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Source1

{
  "resourceType": "ConceptMap",
  "id": "R2-Immunization-element-map-to-R4B",
  "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.r4b"
          }
        ]
      }
    },
    {
      "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.r4b"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ConceptMap/R2-Immunization-element-map-to-R4B",
  "version": "0.1.0",
  "name": "R2ImmunizationElementMapToR4B",
  "title": "Cross-version mapping for FHIR DSTU2 Immunization to FHIR R4B Immunization",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:04:55.0896352-05:00",
  "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 Immunization to FHIR R4B.",
  "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/4.3",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Immunization",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/StructureDefinition/Immunization",
      "targetVersion": "4.3.0",
      "element": [
        {
          "code": "Immunization.meta",
          "display": "meta",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Immunization.meta",
              "display": "Immunization.meta",
              "equivalence": "wider",
              "comment": "Element `Immunization.meta` is mapped to FHIR R4B element `Immunization.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.meta` do not cover the following types: Meta.\nThe mappings for `Immunization.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        },
        {
          "code": "Immunization.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.implicitRules",
              "display": "Immunization.implicitRules",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.implicitRules` is mapped to FHIR R4B element `Immunization.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": "Immunization.language",
          "display": "language",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.language",
              "display": "Immunization.language",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.language` is mapped to FHIR R4B element `Immunization.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": "Immunization.text",
          "display": "text",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Immunization.text",
              "display": "Immunization.text",
              "equivalence": "wider",
              "comment": "Element `Immunization.text` is mapped to FHIR R4B element `Immunization.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.text` do not cover the following types: Narrative.\nThe mappings for `Immunization.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": "Immunization.contained",
          "display": "contained",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.contained",
              "display": "Immunization.contained",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.contained` is mapped to FHIR R4B element `Immunization.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": "Immunization.identifier",
          "display": "identifier",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Immunization.identifier",
              "display": "Immunization.identifier",
              "equivalence": "wider",
              "comment": "Element `Immunization.identifier` is mapped to FHIR R4B element `Immunization.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.identifier` do not cover the following types: Identifier.\nThe mappings for `Immunization.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        },
        {
          "code": "Immunization.status",
          "display": "status",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Immunization.status",
              "display": "Immunization.status",
              "equivalence": "wider",
              "comment": "Element `Immunization.status` is mapped to FHIR R4B element `Immunization.status` as `RelatedTo`.\nThe mappings for `Immunization.status` do not allow expression of the necessary codes, per the bindings on the source and target.\nThe target context `Immunization.status` is a modifier element, so this extension does not need to be defined as a modifier.\nWill generally be set to show that the immunization has been completed."
            }
          ]
        },
        {
          "code": "Immunization.date",
          "display": "date",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.occurrence[x]",
              "display": "Immunization.occurrence[x]",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.date` is mapped to FHIR R4B element `Immunization.occurrence[x]` as `Equivalent`.\nThe target context `Immunization.occurrence[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Immunization`.\nWhen immunizations are given a specific date and time should always be known.   When immunizations are patient reported, a specific date might not be known.  Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given."
            }
          ]
        },
        {
          "code": "Immunization.vaccineCode",
          "display": "vaccineCode",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.vaccineCode",
              "display": "Immunization.vaccineCode",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.vaccineCode` is mapped to FHIR R4B element `Immunization.vaccineCode` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.patient",
          "display": "patient",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Immunization.patient",
              "display": "Immunization.patient",
              "equivalence": "wider",
              "comment": "Element `Immunization.patient` is mapped to FHIR R4B element `Immunization.patient` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.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 `Immunization.patient` with unmapped reference targets: Patient."
            }
          ]
        },
        {
          "code": "Immunization.wasNotGiven",
          "display": "wasNotGiven",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "Immunization.status",
              "display": "Immunization.status",
              "equivalence": "relatedto",
              "comment": "Element `Immunization.wasNotGiven` is mapped to FHIR R4B element `Immunization.status` as `SourceIsBroaderThanTarget`.\nElement `Immunization.wasNotGiven` is mapped to FHIR R4B element `Immunization.statusReason` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.wasNotGiven` do not cover the following types: boolean.\nThe mappings for `Immunization.wasNotGiven` do not cover the following types based on type expansion: value."
