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-MolecularSequence-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-MolecularSequence-element-map-to-R4B</b></p><a name="R5-MolecularSequence-element-map-to-R4B"> </a><a name="hcR5-MolecularSequence-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/MolecularSequence|5.0.0</code> to <a href="http://hl7.org/fhir/R4B/molecularsequence.html">MolecularSequenceversion: 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/MolecularSequence|5.0.0</td><td/><td colspan="2" title="http://hl7.org/fhir/StructureDefinition/MolecularSequence|4.3.0"><b>Codes</b> from MolecularSequence</td><td/></tr><tr><td style="border-right-width: 0px">MolecularSequence.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">MolecularSequence.meta</td><td style="border-left-width: 0px">MolecularSequence.meta</td><td>Element `MolecularSequence.meta` is mapped to FHIR R4B element `MolecularSequence.meta` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">MolecularSequence.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">MolecularSequence.implicitRules</td><td style="border-left-width: 0px">MolecularSequence.implicitRules</td><td>Element `MolecularSequence.implicitRules` is mapped to FHIR R4B element `MolecularSequence.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">MolecularSequence.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">MolecularSequence.language</td><td style="border-left-width: 0px">MolecularSequence.language</td><td>Element `MolecularSequence.language` is mapped to FHIR R4B element `MolecularSequence.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">MolecularSequence.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">MolecularSequence.text</td><td style="border-left-width: 0px">MolecularSequence.text</td><td>Element `MolecularSequence.text` is mapped to FHIR R4B element `MolecularSequence.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">MolecularSequence.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">MolecularSequence.contained</td><td style="border-left-width: 0px">MolecularSequence.contained</td><td>Element `MolecularSequence.contained` is mapped to FHIR R4B element `MolecularSequence.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">MolecularSequence.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">MolecularSequence.identifier</td><td style="border-left-width: 0px">MolecularSequence.identifier</td><td>Element `MolecularSequence.identifier` is mapped to FHIR R4B element `MolecularSequence.identifier` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">MolecularSequence.type</td><td style="border-left-width: 0px">type</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MolecularSequence.type</td><td style="border-left-width: 0px">MolecularSequence.type</td><td>Element `MolecularSequence.type` is mapped to FHIR R4B element `MolecularSequence.type` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">MolecularSequence.subject</td><td style="border-left-width: 0px">subject</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">MolecularSequence.patient</td><td style="border-left-width: 0px">MolecularSequence.patient</td><td>Element `MolecularSequence.subject` is mapped to FHIR R4B element `MolecularSequence.patient` as `SourceIsBroaderThanTarget`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `MolecularSequence.subject` with unmapped reference targets: BiologicallyDerivedProduct, Group, NutritionProduct, Substance.</td></tr><tr><td style="border-right-width: 0px">MolecularSequence.specimen</td><td style="border-left-width: 0px">specimen</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MolecularSequence.specimen</td><td style="border-left-width: 0px">MolecularSequence.specimen</td><td>Element `MolecularSequence.specimen` is mapped to FHIR R4B element `MolecularSequence.specimen` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">MolecularSequence.device</td><td style="border-left-width: 0px">device</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MolecularSequence.device</td><td style="border-left-width: 0px">MolecularSequence.device</td><td>Element `MolecularSequence.device` is mapped to FHIR R4B element `MolecularSequence.device` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">MolecularSequence.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">MolecularSequence.performer</td><td style="border-left-width: 0px">MolecularSequence.performer</td><td>Element `MolecularSequence.performer` is mapped to FHIR R4B element `MolecularSequence.performer` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">MolecularSequence.literal</td><td style="border-left-width: 0px">literal</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MolecularSequence.observedSeq</td><td style="border-left-width: 0px">MolecularSequence.observedSeq</td><td>Element `MolecularSequence.literal` is mapped to FHIR R4B element `MolecularSequence.observedSeq` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px; border-bottom-style: none">MolecularSequence.relative</td><td style="border-left-width: 0px; border-bottom-style: none">relative</td><td><a href="CodeSystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">MolecularSequence.referenceSeq</td><td style="border-left-width: 0px">MolecularSequence.referenceSeq</td><td>Element `MolecularSequence.relative` is mapped to FHIR R4B element `MolecularSequence.referenceSeq` as `SourceIsBroaderThanTarget`.
