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Packagehl7.fhir.uv.xver-r3.r4b
Resource TypeConceptMap
IdConceptMap-R3-Measure-element-map-to-R4B.json
FHIR VersionR4B
Sourcehttp://hl7.org/fhir/uv/xver-r3.r4b/0.1.0/ConceptMap-R3-Measure-element-map-to-R4B.html
URLhttp://hl7.org/fhir/uv/xver/ConceptMap/R3-Measure-element-map-to-R4B
Version0.1.0
Statusactive
Date2026-03-17T16:04:11.0590652-05:00
NameR3MeasureElementMapToR4B
TitleCross-version mapping for FHIR STU3 Measure to FHIR R4B Measure
Realmuv
Authorityhl7
DescriptionThis ConceptMap represents cross-version mappings for elements from a FHIR STU3 Measure to FHIR R4B.

Resources that use this resource

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Resources that this resource uses

StructureDefinition
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-Measure.contactSTU3: contact additional types
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-Measure.contributorSTU3: A content contributor (new)
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-Measure.effectivePeriodSTU3: effectivePeriod additional types
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-Measure.group.identifierSTU3: Unique identifier (new)
hl7.fhir.uv.xver-r3.r4b.r4#0.0.1-snapshot-2extension-Measure.group.nameCross-version Extension for R3.Measure.group.name for use in FHIR R4B
hl7.fhir.uv.xver-r3.r4b.r4#0.0.1-snapshot-2extension-Measure.group.population.criteriaCross-version Extension for R3.Measure.group.population.criteria for use in FHIR R4B
hl7.fhir.uv.xver-r3.r4b.r4#0.0.1-snapshot-2extension-Measure.group.population.identifierCross-version Extension for R3.Measure.group.population.identifier for use in FHIR R4B
hl7.fhir.uv.xver-r3.r4b.r4#0.0.1-snapshot-2extension-Measure.group.population.nameCross-version Extension for R3.Measure.group.population.name for use in FHIR R4B
hl7.fhir.uv.xver-r3.r4b.r4#0.0.1-snapshot-2extension-Measure.group.stratifier.criteriaCross-version Extension for R3.Measure.group.stratifier.criteria for use in FHIR R4B
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-Measure.group.stratifier.identifierSTU3: The identifier for the stratifier used to coordinate the reported data back to this stratifier (new)
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-Measure.identifierSTU3: identifier additional types
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-Measure.improvementNotationSTU3: Improvement notation for the measure, e.g. higher score indicates better quality additional types
hl7.fhir.uv.xver-r3.r4b.r4#0.0.1-snapshot-2extension-Measure.libraryCross-version Extension for R3.Measure.library for use in FHIR R4B
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-Measure.metaSTU3: meta additional types
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-Measure.relatedArtifactSTU3: Additional documentation, citations, etc additional types
hl7.fhir.uv.xver-r3.r4b.r4#0.0.1-snapshot-2extension-Measure.setCross-version Extension for R3.Measure.set for use in FHIR R4B
hl7.fhir.uv.xver-r3.r4b.r4#0.0.1-snapshot-2extension-Measure.supplementalData.criteriaCross-version Extension for R3.Measure.supplementalData.criteria for use in FHIR R4B
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-Measure.supplementalData.identifierSTU3: Identifier, unique within the measure (new)
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-Measure.textSTU3: text additional types
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-Measure.useContextSTU3: Context the content is intended to support additional types

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ConceptMap R3-Measure-element-map-to-R4B

Mapping from http://hl7.org/fhir/3.0 to http://hl7.org/fhir/4.3


Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to Measureversion: 4.3.0)

