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{
  "resourceType": "ConceptMap",
  "id": "R2-DiagnosticReport-element-map-to-R5",
  "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.r5"
          }
        ]
      }
    },
    {
      "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.r5"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ConceptMap/R2-DiagnosticReport-element-map-to-R5",
  "version": "0.1.0",
  "name": "R2DiagnosticReportElementMapToR5",
  "title": "Cross-version mapping for FHIR DSTU2 DiagnosticReport to FHIR R5 DiagnosticReport",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:05:26.1458148-05:00",
  "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 DiagnosticReport to FHIR R5.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "sourceScopeCanonical": "http://hl7.org/fhir/1.0",
  "targetScopeUri": "http://hl7.org/fhir/5.0",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport|1.0.2",
      "target": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport|5.0.0",
      "element": [
        {
          "code": "DiagnosticReport.meta",
          "display": "meta",
          "target": [
            {
              "code": "DiagnosticReport.meta",
              "display": "DiagnosticReport.meta",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `DiagnosticReport.meta` is mapped to FHIR R5 element `DiagnosticReport.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.meta` do not cover the following types: Meta.\nThe mappings for `DiagnosticReport.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        },
        {
          "code": "DiagnosticReport.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "code": "DiagnosticReport.implicitRules",
              "display": "DiagnosticReport.implicitRules",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.implicitRules` is mapped to FHIR R5 element `DiagnosticReport.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": "DiagnosticReport.language",
          "display": "language",
          "target": [
            {
              "code": "DiagnosticReport.language",
              "display": "DiagnosticReport.language",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.language` is mapped to FHIR R5 element `DiagnosticReport.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": "DiagnosticReport.text",
          "display": "text",
          "target": [
            {
              "code": "DiagnosticReport.text",
              "display": "DiagnosticReport.text",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `DiagnosticReport.text` is mapped to FHIR R5 element `DiagnosticReport.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.text` do not cover the following types: Narrative.\nThe mappings for `DiagnosticReport.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": "DiagnosticReport.contained",
          "display": "contained",
          "target": [
            {
              "code": "DiagnosticReport.contained",
              "display": "DiagnosticReport.contained",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.contained` is mapped to FHIR R5 element `DiagnosticReport.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": "DiagnosticReport.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "DiagnosticReport.identifier",
              "display": "DiagnosticReport.identifier",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `DiagnosticReport.identifier` is mapped to FHIR R5 element `DiagnosticReport.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.identifier` do not cover the following types: Identifier.\nThe mappings for `DiagnosticReport.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        },
        {
          "code": "DiagnosticReport.status",
          "display": "status",
          "target": [
            {
              "code": "DiagnosticReport.status",
              "display": "DiagnosticReport.status",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `DiagnosticReport.status` is mapped to FHIR R5 element `DiagnosticReport.status` as `RelatedTo`.\nThe mappings for `DiagnosticReport.status` do not allow expression of the necessary codes, per the bindings on the source and target.\nThe target context `DiagnosticReport.status` is a modifier element, so this extension does not need to be defined as a modifier.\nThis is labeled as \"Is Modifier\" because applications need to take appropriate action if a report is withdrawn."
            }
          ]
        },
        {
          "code": "DiagnosticReport.category",
          "display": "category",
          "target": [
            {
              "code": "DiagnosticReport.category",
              "display": "DiagnosticReport.category",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.category` is mapped to FHIR R5 element `DiagnosticReport.category` as `SourceIsNarrowerThanTarget`.\nThe level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code."
            }
          ]
        },
        {
          "code": "DiagnosticReport.code",
          "display": "code",
          "target": [
            {
              "code": "DiagnosticReport.code",
              "display": "DiagnosticReport.code",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.code` is mapped to FHIR R5 element `DiagnosticReport.code` as `Equivalent`."
            }
          ]
        },
        {
          "code": "DiagnosticReport.subject",
          "display": "subject",
          "target": [
            {
              "code": "DiagnosticReport.subject",
              "display": "DiagnosticReport.subject",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `DiagnosticReport.subject` is mapped to FHIR R5 element `DiagnosticReport.subject` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `DiagnosticReport.subject` with unmapped reference targets: Device, Group, Location, Patient."
