Extensions for Using Data Elements from FHIR R5 in FHIR R4B
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Extensions for Using Data Elements from FHIR R5 in FHIR R4B - Downloaded Version null See the Directory of published versions

Resource Profile: Profile_R5_ConceptMap_R4B - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 0

Definitions for the profile-ConceptMap resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. ConceptMap
Definition

A statement of relationships from one set of concepts to one or more other concepts - either concepts in code systems, or data element/data element concepts, or classes in class models.

ShortA map from one set of concepts to one or more other concepts
Control0..*
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantscmd-0: Name should be usable as an identifier for the module by machine processing applications such as code generation (name.exists() implies name.matches('[A-Z]([A-Za-z0-9_]){0,254}'))
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
cmd-0: Name should be usable as an identifier for the module by machine processing applications such as code generation (name.exists() implies name.matches('[A-Z]([A-Za-z0-9_]){0,254}'))
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. ConceptMap.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

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 it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. ConceptMap.extension
Definition

An Extension


May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortExtensionAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ConceptMap.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 6. ConceptMap.extension:versionAlgorithm
    Slice NameversionAlgorithm
    Definition

    R5: ConceptMap.versionAlgorithm[x] (new:Coding, string)

    ShortR5: How to compare versions (new)
    Comments

    Element ConceptMap.versionAlgorithm[x] has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.versionAlgorithm[x] has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.versionAlgorithm[x]: http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm. If set as a string, this is a FHIRPath expression that has two additional context variables passed in - %version1 and %version2 and will return a negative number if version1 is newer, a positive number if version2 and a 0 if the version ordering can't be successfully be determined.

    Control0..1
    TypeExtension(Artifact Version Algorithm) (Extension Type: Choice of: string, Coding)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    8. ConceptMap.extension:copyrightLabel
    Slice NamecopyrightLabel
    Definition

    R5: ConceptMap.copyrightLabel (new:string)

    ShortR5: Copyright holder and year(s) (new)
    Comments

    Element ConceptMap.copyrightLabel has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.copyrightLabel has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.copyrightLabel: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel. The (c) symbol should NOT be included in this string. It will be added by software when rendering the notation. Full details about licensing, restrictions, warrantees, etc. goes in the more general 'copyright' element.

    Control0..1
    TypeExtension(Artifact Copyright Label) (Extension Type: string)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. ConceptMap.extension:approvalDate
    Slice NameapprovalDate
    Definition

    R5: ConceptMap.approvalDate (new:date)

    ShortR5: When the ConceptMap was approved by publisher (new)
    Comments

    Element ConceptMap.approvalDate has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.approvalDate has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.approvalDate: http://hl7.org/fhir/StructureDefinition/artifact-approvalDate. The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.

    See guidance around (not) making local changes to elements here.

    Control0..1
    TypeExtension(Artifact Approval Date) (Extension Type: date)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    12. ConceptMap.extension:lastReviewDate
    Slice NamelastReviewDate
    Definition

    R5: ConceptMap.lastReviewDate (new:date)

    ShortR5: When the ConceptMap was last reviewed by the publisher (new)
    Comments

    Element ConceptMap.lastReviewDate has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.lastReviewDate has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.lastReviewDate: http://hl7.org/fhir/StructureDefinition/artifact-lastReviewDate. If specified, this date follows the original approval date.

    See guidance around (not) making local changes to elements here.

    Control0..1
    TypeExtension(Artifact Last Review Date) (Extension Type: date)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    14. ConceptMap.extension:effectivePeriod
    Slice NameeffectivePeriod
    Definition

    R5: ConceptMap.effectivePeriod (new:Period)

    ShortR5: When the ConceptMap is expected to be used (new)
    Comments

    Element ConceptMap.effectivePeriod has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.effectivePeriod has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.effectivePeriod: http://hl7.org/fhir/StructureDefinition/artifact-effectivePeriod. The effective period for a ConceptMap determines when the content is applicable for usage and is independent of publication and review dates. For example, a map intended to be used for the year 2016 might be published in 2015.

    See guidance around (not) making local changes to elements here.

    Control0..1
    TypeExtension(Artifact Effective Period) (Extension Type: Period)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    16. ConceptMap.extension:topic
    Slice Nametopic
    Definition

    R5: ConceptMap.topic (new:CodeableConcept)

    ShortR5: E.g. Education, Treatment, Assessment, etc (new)
    Comments

    Element ConceptMap.topic has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.topic has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.topic: http://hl7.org/fhir/StructureDefinition/artifact-topic. Element ConceptMap.topic has been flagged as deprecated. DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'topic' code in the useContext element. (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#topic and useContext.valueCodeableConcept indicating the topic)

    Control0..*
    TypeExtension(Artifact Topic) (Extension Type: CodeableConcept)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    18. ConceptMap.extension:author
    Slice Nameauthor
    Definition

    R5: ConceptMap.author (new:ContactDetail)

    ShortR5: Who authored the ConceptMap (new)
    Comments

    Element ConceptMap.author has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.author has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.author: http://hl7.org/fhir/StructureDefinition/artifact-author.

    Control0..*
    TypeExtension(Artifact Author) (Extension Type: ContactDetail)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    20. ConceptMap.extension:editor
    Slice Nameeditor
    Definition

    R5: ConceptMap.editor (new:ContactDetail)

    ShortR5: Who edited the ConceptMap (new)
    Comments

    Element ConceptMap.editor has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.editor has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.editor: http://hl7.org/fhir/StructureDefinition/artifact-editor.

    Control0..*
    TypeExtension(Artifact Editor) (Extension Type: ContactDetail)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    22. ConceptMap.extension:reviewer
    Slice Namereviewer
    Definition

    R5: ConceptMap.reviewer (new:ContactDetail)

    ShortR5: Who reviewed the ConceptMap (new)
    Comments

    Element ConceptMap.reviewer has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.reviewer has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.reviewer: http://hl7.org/fhir/StructureDefinition/artifact-reviewer. See guidance around (not) making local changes to elements here.

    Control0..*
    TypeExtension(Artifact Reviewer) (Extension Type: ContactDetail)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    24. ConceptMap.extension:endorser
    Slice Nameendorser
    Definition

    R5: ConceptMap.endorser (new:ContactDetail)

    ShortR5: Who endorsed the ConceptMap (new)
    Comments

    Element ConceptMap.endorser has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.endorser has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.endorser: http://hl7.org/fhir/StructureDefinition/artifact-endorser. See guidance around (not) making local changes to elements here.

    Control0..*
    TypeExtension(Artifact Endorser) (Extension Type: ContactDetail)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    26. ConceptMap.extension:relatedArtifact
    Slice NamerelatedArtifact
    Definition

    R5: ConceptMap.relatedArtifact (new:RelatedArtifact)

    ShortR5: Additional documentation, citations, etc (new)
    Comments

    Element ConceptMap.relatedArtifact has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.relatedArtifact has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.relatedArtifact: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact. Each related artifact is either an attachment, or a reference to another resource, but not both.

    Control0..*
    TypeExtension(Artifact related artifact) (Extension Type: RelatedArtifact)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    28. ConceptMap.extension:property
    Slice Nameproperty
    Definition

    R5: ConceptMap.property (new:BackboneElement)

    ShortR5: Additional properties of the mapping (new)
    Comments

    Element ConceptMap.property has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.property has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). Properties may be used to supply for example, mapping priority, provenance, presentation hints, flag as experimental, and additional documentation. Multiple occurrences of ConceptMap.group.element.target.property may occur for a ConceptMap.property where ConceptMap.group.element.target.property.code is the same and the values in ConceptMap.group.element.target.property.value differ.

