R5-ObservationDefinition-element-map-to-R4
type: ConceptMap
node role: treeRoot
id:
  v: R5-ObservationDefinition-element-map-to-R4
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ConceptMap R5-ObservationDefinition-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/ObservationDefinition|5.0.0 to ObservationDefinitionversion: 4.0.1) Source Code Relationship Target Code Comment ObservationDefinition.meta (meta) is equivalent to ObservationDefinition.meta Element `ObservationDefinition.meta` is mapped to FHIR R4 element `ObservationDefinition.meta` as `Equivalent`. ObservationDefinition.implicitRules (implicitRules) is equivalent to ObservationDefinition.implicitRules Element `ObservationDefinition.implicitRules` is mapped to FHIR R4 element `ObservationDefinition.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. ObservationDefinition.language (language) is equivalent to ObservationDefinition.language Element `ObservationDefinition.language` is mapped to FHIR R4 element `ObservationDefinition.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 …
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-ObservationDefinition-element-map-to-R4
  l: R5-ObservationDefinition-element-map-to-R4
version:
  v: 0.1.0
name:
  v: R5ObservationDefinitionElementMapToR4
title:
  v: Cross-version mapping for FHIR R5 ObservationDefinition to FHIR R4 ObservationDefinition
status:
  v: active
experimental:
  v: false
date:
  v: 2026-03-17T16:04:47.2949146-05:00
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 ObservationDefinition 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/ObservationDefinition
    l: ObservationDefinition
  source version:
    v: 5.0.0
  target:
    v: http://hl7.org/fhir/StructureDefinition/ObservationDefinition
    l: ObservationDefinition
  target version:
    v: 4.0.1
  element:
    code:
      v: ObservationDefinition.meta
    display:
      v: meta
    target:
      code:
        v: ObservationDefinition.meta
      display:
        v: ObservationDefinition.meta
      equivalence:
        v: equivalent
      comment:
        v: Element `ObservationDefinition.meta` is mapped to FHIR R4 element `ObservationDefinition.meta` as `Equivalent`.
  element:
    code:
      v: ObservationDefinition.implicitRules
    display:
      v: implicitRules
    target:
      code:
        v: ObservationDefinition.implicitRules
      display:
        v: ObservationDefinition.implicitRules
      equivalence:
        v: equivalent
      comment:
        v: Element `ObservationDefinition.implicitRules` is mapped to FHIR R4 element `ObservationDefinition.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: ObservationDefinition.language
    display:
      v: language
    target:
      code:
        v: ObservationDefinition.language
      display:
        v: ObservationDefinition.language
      equivalence:
        v: equivalent
      comment:
        v: Element `ObservationDefinition.language` is mapped to FHIR R4 element `ObservationDefinition.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: ObservationDefinition.text
    display:
      v: text
    target:
      code:
        v: ObservationDefinition.text
      display:
        v: ObservationDefinition.text
      equivalence:
        v: equivalent
      comment:
        v: Element `ObservationDefinition.text` is mapped to FHIR R4 element `ObservationDefinition.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: ObservationDefinition.contained
    display:
      v: contained
    target:
      code:
        v: ObservationDefinition.contained
      display:
        v: ObservationDefinition.contained
      equivalence:
        v: equivalent
      comment:
        v: Element `ObservationDefinition.contained` is mapped to FHIR R4 element `ObservationDefinition.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: ObservationDefinition.identifier
    display:
      v: identifier
    target:
      code:
        v: ObservationDefinition.identifier
      display:
        v: ObservationDefinition.identifier
      equivalence:
        v: equivalent
      comment:
        v: Element `ObservationDefinition.identifier` is mapped to FHIR R4 element `ObservationDefinition.identifier` as `SourceIsNarrowerThanTarget`. This is a business identifier, not a resource identifier. 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.
  element:
    code:
      v: ObservationDefinition.category
    display:
      v: category
    target:
      code:
        v: ObservationDefinition.category
      display:
        v: ObservationDefinition.category
      equivalence:
        v: equivalent
      comment:
        v: Element `ObservationDefinition.category` is mapped to FHIR R4 element `ObservationDefinition.category` as `Equivalent`. This element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used for one instance of ObservationDefinition. The level of granularity is defined by the category concepts in the value set.
  element:
    code:
      v: ObservationDefinition.code
    display:
      v: code
    target:
      code:
        v: ObservationDefinition.code
      display:
        v: ObservationDefinition.code
      equivalence:
        v: equivalent
      comment:
        v: Element `ObservationDefinition.code` is mapped to FHIR R4 element `ObservationDefinition.code` as `Equivalent`.

