R5-Procedure-element-map-to-R4
type: ConceptMap
node role: treeRoot
id:
  v: R5-Procedure-element-map-to-R4
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ConceptMap R5-Procedure-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/Procedure|5.0.0 to Procedureversion: 4.0.1) Source Concept Details Relationship Target Concept Details Comment Codes from http://hl7.org/fhir/StructureDefinition/Procedure|5.0.0 Codes from Procedure Procedure.meta meta is equivalent to Procedure.meta Procedure.meta Element `Procedure.meta` is mapped to FHIR R4 element `Procedure.meta` as `Equivalent`. Procedure.implicitRules implicitRules is equivalent to Procedure.implicitRules Procedure.implicitRules Element `Procedure.implicitRules` is mapped to FHIR R4 element `Procedure.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. Procedure.language language is equivalent to Procedure.language Procedure.language Element `Procedure.language` is mapped to FHIR R4 element `Procedure.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 spec…
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-Procedure-element-map-to-R4
  l: R5-Procedure-element-map-to-R4
version:
  v: 0.1.0
name:
  v: R5ProcedureElementMapToR4
title:
  v: Cross-version mapping for FHIR R5 Procedure to FHIR R4 Procedure
status:
  v: active
experimental:
  v: false
date:
  v: 2026-03-17T16:04:47.7139105-05:00
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 Procedure 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/Procedure
    l: Procedure
  source version:
    v: 5.0.0
  target:
    v: http://hl7.org/fhir/StructureDefinition/Procedure
    l: Procedure
  target version:
    v: 4.0.1
  element:
    code:
      v: Procedure.meta
    display:
      v: meta
    target:
      code:
        v: Procedure.meta
      display:
        v: Procedure.meta
      equivalence:
        v: equivalent
      comment:
        v: Element `Procedure.meta` is mapped to FHIR R4 element `Procedure.meta` as `Equivalent`.
  element:
    code:
      v: Procedure.implicitRules
    display:
      v: implicitRules
    target:
      code:
        v: Procedure.implicitRules
      display:
        v: Procedure.implicitRules
      equivalence:
        v: equivalent
      comment:
        v: Element `Procedure.implicitRules` is mapped to FHIR R4 element `Procedure.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: Procedure.language
    display:
      v: language
    target:
      code:
        v: Procedure.language
      display:
        v: Procedure.language
      equivalence:
        v: equivalent
      comment:
        v: Element `Procedure.language` is mapped to FHIR R4 element `Procedure.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: Procedure.text
    display:
      v: text
    target:
      code:
        v: Procedure.text
      display:
        v: Procedure.text
      equivalence:
        v: equivalent
      comment:
        v: Element `Procedure.text` is mapped to FHIR R4 element `Procedure.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: Procedure.contained
    display:
      v: contained
    target:
      code:
        v: Procedure.contained
      display:
        v: Procedure.contained
      equivalence:
        v: equivalent
      comment:
        v: Element `Procedure.contained` is mapped to FHIR R4 element `Procedure.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: Procedure.identifier
    display:
      v: identifier
    target:
      code:
        v: Procedure.identifier
      display:
        v: Procedure.identifier
      equivalence:
        v: equivalent
      comment:
        v: Element `Procedure.identifier` is mapped to FHIR R4 element `Procedure.identifier` as `Equivalent`. 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 Person resource instances might share the same social insurance number.
  element:
    code:
      v: Procedure.instantiatesCanonical
    display:
      v: instantiatesCanonical
    target:
      code:
        v: Procedure.instantiatesCanonical
      display:
        v: Procedure.instantiatesCanonical
      equivalence:
        v: equivalent
      comment:
        v: Element `Procedure.instantiatesCanonical` is mapped to FHIR R4 element `Procedure.instantiatesCanonical` as `Equivalent`.
  element:
    code:
      v: Procedure.instantiatesUri
    display:
      v: instantiatesUri
    target:
      code:
        v: Procedure.instantiatesUri
      display:
        v: Procedure.instantiatesUri
      equivalence:
        v: equivalent
      comment:
        v: Element `Procedure.instantiatesUri` is mapped to FHIR R4 element `Procedure.instantiatesUri` as `Equivalent`. This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.