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Additional properties of the mapping (new)) (Complex Extension)
    Is Modifierfalse
    Must Supportfalse
    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    30. ConceptMap.extension:additionalAttribute
    Slice NameadditionalAttribute
    Definition

    R5: ConceptMap.additionalAttribute (new:BackboneElement)

    ShortR5: Definition of an additional attribute to act as a data source or target (new)
    Comments

    Element ConceptMap.additionalAttribute has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.additionalAttribute has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). Additional attributes are used to define additional data elements where mapping data can be found. For an example, see [Specimen Type v2 -> SNOMED CT Mapping(conceptmap-example-specimen-type.html)

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Definition of an additional attribute to act as a data source or target (new)) (Complex Extension)
    Is Modifierfalse
    Must Supportfalse
    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    32. ConceptMap.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Must Supportfalse
    Summaryfalse
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    34. ConceptMap.status
    Definition

    The status of this concept map. Enables tracking the life-cycle of the content.

    Shortdraft | active | retired | unknown
    Comments

    Allows filtering of concept maps that are appropriate for use versus not.

    Control1..1
    BindingThe codes SHALL be taken from PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.3.0
    (required to http://hl7.org/fhir/ValueSet/publication-status|4.3.0)

    The lifecycle status of an artifact.

    Typecode
    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

    Guidance on how to interpret the contents of this table can be foundhere

    0. ConceptMap
    2. ConceptMap.extension
    Control0..*
    SlicingThis element introduces a set of slices on ConceptMap.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 4. ConceptMap.extension:versionAlgorithm
      Slice NameversionAlgorithm
      Definition

      R5: ConceptMap.versionAlgorithm[x] (new:Coding, string)

      ShortR5: How to compare versions (new)
      Comments

      Element ConceptMap.versionAlgorithm[x] has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.versionAlgorithm[x] has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.versionAlgorithm[x]: http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm. If set as a string, this is a FHIRPath expression that has two additional context variables passed in - %version1 and %version2 and will return a negative number if version1 is newer, a positive number if version2 and a 0 if the version ordering can't be successfully be determined.

      Control0..1
      TypeExtension(Artifact Version Algorithm) (Extension Type: Choice of: string, Coding)
      6. ConceptMap.extension:copyrightLabel
      Slice NamecopyrightLabel
      Definition

      R5: ConceptMap.copyrightLabel (new:string)

      ShortR5: Copyright holder and year(s) (new)
      Comments

      Element ConceptMap.copyrightLabel has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.copyrightLabel has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.copyrightLabel: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel. The (c) symbol should NOT be included in this string. It will be added by software when rendering the notation. Full details about licensing, restrictions, warrantees, etc. goes in the more general 'copyright' element.

      Control0..1
      TypeExtension(Artifact Copyright Label) (Extension Type: string)
      8. ConceptMap.extension:approvalDate
      Slice NameapprovalDate
      Definition

      R5: ConceptMap.approvalDate (new:date)

      ShortR5: When the ConceptMap was approved by publisher (new)
      Comments

      Element ConceptMap.approvalDate has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.approvalDate has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.approvalDate: http://hl7.org/fhir/StructureDefinition/artifact-approvalDate. The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.

      See guidance around (not) making local changes to elements here.

      Control0..1
      TypeExtension(Artifact Approval Date) (Extension Type: date)
      10. ConceptMap.extension:lastReviewDate
      Slice NamelastReviewDate
      Definition

      R5: ConceptMap.lastReviewDate (new:date)

      ShortR5: When the ConceptMap was last reviewed by the publisher (new)
      Comments

      Element ConceptMap.lastReviewDate has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.lastReviewDate has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.lastReviewDate: http://hl7.org/fhir/StructureDefinition/artifact-lastReviewDate. If specified, this date follows the original approval date.

      See guidance around (not) making local changes to elements here.

      Control0..1
      TypeExtension(Artifact Last Review Date) (Extension Type: date)
      12. ConceptMap.extension:effectivePeriod
      Slice NameeffectivePeriod
      Definition

      R5: ConceptMap.effectivePeriod (new:Period)

      ShortR5: When the ConceptMap is expected to be used (new)
      Comments

      Element ConceptMap.effectivePeriod has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.effectivePeriod has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.effectivePeriod: http://hl7.org/fhir/StructureDefinition/artifact-effectivePeriod. The effective period for a ConceptMap determines when the content is applicable for usage and is independent of publication and review dates. For example, a map intended to be used for the year 2016 might be published in 2015.

      See guidance around (not) making local changes to elements here.

      Control0..1
      TypeExtension(Artifact Effective Period) (Extension Type: Period)
      14. ConceptMap.extension:topic
      Slice Nametopic
      Definition

      R5: ConceptMap.topic (new:CodeableConcept)

      ShortR5: E.g. Education, Treatment, Assessment, etc (new)
      Comments

      Element ConceptMap.topic has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.topic has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.topic: http://hl7.org/fhir/StructureDefinition/artifact-topic. Element ConceptMap.topic has been flagged as deprecated. DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'topic' code in the useContext element. (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#topic and useContext.valueCodeableConcept indicating the topic)

      Control0..*
      TypeExtension(Artifact Topic) (Extension Type: CodeableConcept)
      16. ConceptMap.extension:author
      Slice Nameauthor
      Definition

      R5: ConceptMap.author (new:ContactDetail)

      ShortR5: Who authored the ConceptMap (new)
      Comments

      Element ConceptMap.author has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.author has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.author: http://hl7.org/fhir/StructureDefinition/artifact-author.

      Control0..*
      TypeExtension(Artifact Author) (Extension Type: ContactDetail)
      18. ConceptMap.extension:editor
      Slice Nameeditor
      Definition

      R5: ConceptMap.editor (new:ContactDetail)

      ShortR5: Who edited the ConceptMap (new)
      Comments

      Element ConceptMap.editor has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.editor has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.editor: http://hl7.org/fhir/StructureDefinition/artifact-editor.

      Control0..*
      TypeExtension(Artifact Editor) (Extension Type: ContactDetail)
      20. ConceptMap.extension:reviewer
      Slice Namereviewer
      Definition

      R5: ConceptMap.reviewer (new:ContactDetail)

      ShortR5: Who reviewed the ConceptMap (new)
      Comments

      Element ConceptMap.reviewer has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.reviewer has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.reviewer: http://hl7.org/fhir/StructureDefinition/artifact-reviewer. See guidance around (not) making local changes to elements here.

      Control0..*
      TypeExtension(Artifact Reviewer) (Extension Type: ContactDetail)
      22. ConceptMap.extension:endorser
      Slice Nameendorser
      Definition

      R5: ConceptMap.endorser (new:ContactDetail)

      ShortR5: Who endorsed the ConceptMap (new)
      Comments

      Element ConceptMap.endorser has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.endorser has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.endorser: http://hl7.org/fhir/StructureDefinition/artifact-endorser. See guidance around (not) making local changes to elements here.

      Control0..*
      TypeExtension(Artifact Endorser) (Extension Type: ContactDetail)
      24. ConceptMap.extension:relatedArtifact
      Slice NamerelatedArtifact
      Definition

      R5: ConceptMap.relatedArtifact (new:RelatedArtifact)

      ShortR5: Additional documentation, citations, etc (new)
      Comments

      Element ConceptMap.relatedArtifact has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.relatedArtifact has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.relatedArtifact: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact. Each related artifact is either an attachment, or a reference to another resource, but not both.

