<?xml version="1.0" encoding="UTF-8"?>

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="R5-v3-HL7UpdateMode-for-R4"/>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet R5-v3-HL7UpdateMode-for-R4</b></p><a name="R5-v3-HL7UpdateMode-for-R4"> </a><a name="hcR5-v3-HL7UpdateMode-for-R4"> </a><p>This value set expansion contains 16 concepts.</p><table class="codes"><tr><td><b>System</b></td><td><b>Version</b></td><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a name="R5-v3-HL7UpdateMode-for-R4-http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode-A"> </a><code>http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode</code></td><td>2.1.0</td><td style="white-space:nowrap">  A</td><td>Add</td></tr><tr><td><a name="R5-v3-HL7UpdateMode-for-R4-http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode-AR"> </a><code>http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode</code></td><td>2.1.0</td><td style="white-space:nowrap">  AR</td><td>Add or Replace</td></tr><tr><td><a name="R5-v3-HL7UpdateMode-for-R4-http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode-AU"> </a><code>http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode</code></td><td>2.1.0</td><td style="white-space:nowrap">  AU</td><td>Add or Update</td></tr><tr><td><a name="R5-v3-HL7UpdateMode-for-R4-http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode-D"> </a><code>http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode</code></td><td>2.1.0</td><td style="white-space:nowrap">  D</td><td>Remove</td></tr><tr><td><a name="R5-v3-HL7UpdateMode-for-R4-http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode-ESA"> </a><code>http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode</code></td><td>2.1.0</td><td style="white-space:nowrap">  ESA</td><td>Set Add</td></tr><tr><td><a name="R5-v3-HL7UpdateMode-for-R4-http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode-ESAC"> </a><code>http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode</code></td><td>2.1.0</td><td style="white-space:nowrap">  ESAC</td><td>Set Add or Change</td></tr><tr><td><a name="R5-v3-HL7UpdateMode-for-R4-http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode-ESC"> </a><code>http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode</code></td><td>2.1.0</td><td style="white-space:nowrap">  ESC</td><td>Set Change</td></tr><tr><td><a name="R5-v3-HL7UpdateMode-for-R4-http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode-ESD"> </a><code>http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode</code></td><td>2.1.0</td><td style="white-space:nowrap">  ESD</td><td>Set Delete</td></tr><tr><td><a name="R5-v3-HL7UpdateMode-for-R4-http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode-I"> </a><code>http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode</code></td><td>2.1.0</td><td style="white-space:nowrap">  I</td><td>Ignore</td></tr><tr><td><a name="R5-v3-HL7UpdateMode-for-R4-http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode-K"> </a><code>http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode</code></td><td>2.1.0</td><td style="white-space:nowrap">  K</td><td>Key</td></tr><tr><td><a name="R5-v3-HL7UpdateMode-for-R4-http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode-N"> </a><code>http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode</code></td><td>2.1.0</td><td style="white-space:nowrap">  N</td><td>No Change</td></tr><tr><td><a name="R5-v3-HL7UpdateMode-for-R4-http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode-R"> </a><code>http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode</code></td><td>2.1.0</td><td style="white-space:nowrap">  R</td><td>Replace</td></tr><tr><td><a name="R5-v3-HL7UpdateMode-for-R4-http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode-REF"> </a><code>http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode</code></td><td>2.1.0</td><td style="white-space:nowrap">  REF</td><td>Reference</td></tr><tr><td><a name="R5-v3-HL7UpdateMode-for-R4-http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode-U"> </a><code>http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode</code></td><td>2.1.0</td><td style="white-space:nowrap">  U</td><td>Unknown</td></tr><tr><td><a name="R5-v3-HL7UpdateMode-for-R4-http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode-V"> </a><code>http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode</code></td><td>2.1.0</td><td style="white-space:nowrap">  V</td><td>Verify</td></tr><tr><td><a name="R5-v3-HL7UpdateMode-for-R4-http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode-_SetUpdateMode"> </a><code>http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode</code></td><td>2.1.0</td><td style="white-space:nowrap">  _SetUpdateMode</td><td>SetUpdateMode</td></tr></table></div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fhir"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/package-source">
    <extension url="packageId">
      <valueId value="hl7.fhir.uv.xver-r5.r4"/>
    </extension>
    <extension url="version">
      <valueString value="0.1.0"/>
    </extension>
    <extension url="uri">
      <valueUri value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
    </extension>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
      </extension>
    </valueInteger>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
      </extension>
    </valueCode>
  </extension>
  <url value="http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-HL7UpdateMode-for-R4"/>