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

code:
  v: Procedure.partOf
display:
  v: partOf
target:
  code:
    v: Procedure.partOf
  display:
    v: Procedure.partOf
  equivalence:
    v: equivalent
  comment:
    v: Element `Procedure.partOf` is mapped to FHIR R4 element `Procedure.partOf` as `Equivalent`. The MedicationAdministration resource has a partOf reference to Procedure, but this is not a circular reference. For example, the anesthesia MedicationAdministration is part of the surgical Procedure (MedicationAdministration.partOf = Procedure). For example, the procedure to insert the IV port for an IV medication administration is part of the medication administration (Procedure.partOf = MedicationAdministration).

code:
  v: Procedure.status
display:
  v: status
target:
  code:
    v: Procedure.status
  display:
    v: Procedure.status
  equivalence:
    v: equivalent
  comment:
    v: Element `Procedure.status` is mapped to FHIR R4 element `Procedure.status` as `Equivalent`. The "unknown" code is not to be used to convey other statuses. The "unknown" code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

code:
  v: Procedure.statusReason
display:
  v: statusReason
target:
  code:
    v: Procedure.statusReason
  display:
    v: Procedure.statusReason
  equivalence:
    v: equivalent
  comment:
    v: Element `Procedure.statusReason` is mapped to FHIR R4 element `Procedure.statusReason` as `Equivalent`. This is generally only used for "exception" statuses such as "not-done", "suspended" or "aborted". The reason for performing the event at all is captured in reasonCode, not here.

code:
  v: Procedure.category
display:
  v: category
target:
  code:
    v: Procedure.category
  display:
    v: Procedure.category
  equivalence:
    v: equivalent
  comment:
    v: Element `Procedure.category` is mapped to FHIR R4 element `Procedure.category` as `SourceIsBroaderThanTarget`.

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

code:
  v: Procedure.subject
display:
  v: subject
target:
  code:
    v: Procedure.subject
  display:
    v: Procedure.subject
  equivalence:
    v: wider
  comment:
    v: Element `Procedure.subject` is mapped to FHIR R4 element `Procedure.subject` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Procedure.subject` with unmapped reference targets: Device, Location, Organization, Practitioner.

code:
  v: Procedure.encounter
display:
  v: encounter
target:
  code:
    v: Procedure.encounter
  display:
    v: Procedure.encounter
  equivalence:
    v: equivalent
  comment:
    v: Element `Procedure.encounter` is mapped to FHIR R4 element `Procedure.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.

code:
  v: Procedure.occurrence[x]
display:
  v: occurrence[x]
target:
  code:
    v: Procedure.performed[x]
  display:
    v: Procedure.performed[x]
  equivalence:
    v: wider
  comment:
    v: Element `Procedure.occurrence[x]` is mapped to FHIR R4 element `Procedure.performed[x]` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.occurrence[x]` do not cover the following types: Timing. The target context `Procedure.performed[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Procedure`. This indicates when the procedure actually occurred or is occurring, not when it was asked/requested/ordered to occur. For the latter, look at the occurence element of the Request this Procedure is "basedOn". The status code allows differentiation of whether the timing reflects a historic event or an ongoing event. Ongoing events should not include an upper bound in the Period or Timing.bounds. Age is generally used when the patient reports an age at which the procedure was performed. Range is generally used when the patient reports an age range when the procedure was performed, such as sometime between 20-25 years old. dateTime supports a range of precision due to some procedures being reported as past procedures that might not have millisecond precision while other procedures performed and documented during the encounter might have more precise UTC timestamps with timezone.

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

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

code:
  v: Procedure.performer.function
display:
  v: function
target:
  code:
    v: Procedure.performer.function
  display:
    v: Procedure.performer.function
  equivalence:
    v: equivalent
  comment:
    v: Element `Procedure.performer.function` is mapped to FHIR R4 element `Procedure.performer.function` as `Equivalent`.

code:
  v: Procedure.performer.actor
display:
  v: actor
target:
  code:
    v: Procedure.performer.actor
  display:
    v: Procedure.performer.actor
  equivalence:
    v: wider
  comment:
    v: Element `Procedure.performer.actor` is mapped to FHIR R4 element `Procedure.performer.actor` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Procedure.performer.actor` with unmapped reference targets: CareTeam, HealthcareService.

code:
  v: Procedure.performer.onBehalfOf
display:
  v: onBehalfOf
target:
  code:
    v: Procedure.performer.onBehalfOf
  display:
    v: Procedure.performer.onBehalfOf
  equivalence:
    v: equivalent
  comment:
    v: Element `Procedure.performer.onBehalfOf` is mapped to FHIR R4 element `Procedure.performer.onBehalfOf` as `Equivalent`. Organization, Patient, RelatedPerson, Device, CareTeam, and HealthcareService can be associated with multiple organizations. This element indicates which organization they were acting on behalf of when performing the action.