      Control0..*
      TypeExtension(Artifact related artifact) (Extension Type: RelatedArtifact)
      26. ConceptMap.extension:property
      Slice Nameproperty
      Definition

      R5: ConceptMap.property (new:BackboneElement)

      ShortR5: Additional properties of the mapping (new)
      Comments

      Element ConceptMap.property has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.property has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). Properties may be used to supply for example, mapping priority, provenance, presentation hints, flag as experimental, and additional documentation. Multiple occurrences of ConceptMap.group.element.target.property may occur for a ConceptMap.property where ConceptMap.group.element.target.property.code is the same and the values in ConceptMap.group.element.target.property.value differ.

      Control0..*
      TypeExtension(R5: Additional properties of the mapping (new)) (Complex Extension)
      28. ConceptMap.extension:additionalAttribute
      Slice NameadditionalAttribute
      Definition

      R5: ConceptMap.additionalAttribute (new:BackboneElement)

      ShortR5: Definition of an additional attribute to act as a data source or target (new)
      Comments

      Element ConceptMap.additionalAttribute has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.additionalAttribute has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). Additional attributes are used to define additional data elements where mapping data can be found. For an example, see [Specimen Type v2 -> SNOMED CT Mapping(conceptmap-example-specimen-type.html)

      Control0..*
      TypeExtension(R5: Definition of an additional attribute to act as a data source or target (new)) (Complex Extension)
      30. ConceptMap.group
      32. ConceptMap.group.element
      34. ConceptMap.group.element.extension
      Control0..*
      SlicingThis element introduces a set of slices on ConceptMap.group.element.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 36. ConceptMap.group.element.extension:valueSet
        Slice NamevalueSet
        Definition

        R5: ConceptMap.group.element.valueSet (new:canonical(ValueSet))

        ShortR5: Identifies the set of concepts being mapped (new)
        Comments

        Element ConceptMap.group.element.valueSet has a context of ConceptMap.group.element based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.group.element.valueSet has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). If the value set expansion is empty then there are no source concepts to map in this rule.

        Control0..1
        TypeExtension(R5: Identifies the set of concepts being mapped (new)) (Extension Type: canonical(Cross-version Profile for R5.ValueSet for use in FHIR R4B, ValueSet))
        38. ConceptMap.group.element.target
        40. ConceptMap.group.element.target.extension
        Control0..*
        SlicingThis element introduces a set of slices on ConceptMap.group.element.target.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 42. ConceptMap.group.element.target.extension:valueSet
          Slice NamevalueSet
          Definition

          R5: ConceptMap.group.element.target.valueSet (new:canonical(ValueSet))

          ShortR5: Identifies the set of target concepts (new)
          Comments

          Element ConceptMap.group.element.target.valueSet has a context of ConceptMap.group.element.target based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.group.element.target.valueSet has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). If the the value set expansion is empty then the source concept(s) are unmapped and the behavior of ConceptMap.group.unmapped (if present) applies.

          Control0..1
          TypeExtension(R5: Identifies the set of target concepts (new)) (Extension Type: canonical(Cross-version Profile for R5.ValueSet for use in FHIR R4B, ValueSet))
          44. ConceptMap.group.element.target.extension:property
          Slice Nameproperty
          Definition

          R5: ConceptMap.group.element.target.property (new:BackboneElement)

          ShortR5: Property value for the source -> target mapping (new)
          Comments

          Element ConceptMap.group.element.target.property has a context of ConceptMap.group.element.target based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.group.element.target.property has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

          Control0..*
          TypeExtension(R5: Property value for the source -> target mapping (new)) (Complex Extension)
          46. ConceptMap.group.element.target.equivalence
          48. ConceptMap.group.element.target.equivalence.extension
          Control0..*
          SlicingThis element introduces a set of slices on ConceptMap.group.element.target.equivalence.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 50. ConceptMap.group.element.target.equivalence.extension:noMap
            Slice NamenoMap
            Definition

            R5: ConceptMap.group.element.noMap additional types (boolean) additional types from child elements (value)

            ShortR5: No mapping to a target concept for this source concept additional types
            Comments

            Element ConceptMap.group.element.noMap is mapped to FHIR R4B element ConceptMap.group.element.target.equivalence as SourceIsBroaderThanTarget. The mappings for ConceptMap.group.element.noMap do not cover the following types: boolean. The mappings for ConceptMap.group.element.noMap do not cover the following types based on type expansion: value. If noMap = true, then the behavior of ConceptMap.group.unmapped (if present) does not apply.

            Control0..1
            TypeExtension(R5: No mapping to a target concept for this source concept additional types) (Extension Type: boolean)
            52. ConceptMap.group.element.target.dependsOn
            54. ConceptMap.group.element.target.dependsOn.extension
            Control0..*
            SlicingThis element introduces a set of slices on ConceptMap.group.element.target.dependsOn.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 56. ConceptMap.group.element.target.dependsOn.extension:value
              Slice Namevalue
              Definition

              R5: ConceptMap.group.element.target.dependsOn.value[x] additional types (Coding, boolean, Quantity)

              ShortR5: Value of the referenced data element additional types
              Comments

              Element ConceptMap.group.element.target.dependsOn.value[x] is mapped to FHIR R4B element ConceptMap.group.element.target.dependsOn.value as SourceIsBroaderThanTarget. The mappings for ConceptMap.group.element.target.dependsOn.value[x] do not cover the following types: boolean, Coding, Quantity. If the data type is a code, then the code system is .group.source for .dependsOn.valueCode and .group.target for .product.valueCode.

              Control0..1
              TypeExtension(R5: Value of the referenced data element additional types) (Extension Type: Choice of: Coding, boolean, Quantity)
              58. ConceptMap.group.element.target.dependsOn.extension:valueSet
              Slice NamevalueSet
              Definition

              R5: ConceptMap.group.element.target.dependsOn.valueSet (new:canonical(ValueSet))

              ShortR5: The mapping depends on a data element with a value from this value set (new)
              Comments

              Element ConceptMap.group.element.target.dependsOn.valueSet has a context of ConceptMap.group.element.target.dependsOn based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.group.element.target.dependsOn.valueSet has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

              Control0..1
              TypeExtension(R5: The mapping depends on a data element with a value from this value set (new)) (Extension Type: canonical(Cross-version Profile for R5.ValueSet for use in FHIR R4B, ValueSet))
              60. ConceptMap.group.element.target.dependsOn.property
              62. ConceptMap.group.element.target.dependsOn.property.extension
              Control0..*
              SlicingThis element introduces a set of slices on ConceptMap.group.element.target.dependsOn.property.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 64. ConceptMap.group.element.target.dependsOn.property.extension:attribute
                Slice Nameattribute
                Definition

                R5: ConceptMap.group.element.target.dependsOn.attribute additional types (code) additional types from child elements (value)

                ShortR5: A reference to a mapping attribute defined in ConceptMap.additionalAttribute additional types
                Comments

                Element ConceptMap.group.element.target.dependsOn.attribute is mapped to FHIR R4B element ConceptMap.group.element.target.dependsOn.property as SourceIsBroaderThanTarget. The mappings for ConceptMap.group.element.target.dependsOn.attribute do not cover the following types: code. The mappings for ConceptMap.group.element.target.dependsOn.attribute do not cover the following types based on type expansion: value.