            },
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "Immunization.statusReason",
              "display": "Immunization.statusReason",
              "equivalence": "relatedto",
              "comment": "Element `Immunization.wasNotGiven` is mapped to FHIR R4B element `Immunization.status` as `SourceIsBroaderThanTarget`.\nElement `Immunization.wasNotGiven` is mapped to FHIR R4B element `Immunization.statusReason` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.wasNotGiven` do not cover the following types: boolean.\nThe mappings for `Immunization.wasNotGiven` do not cover the following types based on type expansion: value."
            }
          ]
        },
        {
          "code": "Immunization.performer",
          "display": "performer",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "Immunization.performer.actor",
              "display": "Immunization.performer.actor",
              "equivalence": "relatedto",
              "comment": "Element `Immunization.performer` is mapped to FHIR R4B element `Immunization.performer.actor` as `RelatedTo`.\nThe mappings for `Immunization.performer` 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 `Immunization.performer` with unmapped reference targets: Practitioner."
            }
          ]
        },
        {
          "code": "Immunization.requester",
          "display": "requester",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "Immunization.performer.actor",
              "display": "Immunization.performer.actor",
              "equivalence": "relatedto",
              "comment": "Element `Immunization.requester` is mapped to FHIR R4B element `Immunization.performer.actor` as `RelatedTo`.\nThe mappings for `Immunization.requester` 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 `Immunization.requester` with unmapped reference targets: Practitioner.\nOther participants - delegate to Provenance resource."
            }
          ]
        },
        {
          "code": "Immunization.encounter",
          "display": "encounter",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Immunization.encounter",
              "display": "Immunization.encounter",
              "equivalence": "wider",
              "comment": "Element `Immunization.encounter` is mapped to FHIR R4B element `Immunization.encounter` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.encounter` 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 `Immunization.encounter` with unmapped reference targets: Encounter."
            }
          ]
        },
        {
          "code": "Immunization.manufacturer",
          "display": "manufacturer",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Immunization.manufacturer",
              "display": "Immunization.manufacturer",
              "equivalence": "wider",
              "comment": "Element `Immunization.manufacturer` is mapped to FHIR R4B element `Immunization.manufacturer` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.manufacturer` 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 `Immunization.manufacturer` with unmapped reference targets: Organization."
            }
          ]
        },
        {
          "code": "Immunization.location",
          "display": "location",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Immunization.location",
              "display": "Immunization.location",
              "equivalence": "wider",
              "comment": "Element `Immunization.location` is mapped to FHIR R4B element `Immunization.location` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.location` 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 `Immunization.location` with unmapped reference targets: Location."
            }
          ]
        },
        {
          "code": "Immunization.lotNumber",
          "display": "lotNumber",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.lotNumber",
              "display": "Immunization.lotNumber",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.lotNumber` is mapped to FHIR R4B element `Immunization.lotNumber` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.expirationDate",
          "display": "expirationDate",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.expirationDate",
              "display": "Immunization.expirationDate",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.expirationDate` is mapped to FHIR R4B element `Immunization.expirationDate` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.site",
          "display": "site",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.site",
              "display": "Immunization.site",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.site` is mapped to FHIR R4B element `Immunization.site` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.route",
          "display": "route",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.route",
              "display": "Immunization.route",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.route` is mapped to FHIR R4B element `Immunization.route` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.doseQuantity",
          "display": "doseQuantity",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.doseQuantity",
              "display": "Immunization.doseQuantity",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.doseQuantity` is mapped to FHIR R4B element `Immunization.doseQuantity` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.note",
          "display": "note",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Immunization.note",
              "display": "Immunization.note",
              "equivalence": "wider",
              "comment": "Element `Immunization.note` is mapped to FHIR R4B element `Immunization.note` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.note` do not cover the following types: Annotation.\nThe mappings for `Immunization.note` do not cover the following types based on type expansion: author[x], text, time."