Element `MolecularSequence.relative` is mapped to FHIR R4B element `MolecularSequence.variant` as `Equivalent`.</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">MolecularSequence.variant</td><td style="border-left-width: 0px">MolecularSequence.variant</td><td>Element `MolecularSequence.relative` is mapped to FHIR R4B element `MolecularSequence.referenceSeq` as `SourceIsBroaderThanTarget`.
Element `MolecularSequence.relative` is mapped to FHIR R4B element `MolecularSequence.variant` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">MolecularSequence.relative.startingSequence</td><td style="border-left-width: 0px">startingSequence</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">MolecularSequence.referenceSeq</td><td style="border-left-width: 0px">MolecularSequence.referenceSeq</td><td>Element `MolecularSequence.relative.startingSequence` is mapped to FHIR R4B element `MolecularSequence.referenceSeq` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">MolecularSequence.relative.startingSequence.chromosome</td><td style="border-left-width: 0px">chromosome</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">MolecularSequence.referenceSeq.chromosome</td><td style="border-left-width: 0px">MolecularSequence.referenceSeq.chromosome</td><td>Element `MolecularSequence.relative.startingSequence.chromosome` is mapped to FHIR R4B element `MolecularSequence.referenceSeq.chromosome` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">MolecularSequence.relative.startingSequence.sequence[x]</td><td style="border-left-width: 0px">sequence[x]</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">MolecularSequence.referenceSeq.referenceSeqString</td><td style="border-left-width: 0px">MolecularSequence.referenceSeq.referenceSeqString</td><td>Element `MolecularSequence.relative.startingSequence.sequence[x]` is mapped to FHIR R4B element `MolecularSequence.referenceSeq.referenceSeqString` as `SourceIsBroaderThanTarget`.
The mappings for `MolecularSequence.relative.startingSequence.sequence[x]` do not cover the following types: CodeableConcept, Reference.
A starting sequence may be represented in one of three ways:
1. CodeableConcept, using NCBI, LRG or other appropriate code systems
1. a simple string of IUPAC codes
1. a reference to another MolecularSequence resource.</td></tr><tr><td style="border-right-width: 0px">MolecularSequence.relative.startingSequence.windowStart</td><td style="border-left-width: 0px">windowStart</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MolecularSequence.referenceSeq.windowStart</td><td style="border-left-width: 0px">MolecularSequence.referenceSeq.windowStart</td><td>Element `MolecularSequence.relative.startingSequence.windowStart` is mapped to FHIR R4B element `MolecularSequence.referenceSeq.windowStart` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">MolecularSequence.relative.startingSequence.windowEnd</td><td style="border-left-width: 0px">windowEnd</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MolecularSequence.referenceSeq.windowEnd</td><td style="border-left-width: 0px">MolecularSequence.referenceSeq.windowEnd</td><td>Element `MolecularSequence.relative.startingSequence.windowEnd` is mapped to FHIR R4B element `MolecularSequence.referenceSeq.windowEnd` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">MolecularSequence.relative.startingSequence.orientation</td><td style="border-left-width: 0px">orientation</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MolecularSequence.referenceSeq.orientation</td><td style="border-left-width: 0px">MolecularSequence.referenceSeq.orientation</td><td>Element `MolecularSequence.relative.startingSequence.orientation` is mapped to FHIR R4B element `MolecularSequence.referenceSeq.orientation` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">MolecularSequence.relative.startingSequence.strand</td><td style="border-left-width: 0px">strand</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MolecularSequence.referenceSeq.strand</td><td style="border-left-width: 0px">MolecularSequence.referenceSeq.strand</td><td>Element `MolecularSequence.relative.startingSequence.strand` is mapped to FHIR R4B element `MolecularSequence.referenceSeq.strand` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">MolecularSequence.relative.edit</td><td style="border-left-width: 0px">edit</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">MolecularSequence.variant</td><td style="border-left-width: 0px">MolecularSequence.variant</td><td>Element `MolecularSequence.relative.edit` is mapped to FHIR R4B element `MolecularSequence.variant` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">MolecularSequence.relative.edit.end</td><td style="border-left-width: 0px">end</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MolecularSequence.variant.end</td><td style="border-left-width: 0px">MolecularSequence.variant.end</td><td>Element `MolecularSequence.relative.edit.end` is mapped to FHIR R4B element `MolecularSequence.variant.end` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">MolecularSequence.relative.edit.replacementSequence</td><td style="border-left-width: 0px">replacementSequence</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MolecularSequence.variant.observedAllele</td><td style="border-left-width: 0px">MolecularSequence.variant.observedAllele</td><td>Element `MolecularSequence.relative.edit.replacementSequence` is mapped to FHIR R4B element `MolecularSequence.variant.observedAllele` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">MolecularSequence.relative.edit.replacedSequence</td><td style="border-left-width: 0px">replacedSequence</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MolecularSequence.variant.referenceAllele</td><td style="border-left-width: 0px">MolecularSequence.variant.referenceAllele</td><td>Element `MolecularSequence.relative.edit.replacedSequence` is mapped to FHIR R4B element `MolecularSequence.variant.referenceAllele` as `Equivalent`.