                Control0..1
                TypeExtension(R5: A reference to a mapping attribute defined in ConceptMap.additionalAttribute additional types) (Extension Type: code)
                66. ConceptMap.group.unmapped
                68. ConceptMap.group.unmapped.extension
                Control0..*
                SlicingThis element introduces a set of slices on ConceptMap.group.unmapped.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 70. ConceptMap.group.unmapped.extension:valueSet
                  Slice NamevalueSet
                  Definition

                  R5: ConceptMap.group.unmapped.valueSet (new:canonical(ValueSet))

                  ShortR5: Fixed code set when mode = fixed (new)
                  Comments

                  Element ConceptMap.group.unmapped.valueSet has a context of ConceptMap.group.unmapped based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.group.unmapped.valueSet has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

                  Control0..1
                  TypeExtension(R5: Fixed code set when mode = fixed (new)) (Extension Type: canonical(Cross-version Profile for R5.ValueSet for use in FHIR R4B, ValueSet))
                  72. ConceptMap.group.unmapped.modifierExtension
                  Control0..*
                  SlicingThis element introduces a set of slices on ConceptMap.group.unmapped.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 74. ConceptMap.group.unmapped.modifierExtension:relationship
                    Slice Namerelationship
                    Definition

                    R5: ConceptMap.group.unmapped.relationship (new:code)

                    ShortR5: related-to | equivalent | source-is-narrower-than-target | source-is-broader-than-target | not-related-to (new)
                    Comments

                    Element ConceptMap.group.unmapped.relationship has a context of ConceptMap.group.unmapped based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.group.unmapped.relationship has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). This element is labeled as a modifier because it may indicate that there is no mapping.

                    Control0..1
                    TypeExtension(R5: related-to | equivalent | source-is-narrower-than-target | source-is-broader-than-target | not-related-to (new)) (Extension Type: code)

                    Guidance on how to interpret the contents of this table can be foundhere

                    0. ConceptMap
                    Definition

                    A statement of relationships from one set of concepts to one or more other concepts - either concepts in code systems, or data element/data element concepts, or classes in class models.

                    ShortA map from one set of concepts to one or more other concepts
                    Control0..*
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantscmd-0: Name should be usable as an identifier for the module by machine processing applications such as code generation (name.exists() implies name.matches('[A-Z]([A-Za-z0-9_]){0,254}'))
                    dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                    dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty())
                    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
                    dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                    dom-6: A resource should have narrative for robust management (text.`div`.exists())
                    2. ConceptMap.id
                    Definition

                    The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                    ShortLogical id of this artifact
                    Comments

                    The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                    Control0..1
                    Typeid
                    Is Modifierfalse
                    Must Supportfalse
                    Summarytrue
                    4. ConceptMap.meta
                    Definition

                    The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                    ShortMetadata about the resource
                    Control0..1
                    TypeMeta
                    Is Modifierfalse
                    Must Supportfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    6. ConceptMap.implicitRules
                    Definition

                    A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                    ShortA set of rules under which this content was created
                    Comments

                    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 it's narrative along with other profiles, value sets, etc.

                    Control0..1
                    Typeuri
                    Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    8. ConceptMap.language
                    Definition

                    The base language in which the resource is written.

                    ShortLanguage of the resource content
                    Comments

                    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).

                    Control0..1
                    BindingThe codes SHOULD be taken from CommonLanguages
                    (preferred to http://hl7.org/fhir/ValueSet/languages|4.3.0)

                    IETF language tag

                    Additional BindingsPurpose
                    AllLanguagesMax Binding
                    Typecode
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    10. ConceptMap.text
                    Definition

                    A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                    ShortText summary of the resource, for human interpretation
                    Comments

                    Contained resources do not have 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.

                    Control0..1
                    TypeNarrative
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Alternate Namesnarrative, html, xhtml, display
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    12. ConceptMap.contained
                    Definition

                    These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

                    ShortContained, inline Resources
                    Comments

                    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.

                    Control0..*
                    TypeResource
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Alternate Namesinline resources, anonymous resources, contained resources
                    Invariantsdom-r4b: Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems (($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic))
                    14. ConceptMap.extension
                    Definition

                    An Extension

                    ShortExtension
                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on ConceptMap.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 16. ConceptMap.extension:versionAlgorithm
                      Slice NameversionAlgorithm
                      Definition

                      R5: ConceptMap.versionAlgorithm[x] (new:Coding, string)

                      ShortR5: How to compare versions (new)
                      Comments

                      Element ConceptMap.versionAlgorithm[x] has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.versionAlgorithm[x] has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.versionAlgorithm[x]: http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm. If set as a string, this is a FHIRPath expression that has two additional context variables passed in - %version1 and %version2 and will return a negative number if version1 is newer, a positive number if version2 and a 0 if the version ordering can't be successfully be determined.

                      Control0..1
                      TypeExtension(Artifact Version Algorithm) (Extension Type: Choice of: string, Coding)
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      18. ConceptMap.extension:copyrightLabel
                      Slice NamecopyrightLabel
                      Definition

                      R5: ConceptMap.copyrightLabel (new:string)

                      ShortR5: Copyright holder and year(s) (new)
                      Comments

                      Element ConceptMap.copyrightLabel has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.copyrightLabel has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.copyrightLabel: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel. The (c) symbol should NOT be included in this string. It will be added by software when rendering the notation. Full details about licensing, restrictions, warrantees, etc. goes in the more general 'copyright' element.

                      Control0..1
                      TypeExtension(Artifact Copyright Label) (Extension Type: string)
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      20. ConceptMap.extension:approvalDate
                      Slice NameapprovalDate
                      Definition

                      R5: ConceptMap.approvalDate (new:date)

                      ShortR5: When the ConceptMap was approved by publisher (new)
                      Comments

                      Element ConceptMap.approvalDate has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.approvalDate has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.approvalDate: http://hl7.org/fhir/StructureDefinition/artifact-approvalDate. The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.

                      See guidance around (not) making local changes to elements here.

                      Control0..1
                      TypeExtension(Artifact Approval Date) (Extension Type: date)
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      22. ConceptMap.extension:lastReviewDate
                      Slice NamelastReviewDate
                      Definition

                      R5: ConceptMap.lastReviewDate (new:date)

                      ShortR5: When the ConceptMap was last reviewed by the publisher (new)
                      Comments

                      Element ConceptMap.lastReviewDate has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.lastReviewDate has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.lastReviewDate: http://hl7.org/fhir/StructureDefinition/artifact-lastReviewDate. If specified, this date follows the original approval date.

                      See guidance around (not) making local changes to elements here.

                      Control0..1
                      TypeExtension(Artifact Last Review Date) (Extension Type: date)
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      24. ConceptMap.extension:effectivePeriod
                      Slice NameeffectivePeriod
                      Definition

                      R5: ConceptMap.effectivePeriod (new:Period)

                      ShortR5: When the ConceptMap is expected to be used (new)
                      Comments

                      Element ConceptMap.effectivePeriod has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.effectivePeriod has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.effectivePeriod: http://hl7.org/fhir/StructureDefinition/artifact-effectivePeriod. The effective period for a ConceptMap determines when the content is applicable for usage and is independent of publication and review dates. For example, a map intended to be used for the year 2016 might be published in 2015.

                      See guidance around (not) making local changes to elements here.