            }
          ]
        },
        {
          "code": "Immunization.explanation",
          "display": "explanation",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "Immunization",
              "display": "Immunization",
              "equivalence": "relatedto",
              "comment": "Element `Immunization.explanation` is mapped to FHIR R4B element `Immunization` as `SourceIsNarrowerThanTarget`."
            }
          ]
        },
        {
          "code": "Immunization.explanation.reason",
          "display": "reason",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "narrower"
                }
              ],
              "code": "Immunization.reasonCode",
              "display": "Immunization.reasonCode",
              "equivalence": "narrower",
              "comment": "Element `Immunization.explanation.reason` is mapped to FHIR R4B element `Immunization.reasonCode` as `SourceIsNarrowerThanTarget`."
            }
          ]
        },
        {
          "code": "Immunization.explanation.reasonNotGiven",
          "display": "reasonNotGiven",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "narrower"
                }
              ],
              "code": "Immunization.reasonCode",
              "display": "Immunization.reasonCode",
              "equivalence": "narrower",
              "comment": "Element `Immunization.explanation.reasonNotGiven` is mapped to FHIR R4B element `Immunization.reasonCode` as `SourceIsNarrowerThanTarget`."
            }
          ]
        },
        {
          "code": "Immunization.reaction",
          "display": "reaction",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Immunization.reaction",
              "display": "Immunization.reaction",
              "equivalence": "wider",
              "comment": "Element `Immunization.reaction` is mapped to FHIR R4B element `Immunization.reaction` as `Equivalent`.\nA reaction may be an indication of an allergy or intolerance and, if this is determined to be the case,  it should be recorded as a new [AllergyIntolerance](https://hl7.org/fhir/DSTU2/AllergyIntolerance.html) resource instance as most systems will not query against  past Immunization.reaction elements."
            }
          ]
        },
        {
          "code": "Immunization.reaction.date",
          "display": "date",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.reaction.date",
              "display": "Immunization.reaction.date",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.reaction.date` is mapped to FHIR R4B element `Immunization.reaction.date` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.reaction.detail",
          "display": "detail",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Immunization.reaction.detail",
              "display": "Immunization.reaction.detail",
              "equivalence": "wider",
              "comment": "Element `Immunization.reaction.detail` is mapped to FHIR R4B element `Immunization.reaction.detail` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.reaction.detail` 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 `Immunization.reaction.detail` with unmapped reference targets: Observation."
            }
          ]
        },
        {
          "code": "Immunization.reaction.reported",
          "display": "reported",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.reaction.reported",
              "display": "Immunization.reaction.reported",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.reaction.reported` is mapped to FHIR R4B element `Immunization.reaction.reported` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.vaccinationProtocol",
          "display": "vaccinationProtocol",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Immunization.protocolApplied",
              "display": "Immunization.protocolApplied",
              "equivalence": "wider",
              "comment": "Element `Immunization.vaccinationProtocol` is mapped to FHIR R4B element `Immunization.protocolApplied` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.vaccinationProtocol.doseSequence",
          "display": "doseSequence",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.protocolApplied.doseNumber[x]",
              "display": "Immunization.protocolApplied.doseNumber[x]",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.vaccinationProtocol.doseSequence` is mapped to FHIR R4B element `Immunization.protocolApplied.doseNumber[x]` as `Equivalent`.\nThe target context `Immunization.protocolApplied.doseNumber[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Immunization.protocolApplied`."
            }
          ]
        },
        {
          "code": "Immunization.vaccinationProtocol.authority",
          "display": "authority",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Immunization.protocolApplied.authority",
              "display": "Immunization.protocolApplied.authority",
              "equivalence": "wider",
              "comment": "Element `Immunization.vaccinationProtocol.authority` is mapped to FHIR R4B element `Immunization.protocolApplied.authority` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.vaccinationProtocol.authority` 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 `Immunization.vaccinationProtocol.authority` with unmapped reference targets: Organization."