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

code:
  v: ObservationDefinition.multipleResultsAllowed
display:
  v: multipleResultsAllowed
target:
  code:
    v: ObservationDefinition.multipleResultsAllowed
  display:
    v: ObservationDefinition.multipleResultsAllowed
  equivalence:
    v: equivalent
  comment:
    v: Element `ObservationDefinition.multipleResultsAllowed` is mapped to FHIR R4 element `ObservationDefinition.multipleResultsAllowed` as `Equivalent`. An example of observation allowing multiple results is "bacteria identified by culture". Conversely, the measurement of a potassium level allows a single result.

code:
  v: ObservationDefinition.method
display:
  v: method
target:
  code:
    v: ObservationDefinition.method
  display:
    v: ObservationDefinition.method
  equivalence:
    v: equivalent
  comment:
    v: Element `ObservationDefinition.method` is mapped to FHIR R4 element `ObservationDefinition.method` as `Equivalent`. Only used if not implicit in observation code Example: 702659008 |Automated count technique|.

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

code:
  v: ObservationDefinition.permittedUnit
display:
  v: permittedUnit
target:
  code:
    v: ObservationDefinition.quantitativeDetails.customaryUnit
  display:
    v: ObservationDefinition.quantitativeDetails.customaryUnit
  equivalence:
    v: equivalent
  comment:
    v: Element `ObservationDefinition.permittedUnit` is mapped to FHIR R4 element `ObservationDefinition.quantitativeDetails.customaryUnit` as `RelatedTo`.

code:
  v: ObservationDefinition.qualifiedValue
display:
  v: qualifiedValue
target:
  code:
    v: ObservationDefinition.qualifiedInterval
  display:
    v: ObservationDefinition.qualifiedInterval
  equivalence:
    v: wider
  comment:
    v: Element `ObservationDefinition.qualifiedValue` is mapped to FHIR R4 element `ObservationDefinition.qualifiedInterval` as `Equivalent`.

code:
  v: ObservationDefinition.qualifiedValue.context
display:
  v: context
target:
  code:
    v: ObservationDefinition.qualifiedInterval.context
  display:
    v: ObservationDefinition.qualifiedInterval.context
  equivalence:
    v: equivalent
  comment:
    v: Element `ObservationDefinition.qualifiedValue.context` is mapped to FHIR R4 element `ObservationDefinition.qualifiedInterval.context` as `Equivalent`.

code:
  v: ObservationDefinition.qualifiedValue.appliesTo
display:
  v: appliesTo
target:
  code:
    v: ObservationDefinition.qualifiedInterval.appliesTo
  display:
    v: ObservationDefinition.qualifiedInterval.appliesTo
  equivalence:
    v: equivalent
  comment:
    v: Element `ObservationDefinition.qualifiedValue.appliesTo` is mapped to FHIR R4 element `ObservationDefinition.qualifiedInterval.appliesTo` as `Equivalent`. If this element is not present then the global population is assumed.

code:
  v: ObservationDefinition.qualifiedValue.gender
display:
  v: gender
target:
  code:
    v: ObservationDefinition.qualifiedInterval.gender
  display:
    v: ObservationDefinition.qualifiedInterval.gender
  equivalence:
    v: equivalent
  comment:
    v: Element `ObservationDefinition.qualifiedValue.gender` is mapped to FHIR R4 element `ObservationDefinition.qualifiedInterval.gender` as `Equivalent`.

code:
  v: ObservationDefinition.qualifiedValue.age
display:
  v: age
target:
  code:
    v: ObservationDefinition.qualifiedInterval.age
  display:
    v: ObservationDefinition.qualifiedInterval.age
  equivalence:
    v: equivalent
  comment:
    v: Element `ObservationDefinition.qualifiedValue.age` is mapped to FHIR R4 element `ObservationDefinition.qualifiedInterval.age` as `Equivalent`. Some analytes vary greatly over age.