                      Control0..1
                      TypeExtension(Artifact Effective Period) (Extension Type: Period)
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      26. ConceptMap.extension:topic
                      Slice Nametopic
                      Definition

                      R5: ConceptMap.topic (new:CodeableConcept)

                      ShortR5: E.g. Education, Treatment, Assessment, etc (new)
                      Comments

                      Element ConceptMap.topic has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.topic has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.topic: http://hl7.org/fhir/StructureDefinition/artifact-topic. Element ConceptMap.topic has been flagged as deprecated. DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'topic' code in the useContext element. (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#topic and useContext.valueCodeableConcept indicating the topic)

                      Control0..*
                      TypeExtension(Artifact Topic) (Extension Type: CodeableConcept)
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      28. ConceptMap.extension:author
                      Slice Nameauthor
                      Definition

                      R5: ConceptMap.author (new:ContactDetail)

                      ShortR5: Who authored the ConceptMap (new)
                      Comments

                      Element ConceptMap.author has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.author has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.author: http://hl7.org/fhir/StructureDefinition/artifact-author.

                      Control0..*
                      TypeExtension(Artifact Author) (Extension Type: ContactDetail)
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      30. ConceptMap.extension:editor
                      Slice Nameeditor
                      Definition

                      R5: ConceptMap.editor (new:ContactDetail)

                      ShortR5: Who edited the ConceptMap (new)
                      Comments

                      Element ConceptMap.editor has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.editor has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.editor: http://hl7.org/fhir/StructureDefinition/artifact-editor.

                      Control0..*
                      TypeExtension(Artifact Editor) (Extension Type: ContactDetail)
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      32. ConceptMap.extension:reviewer
                      Slice Namereviewer
                      Definition

                      R5: ConceptMap.reviewer (new:ContactDetail)

                      ShortR5: Who reviewed the ConceptMap (new)
                      Comments

                      Element ConceptMap.reviewer has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.reviewer has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.reviewer: http://hl7.org/fhir/StructureDefinition/artifact-reviewer. See guidance around (not) making local changes to elements here.

                      Control0..*
                      TypeExtension(Artifact Reviewer) (Extension Type: ContactDetail)
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      34. ConceptMap.extension:endorser
                      Slice Nameendorser
                      Definition

                      R5: ConceptMap.endorser (new:ContactDetail)

                      ShortR5: Who endorsed the ConceptMap (new)
                      Comments

                      Element ConceptMap.endorser has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.endorser has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.endorser: http://hl7.org/fhir/StructureDefinition/artifact-endorser. See guidance around (not) making local changes to elements here.

                      Control0..*
                      TypeExtension(Artifact Endorser) (Extension Type: ContactDetail)
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      36. ConceptMap.extension:relatedArtifact
                      Slice NamerelatedArtifact
                      Definition

                      R5: ConceptMap.relatedArtifact (new:RelatedArtifact)

                      ShortR5: Additional documentation, citations, etc (new)
                      Comments

                      Element ConceptMap.relatedArtifact has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.relatedArtifact has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element ConceptMap.relatedArtifact: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact. Each related artifact is either an attachment, or a reference to another resource, but not both.

                      Control0..*
                      TypeExtension(Artifact related artifact) (Extension Type: RelatedArtifact)
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      38. ConceptMap.extension:property
                      Slice Nameproperty
                      Definition

                      R5: ConceptMap.property (new:BackboneElement)

                      ShortR5: Additional properties of the mapping (new)
                      Comments

                      Element ConceptMap.property has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.property has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). Properties may be used to supply for example, mapping priority, provenance, presentation hints, flag as experimental, and additional documentation. Multiple occurrences of ConceptMap.group.element.target.property may occur for a ConceptMap.property where ConceptMap.group.element.target.property.code is the same and the values in ConceptMap.group.element.target.property.value differ.

                      Control0..*
                      This element is affected by the following invariants: ele-1
                      TypeExtension(R5: Additional properties of the mapping (new)) (Complex Extension)
                      Is Modifierfalse
                      Must Supportfalse
                      Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      40. ConceptMap.extension:additionalAttribute
                      Slice NameadditionalAttribute
                      Definition

                      R5: ConceptMap.additionalAttribute (new:BackboneElement)

                      ShortR5: Definition of an additional attribute to act as a data source or target (new)
                      Comments

                      Element ConceptMap.additionalAttribute has a context of ConceptMap based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.additionalAttribute has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). Additional attributes are used to define additional data elements where mapping data can be found. For an example, see [Specimen Type v2 -> SNOMED CT Mapping(conceptmap-example-specimen-type.html)

                      Control0..*
                      This element is affected by the following invariants: ele-1
                      TypeExtension(R5: Definition of an additional attribute to act as a data source or target (new)) (Complex Extension)
                      Is Modifierfalse
                      Must Supportfalse
                      Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      42. ConceptMap.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                      Must Supportfalse
                      Summaryfalse
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      44. ConceptMap.url
                      Definition

                      An absolute URI that is used to identify this concept map when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this concept map is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the concept map is stored on different servers.

                      ShortCanonical identifier for this concept map, represented as a URI (globally unique)
                      Comments

                      Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.

                      The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions.

                      In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found.

                      Control0..1
                      Typeuri
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summarytrue
                      Requirements

                      Allows the concept map to be referenced by a single globally unique identifier.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      46. ConceptMap.identifier
                      Definition

                      A formal identifier that is used to identify this concept map when it is represented in other formats, or referenced in a specification, model, design or an instance.

                      ShortAdditional identifier for the concept map
                      Comments

                      Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this concept map outside of FHIR, where it is not possible to use the logical URI.

                      NoteThis is a business identifier, not a resource identifier (see discussion)
                      Control0..1
                      TypeIdentifier
                      Is Modifierfalse
                      Must Supportfalse
                      Summarytrue
                      Requirements

                      Allows externally provided and/or usable business identifiers to be easily associated with the module.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      48. ConceptMap.version
                      Definition

                      The identifier that is used to identify this version of the concept map when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the concept map author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.

                      ShortBusiness version of the concept map
                      Comments

                      There may be different concept map instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the concept map with the format [url]|[version].

                      NoteThis is a business version Id, not a resource version Id (see discussion)
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      50. ConceptMap.name
                      Definition

                      A natural language name identifying the concept map. This name should be usable as an identifier for the module by machine processing applications such as code generation.

                      ShortName for this concept map (computer friendly)
                      Comments

                      The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.

                      Control0..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summarytrue
                      Requirements

                      Support human navigation and code generation.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      52. ConceptMap.title
                      Definition

                      A short, descriptive, user-friendly title for the concept map.

                      ShortName for this concept map (human friendly)
                      Comments

                      This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.

                      Control0..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      54. ConceptMap.status
                      Definition

                      The status of this concept map. Enables tracking the life-cycle of the content.

                      Shortdraft | active | retired | unknown
                      Comments

                      Allows filtering of concept maps that are appropriate for use versus not.

                      Control1..1
                      BindingThe codes SHALL be taken from PublicationStatus
                      (required to http://hl7.org/fhir/ValueSet/publication-status|4.3.0)

                      The lifecycle status of an artifact.

                      Typecode
                      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      56. ConceptMap.experimental
                      Definition

                      A Boolean value to indicate that this concept map is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.

                      ShortFor testing purposes, not real usage
                      Comments

                      Allows filtering of concept maps that are appropriate for use versus not.

                      Control0..1
                      Typeboolean
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summarytrue
                      Requirements

                      Enables experimental content to be developed following the same lifecycle that would be used for a production-level concept map.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      58. ConceptMap.date
                      Definition

                      The date (and optionally time) when the concept map was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the concept map changes.

