: ConceptMap.group.element.target.comment
  display:
    v: ConceptMap.group.element.target.comment
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.group.element.target.comment` is mapped to FHIR R4 element `ConceptMap.group.element.target.comment` as `Equivalent`.

code:
  v: ConceptMap.group.element.target.dependsOn
display:
  v: dependsOn
target:
  code:
    v: ConceptMap.group.element.target.dependsOn
  display:
    v: ConceptMap.group.element.target.dependsOn
  equivalence:
    v: wider
  comment:
    v: Element `ConceptMap.group.element.target.dependsOn` is mapped to FHIR R4 element `ConceptMap.group.element.target.dependsOn` as `Equivalent`.

code:
  v: ConceptMap.group.element.target.dependsOn.attribute
display:
  v: attribute
target:
  code:
    v: ConceptMap.group.element.target.dependsOn.property
  display:
    v: ConceptMap.group.element.target.dependsOn.property
  equivalence:
    v: wider
  comment:
    v: Element `ConceptMap.group.element.target.dependsOn.attribute` is mapped to FHIR R4 element `ConceptMap.group.element.target.dependsOn.property` as `SourceIsBroaderThanTarget`. The mappings for `ConceptMap.group.element.target.dependsOn.attribute` do not cover the following types: code. The mappings for `ConceptMap.group.element.target.dependsOn.attribute` do not cover the following types based on type expansion: value.

code:
  v: ConceptMap.group.element.target.dependsOn.value[x]
display:
  v: value[x]
target:
  code:
    v: ConceptMap.group.element.target.dependsOn.value
  display:
    v: ConceptMap.group.element.target.dependsOn.value
  equivalence:
    v: wider
  comment:
    v: Element `ConceptMap.group.element.target.dependsOn.value[x]` is mapped to FHIR R4 element `ConceptMap.group.element.target.dependsOn.value` as `SourceIsBroaderThanTarget`. The mappings for `ConceptMap.group.element.target.dependsOn.value[x]` do not cover the following types: boolean, Coding, Quantity. If the data type is a code, then the code system is .group.source for .dependsOn.valueCode and .group.target for .product.valueCode.

code:
  v: ConceptMap.group.element.target.product
display:
  v: product
target:
  code:
    v: ConceptMap.group.element.target.product
  display:
    v: ConceptMap.group.element.target.product
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.group.element.target.product` is mapped to FHIR R4 element `ConceptMap.group.element.target.product` as `Equivalent`.

code:
  v: ConceptMap.group.unmapped
display:
  v: unmapped
target:
  code:
    v: ConceptMap.group.unmapped
  display:
    v: ConceptMap.group.unmapped
  equivalence:
    v: wider
  comment:
    v: Element `ConceptMap.group.unmapped` is mapped to FHIR R4 element `ConceptMap.group.unmapped` as `Equivalent`. The 'unmapped' element is ignored if a code is specified to have relationship = not-related-to or if ConceptMap.group.element.noMap = true.

code:
  v: ConceptMap.group.unmapped.mode
display:
  v: mode
target:
  code:
    v: ConceptMap.group.unmapped.mode
  display:
    v: ConceptMap.group.unmapped.mode
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.group.unmapped.mode` is mapped to FHIR R4 element `ConceptMap.group.unmapped.mode` as `Equivalent`.

code:
  v: ConceptMap.group.unmapped.code
display:
  v: code
target:
  code:
    v: ConceptMap.group.unmapped.code
  display:
    v: ConceptMap.group.unmapped.code
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.group.unmapped.code` is mapped to FHIR R4 element `ConceptMap.group.unmapped.code` as `Equivalent`.

code:
  v: ConceptMap.group.unmapped.display
display:
  v: display
target:
  code:
    v: ConceptMap.group.unmapped.display
  display:
    v: ConceptMap.group.unmapped.display
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.group.unmapped.display` is mapped to FHIR R4 element `ConceptMap.group.unmapped.display` as `Equivalent`. The display is ignored when processing the map.

code:
  v: ConceptMap.group.unmapped.otherMap
display:
  v: otherMap
target:
  code:
    v: ConceptMap.group.unmapped.url
  display:
    v: ConceptMap.group.unmapped.url
  equivalence:
    v: equivalent
  comment:
    v: Element `ConceptMap.group.unmapped.otherMap` is mapped to FHIR R4 element `ConceptMap.group.unmapped.url` as `Equivalent`.