Source Concept DetailsRelationshipTarget Concept DetailsComment
Codes from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2Codes from Measure
Measure.metametamaps to wider conceptMeasure.metaMeasure.metaElement `Measure.meta` is mapped to FHIR R4B element `Measure.meta` as `SourceIsBroaderThanTarget`. The mappings for `Measure.meta` do not cover the following types: Meta. The mappings for `Measure.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.
Measure.implicitRulesimplicitRulesis equivalent toMeasure.implicitRulesMeasure.implicitRulesElement `Measure.implicitRules` is mapped to FHIR R4B element `Measure.implicitRules` as `Equivalent`. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
Measure.languagelanguageis equivalent toMeasure.languageMeasure.languageElement `Measure.language` is mapped to FHIR R4B element `Measure.language` as `Equivalent`. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Measure.texttextmaps to wider conceptMeasure.textMeasure.textElement `Measure.text` is mapped to FHIR R4B element `Measure.text` as `SourceIsBroaderThanTarget`. The mappings for `Measure.text` do not cover the following types: Narrative. The mappings for `Measure.text` do not cover the following types based on type expansion: div, status. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.
Measure.containedcontainedis equivalent toMeasure.containedMeasure.containedElement `Measure.contained` is mapped to FHIR R4B element `Measure.contained` as `SourceIsBroaderThanTarget`. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.
Measure.urlurlis equivalent toMeasure.urlMeasure.urlElement `Measure.url` is mapped to FHIR R4B element `Measure.url` as `Equivalent`. Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred. Multiple instances may share the same url if they have a distinct version.
Measure.identifieridentifiermaps to wider conceptMeasure.identifierMeasure.identifierElement `Measure.identifier` is mapped to FHIR R4B element `Measure.identifier` as `SourceIsBroaderThanTarget`. The mappings for `Measure.identifier` do not cover the following types: Identifier. The mappings for `Measure.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, e.g., to identify this measure outside of FHIR, where it is not possible to use the logical URI.
Measure.versionversionis equivalent toMeasure.versionMeasure.versionElement `Measure.version` is mapped to FHIR R4B element `Measure.version` as `Equivalent`. There may be different measure instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a refrence to a particular business version of the measure with the format [url]|[version].
Measure.namenameis equivalent toMeasure.nameMeasure.nameElement `Measure.name` is mapped to FHIR R4B element `Measure.name` as `Equivalent`. The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure that it is computable friendly.
Measure.titletitleis equivalent toMeasure.titleMeasure.titleElement `Measure.title` is mapped to FHIR R4B element `Measure.title` as `Equivalent`. This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.
Measure.statusstatusis equivalent toMeasure.statusMeasure.statusElement `Measure.status` is mapped to FHIR R4B element `Measure.status` as `Equivalent`. Allows filtering of measures that are appropriate for use vs. not. This is labeled as "Is Modifier" because applications should not use a retired measure without due consideration.
Measure.experimentalexperimentalis equivalent toMeasure.experimentalMeasure.experimentalElement `Measure.experimental` is mapped to FHIR R4B element `Measure.experimental` as `Equivalent`. Allows filtering of measure that are appropriate for use vs. not. This is labeled as "Is Modifier" because applications should not use an experimental measure in production.
Measure.datedateis equivalent toMeasure.dateMeasure.dateElement `Measure.date` is mapped to FHIR R4B element `Measure.date` as `Equivalent`. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the measure. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.
Measure.publisherpublisheris equivalent toMeasure.publisherMeasure.publisherElement `Measure.publisher` is mapped to FHIR R4B element `Measure.publisher` as `Equivalent`. Usually an organization, but may be an individual. The publisher (or steward) of the measure is the organization or individual primarily responsible for the maintenance and upkeep of the measure. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the measure. This item SHOULD be populated unless the information is available from context.
Measure.descriptiondescriptionis equivalent toMeasure.descriptionMeasure.descriptionElement `Measure.description` is mapped to FHIR R4B element `Measure.description` as `Equivalent`. This description can be used to capture details such as why the measure was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the measure as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the profile is presumed to be the predominant language in the place the profile was created).
Measure.purposepurposeis equivalent toMeasure.purposeMeasure.purposeElement `Measure.purpose` is mapped to FHIR R4B element `Measure.purpose` as `Equivalent`. This element does not describe the usage of the measure Instead it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this measure.
Measure.usageusageis equivalent toMeasure.usageMeasure.usageElement `Measure.usage` is mapped to FHIR R4B element `Measure.usage` as `Equivalent`.
Measure.approvalDateapprovalDateis equivalent toMeasure.approvalDateMeasure.approvalDateElement `Measure.approvalDate` is mapped to FHIR R4B element `Measure.approvalDate` as `Equivalent`. The 'date' element may be more recent than the approval date because of minor changes / editorial corrections.