            }
          ]
        },
        {
          "code": "DiagnosticReport.encounter",
          "display": "encounter",
          "target": [
            {
              "code": "DiagnosticReport.encounter",
              "display": "DiagnosticReport.encounter",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `DiagnosticReport.encounter` is mapped to FHIR R5 element `DiagnosticReport.encounter` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.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 `DiagnosticReport.encounter` with unmapped reference targets: Encounter."
            }
          ]
        },
        {
          "code": "DiagnosticReport.effective[x]",
          "display": "effective[x]",
          "target": [
            {
              "code": "DiagnosticReport.effective[x]",
              "display": "DiagnosticReport.effective[x]",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.effective[x]` is mapped to FHIR R5 element `DiagnosticReport.effective[x]` as `SourceIsBroaderThanTarget`.\nThe target context `DiagnosticReport.effective[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `DiagnosticReport`.\nIf the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic."
            }
          ]
        },
        {
          "code": "DiagnosticReport.issued",
          "display": "issued",
          "target": [
            {
              "code": "DiagnosticReport.issued",
              "display": "DiagnosticReport.issued",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.issued` is mapped to FHIR R5 element `DiagnosticReport.issued` as `Equivalent`.\nMay be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report."
            }
          ]
        },
        {
          "code": "DiagnosticReport.performer",
          "display": "performer",
          "target": [
            {
              "code": "DiagnosticReport.performer",
              "display": "DiagnosticReport.performer",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `DiagnosticReport.performer` is mapped to FHIR R5 element `DiagnosticReport.performer` as `RelatedTo`.\nThe mappings for `DiagnosticReport.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 `DiagnosticReport.performer` with unmapped reference targets: Organization, Practitioner.\nThis is not necessarily the source of the atomic data items. It is the entity that takes responsibility for the clinical report."
            }
          ]
        },
        {
          "code": "DiagnosticReport.request",
          "display": "request",
          "target": [
            {
              "code": "DiagnosticReport.basedOn",
              "display": "DiagnosticReport.basedOn",
              "relationship": "related-to",
              "comment": "Element `DiagnosticReport.request` is mapped to FHIR R5 element `DiagnosticReport.basedOn` as `RelatedTo`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `DiagnosticReport.request` with unmapped reference targets: DiagnosticOrder, ProcedureRequest, ReferralRequest.\nNote: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports."
            }
          ]
        },
        {
          "code": "DiagnosticReport.specimen",
          "display": "specimen",
          "target": [
            {
              "code": "DiagnosticReport.specimen",
              "display": "DiagnosticReport.specimen",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `DiagnosticReport.specimen` is mapped to FHIR R5 element `DiagnosticReport.specimen` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.specimen` 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 `DiagnosticReport.specimen` with unmapped reference targets: Specimen.\nIf the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per Observation or group."
            }
          ]
        },
        {
          "code": "DiagnosticReport.result",
          "display": "result",
          "target": [
            {
              "code": "DiagnosticReport.result",
              "display": "DiagnosticReport.result",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `DiagnosticReport.result` is mapped to FHIR R5 element `DiagnosticReport.result` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.result` 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 `DiagnosticReport.result` with unmapped reference targets: Observation."
            }
          ]
        },
        {
          "code": "DiagnosticReport.image",
          "display": "image",
          "target": [
            {
              "code": "DiagnosticReport.media",
              "display": "DiagnosticReport.media",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `DiagnosticReport.image` is mapped to FHIR R5 element `DiagnosticReport.media` as `Equivalent`."
            }
          ]
        },
        {
          "code": "DiagnosticReport.image.comment",
          "display": "comment",
          "target": [
            {
              "code": "DiagnosticReport.media.comment",
              "display": "DiagnosticReport.media.comment",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.image.comment` is mapped to FHIR R5 element `DiagnosticReport.media.comment` as `Equivalent`.\nThe comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion."
            }
          ]
        },
        {
          "code": "DiagnosticReport.image.link",
          "display": "link",
          "target": [
            {
              "code": "DiagnosticReport.media.link",
              "display": "DiagnosticReport.media.link",
              "relationship": "related-to",
              "comment": "Element `DiagnosticReport.image.link` is mapped to FHIR R5 element `DiagnosticReport.media.link` as `RelatedTo`.\nThe mappings for `DiagnosticReport.image.link` 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 `DiagnosticReport.image.link` with unmapped reference targets: Media."
