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Source1

{
  "resourceType": "ConceptMap",
  "id": "R2-ClinicalImpression-element-map-to-R4",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fhir"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r4"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r4"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ConceptMap/R2-ClinicalImpression-element-map-to-R4",
  "version": "0.1.0",
  "name": "R2ClinicalImpressionElementMapToR4",
  "title": "Cross-version mapping for FHIR DSTU2 ClinicalImpression to FHIR R4 ClinicalImpression",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:04:02.4724576-05:00",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description": "This ConceptMap represents cross-version mappings for elements from a FHIR DSTU2 ClinicalImpression to FHIR R4.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "sourceCanonical": "http://hl7.org/fhir/1.0",
  "targetUri": "http://hl7.org/fhir/4.0",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression",
      "targetVersion": "4.0.1",
      "element": [
        {
          "code": "ClinicalImpression.meta",
          "display": "meta",
          "target": [
            {
              "code": "ClinicalImpression.meta",
              "display": "ClinicalImpression.meta",
              "equivalence": "wider",
              "comment": "Element `ClinicalImpression.meta` is mapped to FHIR R4 element `ClinicalImpression.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `ClinicalImpression.meta` do not cover the following types: Meta.\nThe mappings for `ClinicalImpression.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        },
        {
          "code": "ClinicalImpression.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "code": "ClinicalImpression.implicitRules",
              "display": "ClinicalImpression.implicitRules",
              "equivalence": "equivalent",
              "comment": "Element `ClinicalImpression.implicitRules` is mapped to FHIR R4 element `ClinicalImpression.implicitRules` as `Equivalent`.\nAsserting 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 as much as possible."
            }
          ]
        },
        {
          "code": "ClinicalImpression.language",
          "display": "language",
          "target": [
            {
              "code": "ClinicalImpression.language",
              "display": "ClinicalImpression.language",
              "equivalence": "equivalent",
              "comment": "Element `ClinicalImpression.language` is mapped to FHIR R4 element `ClinicalImpression.language` as `Equivalent`.\nLanguage 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)."
            }
          ]
        },
        {
          "code": "ClinicalImpression.text",
          "display": "text",
          "target": [
            {
              "code": "ClinicalImpression.text",
              "display": "ClinicalImpression.text",
              "equivalence": "wider",
              "comment": "Element `ClinicalImpression.text` is mapped to FHIR R4 element `ClinicalImpression.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `ClinicalImpression.text` do not cover the following types: Narrative.\nThe mappings for `ClinicalImpression.text` do not cover the following types based on type expansion: div, status.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative."
            }
          ]
        },
        {
          "code": "ClinicalImpression.contained",
          "display": "contained",
          "target": [
            {
              "code": "ClinicalImpression.contained",
              "display": "ClinicalImpression.contained",
              "equivalence": "equivalent",
              "comment": "Element `ClinicalImpression.contained` is mapped to FHIR R4 element `ClinicalImpression.contained` as `SourceIsBroaderThanTarget`.\nThis 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."
            }
          ]
        },
        {
          "code": "ClinicalImpression.patient",
          "display": "patient",
          "target": [
            {
              "code": "ClinicalImpression.subject",
              "display": "ClinicalImpression.subject",
              "equivalence": "wider",
              "comment": "Element `ClinicalImpression.patient` is mapped to FHIR R4 element `ClinicalImpression.subject` as `SourceIsBroaderThanTarget`.\nThe mappings for `ClinicalImpression.patient` do not cover the following types based on type expansion: display, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `ClinicalImpression.patient` with unmapped reference targets: Patient."
            }
          ]
        },
        {
          "code": "ClinicalImpression.assessor",
          "display": "assessor",
          "target": [
            {
              "code": "ClinicalImpression.assessor",
              "display": "ClinicalImpression.assessor",
              "equivalence": "wider",
              "comment": "Element `ClinicalImpression.assessor` is mapped to FHIR R4 element `ClinicalImpression.assessor` as `RelatedTo`.\nThe mappings for `ClinicalImpression.assessor` do not cover the following types based on type expansion: display, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `ClinicalImpression.assessor` with unmapped reference targets: Practitioner."