</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/MolecularSequence|5.0.0</code> to <a href="StructureDefinition-ext-R5-MolecularSequence.focus.html">R5: What the molecular sequence is about, when it is not about the subject of record (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>MolecularSequence.focus (focus)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: What the molecular sequence is about, when it is not about the subject of record (new))</td><td>Element `MolecularSequence.focus` has a context of MolecularSequence based on following the parent source element upwards and mapping to `MolecularSequence`.
Element `MolecularSequence.focus` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 3 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/MolecularSequence|5.0.0</code> to <a href="StructureDefinition-ext-R5-MolecularSequence.formatted.html">R5: Embedded file or a link (URL) which contains content to represent the sequence (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>MolecularSequence.formatted (formatted)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Embedded file or a link (URL) which contains content to represent the sequence (new))</td><td>Element `MolecularSequence.formatted` has a context of MolecularSequence based on following the parent source element upwards and mapping to `MolecularSequence`.
Element `MolecularSequence.formatted` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 4 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/MolecularSequence|5.0.0</code> to <a href="StructureDefinition-ext-R5-MolecularSequence.rel.coordinateSystem.html">R5: Ways of identifying nucleotides or amino acids within a sequence (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>MolecularSequence.relative.coordinateSystem (coordinateSystem)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Ways of identifying nucleotides or amino acids within a sequence (new))</td><td>Element `MolecularSequence.relative.coordinateSystem` has a context of MolecularSequence based on following the parent source element upwards and mapping to `MolecularSequence`.
Element `MolecularSequence.relative.coordinateSystem` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 5 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/MolecularSequence|5.0.0</code> to <a href="StructureDefinition-ext-R5-MolecularSequence.rel.ordinalPosition.html">R5: Indicates the order in which the sequence should be considered when putting multiple 'relative' elements together (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>MolecularSequence.relative.ordinalPosition (ordinalPosition)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Indicates the order in which the sequence should be considered when putting multiple 'relative' elements together (new))</td><td>Element `MolecularSequence.relative.ordinalPosition` has a context of MolecularSequence based on following the parent source element upwards and mapping to `MolecularSequence`.
Element `MolecularSequence.relative.ordinalPosition` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 6 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/MolecularSequence|5.0.0</code> to <a href="StructureDefinition-ext-R5-MolecularSequence.rel.sequenceRange.html">R5: Indicates the nucleotide range in the composed sequence when multiple 'relative' elements are used together (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>MolecularSequence.relative.sequenceRange (sequenceRange)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Indicates the nucleotide range in the composed sequence when multiple 'relative' elements are used together (new))</td><td>Element `MolecularSequence.relative.sequenceRange` has a context of MolecularSequence based on following the parent source element upwards and mapping to `MolecularSequence`.
Element `MolecularSequence.relative.sequenceRange` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 7 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/MolecularSequence|5.0.0</code> to <a href="StructureDefinition-ext-R5-MolecularSequence.rel.sta.genomeAssembly.html">R5: The genome assembly used for starting sequence, e.g. GRCh38 (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>MolecularSequence.relative.startingSequence.genomeAssembly (genomeAssembly)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: The genome assembly used for starting sequence, e.g. GRCh38 (new))</td><td>Element `MolecularSequence.relative.startingSequence.genomeAssembly` has a context of MolecularSequence.referenceSeq based on following the parent source element upwards and mapping to `MolecularSequence`.