code:
  v: ObservationDefinition.qualifiedValue.gestationalAge
display:
  v: gestationalAge
target:
  code:
    v: ObservationDefinition.qualifiedInterval.gestationalAge
  display:
    v: ObservationDefinition.qualifiedInterval.gestationalAge
  equivalence:
    v: equivalent
  comment:
    v: Element `ObservationDefinition.qualifiedValue.gestationalAge` is mapped to FHIR R4 element `ObservationDefinition.qualifiedInterval.gestationalAge` as `Equivalent`.

code:
  v: ObservationDefinition.qualifiedValue.condition
display:
  v: condition
target:
  code:
    v: ObservationDefinition.qualifiedInterval.condition
  display:
    v: ObservationDefinition.qualifiedInterval.condition
  equivalence:
    v: equivalent
  comment:
    v: Element `ObservationDefinition.qualifiedValue.condition` is mapped to FHIR R4 element `ObservationDefinition.qualifiedInterval.condition` as `Equivalent`.

code:
  v: ObservationDefinition.qualifiedValue.rangeCategory
display:
  v: rangeCategory
target:
  code:
    v: ObservationDefinition.qualifiedInterval.category
  display:
    v: ObservationDefinition.qualifiedInterval.category
  equivalence:
    v: equivalent
  comment:
    v: Element `ObservationDefinition.qualifiedValue.rangeCategory` is mapped to FHIR R4 element `ObservationDefinition.qualifiedInterval.category` as `Equivalent`.

code:
  v: ObservationDefinition.qualifiedValue.range
display:
  v: range
target:
  code:
    v: ObservationDefinition.qualifiedInterval.range
  display:
    v: ObservationDefinition.qualifiedInterval.range
  equivalence:
    v: equivalent
  comment:
    v: Element `ObservationDefinition.qualifiedValue.range` is mapped to FHIR R4 element `ObservationDefinition.qualifiedInterval.range` as `Equivalent`.

code:
  v: ObservationDefinition.qualifiedValue.validCodedValueSet
display:
  v: validCodedValueSet
target:
  code:
    v: ObservationDefinition.validCodedValueSet
  display:
    v: ObservationDefinition.validCodedValueSet
  equivalence:
    v: wider
  comment:
    v: Element `ObservationDefinition.qualifiedValue.validCodedValueSet` is mapped to FHIR R4 element `ObservationDefinition.validCodedValueSet` as `SourceIsBroaderThanTarget`. The mappings for `ObservationDefinition.qualifiedValue.validCodedValueSet` do not cover the following types: canonical. The mappings for `ObservationDefinition.qualifiedValue.validCodedValueSet` do not cover the following types based on type expansion: value.

code:
  v: ObservationDefinition.qualifiedValue.normalCodedValueSet
display:
  v: normalCodedValueSet
target:
  code:
    v: ObservationDefinition.normalCodedValueSet
  display:
    v: ObservationDefinition.normalCodedValueSet
  equivalence:
    v: wider
  comment:
    v: Element `ObservationDefinition.qualifiedValue.normalCodedValueSet` is mapped to FHIR R4 element `ObservationDefinition.normalCodedValueSet` as `SourceIsBroaderThanTarget`. The mappings for `ObservationDefinition.qualifiedValue.normalCodedValueSet` do not cover the following types: canonical. The mappings for `ObservationDefinition.qualifiedValue.normalCodedValueSet` do not cover the following types based on type expansion: value.

code:
  v: ObservationDefinition.qualifiedValue.abnormalCodedValueSet
display:
  v: abnormalCodedValueSet
target:
  code:
    v: ObservationDefinition.abnormalCodedValueSet
  display:
    v: ObservationDefinition.abnormalCodedValueSet
  equivalence:
    v: wider
  comment:
    v: Element `ObservationDefinition.qualifiedValue.abnormalCodedValueSet` is mapped to FHIR R4 element `ObservationDefinition.abnormalCodedValueSet` as `SourceIsBroaderThanTarget`. The mappings for `ObservationDefinition.qualifiedValue.abnormalCodedValueSet` do not cover the following types: canonical. The mappings for `ObservationDefinition.qualifiedValue.abnormalCodedValueSet` do not cover the following types based on type expansion: value.