            }
          ]
        },
        {
          "code": "ClinicalImpression.status",
          "display": "status",
          "target": [
            {
              "code": "ClinicalImpression.status",
              "display": "ClinicalImpression.status",
              "equivalence": "equivalent",
              "comment": "Element `ClinicalImpression.status` is mapped to FHIR R4 element `ClinicalImpression.status` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ClinicalImpression.date",
          "display": "date",
          "target": [
            {
              "code": "ClinicalImpression.date",
              "display": "ClinicalImpression.date",
              "equivalence": "equivalent",
              "comment": "Element `ClinicalImpression.date` is mapped to FHIR R4 element `ClinicalImpression.date` as `Equivalent`.\nThis SHOULD be accurate to at least the minute, though some assessments only have a known date."
            }
          ]
        },
        {
          "code": "ClinicalImpression.description",
          "display": "description",
          "target": [
            {
              "code": "ClinicalImpression.description",
              "display": "ClinicalImpression.description",
              "equivalence": "equivalent",
              "comment": "Element `ClinicalImpression.description` is mapped to FHIR R4 element `ClinicalImpression.description` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ClinicalImpression.previous",
          "display": "previous",
          "target": [
            {
              "code": "ClinicalImpression.previous",
              "display": "ClinicalImpression.previous",
              "equivalence": "wider",
              "comment": "Element `ClinicalImpression.previous` is mapped to FHIR R4 element `ClinicalImpression.previous` as `SourceIsBroaderThanTarget`.\nThe mappings for `ClinicalImpression.previous` do not cover the following types based on type expansion: display, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `ClinicalImpression.previous` with unmapped reference targets: ClinicalImpression.\nIt is always likely that multiple previous assessments exist for a patient. The point of quoting a previous assessment is that this assessment is relative to it (see resolved)."
            }
          ]
        },
        {
          "code": "ClinicalImpression.problem",
          "display": "problem",
          "target": [
            {
              "code": "ClinicalImpression.problem",
              "display": "ClinicalImpression.problem",
              "equivalence": "wider",
              "comment": "Element `ClinicalImpression.problem` is mapped to FHIR R4 element `ClinicalImpression.problem` as `SourceIsBroaderThanTarget`.\nThe mappings for `ClinicalImpression.problem` do not cover the following types based on type expansion: display, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `ClinicalImpression.problem` with unmapped reference targets: AllergyIntolerance, Condition.\ne.g. The patient is a pregnant, and cardiac congestive failure, ‎Adenocarcinoma, and is allergic to penicillin."
            }
          ]
        },
        {
          "code": "ClinicalImpression.investigations",
          "display": "investigations",
          "target": [
            {
              "code": "ClinicalImpression.investigation",
              "display": "ClinicalImpression.investigation",
              "equivalence": "wider",
              "comment": "Element `ClinicalImpression.investigations` is mapped to FHIR R4 element `ClinicalImpression.investigation` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ClinicalImpression.investigations.code",
          "display": "code",
          "target": [
            {
              "code": "ClinicalImpression.investigation.code",
              "display": "ClinicalImpression.investigation.code",
              "equivalence": "equivalent",
              "comment": "Element `ClinicalImpression.investigations.code` is mapped to FHIR R4 element `ClinicalImpression.investigation.code` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ClinicalImpression.investigations.item",
          "display": "item",
          "target": [
            {
              "code": "ClinicalImpression.investigation.item",
              "display": "ClinicalImpression.investigation.item",
              "equivalence": "wider",
              "comment": "Element `ClinicalImpression.investigations.item` is mapped to FHIR R4 element `ClinicalImpression.investigation.item` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `ClinicalImpression.investigations.item` with unmapped reference targets: DiagnosticReport, FamilyMemberHistory, Observation, QuestionnaireResponse.\nMost investigations are observations of one kind of or another but some other specific types of data collection resources can also be used."
            }
          ]
        },
        {
          "code": "ClinicalImpression.protocol",
          "display": "protocol",
          "target": [
            {
              "code": "ClinicalImpression.protocol",
              "display": "ClinicalImpression.protocol",
              "equivalence": "equivalent",
              "comment": "Element `ClinicalImpression.protocol` is mapped to FHIR R4 element `ClinicalImpression.protocol` as `SourceIsNarrowerThanTarget`."