Element `MolecularSequence.relative.startingSequence.genomeAssembly` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 8 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/MolecularSequence|5.0.0</code> to <a href="StructureDefinition-ext-R5-MolecularSequence.rel.sta.chromosome.html">R5: Chromosome Identifierversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>MolecularSequence.relative.startingSequence.chromosome (chromosome)</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (R5: Chromosome Identifier)</td><td>Element `MolecularSequence.relative.startingSequence.chromosome` is mapped to FHIR R4B element `MolecularSequence.referenceSeq.chromosome` as `Equivalent`.</td></tr></table><hr/><p><b>Group 9 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/MolecularSequence|5.0.0</code> to <a href="StructureDefinition-ext-R5-MolecularSequence.rel.sta.sequence.html">R5: The reference sequence that represents the starting sequence additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>MolecularSequence.relative.startingSequence.sequence[x] (sequence[x])</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: The reference sequence that represents the starting sequence additional types)</td><td>Element `MolecularSequence.relative.startingSequence.sequence[x]` is mapped to FHIR R4B element `MolecularSequence.referenceSeq.referenceSeqString` as `SourceIsBroaderThanTarget`.
The mappings for `MolecularSequence.relative.startingSequence.sequence[x]` do not cover the following types: CodeableConcept, Reference.
A starting sequence may be represented in one of three ways:
1. CodeableConcept, using NCBI, LRG or other appropriate code systems
1. a simple string of IUPAC codes
1. a reference to another MolecularSequence resource.</td></tr></table><hr/><p><b>Group 10 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/MolecularSequence|5.0.0</code> to <a href="StructureDefinition-ext-R5-MolecularSequence.rel.edi.start.html">R5: Start position of the edit on the starting sequence (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>MolecularSequence.relative.edit.start (start)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Start position of the edit on the starting sequence (new))</td><td>Element `MolecularSequence.relative.edit.start` has a context of MolecularSequence.variant based on following the parent source element upwards and mapping to `MolecularSequence`.
Element `MolecularSequence.relative.edit.start` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).</td></tr></table></div>
</text>
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<title
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<date value="2026-03-17T16:03:57.7908109-05:00"/>
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</contact>
<description
value="This ConceptMap represents cross-version mappings for elements from a FHIR R5 MolecularSequence 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/MolecularSequence"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/StructureDefinition/MolecularSequence"/>
<targetVersion value="4.3.0"/>
<element>
<code value="MolecularSequence.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="MolecularSequence.meta"/>
<display value="MolecularSequence.meta"/>
<equivalence value="equivalent"/>
<comment
value="Element `MolecularSequence.meta` is mapped to FHIR R4B element `MolecularSequence.meta` as `Equivalent`."/>
</target>
</element>
<element>
<code value="MolecularSequence.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="MolecularSequence.implicitRules"/>
<display value="MolecularSequence.implicitRules"/>
<equivalence value="equivalent"/>
<comment
value="Element `MolecularSequence.implicitRules` is mapped to FHIR R4B element `MolecularSequence.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="MolecularSequence.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="MolecularSequence.language"/>
<display value="MolecularSequence.language"/>
<equivalence value="equivalent"/>
<comment
value="Element `MolecularSequence.language` is mapped to FHIR R4B element `MolecularSequence.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="MolecularSequence.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="MolecularSequence.text"/>
<display value="MolecularSequence.text"/>
<equivalence value="equivalent"/>
<comment
value="Element `MolecularSequence.text` is mapped to FHIR R4B element `MolecularSequence.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="MolecularSequence.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="MolecularSequence.contained"/>
<display value="MolecularSequence.contained"/>
<equivalence value="equivalent"/>
<comment
value="Element `MolecularSequence.contained` is mapped to FHIR R4B element `MolecularSequence.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="MolecularSequence.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="MolecularSequence.identifier"/>
<display value="MolecularSequence.identifier"/>
<equivalence value="equivalent"/>
<comment