            }
          ]
        },
        {
          "code": "Immunization.vaccinationProtocol.series",
          "display": "series",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.protocolApplied.series",
              "display": "Immunization.protocolApplied.series",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.vaccinationProtocol.series` is mapped to FHIR R4B element `Immunization.protocolApplied.series` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.vaccinationProtocol.seriesDoses",
          "display": "seriesDoses",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.protocolApplied.seriesDoses[x]",
              "display": "Immunization.protocolApplied.seriesDoses[x]",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.vaccinationProtocol.seriesDoses` is mapped to FHIR R4B element `Immunization.protocolApplied.seriesDoses[x]` as `Equivalent`.\nThe target context `Immunization.protocolApplied.seriesDoses[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Immunization.protocolApplied`."
            }
          ]
        },
        {
          "code": "Immunization.vaccinationProtocol.targetDisease",
          "display": "targetDisease",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.protocolApplied.targetDisease",
              "display": "Immunization.protocolApplied.targetDisease",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.vaccinationProtocol.targetDisease` is mapped to FHIR R4B element `Immunization.protocolApplied.targetDisease` as `Equivalent`."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Immunization",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Immunization.meta",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Immunization.meta",
          "display": "meta",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.meta` is mapped to FHIR R4B element `Immunization.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.meta` do not cover the following types: Meta.\nThe mappings for `Immunization.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Immunization",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Immunization.text",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Immunization.text",
          "display": "text",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.text` is mapped to FHIR R4B element `Immunization.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.text` do not cover the following types: Narrative.\nThe mappings for `Immunization.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/Immunization",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Immunization.identifier",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Immunization.identifier",
          "display": "identifier",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.identifier` is mapped to FHIR R4B element `Immunization.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.identifier` do not cover the following types: Identifier.\nThe mappings for `Immunization.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Immunization",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Immunization.status",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Immunization.status",
          "display": "status",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.status` is mapped to FHIR R4B element `Immunization.status` as `RelatedTo`.\nThe mappings for `Immunization.status` do not allow expression of the necessary codes, per the bindings on the source and target.\nThe target context `Immunization.status` is a modifier element, so this extension does not need to be defined as a modifier.\nWill generally be set to show that the immunization has been completed."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Immunization",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Immunization.wasNotGiven",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Immunization.wasNotGiven",
          "display": "wasNotGiven",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `Immunization.wasNotGiven` is mapped to FHIR R4B element `Immunization.status` as `SourceIsBroaderThanTarget`.\nElement `Immunization.wasNotGiven` is mapped to FHIR R4B element `Immunization.statusReason` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.wasNotGiven` do not cover the following types: boolean.\nThe mappings for `Immunization.wasNotGiven` do not cover the following types based on type expansion: value."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Immunization",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Immunization.reported",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Immunization.reported",
          "display": "reported",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.reported` has a context of Immunization based on following the parent source element upwards and mapping to `Immunization`.\nElement `Immunization.reported` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).\nMay need source of reported info (e.g. parent), but leave out for now."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Immunization",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Immunization.note",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Immunization.note",
          "display": "note",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.note` is mapped to FHIR R4B element `Immunization.note` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.note` do not cover the following types: Annotation.\nThe mappings for `Immunization.note` do not cover the following types based on type expansion: author[x], text, time."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Immunization",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Immunization.vaccinationProtocol.description",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Immunization.vaccinationProtocol.description",
          "display": "description",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.vaccinationProtocol.description` has a context of Immunization.protocolApplied based on following the parent source element upwards and mapping to `Immunization`.\nElement `Immunization.vaccinationProtocol.description` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Immunization",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Immunization.vaccinationProtocol.doseStatus",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Immunization.vaccinationProtocol.doseStatus",
          "display": "doseStatus",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.vaccinationProtocol.doseStatus` has a context of Immunization.protocolApplied based on following the parent source element upwards and mapping to `Immunization`.\nElement `Immunization.vaccinationProtocol.doseStatus` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).\nMay need to differentiate between status declarations by a provider vs. a CDS engine."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Immunization",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Immunization.vaccinationProtocol.doseStatusReason",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Immunization.vaccinationProtocol.doseStatusReason",
          "display": "doseStatusReason",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.vaccinationProtocol.doseStatusReason` has a context of Immunization.protocolApplied based on following the parent source element upwards and mapping to `Immunization`.\nElement `Immunization.vaccinationProtocol.doseStatusReason` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    }
  ]
}