            }
          ]
        },
        {
          "code": "ClinicalImpression.summary",
          "display": "summary",
          "target": [
            {
              "code": "ClinicalImpression.summary",
              "display": "ClinicalImpression.summary",
              "equivalence": "equivalent",
              "comment": "Element `ClinicalImpression.summary` is mapped to FHIR R4 element `ClinicalImpression.summary` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ClinicalImpression.finding",
          "display": "finding",
          "target": [
            {
              "code": "ClinicalImpression.finding",
              "display": "ClinicalImpression.finding",
              "equivalence": "wider",
              "comment": "Element `ClinicalImpression.finding` is mapped to FHIR R4 element `ClinicalImpression.finding` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ClinicalImpression.finding.item",
          "display": "item",
          "target": [
            {
              "code": "ClinicalImpression.finding.itemCodeableConcept",
              "display": "ClinicalImpression.finding.itemCodeableConcept",
              "equivalence": "relatedto",
              "comment": "Element `ClinicalImpression.finding.item` is mapped to FHIR R4 element `ClinicalImpression.finding.itemCodeableConcept` as `SourceIsBroaderThanTarget`.\nElement `ClinicalImpression.finding.item` is mapped to FHIR R4 element `ClinicalImpression.finding.itemReference` as `SourceIsBroaderThanTarget`."
            },
            {
              "code": "ClinicalImpression.finding.itemReference",
              "display": "ClinicalImpression.finding.itemReference",
              "equivalence": "relatedto",
              "comment": "Element `ClinicalImpression.finding.item` is mapped to FHIR R4 element `ClinicalImpression.finding.itemCodeableConcept` as `SourceIsBroaderThanTarget`.\nElement `ClinicalImpression.finding.item` is mapped to FHIR R4 element `ClinicalImpression.finding.itemReference` as `SourceIsBroaderThanTarget`."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.meta",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ClinicalImpression.meta",
          "display": "meta",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `ClinicalImpression.meta` is mapped to FHIR R4 element `ClinicalImpression.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `ClinicalImpression.meta` do not cover the following types: Meta.\nThe mappings for `ClinicalImpression.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.text",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ClinicalImpression.text",
          "display": "text",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `ClinicalImpression.text` is mapped to FHIR R4 element `ClinicalImpression.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `ClinicalImpression.text` do not cover the following types: Narrative.\nThe mappings for `ClinicalImpression.text` do not cover the following types based on type expansion: div, status.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.trigger",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ClinicalImpression.trigger[x]",
          "display": "trigger[x]",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `ClinicalImpression.trigger[x]` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`.\nElement `ClinicalImpression.trigger[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.finding.cause",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ClinicalImpression.finding.cause",
          "display": "cause",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `ClinicalImpression.finding.cause` has a context of ClinicalImpression.finding based on following the parent source element upwards and mapping to `ClinicalImpression`.\nElement `ClinicalImpression.finding.cause` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.resolved",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ClinicalImpression.resolved",
          "display": "resolved",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `ClinicalImpression.resolved` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`.\nElement `ClinicalImpression.resolved` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.ruledOut",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ClinicalImpression.ruledOut",
          "display": "ruledOut",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ClinicalImpression.ruledOut` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`.\nElement `ClinicalImpression.ruledOut` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalImpression.ruledOut.item",
          "display": "item",
          "target": [
            {
              "code": "Extension.extension:item",
              "equivalence": "equivalent",
              "comment": "Element `ClinicalImpression.ruledOut.item` is part of an existing definition because parent element `ClinicalImpression.ruledOut` requires a cross-version extension.\nElement `ClinicalImpression.ruledOut.item` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`.\nElement `ClinicalImpression.ruledOut.item` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalImpression.ruledOut.reason",
          "display": "reason",
          "target": [
            {
              "code": "Extension.extension:reason",
              "equivalence": "equivalent",
              "comment": "Element `ClinicalImpression.ruledOut.reason` is part of an existing definition because parent element `ClinicalImpression.ruledOut` requires a cross-version extension.\nElement `ClinicalImpression.ruledOut.reason` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`.\nElement `ClinicalImpression.ruledOut.reason` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.prognosis",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ClinicalImpression.prognosis",
          "display": "prognosis",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `ClinicalImpression.prognosis` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`.\nElement `ClinicalImpression.prognosis` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.plan",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ClinicalImpression.plan",
          "display": "plan",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `ClinicalImpression.plan` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`.\nElement `ClinicalImpression.plan` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.action",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ClinicalImpression.action",
          "display": "action",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ClinicalImpression.action` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`.\nElement `ClinicalImpression.action` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    }
  ]
}