source:
  v: http://hl7.org/fhir/StructureDefinition/ConceptMap
  l: ConceptMap
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-ConceptMap.property
  l: extension-ConceptMap.property
target version:
  v: 0.1.0
element:
  code:
    v: ConceptMap.property
  display:
    v: property
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `ConceptMap.property` has a context of ConceptMap based on following the parent source element upwards and mapping to `ConceptMap`. Element `ConceptMap.property` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Properties may be used to supply for example, mapping priority, provenance, presentation hints, flag as experimental, and additional documentation. Multiple occurrences of ConceptMap.group.element.target.property may occur for a ConceptMap.property where ConceptMap.group.element.target.property.code is the same and the values in ConceptMap.group.element.target.property.value differ.
element:
  code:
    v: ConceptMap.property.code
  display:
    v: code
  target:
    code:
      v: Extension.extension:code
    equivalence:
      v: wider
    comment:
      v: Element `ConceptMap.property.code` is part of an existing definition because parent element `ConceptMap.property` requires a cross-version extension. Element `ConceptMap.property.code` has a context of ConceptMap based on following the parent source element upwards and mapping to `ConceptMap`. Element `ConceptMap.property.code` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
element:
  code:
    v: ConceptMap.property.uri
  display:
    v: uri
  target:
    code:
      v: Extension.extension:uri
    equivalence:
      v: wider
    comment:
      v: Element `ConceptMap.property.uri` is part of an existing definition because parent element `ConceptMap.property` requires a cross-version extension. Element `ConceptMap.property.uri` has a context of ConceptMap based on following the parent source element upwards and mapping to `ConceptMap`. Element `ConceptMap.property.uri` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
element:
  code:
    v: ConceptMap.property.description
  display:
    v: description
  target:
    code:
      v: Extension.extension:description
    equivalence:
      v: wider
    comment:
      v: Element `ConceptMap.property.description` is part of an existing definition because parent element `ConceptMap.property` requires a cross-version extension. Element `ConceptMap.property.description` has a context of ConceptMap based on following the parent source element upwards and mapping to `ConceptMap`. Element `ConceptMap.property.description` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
element:
  code:
    v: ConceptMap.property.type
  display:
    v: type
  target:
    code:
      v: Extension.extension:type
    equivalence:
      v: wider
    comment:
      v: Element `ConceptMap.property.type` is part of an existing definition because parent element `ConceptMap.property` requires a cross-version extension. Element `ConceptMap.property.type` has a context of ConceptMap based on following the parent source element upwards and mapping to `ConceptMap`. Element `ConceptMap.property.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
element:
  code:
    v: ConceptMap.property.system
  display:
    v: system
  target:
    code:
      v: Extension.extension:system
    equivalence:
      v: wider
    comment:
      v: Element `ConceptMap.property.system` is part of an existing definition because parent element `ConceptMap.property` requires a cross-version extension. Element `ConceptMap.property.system` has a context of ConceptMap based on following the parent source element upwards and mapping to `ConceptMap`. Element `ConceptMap.property.system` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