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

code:
  v: Procedure.reason
display:
  v: reason
target:
  code:
    v: Procedure.reasonCode
  display:
    v: Procedure.reasonCode
  equivalence:
    v: relatedto
  comment:
    v: Element `Procedure.reason` is mapped to FHIR R4 element `Procedure.reasonCode` as `SourceIsBroaderThanTarget`. Element `Procedure.reason` is mapped to FHIR R4 element `Procedure.reasonReference` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.reason` do not cover the following types: CodeableReference. Use Procedure.reason.concept when a code sufficiently describes the reason. Use Procedure.reason.reference when referencing a resource, which allows more information to be conveyed, such as onset date. For a single Procedure.reason, if both Procedure.reason.concept and Procedure.reason.reference are present, they are expected to be consistent with each other.
target:
  code:
    v: Procedure.reasonReference
  display:
    v: Procedure.reasonReference
  equivalence:
    v: relatedto
  comment:
    v: Element `Procedure.reason` is mapped to FHIR R4 element `Procedure.reasonCode` as `SourceIsBroaderThanTarget`. Element `Procedure.reason` is mapped to FHIR R4 element `Procedure.reasonReference` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.reason` do not cover the following types: CodeableReference. Use Procedure.reason.concept when a code sufficiently describes the reason. Use Procedure.reason.reference when referencing a resource, which allows more information to be conveyed, such as onset date. For a single Procedure.reason, if both Procedure.reason.concept and Procedure.reason.reference are present, they are expected to be consistent with each other.

code:
  v: Procedure.bodySite
display:
  v: bodySite
target:
  code:
    v: Procedure.bodySite
  display:
    v: Procedure.bodySite
  equivalence:
    v: equivalent
  comment:
    v: Element `Procedure.bodySite` is mapped to FHIR R4 element `Procedure.bodySite` as `Equivalent`. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure](http://hl7.org/fhir/extensions/StructureDefinition-procedure-targetBodyStructure.html).

code:
  v: Procedure.outcome
display:
  v: outcome
target:
  code:
    v: Procedure.outcome
  display:
    v: Procedure.outcome
  equivalence:
    v: equivalent
  comment:
    v: Element `Procedure.outcome` is mapped to FHIR R4 element `Procedure.outcome` as `Equivalent`. If outcome contains narrative text only, it can be captured using the CodeableConcept.text.

code:
  v: Procedure.report
display:
  v: report
target:
  code:
    v: Procedure.report
  display:
    v: Procedure.report
  equivalence:
    v: wider
  comment:
    v: Element `Procedure.report` is mapped to FHIR R4 element `Procedure.report` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Procedure.report` with unmapped reference targets: DocumentReference. There could potentially be multiple reports - e.g. if this was a procedure which took multiple biopsies resulting in a number of anatomical pathology reports.

code:
  v: Procedure.complication
display:
  v: complication
target:
  code:
    v: Procedure.complication
  display:
    v: Procedure.complication
  equivalence:
    v: equivalent
  comment:
    v: Element `Procedure.complication` is mapped to FHIR R4 element `Procedure.complication` as `SourceIsBroaderThanTarget`. If complications are only expressed by the narrative text, they can be captured using the CodeableReference.concept.text.

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

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

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

code:
  v: Procedure.focalDevice.action
display:
  v: action
target:
  code:
    v: Procedure.focalDevice.action
  display:
    v: Procedure.focalDevice.action
  equivalence:
    v: equivalent
  comment:
    v: Element `Procedure.focalDevice.action` is mapped to FHIR R4 element `Procedure.focalDevice.action` as `Equivalent`.

code:
  v: Procedure.focalDevice.manipulated
display:
  v: manipulated
target:
  code:
    v: Procedure.focalDevice.manipulated
  display:
    v: Procedure.focalDevice.manipulated
  equivalence:
    v: equivalent
  comment:
    v: Element `Procedure.focalDevice.manipulated` is mapped to FHIR R4 element `Procedure.focalDevice.manipulated` as `Equivalent`.