value="Element `MolecularSequence.identifier` is mapped to FHIR R4B element `MolecularSequence.identifier` as `Equivalent`."/>
</target>
</element>
<element>
<code value="MolecularSequence.type"/>
<display value="type"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MolecularSequence.type"/>
<display value="MolecularSequence.type"/>
<equivalence value="equivalent"/>
<comment
value="Element `MolecularSequence.type` is mapped to FHIR R4B element `MolecularSequence.type` as `Equivalent`."/>
</target>
</element>
<element>
<code value="MolecularSequence.subject"/>
<display value="subject"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="MolecularSequence.patient"/>
<display value="MolecularSequence.patient"/>
<equivalence value="wider"/>
<comment
value="Element `MolecularSequence.subject` is mapped to FHIR R4B element `MolecularSequence.patient` as `SourceIsBroaderThanTarget`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `MolecularSequence.subject` with unmapped reference targets: BiologicallyDerivedProduct, Group, NutritionProduct, Substance."/>
</target>
</element>
<element>
<code value="MolecularSequence.specimen"/>
<display value="specimen"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MolecularSequence.specimen"/>
<display value="MolecularSequence.specimen"/>
<equivalence value="equivalent"/>
<comment
value="Element `MolecularSequence.specimen` is mapped to FHIR R4B element `MolecularSequence.specimen` as `Equivalent`."/>
</target>
</element>
<element>
<code value="MolecularSequence.device"/>
<display value="device"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MolecularSequence.device"/>
<display value="MolecularSequence.device"/>
<equivalence value="equivalent"/>
<comment
value="Element `MolecularSequence.device` is mapped to FHIR R4B element `MolecularSequence.device` as `Equivalent`."/>
</target>
</element>
<element>
<code value="MolecularSequence.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="MolecularSequence.performer"/>
<display value="MolecularSequence.performer"/>
<equivalence value="equivalent"/>
<comment
value="Element `MolecularSequence.performer` is mapped to FHIR R4B element `MolecularSequence.performer` as `Equivalent`."/>
</target>
</element>
<element>
<code value="MolecularSequence.literal"/>
<display value="literal"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MolecularSequence.observedSeq"/>
<display value="MolecularSequence.observedSeq"/>
<equivalence value="equivalent"/>
<comment
value="Element `MolecularSequence.literal` is mapped to FHIR R4B element `MolecularSequence.observedSeq` as `Equivalent`."/>
</target>
</element>
<element>
<code value="MolecularSequence.relative"/>
<display value="relative"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="relatedto"/>
</modifierExtension>
<code value="MolecularSequence.referenceSeq"/>
<display value="MolecularSequence.referenceSeq"/>
<equivalence value="relatedto"/>
<comment
value="Element `MolecularSequence.relative` is mapped to FHIR R4B element `MolecularSequence.referenceSeq` as `SourceIsBroaderThanTarget`.
Element `MolecularSequence.relative` is mapped to FHIR R4B element `MolecularSequence.variant` as `Equivalent`."/>
</target>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="relatedto"/>
</modifierExtension>
<code value="MolecularSequence.variant"/>
<display value="MolecularSequence.variant"/>
<equivalence value="relatedto"/>
<comment
value="Element `MolecularSequence.relative` is mapped to FHIR R4B element `MolecularSequence.referenceSeq` as `SourceIsBroaderThanTarget`.
Element `MolecularSequence.relative` is mapped to FHIR R4B element `MolecularSequence.variant` as `Equivalent`."/>
</target>
</element>
<element>
<code value="MolecularSequence.relative.startingSequence"/>
<display value="startingSequence"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="MolecularSequence.referenceSeq"/>
<display value="MolecularSequence.referenceSeq"/>
<equivalence value="wider"/>
<comment
value="Element `MolecularSequence.relative.startingSequence` is mapped to FHIR R4B element `MolecularSequence.referenceSeq` as `Equivalent`."/>
</target>
</element>
<element>
<code value="MolecularSequence.relative.startingSequence.chromosome"/>
<display value="chromosome"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="MolecularSequence.referenceSeq.chromosome"/>
<display value="MolecularSequence.referenceSeq.chromosome"/>
<equivalence value="wider"/>
<comment
value="Element `MolecularSequence.relative.startingSequence.chromosome` is mapped to FHIR R4B element `MolecularSequence.referenceSeq.chromosome` as `Equivalent`."/>
</target>
</element>
<element>
<code value="MolecularSequence.relative.startingSequence.sequence[x]"/>
<display value="sequence[x]"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="MolecularSequence.referenceSeq.referenceSeqString"/>
<display value="MolecularSequence.referenceSeq.referenceSeqString"/>
<equivalence value="wider"/>
<comment
value="Element `MolecularSequence.relative.startingSequence.sequence[x]` is mapped to FHIR R4B element `MolecularSequence.referenceSeq.referenceSeqString` as `SourceIsBroaderThanTarget`.