source:
  v: http://hl7.org/fhir/StructureDefinition/ConceptMap
  l: ConceptMap
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-ConceptMap.additionalAttribute
  l: extension-ConceptMap.additionalAttribute
target version:
  v: 0.1.0
element:
  code:
    v: ConceptMap.additionalAttribute
  display:
    v: additionalAttribute
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `ConceptMap.additionalAttribute` has a context of ConceptMap based on following the parent source element upwards and mapping to `ConceptMap`. Element `ConceptMap.additionalAttribute` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Additional attributes are used to define additional data elements where mapping data can be found. For an example, see [Specimen Type v2 -> SNOMED CT Mapping(conceptmap-example-specimen-type.html)
element:
  code:
    v: ConceptMap.additionalAttribute.code
  display:
    v: code
  target:
    code:
      v: Extension.extension:code
    equivalence:
      v: wider
    comment:
      v: Element `ConceptMap.additionalAttribute.code` is part of an existing definition because parent element `ConceptMap.additionalAttribute` requires a cross-version extension. Element `ConceptMap.additionalAttribute.code` has a context of ConceptMap based on following the parent source element upwards and mapping to `ConceptMap`. Element `ConceptMap.additionalAttribute.code` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
element:
  code:
    v: ConceptMap.additionalAttribute.uri
  display:
    v: uri
  target:
    code:
      v: Extension.extension:uri
    equivalence:
      v: wider
    comment:
      v: Element `ConceptMap.additionalAttribute.uri` is part of an existing definition because parent element `ConceptMap.additionalAttribute` requires a cross-version extension. Element `ConceptMap.additionalAttribute.uri` has a context of ConceptMap based on following the parent source element upwards and mapping to `ConceptMap`. Element `ConceptMap.additionalAttribute.uri` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
element:
  code:
    v: ConceptMap.additionalAttribute.description
  display:
    v: description
  target:
    code:
      v: Extension.extension:description
    equivalence:
      v: wider
    comment:
      v: Element `ConceptMap.additionalAttribute.description` is part of an existing definition because parent element `ConceptMap.additionalAttribute` requires a cross-version extension. Element `ConceptMap.additionalAttribute.description` has a context of ConceptMap based on following the parent source element upwards and mapping to `ConceptMap`. Element `ConceptMap.additionalAttribute.description` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
element:
  code:
    v: ConceptMap.additionalAttribute.type
  display:
    v: type
  target:
    code:
      v: Extension.extension:type
    equivalence:
      v: wider
    comment:
      v: Element `ConceptMap.additionalAttribute.type` is part of an existing definition because parent element `ConceptMap.additionalAttribute` requires a cross-version extension. Element `ConceptMap.additionalAttribute.type` has a context of ConceptMap based on following the parent source element upwards and mapping to `ConceptMap`. Element `ConceptMap.additionalAttribute.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). When the source or target is not content defined by FHIR, some additional application logic might be required to map from the FHIR Datatype to the externally defined content

source:
  v: http://hl7.org/fhir/StructureDefinition/ConceptMap
  l: ConceptMap
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-ConceptMap.group.element.valueSet
  l: extension-ConceptMap.group.element.valueSet
target version:
  v: 0.1.0
element:
  code:
    v: ConceptMap.group.element.valueSet
  display:
    v: valueSet
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `ConceptMap.group.element.valueSet` has a context of ConceptMap.group.element based on following the parent source element upwards and mapping to `ConceptMap`. Element `ConceptMap.group.element.valueSet` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). If the value set expansion is empty then there are no source concepts to map in this rule.

source:
  v: http://hl7.org/fhir/StructureDefinition/ConceptMap
  l: ConceptMap
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-ConceptMap.group.element.noMap
  l: extension-ConceptMap.group.element.noMap
target version:
  v: 0.1.0
element:
  code:
    v: ConceptMap.group.element.noMap
  display:
    v: noMap
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `ConceptMap.group.element.noMap` is mapped to FHIR R4 element `ConceptMap.group.element.target.equivalence` as `SourceIsBroaderThanTarget`. The mappings for `ConceptMap.group.element.noMap` do not cover the following types: boolean. The mappings for `ConceptMap.group.element.noMap` do not cover the following types based on type expansion: value. If noMap = true, then the behavior of ConceptMap.group.unmapped (if present) does not apply.

source:
  v: http://hl7.org/fhir/StructureDefinition/ConceptMap
  l: ConceptMap
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-ConceptMap.group.element.target.valueSet
  l: extension-ConceptMap.group.element.target.valueSet
target version:
  v: 0.1.0
element:
  code:
    v: ConceptMap.group.element.target.valueSet
  display:
    v: valueSet
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `ConceptMap.group.element.target.valueSet` has a context of ConceptMap.group.element.target based on following the parent source element upwards and mapping to `ConceptMap`. Element `ConceptMap.group.element.target.valueSet` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). If the the value set expansion is empty then the source concept(s) are unmapped and the behavior of ConceptMap.group.unmapped (if present) applies.