code:
  v: Procedure.used
display:
  v: used
target:
  code:
    v: Procedure.usedCode
  display:
    v: Procedure.usedCode
  equivalence:
    v: relatedto
  comment:
    v: Element `Procedure.used` is mapped to FHIR R4 element `Procedure.usedReference` as `SourceIsBroaderThanTarget`. Element `Procedure.used` is mapped to FHIR R4 element `Procedure.usedCode` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.used` do not cover the following types: CodeableReference. For devices actually implanted or removed, use Procedure.focalDevice.manipulated.
target:
  code:
    v: Procedure.usedReference
  display:
    v: Procedure.usedReference
  equivalence:
    v: relatedto
  comment:
    v: Element `Procedure.used` is mapped to FHIR R4 element `Procedure.usedReference` as `SourceIsBroaderThanTarget`. Element `Procedure.used` is mapped to FHIR R4 element `Procedure.usedCode` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.used` do not cover the following types: CodeableReference. For devices actually implanted or removed, use Procedure.focalDevice.manipulated.

source:
  v: http://hl7.org/fhir/StructureDefinition/Procedure
  l: Procedure
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.focus
  l: extension-Procedure.focus
target version:
  v: 0.1.0
element:
  code:
    v: Procedure.focus
  display:
    v: focus
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `Procedure.focus` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.focus` 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/Procedure
  l: Procedure
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.occurrence
  l: extension-Procedure.occurrence
target version:
  v: 0.1.0
element:
  code:
    v: Procedure.occurrence[x]
  display:
    v: occurrence[x]
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `Procedure.occurrence[x]` is mapped to FHIR R4 element `Procedure.performed[x]` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.occurrence[x]` do not cover the following types: Timing. The target context `Procedure.performed[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Procedure`. This indicates when the procedure actually occurred or is occurring, not when it was asked/requested/ordered to occur. For the latter, look at the occurence element of the Request this Procedure is "basedOn". The status code allows differentiation of whether the timing reflects a historic event or an ongoing event. Ongoing events should not include an upper bound in the Period or Timing.bounds. Age is generally used when the patient reports an age at which the procedure was performed. Range is generally used when the patient reports an age range when the procedure was performed, such as sometime between 20-25 years old. dateTime supports a range of precision due to some procedures being reported as past procedures that might not have millisecond precision while other procedures performed and documented during the encounter might have more precise UTC timestamps with timezone.

source:
  v: http://hl7.org/fhir/StructureDefinition/Procedure
  l: Procedure
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded
  l: extension-Procedure.recorded
target version:
  v: 0.1.0
element:
  code:
    v: Procedure.recorded
  display:
    v: recorded
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `Procedure.recorded` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.recorded` 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/Procedure
  l: Procedure
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.reported
  l: extension-Procedure.reported
target version:
  v: 0.1.0
element:
  code:
    v: Procedure.reported[x]
  display:
    v: reported[x]
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `Procedure.reported[x]` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.reported[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/Procedure
  l: Procedure
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.performer.period
  l: extension-Procedure.performer.period
target version:
  v: 0.1.0
element:
  code:
    v: Procedure.performer.period
  display:
    v: period
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `Procedure.performer.period` has a context of Procedure.performer based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.performer.period` 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/Procedure
  l: Procedure
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.reason
  l: extension-Procedure.reason
target version:
  v: 0.1.0
element:
  code:
    v: Procedure.reason
  display:
    v: reason
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `Procedure.reason` is mapped to FHIR R4 element `Procedure.reasonCode` as `SourceIsBroaderThanTarget`. Element `Procedure.reason` is mapped to FHIR R4 element `Procedure.reasonReference` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.reason` do not cover the following types: CodeableReference. Use Procedure.reason.concept when a code sufficiently describes the reason. Use Procedure.reason.reference when referencing a resource, which allows more information to be conveyed, such as onset date. For a single Procedure.reason, if both Procedure.reason.concept and Procedure.reason.reference are present, they are expected to be consistent with each other.

source:
  v: http://hl7.org/fhir/StructureDefinition/Procedure
  l: Procedure
source version:
  v: 5.0.0
target:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.used
  l: extension-Procedure.used
target version:
  v: 0.1.0
element:
  code:
    v: Procedure.used
  display:
    v: used
  target:
    code:
      v: Extension
    equivalence:
      v: wider
    comment:
      v: Element `Procedure.used` is mapped to FHIR R4 element `Procedure.usedReference` as `SourceIsBroaderThanTarget`. Element `Procedure.used` is mapped to FHIR R4 element `Procedure.usedCode` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.used` do not cover the following types: CodeableReference. For devices actually implanted or removed, use Procedure.focalDevice.manipulated.

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