Extensions for Using Data Elements from FHIR R5 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR R4B - Downloaded Version null See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 0 |
<ConceptMap xmlns="http://hl7.org/fhir">
<id value="R5-GuidanceResponse-element-map-to-R4B"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap R5-GuidanceResponse-element-map-to-R4B</b></p><a name="R5-GuidanceResponse-element-map-to-R4B"> </a><a name="hcR5-GuidanceResponse-element-map-to-R4B"> </a><p>Mapping from http://hl7.org/fhir/5.0 to http://hl7.org/fhir/4.3</p><br/><p><b>Group 1 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/GuidanceResponse|5.0.0</code> to <a href="http://hl7.org/fhir/R4B/guidanceresponse.html">GuidanceResponseversion: 4.3.0)</a></p><table class="grid"><tr><td colspan="2"><b>Source Concept Details</b></td><td><b>Relationship</b></td><td colspan="2"><b>Target Concept Details</b></td><td><b>Comment</b></td></tr><tr><td colspan="2"><b>Codes</b> from http://hl7.org/fhir/StructureDefinition/GuidanceResponse|5.0.0</td><td/><td colspan="2" title="http://hl7.org/fhir/StructureDefinition/GuidanceResponse|4.3.0"><b>Codes</b> from GuidanceResponse</td><td/></tr><tr><td style="border-right-width: 0px">GuidanceResponse.meta</td><td style="border-left-width: 0px">meta</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">GuidanceResponse.meta</td><td style="border-left-width: 0px">GuidanceResponse.meta</td><td>Element `GuidanceResponse.meta` is mapped to FHIR R4B element `GuidanceResponse.meta` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">GuidanceResponse.implicitRules</td><td style="border-left-width: 0px">implicitRules</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">GuidanceResponse.implicitRules</td><td style="border-left-width: 0px">GuidanceResponse.implicitRules</td><td>Element `GuidanceResponse.implicitRules` is mapped to FHIR R4B element `GuidanceResponse.implicitRules` as `Equivalent`.
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.</td></tr><tr><td style="border-right-width: 0px">GuidanceResponse.language</td><td style="border-left-width: 0px">language</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">GuidanceResponse.language</td><td style="border-left-width: 0px">GuidanceResponse.language</td><td>Element `GuidanceResponse.language` is mapped to FHIR R4B element `GuidanceResponse.language` as `Equivalent`.
Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).</td></tr><tr><td style="border-right-width: 0px">GuidanceResponse.text</td><td style="border-left-width: 0px">text</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">GuidanceResponse.text</td><td style="border-left-width: 0px">GuidanceResponse.text</td><td>Element `GuidanceResponse.text` is mapped to FHIR R4B element `GuidanceResponse.text` as `Equivalent`.
Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.</td></tr><tr><td style="border-right-width: 0px">GuidanceResponse.contained</td><td style="border-left-width: 0px">contained</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">GuidanceResponse.contained</td><td style="border-left-width: 0px">GuidanceResponse.contained</td><td>Element `GuidanceResponse.contained` is mapped to FHIR R4B element `GuidanceResponse.contained` as `Equivalent`.
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.</td></tr><tr><td style="border-right-width: 0px">GuidanceResponse.requestIdentifier</td><td style="border-left-width: 0px">requestIdentifier</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">GuidanceResponse.requestIdentifier</td><td style="border-left-width: 0px">GuidanceResponse.requestIdentifier</td><td>Element `GuidanceResponse.requestIdentifier` is mapped to FHIR R4B element `GuidanceResponse.requestIdentifier` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">GuidanceResponse.identifier</td><td style="border-left-width: 0px">identifier</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">GuidanceResponse.identifier</td><td style="border-left-width: 0px">GuidanceResponse.identifier</td><td>Element `GuidanceResponse.identifier` is mapped to FHIR R4B element `GuidanceResponse.identifier` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">GuidanceResponse.module[x]</td><td style="border-left-width: 0px">module[x]</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">GuidanceResponse.module[x]</td><td style="border-left-width: 0px">GuidanceResponse.module[x]</td><td>Element `GuidanceResponse.module[x]` is mapped to FHIR R4B element `GuidanceResponse.module[x]` as `Equivalent`.