                      ShortDate last changed
                      Comments

                      Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the concept map. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

                      Control0..1
                      TypedateTime
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summarytrue
                      Alternate NamesRevision Date
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      60. ConceptMap.publisher
                      Definition

                      The name of the organization or individual that published the concept map.

                      ShortName of the publisher (organization or individual)
                      Comments

                      Usually an organization but may be an individual. The publisher (or steward) of the concept map is the organization or individual primarily responsible for the maintenance and upkeep of the concept map. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the concept map. This item SHOULD be populated unless the information is available from context.

                      Control0..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summarytrue
                      Requirements

                      Helps establish the "authority/credibility" of the concept map. May also allow for contact.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      62. ConceptMap.contact
                      Definition

                      Contact details to assist a user in finding and communicating with the publisher.

                      ShortContact details for the publisher
                      Comments

                      May be a web site, an email address, a telephone number, etc.

                      Control0..*
                      TypeContactDetail
                      Is Modifierfalse
                      Must Supportfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      64. ConceptMap.description
                      Definition

                      A free text natural language description of the concept map from a consumer's perspective.

                      ShortNatural language description of the concept map
                      Comments

                      The description is not intended to describe the semantics of the concept map. The description should capture its intended use, which is needed for ensuring integrity for its use in models across future changes.

                      Control0..1
                      Typemarkdown
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      66. ConceptMap.useContext
                      Definition

                      The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate concept map instances.

                      ShortThe context that the content is intended to support
                      Comments

                      When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

                      Control0..*
                      TypeUsageContext
                      Is Modifierfalse
                      Must Supportfalse
                      Summarytrue
                      Requirements

                      Assist in searching for appropriate content.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      68. ConceptMap.jurisdiction
                      Definition

                      A legal or geographic region in which the concept map is intended to be used.

                      ShortIntended jurisdiction for concept map (if applicable)
                      Comments

                      It may be possible for the concept map to be used in jurisdictions other than those for which it was originally designed or intended.

                      Control0..*
                      BindingUnless not suitable, these codes SHALL be taken from Jurisdiction ValueSet
                      (extensible to http://hl7.org/fhir/ValueSet/jurisdiction|4.3.0)

                      Countries and regions within which this artifact is targeted for use.

                      TypeCodeableConcept
                      Is Modifierfalse
                      Must Supportfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      70. ConceptMap.purpose
                      Definition

                      Explanation of why this concept map is needed and why it has been designed as it has.

                      ShortWhy this concept map is defined
                      Comments

                      This element does not describe the usage of the concept map. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this concept map.

                      Control0..1
                      Typemarkdown
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      72. ConceptMap.copyright
                      Definition

                      A copyright statement relating to the concept map and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the concept map.

                      ShortUse and/or publishing restrictions
                      Comments

                      Frequently the copyright differs between the concept map and codes that are included. The copyright statement should clearly differentiate between these when required.

                      Control0..1
                      Typemarkdown
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summaryfalse
                      Requirements

                      Consumers must be able to determine any legal restrictions on the use of the concept map and/or its content.

                      Alternate NamesLicense, Restrictions
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      74. ConceptMap.source[x]
                      Definition

                      Identifier for the source value set that contains the concepts that are being mapped and provides context for the mappings.

                      ShortThe source value set that contains the concepts that are being mapped
                      Comments

                      Should be a version specific reference. URIs SHOULD be absolute. If there is no source or target value set, there is no specified context for the map (not recommended). The source value set may select codes from either an explicit (standard or local) or implicit code system.

                      Control0..1
                      TypeChoice of: uri, canonical(ValueSet)
                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      76. ConceptMap.target[x]
                      Definition

                      The target value set provides context for the mappings. Note that the mapping is made between concepts, not between value sets, but the value set provides important context about how the concept mapping choices are made.

                      ShortThe target value set which provides context for the mappings
                      Comments

                      Should be a version specific reference. URIs SHOULD be absolute. If there is no source or target value set, the is no specified context for the map.

                      Control0..1
                      TypeChoice of: uri, canonical(ValueSet)
                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      78. ConceptMap.group
                      Definition

                      A group of mappings that all have the same source and target system.

                      ShortSame source and target systems
                      Control0..*
                      TypeBackboneElement
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
                      80. ConceptMap.group.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      82. ConceptMap.group.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortAdditional content defined by implementations
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      84. ConceptMap.group.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      86. ConceptMap.group.source
                      Definition

                      An absolute URI that identifies the source system where the concepts to be mapped are defined.

                      ShortSource system where concepts to be mapped are defined
                      Comments

                      This is not needed if the source value set is specified and it contains concepts from only a single system.

                      Control0..1
                      Typeuri
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      88. ConceptMap.group.sourceVersion
                      Definition

                      The specific version of the code system, as determined by the code system authority.

                      ShortSpecific version of the code system
                      Comments

                      The specification of a particular code system version may be required for code systems which lack concept permanence.

                      Control0..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      90. ConceptMap.group.target
                      Definition

                      An absolute URI that identifies the target system that the concepts will be mapped to.

                      ShortTarget system that the concepts are to be mapped to
                      Comments

                      This is not needed if the target value set is specified and it contains concepts from only a single system. The group target may also be omitted if all of the target element equivalence values are 'unmatched'.

                      Control0..1
                      Typeuri
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      92. ConceptMap.group.targetVersion
                      Definition

                      The specific version of the code system, as determined by the code system authority.

                      ShortSpecific version of the code system
                      Comments

                      The specification of a particular code system version may be required for code systems which lack concept permanence.

                      Control0..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      94. ConceptMap.group.element
                      Definition

                      Mappings for an individual concept in the source to one or more concepts in the target.

                      ShortMappings for a concept from the source set
                      Comments

                      Generally, the ideal is that there would only be one mapping for each concept in the source value set, but a given concept may be mapped multiple times with different comments or dependencies.

                      Control1..*
                      TypeBackboneElement
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Alternate Namescode, concept, item
                      Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
                      96. ConceptMap.group.element.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      98. ConceptMap.group.element.extension
                      Definition

                      An Extension

                      ShortExtension
                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on ConceptMap.group.element.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 100. ConceptMap.group.element.extension:valueSet
                        Slice NamevalueSet
                        Definition

                        R5: ConceptMap.group.element.valueSet (new:canonical(ValueSet))

                        ShortR5: Identifies the set of concepts being mapped (new)
                        Comments

                        Element ConceptMap.group.element.valueSet has a context of ConceptMap.group.element based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.group.element.valueSet has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). If the value set expansion is empty then there are no source concepts to map in this rule.

                        Control0..1
                        This element is affected by the following invariants: ele-1
                        TypeExtension(R5: Identifies the set of concepts being mapped (new)) (Extension Type: canonical(Cross-version Profile for R5.ValueSet for use in FHIR R4B, ValueSet))
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        102. ConceptMap.group.element.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        104. ConceptMap.group.element.code
                        Definition

                        Identity (code or path) or the element/item being mapped.

                        ShortIdentifies element being mapped
                        Control0..1
                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        106. ConceptMap.group.element.display
                        Definition

                        The display for the code. The display is only provided to help editors when editing the concept map.

                        ShortDisplay for the code
                        Comments

                        The display is ignored when processing the map.

                        Control0..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        108. ConceptMap.group.element.target
                        Definition

                        A concept from the target value set that this concept maps to.

                        ShortConcept in target system for element
                        Comments

                        Ideally there would only be one map, with equal or equivalent mapping. But multiple maps are allowed for several narrower options, or to assert that other concepts are unmatched.