code:
  v: ObservationDefinition.qualifiedValue.criticalCodedValueSet
display:
  v: criticalCodedValueSet
target:
  code:
    v: ObservationDefinition.criticalCodedValueSet
  display:
    v: ObservationDefinition.criticalCodedValueSet
  equivalence:
    v: wider
  comment:
    v: Element `ObservationDefinition.qualifiedValue.criticalCodedValueSet` is mapped to FHIR R4 element `ObservationDefinition.criticalCodedValueSet` as `SourceIsBroaderThanTarget`. The mappings for `ObservationDefinition.qualifiedValue.criticalCodedValueSet` do not cover the following types: canonical. The mappings for `ObservationDefinition.qualifiedValue.criticalCodedValueSet` do not cover the following types based on type expansion: value.

source:
  v: http://hl7.org/fhir/StructureDefinition/ObservationDefinition
  l: ObservationDefinition
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.jurisdiction
  l: extension-ObservationDefinition.jurisdiction
target version:
  v: 0.1.0
element:
  code:
    v: ObservationDefinition.jurisdiction
  display:
    v: jurisdiction
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `ObservationDefinition.jurisdiction` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`. Element `ObservationDefinition.jurisdiction` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Element `ObservationDefinition.jurisdiction` has been flagged as deprecated. It may be possible for the ObservationDefinition 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.)

source:
  v: http://hl7.org/fhir/StructureDefinition/ObservationDefinition
  l: ObservationDefinition
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.derivedFromCanonical
  l: extension-ObservationDefinition.derivedFromCanonical
target version:
  v: 0.1.0
element:
  code:
    v: ObservationDefinition.derivedFromCanonical
  display:
    v: derivedFromCanonical
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `ObservationDefinition.derivedFromCanonical` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`. Element `ObservationDefinition.derivedFromCanonical` 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/ObservationDefinition
  l: ObservationDefinition
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.derivedFromUri
  l: extension-ObservationDefinition.derivedFromUri
target version:
  v: 0.1.0
element:
  code:
    v: ObservationDefinition.derivedFromUri
  display:
    v: derivedFromUri
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `ObservationDefinition.derivedFromUri` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`. Element `ObservationDefinition.derivedFromUri` 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/ObservationDefinition
  l: ObservationDefinition
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.subject
  l: extension-ObservationDefinition.subject
target version:
  v: 0.1.0
element:
  code:
    v: ObservationDefinition.subject
  display:
    v: subject
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `ObservationDefinition.subject` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`. Element `ObservationDefinition.subject` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Examples: person, animal, device, air, surface ….

source:
  v: http://hl7.org/fhir/StructureDefinition/ObservationDefinition
  l: ObservationDefinition
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.performerType
  l: extension-ObservationDefinition.performerType
target version:
  v: 0.1.0
element:
  code:
    v: ObservationDefinition.performerType
  display:
    v: performerType
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `ObservationDefinition.performerType` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`. Element `ObservationDefinition.performerType` 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/ObservationDefinition
  l: ObservationDefinition
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.bodySite
  l: extension-ObservationDefinition.bodySite
target version:
  v: 0.1.0
element:
  code:
    v: ObservationDefinition.bodySite
  display:
    v: bodySite
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `ObservationDefinition.bodySite` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`. Element `ObservationDefinition.bodySite` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Only used if the defined observation is to be made directly on a body part and if this body part is not implied by code found in ObservationDefinition.code. Not used for in vitro diagnostic observations. Example: 14975008 |Forearm structure|.

source:
  v: http://hl7.org/fhir/StructureDefinition/ObservationDefinition
  l: ObservationDefinition
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.specimen
  l: extension-ObservationDefinition.specimen
target version:
  v: 0.1.0
element:
  code:
    v: ObservationDefinition.specimen
  display:
    v: specimen
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `ObservationDefinition.specimen` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`. Element `ObservationDefinition.specimen` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Only used for in vitro observations. When multiple occurrences of specimen are present, they are to be combined with a logical AND: all specified specimens are needed for the observation.