The target context `GuidanceResponse.module[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `GuidanceResponse`.</td></tr><tr><td style="border-right-width: 0px">GuidanceResponse.status</td><td style="border-left-width: 0px">status</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">GuidanceResponse.status</td><td style="border-left-width: 0px">GuidanceResponse.status</td><td>Element `GuidanceResponse.status` is mapped to FHIR R4B element `GuidanceResponse.status` as `Equivalent`.
This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.</td></tr><tr><td style="border-right-width: 0px">GuidanceResponse.subject</td><td style="border-left-width: 0px">subject</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">GuidanceResponse.subject</td><td style="border-left-width: 0px">GuidanceResponse.subject</td><td>Element `GuidanceResponse.subject` is mapped to FHIR R4B element `GuidanceResponse.subject` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">GuidanceResponse.encounter</td><td style="border-left-width: 0px">encounter</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">GuidanceResponse.encounter</td><td style="border-left-width: 0px">GuidanceResponse.encounter</td><td>Element `GuidanceResponse.encounter` is mapped to FHIR R4B element `GuidanceResponse.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 copmletion of an encounter but still be tied to the context of the encounter.</td></tr><tr><td style="border-right-width: 0px">GuidanceResponse.occurrenceDateTime</td><td style="border-left-width: 0px">occurrenceDateTime</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">GuidanceResponse.occurrenceDateTime</td><td style="border-left-width: 0px">GuidanceResponse.occurrenceDateTime</td><td>Element `GuidanceResponse.occurrenceDateTime` is mapped to FHIR R4B element `GuidanceResponse.occurrenceDateTime` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">GuidanceResponse.performer</td><td style="border-left-width: 0px">performer</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">GuidanceResponse.performer</td><td style="border-left-width: 0px">GuidanceResponse.performer</td><td>Element `GuidanceResponse.performer` is mapped to FHIR R4B element `GuidanceResponse.performer` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px; border-bottom-style: none">GuidanceResponse.reason</td><td style="border-left-width: 0px; border-bottom-style: none">reason</td><td><a href="CodeSystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">GuidanceResponse.reasonCode</td><td style="border-left-width: 0px">GuidanceResponse.reasonCode</td><td>Element `GuidanceResponse.reason` is mapped to FHIR R4B element `GuidanceResponse.reasonCode` as `SourceIsBroaderThanTarget`.
Element `GuidanceResponse.reason` is mapped to FHIR R4B element `GuidanceResponse.reasonReference` as `SourceIsBroaderThanTarget`.
Although this reference can be used to point to any resource, it is typically expected to refer to subject-specific data appropriate to the subject of the guidance. For example, patient-based decision support would be expected to reference patient-level data. In addition, implementations should provide as much detail as possible by using the [http://hl7.org/fhir/StructureDefinition/targetElement](http://hl7.org/fhir/extensions/StructureDefinition-targetElement.html) and [http://hl7.org/fhir/StructureDefinition/targetPath](http://hl7.org/fhir/extensions/StructureDefinition-targetPath.html) extensions to indicate the specific elements relevant to providing the reason for the guidance.</td></tr><tr><td style="border-right-width: 0px; border-top-style: none"/><td style="border-top-style: none; border-left-width: 0px"/><td><a href="CodeSystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">GuidanceResponse.reasonReference</td><td style="border-left-width: 0px">GuidanceResponse.reasonReference</td><td>Element `GuidanceResponse.reason` is mapped to FHIR R4B element `GuidanceResponse.reasonCode` as `SourceIsBroaderThanTarget`.
Element `GuidanceResponse.reason` is mapped to FHIR R4B element `GuidanceResponse.reasonReference` as `SourceIsBroaderThanTarget`.