                        Control0..*
                        TypeBackboneElement
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Invariantscmd-1: If the map is narrower or inexact, there SHALL be some comments (comment.exists() or equivalence.empty() or ((equivalence != 'narrower') and (equivalence != 'inexact')))
                        ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
                        110. ConceptMap.group.element.target.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        112. ConceptMap.group.element.target.extension
                        Definition

                        An Extension

                        ShortExtension
                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        SlicingThis element introduces a set of slices on ConceptMap.group.element.target.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 114. ConceptMap.group.element.target.extension:valueSet
                          Slice NamevalueSet
                          Definition

                          R5: ConceptMap.group.element.target.valueSet (new:canonical(ValueSet))

                          ShortR5: Identifies the set of target concepts (new)
                          Comments

                          Element ConceptMap.group.element.target.valueSet has a context of ConceptMap.group.element.target based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.group.element.target.valueSet has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). If the the value set expansion is empty then the source concept(s) are unmapped and the behavior of ConceptMap.group.unmapped (if present) applies.

                          Control0..1
                          This element is affected by the following invariants: ele-1
                          TypeExtension(R5: Identifies the set of target concepts (new)) (Extension Type: canonical(Cross-version Profile for R5.ValueSet for use in FHIR R4B, ValueSet))
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          116. ConceptMap.group.element.target.extension:property
                          Slice Nameproperty
                          Definition

                          R5: ConceptMap.group.element.target.property (new:BackboneElement)

                          ShortR5: Property value for the source -> target mapping (new)
                          Comments

                          Element ConceptMap.group.element.target.property has a context of ConceptMap.group.element.target based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.group.element.target.property has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

                          Control0..*
                          This element is affected by the following invariants: ele-1
                          TypeExtension(R5: Property value for the source -> target mapping (new)) (Complex Extension)
                          Is Modifierfalse
                          Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          118. ConceptMap.group.element.target.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          120. ConceptMap.group.element.target.code
                          Definition

                          Identity (code or path) or the element/item that the map refers to.

                          ShortCode that identifies the target element
                          Control0..1
                          Typecode
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          122. ConceptMap.group.element.target.display
                          Definition

                          The display for the code. The display is only provided to help editors when editing the concept map.

                          ShortDisplay for the code
                          Comments

                          The display is ignored when processing the map.

                          Control0..1
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          124. ConceptMap.group.element.target.equivalence
                          Definition

                          The equivalence between the source and target concepts (counting for the dependencies and products). The equivalence is read from target to source (e.g. the target is 'wider' than the source).

                          Shortrelatedto | equivalent | equal | wider | subsumes | narrower | specializes | inexact | unmatched | disjoint
                          Comments

                          This element is labeled as a modifier because it may indicate that a target does not apply.

                          Control1..1
                          BindingThe codes SHALL be taken from ConceptMapEquivalence
                          (required to http://hl7.org/fhir/ValueSet/concept-map-equivalence|4.3.0)

                          The degree of equivalence between concepts.

                          Typecode
                          Is Modifiertrue because Some of the values mean that there is no mapping from the source to the target, particularly 'disjoint', and the mapping cannot be interpreted without knowing this value as it could mean the elements are equivalent, totally mismatched or anything in between
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          126. ConceptMap.group.element.target.equivalence.id
                          Definition

                          unique id for the element within a resource (for internal references)

                          Shortxml:id (or equivalent in JSON)
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          128. ConceptMap.group.element.target.equivalence.extension
                          Definition

                          An Extension

                          ShortExtension
                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          SlicingThis element introduces a set of slices on ConceptMap.group.element.target.equivalence.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 130. ConceptMap.group.element.target.equivalence.extension:noMap
                            Slice NamenoMap
                            Definition

                            R5: ConceptMap.group.element.noMap additional types (boolean) additional types from child elements (value)

                            ShortR5: No mapping to a target concept for this source concept additional types
                            Comments

                            Element ConceptMap.group.element.noMap is mapped to FHIR R4B element ConceptMap.group.element.target.equivalence as SourceIsBroaderThanTarget. The mappings for ConceptMap.group.element.noMap do not cover the following types: boolean. The mappings for ConceptMap.group.element.noMap do not cover the following types based on type expansion: value. If noMap = true, then the behavior of ConceptMap.group.unmapped (if present) does not apply.

                            Control0..1
                            This element is affected by the following invariants: ele-1
                            TypeExtension(R5: No mapping to a target concept for this source concept additional types) (Extension Type: boolean)
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            132. ConceptMap.group.element.target.equivalence.value
                            Definition

                            Primitive value for code

                            ShortPrimitive value for code
                            Control0..1
                            Typecode
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            134. ConceptMap.group.element.target.comment
                            Definition

                            A description of status/issues in mapping that conveys additional information not represented in the structured data.

                            ShortDescription of status/issues in mapping
                            Control0..1
                            This element is affected by the following invariants: cmd-1
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            136. ConceptMap.group.element.target.dependsOn
                            Definition

                            A set of additional dependencies for this mapping to hold. This mapping is only applicable if the specified element can be resolved, and it has the specified value.

                            ShortOther elements required for this mapping (from context)
                            Control0..*
                            TypeBackboneElement
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
                            138. ConceptMap.group.element.target.dependsOn.id
                            Definition

                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                            ShortUnique id for inter-element referencing
                            Control0..1
                            Typestring
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            140. ConceptMap.group.element.target.dependsOn.extension
                            Definition

                            An Extension

                            ShortExtension
                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            SlicingThis element introduces a set of slices on ConceptMap.group.element.target.dependsOn.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 142. ConceptMap.group.element.target.dependsOn.extension:value
                              Slice Namevalue
                              Definition

                              R5: ConceptMap.group.element.target.dependsOn.value[x] additional types (Coding, boolean, Quantity)

                              ShortR5: Value of the referenced data element additional types
                              Comments

                              Element ConceptMap.group.element.target.dependsOn.value[x] is mapped to FHIR R4B element ConceptMap.group.element.target.dependsOn.value as SourceIsBroaderThanTarget. The mappings for ConceptMap.group.element.target.dependsOn.value[x] do not cover the following types: boolean, Coding, Quantity. If the data type is a code, then the code system is .group.source for .dependsOn.valueCode and .group.target for .product.valueCode.

                              Control0..1
                              This element is affected by the following invariants: ele-1
                              TypeExtension(R5: Value of the referenced data element additional types) (Extension Type: Choice of: Coding, boolean, Quantity)
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              144. ConceptMap.group.element.target.dependsOn.extension:valueSet
                              Slice NamevalueSet
                              Definition

                              R5: ConceptMap.group.element.target.dependsOn.valueSet (new:canonical(ValueSet))

                              ShortR5: The mapping depends on a data element with a value from this value set (new)
                              Comments

                              Element ConceptMap.group.element.target.dependsOn.valueSet has a context of ConceptMap.group.element.target.dependsOn based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.group.element.target.dependsOn.valueSet has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

                              Control0..1
                              This element is affected by the following invariants: ele-1
                              TypeExtension(R5: The mapping depends on a data element with a value from this value set (new)) (Extension Type: canonical(Cross-version Profile for R5.ValueSet for use in FHIR R4B, ValueSet))
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              146. ConceptMap.group.element.target.dependsOn.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              148. ConceptMap.group.element.target.dependsOn.property
                              Definition

                              A reference to an element that holds a coded value that corresponds to a code system property. The idea is that the information model carries an element somewhere that is labeled to correspond with a code system property.