The mappings for `MolecularSequence.relative.startingSequence.sequence[x]` do not cover the following types: CodeableConcept, Reference.
A starting sequence may be represented in one of three ways:
1. CodeableConcept, using NCBI, LRG or other appropriate code systems
1. a simple string of IUPAC codes
1. a reference to another MolecularSequence resource."/>
</target>
</element>
<element>
<code value="MolecularSequence.relative.startingSequence.windowStart"/>
<display value="windowStart"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MolecularSequence.referenceSeq.windowStart"/>
<display value="MolecularSequence.referenceSeq.windowStart"/>
<equivalence value="equivalent"/>
<comment
value="Element `MolecularSequence.relative.startingSequence.windowStart` is mapped to FHIR R4B element `MolecularSequence.referenceSeq.windowStart` as `Equivalent`."/>
</target>
</element>
<element>
<code value="MolecularSequence.relative.startingSequence.windowEnd"/>
<display value="windowEnd"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MolecularSequence.referenceSeq.windowEnd"/>
<display value="MolecularSequence.referenceSeq.windowEnd"/>
<equivalence value="equivalent"/>
<comment
value="Element `MolecularSequence.relative.startingSequence.windowEnd` is mapped to FHIR R4B element `MolecularSequence.referenceSeq.windowEnd` as `Equivalent`."/>
</target>
</element>
<element>
<code value="MolecularSequence.relative.startingSequence.orientation"/>
<display value="orientation"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MolecularSequence.referenceSeq.orientation"/>
<display value="MolecularSequence.referenceSeq.orientation"/>
<equivalence value="equivalent"/>
<comment
value="Element `MolecularSequence.relative.startingSequence.orientation` is mapped to FHIR R4B element `MolecularSequence.referenceSeq.orientation` as `Equivalent`."/>
</target>
</element>
<element>
<code value="MolecularSequence.relative.startingSequence.strand"/>
<display value="strand"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MolecularSequence.referenceSeq.strand"/>
<display value="MolecularSequence.referenceSeq.strand"/>
<equivalence value="equivalent"/>
<comment
value="Element `MolecularSequence.relative.startingSequence.strand` is mapped to FHIR R4B element `MolecularSequence.referenceSeq.strand` as `Equivalent`."/>
</target>
</element>
<element>
<code value="MolecularSequence.relative.edit"/>
<display value="edit"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="MolecularSequence.variant"/>
<display value="MolecularSequence.variant"/>
<equivalence value="wider"/>
<comment
value="Element `MolecularSequence.relative.edit` is mapped to FHIR R4B element `MolecularSequence.variant` as `Equivalent`."/>
</target>
</element>
<element>
<code value="MolecularSequence.relative.edit.end"/>
<display value="end"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MolecularSequence.variant.end"/>
<display value="MolecularSequence.variant.end"/>
<equivalence value="equivalent"/>
<comment
value="Element `MolecularSequence.relative.edit.end` is mapped to FHIR R4B element `MolecularSequence.variant.end` as `Equivalent`."/>
</target>
</element>
<element>
<code value="MolecularSequence.relative.edit.replacementSequence"/>
<display value="replacementSequence"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MolecularSequence.variant.observedAllele"/>
<display value="MolecularSequence.variant.observedAllele"/>
<equivalence value="equivalent"/>
<comment
value="Element `MolecularSequence.relative.edit.replacementSequence` is mapped to FHIR R4B element `MolecularSequence.variant.observedAllele` as `Equivalent`."/>
</target>
</element>
<element>
<code value="MolecularSequence.relative.edit.replacedSequence"/>
<display value="replacedSequence"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MolecularSequence.variant.referenceAllele"/>
<display value="MolecularSequence.variant.referenceAllele"/>
<equivalence value="equivalent"/>
<comment
value="Element `MolecularSequence.relative.edit.replacedSequence` is mapped to FHIR R4B element `MolecularSequence.variant.referenceAllele` as `Equivalent`."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/MolecularSequence"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-MolecularSequence.focus"/>
<targetVersion value="0.1.0"/>
<element>
<code value="MolecularSequence.focus"/>
<display value="focus"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `MolecularSequence.focus` has a context of MolecularSequence based on following the parent source element upwards and mapping to `MolecularSequence`.