Although this reference can be used to point to any resource, it is typically expected to refer to subject-specific data appropriate to the subject of the guidance. For example, patient-based decision support would be expected to reference patient-level data. In addition, implementations should provide as much detail as possible by using the [http://hl7.org/fhir/StructureDefinition/targetElement](http://hl7.org/fhir/extensions/StructureDefinition-targetElement.html) and [http://hl7.org/fhir/StructureDefinition/targetPath](http://hl7.org/fhir/extensions/StructureDefinition-targetPath.html) extensions to indicate the specific elements relevant to providing the reason for the guidance.</td></tr><tr><td style="border-right-width: 0px">GuidanceResponse.note</td><td style="border-left-width: 0px">note</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">GuidanceResponse.note</td><td style="border-left-width: 0px">GuidanceResponse.note</td><td>Element `GuidanceResponse.note` is mapped to FHIR R4B element `GuidanceResponse.note` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">GuidanceResponse.evaluationMessage</td><td style="border-left-width: 0px">evaluationMessage</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">GuidanceResponse.evaluationMessage</td><td style="border-left-width: 0px">GuidanceResponse.evaluationMessage</td><td>Element `GuidanceResponse.evaluationMessage` is mapped to FHIR R4B element `GuidanceResponse.evaluationMessage` as `SourceIsNarrowerThanTarget`.</td></tr><tr><td style="border-right-width: 0px">GuidanceResponse.outputParameters</td><td style="border-left-width: 0px">outputParameters</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">GuidanceResponse.outputParameters</td><td style="border-left-width: 0px">GuidanceResponse.outputParameters</td><td>Element `GuidanceResponse.outputParameters` is mapped to FHIR R4B element `GuidanceResponse.outputParameters` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">GuidanceResponse.result</td><td style="border-left-width: 0px">result</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">GuidanceResponse.result</td><td style="border-left-width: 0px">GuidanceResponse.result</td><td>Element `GuidanceResponse.result` is mapped to FHIR R4B element `GuidanceResponse.result` as `SourceIsBroaderThanTarget`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `GuidanceResponse.result` with unmapped reference targets: Appointment, AppointmentResponse, Claim, CommunicationRequest, Contract, CoverageEligibilityRequest, DeviceRequest, EnrollmentRequest, ImmunizationRecommendation, MedicationRequest, NutritionOrder, ServiceRequest, SupplyRequest, Task, VisionPrescription.</td></tr><tr><td style="border-right-width: 0px">GuidanceResponse.dataRequirement</td><td style="border-left-width: 0px">dataRequirement</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">GuidanceResponse.dataRequirement</td><td style="border-left-width: 0px">GuidanceResponse.dataRequirement</td><td>Element `GuidanceResponse.dataRequirement` is mapped to FHIR R4B element `GuidanceResponse.dataRequirement` as `Equivalent`.</td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fhir"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="0">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4b"/>
</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.r4b"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/uv/xver/ConceptMap/R5-GuidanceResponse-element-map-to-R4B"/>
<version value="0.1.0"/>
<name value="R5GuidanceResponseElementMapToR4B"/>
<title
value="Cross-version mapping for FHIR R5 GuidanceResponse to FHIR R4B GuidanceResponse"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-03-17T16:03:57.0685643-05:00"/>
<contact>
<name value="FHIR Infrastructure"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/fiwg"/>
</telecom>
</contact>
<description
value="This ConceptMap represents cross-version mappings for elements from a FHIR R5 GuidanceResponse to FHIR R4B."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<sourceCanonical value="http://hl7.org/fhir/5.0"/>
<targetUri value="http://hl7.org/fhir/4.3"/>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/GuidanceResponse"/>
<sourceVersion value="5.0.0"/>
<target value="http://hl7.org/fhir/StructureDefinition/GuidanceResponse"/>
<targetVersion value="4.3.0"/>
<element>
<code value="GuidanceResponse.meta"/>
<display value="meta"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="GuidanceResponse.meta"/>
<display value="GuidanceResponse.meta"/>
<equivalence value="equivalent"/>
<comment
value="Element `GuidanceResponse.meta` is mapped to FHIR R4B element `GuidanceResponse.meta` as `Equivalent`."/>
</target>
</element>
<element>
<code value="GuidanceResponse.implicitRules"/>
<display value="implicitRules"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="GuidanceResponse.implicitRules"/>
<display value="GuidanceResponse.implicitRules"/>
<equivalence value="equivalent"/>
<comment
value="Element `GuidanceResponse.implicitRules` is mapped to FHIR R4B element `GuidanceResponse.implicitRules` as `Equivalent`.
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc."/>
</target>
</element>
<element>
<code value="GuidanceResponse.language"/>
<display value="language"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="GuidanceResponse.language"/>
<display value="GuidanceResponse.language"/>
<equivalence value="equivalent"/>
<comment
value="Element `GuidanceResponse.language` is mapped to FHIR R4B element `GuidanceResponse.language` as `Equivalent`.
Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
</target>
</element>
<element>
<code value="GuidanceResponse.text"/>
<display value="text"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="GuidanceResponse.text"/>
<display value="GuidanceResponse.text"/>
<equivalence value="equivalent"/>
<comment
value="Element `GuidanceResponse.text` is mapped to FHIR R4B element `GuidanceResponse.text` as `Equivalent`.
Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later."/>
</target>
</element>
<element>
<code value="GuidanceResponse.contained"/>
<display value="contained"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="GuidanceResponse.contained"/>
<display value="GuidanceResponse.contained"/>
<equivalence value="equivalent"/>
<comment
value="Element `GuidanceResponse.contained` is mapped to FHIR R4B element `GuidanceResponse.contained` as `Equivalent`.
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels."/>
</target>
</element>
<element>
<code value="GuidanceResponse.requestIdentifier"/>
<display value="requestIdentifier"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="GuidanceResponse.requestIdentifier"/>
<display value="GuidanceResponse.requestIdentifier"/>
<equivalence value="equivalent"/>
<comment
value="Element `GuidanceResponse.requestIdentifier` is mapped to FHIR R4B element `GuidanceResponse.requestIdentifier` as `Equivalent`."/>
</target>
</element>
<element>
<code value="GuidanceResponse.identifier"/>
<display value="identifier"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="GuidanceResponse.identifier"/>
<display value="GuidanceResponse.identifier"/>
<equivalence value="equivalent"/>
<comment
value="Element `GuidanceResponse.identifier` is mapped to FHIR R4B element `GuidanceResponse.identifier` as `Equivalent`."/>
</target>
</element>
<element>
<code value="GuidanceResponse.module[x]"/>
<display value="module[x]"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="GuidanceResponse.module[x]"/>
<display value="GuidanceResponse.module[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `GuidanceResponse.module[x]` is mapped to FHIR R4B element `GuidanceResponse.module[x]` as `Equivalent`.
The target context `GuidanceResponse.module[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `GuidanceResponse`."/>
</target>
</element>
<element>
<code value="GuidanceResponse.status"/>
<display value="status"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="GuidanceResponse.status"/>
<display value="GuidanceResponse.status"/>
<equivalence value="equivalent"/>
<comment
value="Element `GuidanceResponse.status` is mapped to FHIR R4B element `GuidanceResponse.status` as `Equivalent`.
This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."/>
</target>
</element>
<element>
<code value="GuidanceResponse.subject"/>
<display value="subject"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="GuidanceResponse.subject"/>
<display value="GuidanceResponse.subject"/>
<equivalence value="equivalent"/>
<comment
value="Element `GuidanceResponse.subject` is mapped to FHIR R4B element `GuidanceResponse.subject` as `Equivalent`."/>
</target>
</element>
<element>
<code value="GuidanceResponse.encounter"/>
<display value="encounter"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="GuidanceResponse.encounter"/>
<display value="GuidanceResponse.encounter"/>
<equivalence value="equivalent"/>
<comment
value="Element `GuidanceResponse.encounter` is mapped to FHIR R4B element `GuidanceResponse.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 copmletion of an encounter but still be tied to the context of the encounter."/>
</target>
</element>
<element>
<code value="GuidanceResponse.occurrenceDateTime"/>
<display value="occurrenceDateTime"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="GuidanceResponse.occurrenceDateTime"/>
<display value="GuidanceResponse.occurrenceDateTime"/>
<equivalence value="equivalent"/>
<comment
value="Element `GuidanceResponse.occurrenceDateTime` is mapped to FHIR R4B element `GuidanceResponse.occurrenceDateTime` as `Equivalent`."/>
</target>
</element>
<element>
<code value="GuidanceResponse.performer"/>
<display value="performer"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="GuidanceResponse.performer"/>
<display value="GuidanceResponse.performer"/>
<equivalence value="equivalent"/>
<comment
value="Element `GuidanceResponse.performer` is mapped to FHIR R4B element `GuidanceResponse.performer` as `Equivalent`."/>
</target>
</element>
<element>
<code value="GuidanceResponse.reason"/>
<display value="reason"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="relatedto"/>
</modifierExtension>
<code value="GuidanceResponse.reasonCode"/>
<display value="GuidanceResponse.reasonCode"/>
<equivalence value="relatedto"/>
<comment
value="Element `GuidanceResponse.reason` is mapped to FHIR R4B element `GuidanceResponse.reasonCode` as `SourceIsBroaderThanTarget`.