            }
          ]
        },
        {
          "code": "DiagnosticReport.conclusion",
          "display": "conclusion",
          "target": [
            {
              "code": "DiagnosticReport.conclusion",
              "display": "DiagnosticReport.conclusion",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.conclusion` is mapped to FHIR R5 element `DiagnosticReport.conclusion` as `Equivalent`.\nTypically, a report is either [all data, no narrative (e.g. Core lab)] or [a mix of data with some concluding narrative (e.g. Structured Pathology Report, Bone Density)], or [all narrative (e.g. typical imaging report, histopathology)]. In all of these cases, the narrative goes in \"text\"."
            }
          ]
        },
        {
          "code": "DiagnosticReport.codedDiagnosis",
          "display": "codedDiagnosis",
          "target": [
            {
              "code": "DiagnosticReport.conclusionCode",
              "display": "DiagnosticReport.conclusionCode",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.codedDiagnosis` is mapped to FHIR R5 element `DiagnosticReport.conclusionCode` as `Equivalent`."
            }
          ]
        },
        {
          "code": "DiagnosticReport.presentedForm",
          "display": "presentedForm",
          "target": [
            {
              "code": "DiagnosticReport.presentedForm",
              "display": "DiagnosticReport.presentedForm",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `DiagnosticReport.presentedForm` is mapped to FHIR R5 element `DiagnosticReport.presentedForm` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.presentedForm` do not cover the following types: Attachment.\nThe mappings for `DiagnosticReport.presentedForm` do not cover the following types based on type expansion: contentType, creation, data, hash, language, size, title, url.\n\"application/pdf\" is recommended as the most reliable and interoperable in this context."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport|1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-DiagnosticReport.meta|0.1.0",
      "element": [
        {
          "code": "DiagnosticReport.meta",
          "display": "meta",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.meta` is mapped to FHIR R5 element `DiagnosticReport.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.meta` do not cover the following types: Meta.\nThe mappings for `DiagnosticReport.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport|1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-DiagnosticReport.text|0.1.0",
      "element": [
        {
          "code": "DiagnosticReport.text",
          "display": "text",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.text` is mapped to FHIR R5 element `DiagnosticReport.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.text` do not cover the following types: Narrative.\nThe mappings for `DiagnosticReport.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/DiagnosticReport|1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-DiagnosticReport.identifier|0.1.0",
      "element": [
        {
          "code": "DiagnosticReport.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.identifier` is mapped to FHIR R5 element `DiagnosticReport.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.identifier` do not cover the following types: Identifier.\nThe mappings for `DiagnosticReport.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport|1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-DiagnosticReport.status|0.1.0",
      "element": [
        {
          "code": "DiagnosticReport.status",
          "display": "status",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.status` is mapped to FHIR R5 element `DiagnosticReport.status` as `RelatedTo`.\nThe mappings for `DiagnosticReport.status` do not allow expression of the necessary codes, per the bindings on the source and target.\nThe target context `DiagnosticReport.status` is a modifier element, so this extension does not need to be defined as a modifier.\nThis is labeled as \"Is Modifier\" because applications need to take appropriate action if a report is withdrawn."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport|1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-DiagnosticReport.imagingStudy|0.1.0",
      "element": [
        {
          "code": "DiagnosticReport.imagingStudy",
          "display": "imagingStudy",
          "target": [
            {
              "code": "Extension",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `DiagnosticReport.imagingStudy` has a context of DiagnosticReport based on following the parent source element upwards and mapping to `DiagnosticReport`.\nElement `DiagnosticReport.imagingStudy` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nImagingStudy and ImageObjectStudy and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However each caters to different types of displays for different types of purposes. Neither, either, or both may be provided."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport|1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-DiagnosticReport.presentedForm|0.1.0",
      "element": [
        {
          "code": "DiagnosticReport.presentedForm",
          "display": "presentedForm",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.presentedForm` is mapped to FHIR R5 element `DiagnosticReport.presentedForm` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.presentedForm` do not cover the following types: Attachment.\nThe mappings for `DiagnosticReport.presentedForm` do not cover the following types based on type expansion: contentType, creation, data, hash, language, size, title, url.\n\"application/pdf\" is recommended as the most reliable and interoperable in this context."
            }
          ]
        }
      ]
    }
  ]
}