source:
  v: http://hl7.org/fhir/StructureDefinition/ObservationDefinition
  l: ObservationDefinition
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.device
  l: extension-ObservationDefinition.device
target version:
  v: 0.1.0
element:
  code:
    v: ObservationDefinition.device
  display:
    v: device
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `ObservationDefinition.device` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`. Element `ObservationDefinition.device` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). When multiple occurrences of device are present, they are to be combined with a logical OR: at least one of the specified devices is used to produce the observation.

source:
  v: http://hl7.org/fhir/StructureDefinition/ObservationDefinition
  l: ObservationDefinition
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.qualifiedValue
  l: extension-ObservationDefinition.qualifiedValue
target version:
  v: 0.1.0
element:
  code:
    v: ObservationDefinition.qualifiedValue
  display:
    v: qualifiedValue
  target:
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `ObservationDefinition.qualifiedValue` is mapped to FHIR R4 element `ObservationDefinition.qualifiedInterval` as `Equivalent`.
element:
  code:
    v: ObservationDefinition.qualifiedValue.context
  display:
    v: context
  target:
    code:
      v: Extension.extension:context
    equivalence:
      v: equivalent
    comment:
      v: Element `ObservationDefinition.qualifiedValue.context` is mapped to FHIR R4 element `ObservationDefinition.qualifiedInterval.context` as `Equivalent`.
element:
  code:
    v: ObservationDefinition.qualifiedValue.appliesTo
  display:
    v: appliesTo
  target:
    code:
      v: Extension.extension:appliesTo
    equivalence:
      v: equivalent
    comment:
      v: Element `ObservationDefinition.qualifiedValue.appliesTo` is mapped to FHIR R4 element `ObservationDefinition.qualifiedInterval.appliesTo` as `Equivalent`. If this element is not present then the global population is assumed.
element:
  code:
    v: ObservationDefinition.qualifiedValue.gender
  display:
    v: gender
  target:
    code:
      v: Extension.extension:gender
    equivalence:
      v: equivalent
    comment:
      v: Element `ObservationDefinition.qualifiedValue.gender` is mapped to FHIR R4 element `ObservationDefinition.qualifiedInterval.gender` as `Equivalent`.
element:
  code:
    v: ObservationDefinition.qualifiedValue.age
  display:
    v: age
  target:
    code:
      v: Extension.extension:age
    equivalence:
      v: equivalent
    comment:
      v: Element `ObservationDefinition.qualifiedValue.age` is mapped to FHIR R4 element `ObservationDefinition.qualifiedInterval.age` as `Equivalent`. Some analytes vary greatly over age.
element:
  code:
    v: ObservationDefinition.qualifiedValue.gestationalAge
  display:
    v: gestationalAge
  target:
    code:
      v: Extension.extension:gestationalAge
    equivalence:
      v: equivalent
    comment:
      v: Element `ObservationDefinition.qualifiedValue.gestationalAge` is mapped to FHIR R4 element `ObservationDefinition.qualifiedInterval.gestationalAge` as `Equivalent`.
element:
  code:
    v: ObservationDefinition.qualifiedValue.condition
  display:
    v: condition
  target:
    code:
      v: Extension.extension:condition
    equivalence:
      v: equivalent
    comment:
      v: Element `ObservationDefinition.qualifiedValue.condition` is mapped to FHIR R4 element `ObservationDefinition.qualifiedInterval.condition` as `Equivalent`.
element:
  code:
    v: ObservationDefinition.qualifiedValue.rangeCategory
  display:
    v: rangeCategory
  target:
    code:
      v: Extension.extension:rangeCategory
    equivalence:
      v: equivalent
    comment:
      v: Element `ObservationDefinition.qualifiedValue.rangeCategory` is mapped to FHIR R4 element `ObservationDefinition.qualifiedInterval.category` as `Equivalent`.
element:
  code:
    v: ObservationDefinition.qualifiedValue.range
  display:
    v: range
  target:
    code:
      v: Extension.extension:range
    equivalence:
      v: equivalent
    comment:
      v: Element `ObservationDefinition.qualifiedValue.range` is mapped to FHIR R4 element `ObservationDefinition.qualifiedInterval.range` as `Equivalent`.
element:
  code:
    v: ObservationDefinition.qualifiedValue.validCodedValueSet
  display:
    v: validCodedValueSet
  target:
    code:
      v: Extension.extension:validCodedValueSet
    equivalence:
      v: wider
    comment:
      v: Element `ObservationDefinition.qualifiedValue.validCodedValueSet` is mapped to FHIR R4 element `ObservationDefinition.validCodedValueSet` as `SourceIsBroaderThanTarget`. The mappings for `ObservationDefinition.qualifiedValue.validCodedValueSet` do not cover the following types: canonical. The mappings for `ObservationDefinition.qualifiedValue.validCodedValueSet` do not cover the following types based on type expansion: value.
element:
  code:
    v: ObservationDefinition.qualifiedValue.normalCodedValueSet
  display:
    v: normalCodedValueSet
  target:
    code:
      v: Extension.extension:normalCodedValueSet
    equivalence:
      v: wider
    comment:
      v: Element `ObservationDefinition.qualifiedValue.normalCodedValueSet` is mapped to FHIR R4 element `ObservationDefinition.normalCodedValueSet` as `SourceIsBroaderThanTarget`. The mappings for `ObservationDefinition.qualifiedValue.normalCodedValueSet` do not cover the following types: canonical. The mappings for `ObservationDefinition.qualifiedValue.normalCodedValueSet` do not cover the following types based on type expansion: value.
element:
  code:
    v: ObservationDefinition.qualifiedValue.abnormalCodedValueSet
  display:
    v: abnormalCodedValueSet
  target:
    code:
      v: Extension.extension:abnormalCodedValueSet
    equivalence:
      v: wider
    comment:
      v: Element `ObservationDefinition.qualifiedValue.abnormalCodedValueSet` is mapped to FHIR R4 element `ObservationDefinition.abnormalCodedValueSet` as `SourceIsBroaderThanTarget`. The mappings for `ObservationDefinition.qualifiedValue.abnormalCodedValueSet` do not cover the following types: canonical. The mappings for `ObservationDefinition.qualifiedValue.abnormalCodedValueSet` do not cover the following types based on type expansion: value.
element:
  code:
    v: ObservationDefinition.qualifiedValue.criticalCodedValueSet
  display:
    v: criticalCodedValueSet
  target:
    code:
      v: Extension.extension:criticalCodedValueSet
    equivalence:
      v: wider
    comment:
      v: Element `ObservationDefinition.qualifiedValue.criticalCodedValueSet` is mapped to FHIR R4 element `ObservationDefinition.criticalCodedValueSet` as `SourceIsBroaderThanTarget`. The mappings for `ObservationDefinition.qualifiedValue.criticalCodedValueSet` do not cover the following types: canonical. The mappings for `ObservationDefinition.qualifiedValue.criticalCodedValueSet` do not cover the following types based on type expansion: value.
element:
  code:
    v: ObservationDefinition.component.qualifiedValue
  display:
    v: qualifiedValue
  target:
    code:
      v: Extension.extension:qualifiedValue
    equivalence:
      v: wider
    comment:
      v: Element `ObservationDefinition.component.qualifiedValue` is part of an existing definition because parent element `ObservationDefinition.component` requires a cross-version extension. Element `ObservationDefinition.component.qualifiedValue` has a context of ObservationDefinition based on following the parent source element upwards and mapping to `ObservationDefinition`. Element `ObservationDefinition.component.qualifiedValue` 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/ObservationDefinition
  l: ObservationDefinition
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-ObservationDefinition.qualifiedValue.validCodedValueSet
  l: extension-ObservationDefinition.qualifiedValue.validCodedValueSet
target version:
  v: 0.1.0
element:
  code:
    v: ObservationDefinition.qualifiedValue.validCodedValueSet
  display:
    v: validCodedValueSet
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `ObservationDefinition.qualifiedValue.validCodedValueSet` is mapped to FHIR R4 element `ObservationDefinition.validCodedValueSet` as `SourceIsBroaderThanTarget`. The mappings for `ObservationDefinition.qualifiedValue.validCodedValueSet` do not cover the following types: canonical. The mappings for `ObservationDefinition.qualifiedValue.validCodedValueSet` do not cover the following types based on type expansion: value.

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

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

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

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