Element `GuidanceResponse.reason` is mapped to FHIR R4B element `GuidanceResponse.reasonReference` as `SourceIsBroaderThanTarget`.
Although this reference can be used to point to any resource, it is typically expected to refer to subject-specific data appropriate to the subject of the guidance. For example, patient-based decision support would be expected to reference patient-level data. In addition, implementations should provide as much detail as possible by using the [http://hl7.org/fhir/StructureDefinition/targetElement](http://hl7.org/fhir/extensions/StructureDefinition-targetElement.html) and [http://hl7.org/fhir/StructureDefinition/targetPath](http://hl7.org/fhir/extensions/StructureDefinition-targetPath.html) extensions to indicate the specific elements relevant to providing the reason for the guidance."/>
</target>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="relatedto"/>
</modifierExtension>
<code value="GuidanceResponse.reasonReference"/>
<display value="GuidanceResponse.reasonReference"/>
<equivalence value="relatedto"/>
<comment
value="Element `GuidanceResponse.reason` is mapped to FHIR R4B element `GuidanceResponse.reasonCode` as `SourceIsBroaderThanTarget`.
Element `GuidanceResponse.reason` is mapped to FHIR R4B element `GuidanceResponse.reasonReference` as `SourceIsBroaderThanTarget`.
Although this reference can be used to point to any resource, it is typically expected to refer to subject-specific data appropriate to the subject of the guidance. For example, patient-based decision support would be expected to reference patient-level data. In addition, implementations should provide as much detail as possible by using the [http://hl7.org/fhir/StructureDefinition/targetElement](http://hl7.org/fhir/extensions/StructureDefinition-targetElement.html) and [http://hl7.org/fhir/StructureDefinition/targetPath](http://hl7.org/fhir/extensions/StructureDefinition-targetPath.html) extensions to indicate the specific elements relevant to providing the reason for the guidance."/>
</target>
</element>
<element>
<code value="GuidanceResponse.note"/>
<display value="note"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="GuidanceResponse.note"/>
<display value="GuidanceResponse.note"/>
<equivalence value="equivalent"/>
<comment
value="Element `GuidanceResponse.note` is mapped to FHIR R4B element `GuidanceResponse.note` as `Equivalent`."/>
</target>
</element>
<element>
<code value="GuidanceResponse.evaluationMessage"/>
<display value="evaluationMessage"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="GuidanceResponse.evaluationMessage"/>
<display value="GuidanceResponse.evaluationMessage"/>
<equivalence value="equivalent"/>
<comment
value="Element `GuidanceResponse.evaluationMessage` is mapped to FHIR R4B element `GuidanceResponse.evaluationMessage` as `SourceIsNarrowerThanTarget`."/>
</target>
</element>
<element>
<code value="GuidanceResponse.outputParameters"/>
<display value="outputParameters"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="GuidanceResponse.outputParameters"/>
<display value="GuidanceResponse.outputParameters"/>
<equivalence value="equivalent"/>
<comment
value="Element `GuidanceResponse.outputParameters` is mapped to FHIR R4B element `GuidanceResponse.outputParameters` as `Equivalent`."/>
</target>
</element>
<element>
<code value="GuidanceResponse.result"/>
<display value="result"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="GuidanceResponse.result"/>
<display value="GuidanceResponse.result"/>
<equivalence value="wider"/>
<comment
value="Element `GuidanceResponse.result` is mapped to FHIR R4B element `GuidanceResponse.result` as `SourceIsBroaderThanTarget`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `GuidanceResponse.result` with unmapped reference targets: Appointment, AppointmentResponse, Claim, CommunicationRequest, Contract, CoverageEligibilityRequest, DeviceRequest, EnrollmentRequest, ImmunizationRecommendation, MedicationRequest, NutritionOrder, ServiceRequest, SupplyRequest, Task, VisionPrescription."/>
</target>
</element>
<element>
<code value="GuidanceResponse.dataRequirement"/>
<display value="dataRequirement"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="GuidanceResponse.dataRequirement"/>
<display value="GuidanceResponse.dataRequirement"/>
<equivalence value="equivalent"/>
<comment
value="Element `GuidanceResponse.dataRequirement` is mapped to FHIR R4B element `GuidanceResponse.dataRequirement` as `Equivalent`."/>
</target>
</element>
</group>
</ConceptMap>
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r5.r4b#0.1.0 based on FHIR 4.3.0. Generated 2026-03-20
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