  <version value="0.1.0"/>
  <name value="R5V3HL7UpdateModeForR4"/>
  <title value="Cross-version ValueSet R5.HL7UpdateMode for use in FHIR R4"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-03-17T21:02:03.8104715+00:00"/>
  <publisher value="FHIR Infrastructure"/>
  <contact>
    <name value="FHIR Infrastructure"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fiwg"/>
    </telecom>
  </contact>
  <description value="This cross-version ValueSet represents content from `http://terminology.hl7.org/ValueSet/v3-HL7UpdateMode|2.0.0` for use in FHIR R4."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <purpose value="This value set is part of the cross-version definitions generated to enable use of the&#xD;&#xA;value set `http://terminology.hl7.org/ValueSet/v3-HL7UpdateMode|2.0.0` as defined in FHIR R5&#xD;&#xA;in FHIR R4.&#xD;&#xA;&#xD;&#xA;The source value set is bound to the following FHIR R5 elements:&#xD;&#xA;* &#xD;&#xA;&#xD;&#xA;Note that all concepts are included in this cross-version definition because no concepts have compatible representations&#xD;&#xA;&#xD;&#xA;Following are the generation technical comments:&#xD;&#xA;&#xA;FHIR ValueSet `http://terminology.hl7.org/ValueSet/v3-HL7UpdateMode|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR R4"/>
  <compose>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode"/>
      <version value="2.1.0"/>
      <concept>
        <code value="A"/>
        <display value="Add"/>
      </concept>
      <concept>
        <code value="AR"/>
        <display value="Add or Replace"/>
      </concept>
      <concept>
        <code value="AU"/>
        <display value="Add or Update"/>
      </concept>
      <concept>
        <code value="D"/>
        <display value="Remove"/>
      </concept>
      <concept>
        <code value="ESA"/>
        <display value="Set Add"/>
      </concept>
      <concept>
        <code value="ESAC"/>
        <display value="Set Add or Change"/>
      </concept>
      <concept>
        <code value="ESC"/>
        <display value="Set Change"/>
      </concept>
      <concept>
        <code value="ESD"/>
        <display value="Set Delete"/>
      </concept>
      <concept>
        <code value="I"/>
        <display value="Ignore"/>
      </concept>
      <concept>
        <code value="K"/>
        <display value="Key"/>
      </concept>
      <concept>
        <code value="N"/>
        <display value="No Change"/>
      </concept>
      <concept>
        <code value="R"/>
        <display value="Replace"/>
      </concept>
      <concept>
        <code value="REF"/>
        <display value="Reference"/>
      </concept>
      <concept>
        <code value="U"/>
        <display value="Unknown"/>
      </concept>
      <concept>
        <code value="V"/>
        <display value="Verify"/>
      </concept>
      <concept>
        <code value="_SetUpdateMode"/>
        <display value="SetUpdateMode"/>
      </concept>
    </include>
  </compose>
  <expansion>
    <timestamp value="2026-03-17T21:02:03.8104715+00:00"/>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode"/>
      <version value="2.1.0"/>
      <code value="A"/>
      <display value="Add"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode"/>
      <version value="2.1.0"/>
      <code value="AR"/>
      <display value="Add or Replace"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode"/>
      <version value="2.1.0"/>
      <code value="AU"/>
      <display value="Add or Update"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode"/>
      <version value="2.1.0"/>
      <code value="D"/>
      <display value="Remove"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode"/>
      <version value="2.1.0"/>
      <code value="ESA"/>
      <display value="Set Add"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode"/>
      <version value="2.1.0"/>
      <code value="ESAC"/>
      <display value="Set Add or Change"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode"/>
      <version value="2.1.0"/>
      <code value="ESC"/>
      <display value="Set Change"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode"/>
      <version value="2.1.0"/>
      <code value="ESD"/>
      <display value="Set Delete"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode"/>
      <version value="2.1.0"/>
      <code value="I"/>
      <display value="Ignore"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode"/>
      <version value="2.1.0"/>
      <code value="K"/>
      <display value="Key"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode"/>
      <version value="2.1.0"/>
      <code value="N"/>
      <display value="No Change"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode"/>
      <version value="2.1.0"/>
      <code value="R"/>
      <display value="Replace"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode"/>
      <version value="2.1.0"/>
      <code value="REF"/>
      <display value="Reference"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode"/>
      <version value="2.1.0"/>
      <code value="U"/>
      <display value="Unknown"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode"/>
      <version value="2.1.0"/>
      <code value="V"/>
      <display value="Verify"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode"/>
      <version value="2.1.0"/>
      <code value="_SetUpdateMode"/>
      <display value="SetUpdateMode"/>
    </contains>
  </expansion>
</ValueSet>