                              ShortReference to property mapping depends on
                              Control1..1
                              Typeuri
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              150. ConceptMap.group.element.target.dependsOn.property.id
                              Definition

                              unique id for the element within a resource (for internal references)

                              Shortxml:id (or equivalent in JSON)
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              152. ConceptMap.group.element.target.dependsOn.property.extension
                              Definition

                              An Extension

                              ShortExtension
                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              SlicingThis element introduces a set of slices on ConceptMap.group.element.target.dependsOn.property.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 154. ConceptMap.group.element.target.dependsOn.property.extension:attribute
                                Slice Nameattribute
                                Definition

                                R5: ConceptMap.group.element.target.dependsOn.attribute additional types (code) additional types from child elements (value)

                                ShortR5: A reference to a mapping attribute defined in ConceptMap.additionalAttribute additional types
                                Comments

                                Element ConceptMap.group.element.target.dependsOn.attribute is mapped to FHIR R4B element ConceptMap.group.element.target.dependsOn.property as SourceIsBroaderThanTarget. The mappings for ConceptMap.group.element.target.dependsOn.attribute do not cover the following types: code. The mappings for ConceptMap.group.element.target.dependsOn.attribute do not cover the following types based on type expansion: value.

                                Control0..1
                                This element is affected by the following invariants: ele-1
                                TypeExtension(R5: A reference to a mapping attribute defined in ConceptMap.additionalAttribute additional types) (Extension Type: code)
                                Is Modifierfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                156. ConceptMap.group.element.target.dependsOn.property.value
                                Definition

                                The actual value

                                ShortPrimitive value for uri
                                Control0..1
                                Typeuri
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                158. ConceptMap.group.element.target.dependsOn.system
                                Definition

                                An absolute URI that identifies the code system of the dependency code (if the source/dependency is a value set that crosses code systems).

                                ShortCode System (if necessary)
                                Control0..1
                                Typecanonical(CodeSystem)
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supportfalse
                                Summaryfalse
                                Meaning if MissingThe code is in the source (dependsOn) or target (product) system
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                160. ConceptMap.group.element.target.dependsOn.value
                                Definition

                                Identity (code or path) or the element/item/ValueSet/text that the map depends on / refers to.

                                ShortValue of the referenced element
                                Control1..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                162. ConceptMap.group.element.target.dependsOn.display
                                Definition

                                The display for the code. The display is only provided to help editors when editing the concept map.

                                ShortDisplay for the code (if value is a code)
                                Comments

                                The display is ignored when processing the map.

                                Control0..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                164. ConceptMap.group.element.target.product
                                Definition

                                A set of additional outcomes from this mapping to other elements. To properly execute this mapping, the specified element must be mapped to some data element or source that is in context. The mapping may still be useful without a place for the additional data elements, but the equivalence cannot be relied on.

                                ShortOther concepts that this mapping also produces
                                Control0..*
                                TypeSeettp://hl7.org/fhir/StructureDefinition/ConceptMap#ConceptMap.group.element.target.dependsOn
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                166. ConceptMap.group.unmapped
                                Definition

                                What to do when there is no mapping for the source concept. "Unmapped" does not include codes that are unmatched, and the unmapped element is ignored in a code is specified to have equivalence = unmatched.

                                ShortWhat to do when there is no mapping for the source concept
                                Comments

                                This only applies if the source code has a system value that matches the system defined for the group.

                                Control0..1
                                TypeBackboneElement
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantscmd-2: If the mode is 'fixed', a code must be provided ((mode = 'fixed') implies code.exists())
                                cmd-3: If the mode is 'other-map', a url must be provided ((mode = 'other-map') implies url.exists())
                                ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
                                168. ConceptMap.group.unmapped.id
                                Definition

                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                ShortUnique id for inter-element referencing
                                Control0..1
                                Typestring
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                170. ConceptMap.group.unmapped.extension
                                Definition

                                An Extension

                                ShortExtension
                                Control0..*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                SlicingThis element introduces a set of slices on ConceptMap.group.unmapped.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 172. ConceptMap.group.unmapped.extension:valueSet
                                  Slice NamevalueSet
                                  Definition

                                  R5: ConceptMap.group.unmapped.valueSet (new:canonical(ValueSet))

                                  ShortR5: Fixed code set when mode = fixed (new)
                                  Comments

                                  Element ConceptMap.group.unmapped.valueSet has a context of ConceptMap.group.unmapped based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.group.unmapped.valueSet has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

                                  Control0..1
                                  This element is affected by the following invariants: ele-1
                                  TypeExtension(R5: Fixed code set when mode = fixed (new)) (Extension Type: canonical(Cross-version Profile for R5.ValueSet for use in FHIR R4B, ValueSet))
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  174. ConceptMap.group.unmapped.modifierExtension
                                  Definition

                                  An Extension

                                  ShortExtension
                                  Control0..*
                                  TypeExtension
                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  SlicingThis element introduces a set of slices on ConceptMap.group.unmapped.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • value @ url
                                  • 176. ConceptMap.group.unmapped.modifierExtension:relationship
                                    Slice Namerelationship
                                    Definition

                                    R5: ConceptMap.group.unmapped.relationship (new:code)

                                    ShortR5: related-to | equivalent | source-is-narrower-than-target | source-is-broader-than-target | not-related-to (new)
                                    Comments

                                    Element ConceptMap.group.unmapped.relationship has a context of ConceptMap.group.unmapped based on following the parent source element upwards and mapping to ConceptMap. Element ConceptMap.group.unmapped.relationship has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). This element is labeled as a modifier because it may indicate that there is no mapping.

                                    Control0..1
                                    This element is affected by the following invariants: ele-1
                                    TypeExtension(R5: related-to | equivalent | source-is-narrower-than-target | source-is-broader-than-target | not-related-to (new)) (Extension Type: code)
                                    Is Modifiertrue because The 'not-related-to' relationship means that there is no mapping from the source to the target, and the mapping cannot be interpreted without knowing this value as it could mean the elements are equivalent, totally mismatched or anything in between
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    178. ConceptMap.group.unmapped.mode
                                    Definition

                                    Defines which action to take if there is no match for the source concept in the target system designated for the group. One of 3 actions are possible: use the unmapped code (this is useful when doing a mapping between versions, and only a few codes have changed), use a fixed code (a default code), or alternatively, a reference to a different concept map can be provided (by canonical URL).

                                    Shortprovided | fixed | other-map
                                    Control1..1
                                    BindingThe codes SHALL be taken from ConceptMapGroupUnmappedMode
                                    (required to http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode|4.3.0)

                                    Defines which action to take if there is no match in the group.

                                    Typecode
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Must Supportfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    180. ConceptMap.group.unmapped.code
                                    Definition

                                    The fixed code to use when the mode = 'fixed' - all unmapped codes are mapped to a single fixed code.

                                    ShortFixed code when mode = fixed
                                    Control0..1
                                    Typecode
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Must Supportfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    182. ConceptMap.group.unmapped.display
                                    Definition

                                    The display for the code. The display is only provided to help editors when editing the concept map.

                                    ShortDisplay for the code
                                    Comments

                                    The display is ignored when processing the map.

                                    Control0..1
                                    Typestring
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Must Supportfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    184. ConceptMap.group.unmapped.url
                                    Definition

                                    The canonical reference to an additional ConceptMap resource instance to use for mapping if this ConceptMap resource contains no matching mapping for the source concept.

                                    Shortcanonical reference to an additional ConceptMap to use for mapping if the source concept is unmapped
                                    Control0..1
                                    Typecanonical(ConceptMap)
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Must Supportfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))