source:
  v: http://hl7.org/fhir/StructureDefinition/ConceptMap
  l: ConceptMap
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-ConceptMap.group.element.target.property
  l: extension-ConceptMap.group.element.target.property
target version:
  v: 0.1.0
element:
  code:
    v: ConceptMap.group.element.target.property
  display:
    v: property
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `ConceptMap.group.element.target.property` has a context of ConceptMap.group.element.target based on following the parent source element upwards and mapping to `ConceptMap`. Element `ConceptMap.group.element.target.property` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
element:
  code:
    v: ConceptMap.group.element.target.property.code
  display:
    v: code
  target:
    code:
      v: Extension.extension:code
    equivalence:
      v: wider
    comment:
      v: Element `ConceptMap.group.element.target.property.code` is part of an existing definition because parent element `ConceptMap.group.element.target.property` requires a cross-version extension. Element `ConceptMap.group.element.target.property.code` has a context of ConceptMap.group.element.target based on following the parent source element upwards and mapping to `ConceptMap`. Element `ConceptMap.group.element.target.property.code` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
element:
  code:
    v: ConceptMap.group.element.target.property.value[x]
  display:
    v: value[x]
  target:
    code:
      v: Extension.extension:value
    equivalence:
      v: wider
    comment:
      v: Element `ConceptMap.group.element.target.property.value[x]` is part of an existing definition because parent element `ConceptMap.group.element.target.property` requires a cross-version extension. Element `ConceptMap.group.element.target.property.value[x]` has a context of ConceptMap.group.element.target based on following the parent source element upwards and mapping to `ConceptMap`. Element `ConceptMap.group.element.target.property.value[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

source:
  v: http://hl7.org/fhir/StructureDefinition/ConceptMap
  l: ConceptMap
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-ConceptMap.group.element.target.dependsOn.attribute
  l: extension-ConceptMap.group.element.target.dependsOn.attribute
target version:
  v: 0.1.0
element:
  code:
    v: ConceptMap.group.element.target.dependsOn.attribute
  display:
    v: attribute
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `ConceptMap.group.element.target.dependsOn.attribute` is mapped to FHIR R4 element `ConceptMap.group.element.target.dependsOn.property` as `SourceIsBroaderThanTarget`. The mappings for `ConceptMap.group.element.target.dependsOn.attribute` do not cover the following types: code. The mappings for `ConceptMap.group.element.target.dependsOn.attribute` do not cover the following types based on type expansion: value.

source:
  v: http://hl7.org/fhir/StructureDefinition/ConceptMap
  l: ConceptMap
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-ConceptMap.group.element.target.dependsOn.value
  l: extension-ConceptMap.group.element.target.dependsOn.value
target version:
  v: 0.1.0
element:
  code:
    v: ConceptMap.group.element.target.dependsOn.value[x]
  display:
    v: value[x]
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `ConceptMap.group.element.target.dependsOn.value[x]` is mapped to FHIR R4 element `ConceptMap.group.element.target.dependsOn.value` as `SourceIsBroaderThanTarget`. The mappings for `ConceptMap.group.element.target.dependsOn.value[x]` do not cover the following types: boolean, Coding, Quantity. If the data type is a code, then the code system is .group.source for .dependsOn.valueCode and .group.target for .product.valueCode.

source:
  v: http://hl7.org/fhir/StructureDefinition/ConceptMap
  l: ConceptMap
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-ConceptMap.group.element.target.dependsOn.valueSet
  l: extension-ConceptMap.group.element.target.dependsOn.valueSet
target version:
  v: 0.1.0
element:
  code:
    v: ConceptMap.group.element.target.dependsOn.valueSet
  display:
    v: valueSet
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `ConceptMap.group.element.target.dependsOn.valueSet` has a context of ConceptMap.group.element.target.dependsOn based on following the parent source element upwards and mapping to `ConceptMap`. Element `ConceptMap.group.element.target.dependsOn.valueSet` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

source:
  v: http://hl7.org/fhir/StructureDefinition/ConceptMap
  l: ConceptMap
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-ConceptMap.group.unmapped.valueSet
  l: extension-ConceptMap.group.unmapped.valueSet
target version:
  v: 0.1.0
element:
  code:
    v: ConceptMap.group.unmapped.valueSet
  display:
    v: valueSet
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `ConceptMap.group.unmapped.valueSet` has a context of ConceptMap.group.unmapped based on following the parent source element upwards and mapping to `ConceptMap`. Element `ConceptMap.group.unmapped.valueSet` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

source:
  v: http://hl7.org/fhir/StructureDefinition/ConceptMap
  l: ConceptMap
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-ConceptMap.group.unmapped.relationship
  l: extension-ConceptMap.group.unmapped.relationship
target version:
  v: 0.1.0
element:
  code:
    v: ConceptMap.group.unmapped.relationship
  display:
    v: relationship
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `ConceptMap.group.unmapped.relationship` has a context of ConceptMap.group.unmapped based on following the parent source element upwards and mapping to `ConceptMap`. Element `ConceptMap.group.unmapped.relationship` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This element is labeled as a modifier because it may indicate that there is no mapping.