Element `MolecularSequence.focus` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/MolecularSequence"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-MolecularSequence.formatted"/>
<targetVersion value="0.1.0"/>
<element>
<code value="MolecularSequence.formatted"/>
<display value="formatted"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `MolecularSequence.formatted` has a context of MolecularSequence based on following the parent source element upwards and mapping to `MolecularSequence`.
Element `MolecularSequence.formatted` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/MolecularSequence"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-MolecularSequence.relative.coordinateSystem"/>
<targetVersion value="0.1.0"/>
<element>
<code value="MolecularSequence.relative.coordinateSystem"/>
<display value="coordinateSystem"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `MolecularSequence.relative.coordinateSystem` has a context of MolecularSequence based on following the parent source element upwards and mapping to `MolecularSequence`.
Element `MolecularSequence.relative.coordinateSystem` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/MolecularSequence"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-MolecularSequence.relative.ordinalPosition"/>
<targetVersion value="0.1.0"/>
<element>
<code value="MolecularSequence.relative.ordinalPosition"/>
<display value="ordinalPosition"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `MolecularSequence.relative.ordinalPosition` has a context of MolecularSequence based on following the parent source element upwards and mapping to `MolecularSequence`.
Element `MolecularSequence.relative.ordinalPosition` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/MolecularSequence"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-MolecularSequence.relative.sequenceRange"/>
<targetVersion value="0.1.0"/>
<element>
<code value="MolecularSequence.relative.sequenceRange"/>
<display value="sequenceRange"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `MolecularSequence.relative.sequenceRange` has a context of MolecularSequence based on following the parent source element upwards and mapping to `MolecularSequence`.
Element `MolecularSequence.relative.sequenceRange` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/MolecularSequence"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-MolecularSequence.relative.startingSequence.genomeAssembly"/>
<targetVersion value="0.1.0"/>
<element>
<code
value="MolecularSequence.relative.startingSequence.genomeAssembly"/>
<display value="genomeAssembly"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `MolecularSequence.relative.startingSequence.genomeAssembly` has a context of MolecularSequence.referenceSeq based on following the parent source element upwards and mapping to `MolecularSequence`.
Element `MolecularSequence.relative.startingSequence.genomeAssembly` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/MolecularSequence"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-MolecularSequence.relative.startingSequence.chromosome"/>
<targetVersion value="0.1.0"/>
<element>
<code value="MolecularSequence.relative.startingSequence.chromosome"/>
<display value="chromosome"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Extension"/>
<equivalence value="equivalent"/>
<comment
value="Element `MolecularSequence.relative.startingSequence.chromosome` is mapped to FHIR R4B element `MolecularSequence.referenceSeq.chromosome` as `Equivalent`."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/MolecularSequence"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-MolecularSequence.relative.startingSequence.sequence"/>
<targetVersion value="0.1.0"/>
<element>
<code value="MolecularSequence.relative.startingSequence.sequence[x]"/>
<display value="sequence[x]"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `MolecularSequence.relative.startingSequence.sequence[x]` is mapped to FHIR R4B element `MolecularSequence.referenceSeq.referenceSeqString` as `SourceIsBroaderThanTarget`.
The mappings for `MolecularSequence.relative.startingSequence.sequence[x]` do not cover the following types: CodeableConcept, Reference.
A starting sequence may be represented in one of three ways:
1. CodeableConcept, using NCBI, LRG or other appropriate code systems
1. a simple string of IUPAC codes
1. a reference to another MolecularSequence resource."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/MolecularSequence"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-MolecularSequence.relative.edit.start"/>
<targetVersion value="0.1.0"/>
<element>
<code value="MolecularSequence.relative.edit.start"/>
<display value="start"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `MolecularSequence.relative.edit.start` has a context of MolecularSequence.variant based on following the parent source element upwards and mapping to `MolecularSequence`.
Element `MolecularSequence.relative.edit.start` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."/>
</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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