Measure.lastReviewDatelastReviewDateis equivalent toMeasure.lastReviewDateMeasure.lastReviewDateElement `Measure.lastReviewDate` is mapped to FHIR R4B element `Measure.lastReviewDate` as `Equivalent`. If specified, this is usually after the approval date.
Measure.effectivePeriodeffectivePeriodmaps to wider conceptMeasure.effectivePeriodMeasure.effectivePeriodElement `Measure.effectivePeriod` is mapped to FHIR R4B element `Measure.effectivePeriod` as `SourceIsBroaderThanTarget`. The mappings for `Measure.effectivePeriod` do not cover the following types: Period. The mappings for `Measure.effectivePeriod` do not cover the following types based on type expansion: end, start. The effective period for a measure determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.
Measure.useContextuseContextmaps to wider conceptMeasure.useContextMeasure.useContextElement `Measure.useContext` is mapped to FHIR R4B element `Measure.useContext` as `SourceIsBroaderThanTarget`. The mappings for `Measure.useContext` do not cover the following types: UsageContext. The mappings for `Measure.useContext` do not cover the following types based on type expansion: code, value[x]. When multiple useContexts are specified, there is no expectation whether all or any of the contexts apply.
Measure.jurisdictionjurisdictionis equivalent toMeasure.jurisdictionMeasure.jurisdictionElement `Measure.jurisdiction` is mapped to FHIR R4B element `Measure.jurisdiction` as `Equivalent`. It may be possible for the measure to be used in jurisdictions other than those for which it was originally designed or intended.
Measure.topictopicis equivalent toMeasure.topicMeasure.topicElement `Measure.topic` is mapped to FHIR R4B element `Measure.topic` as `Equivalent`.
Measure.contactcontactmaps to wider conceptMeasure.contactMeasure.contactElement `Measure.contact` is mapped to FHIR R4B element `Measure.contact` as `SourceIsBroaderThanTarget`. The mappings for `Measure.contact` do not cover the following types: ContactDetail. The mappings for `Measure.contact` do not cover the following types based on type expansion: name, telecom. May be a web site, an email address, a telephone number, etc.
Measure.copyrightcopyrightis equivalent toMeasure.copyrightMeasure.copyrightElement `Measure.copyright` is mapped to FHIR R4B element `Measure.copyright` as `Equivalent`.
Measure.relatedArtifactrelatedArtifactmaps to wider conceptMeasure.relatedArtifactMeasure.relatedArtifactElement `Measure.relatedArtifact` is mapped to FHIR R4B element `Measure.relatedArtifact` as `SourceIsBroaderThanTarget`. The mappings for `Measure.relatedArtifact` do not cover the following types: RelatedArtifact. The mappings for `Measure.relatedArtifact` do not cover the following types based on type expansion: citation, display, document, resource, type, url. Each related artifact is either an attachment, or a reference to another resource, but not both.
Measure.librarylibrarymaps to wider conceptMeasure.libraryMeasure.libraryElement `Measure.library` is mapped to FHIR R4B element `Measure.library` as `SourceIsBroaderThanTarget`. The mappings for `Measure.library` do not cover the following types: Reference. The mappings for `Measure.library` do not cover the following types based on type expansion: display, identifier, reference.
Measure.disclaimerdisclaimeris equivalent toMeasure.disclaimerMeasure.disclaimerElement `Measure.disclaimer` is mapped to FHIR R4B element `Measure.disclaimer` as `Equivalent`.
Measure.scoringscoringis equivalent toMeasure.scoringMeasure.scoringElement `Measure.scoring` is mapped to FHIR R4B element `Measure.scoring` as `Equivalent`.
Measure.compositeScoringcompositeScoringis equivalent toMeasure.compositeScoringMeasure.compositeScoringElement `Measure.compositeScoring` is mapped to FHIR R4B element `Measure.compositeScoring` as `Equivalent`.
Measure.typetypeis equivalent toMeasure.typeMeasure.typeElement `Measure.type` is mapped to FHIR R4B element `Measure.type` as `Equivalent`.
Measure.riskAdjustmentriskAdjustmentis equivalent toMeasure.riskAdjustmentMeasure.riskAdjustmentElement `Measure.riskAdjustment` is mapped to FHIR R4B element `Measure.riskAdjustment` as `Equivalent`. Describes the method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers. Indicates whether an eMeasure is subject to the statistical process for reducing, removing, or clarifying the influences of confounding factors to allow more useful comparisons.
Measure.rateAggregationrateAggregationis equivalent toMeasure.rateAggregationMeasure.rateAggregationElement `Measure.rateAggregation` is mapped to FHIR R4B element `Measure.rateAggregation` as `Equivalent`. The measure rate for an organization or clinician is based upon the entities’ aggregate data and summarizes the performance of the entity over a given time period (e.g., monthly, quarterly, yearly). The aggregated data are derived from the results of a specific measure algorithm and, if appropriate, the application of specific risk adjustment models. Can also be used to describe how to risk adjust the data based on supplemental data elements described in the eMeasure (e.g., pneumonia hospital measures antibiotic selection in the ICU versus non-ICU and then the roll-up of the two). This could be applied to aggregated cohort measure definitions (e.g., CDC's aggregate reporting for TB at the state level).
Measure.rationalerationaleis equivalent toMeasure.rationaleMeasure.rationaleElement `Measure.rationale` is mapped to FHIR R4B element `Measure.rationale` as `Equivalent`.
Measure.clinicalRecommendationStatementclinicalRecommendationStatementis equivalent toMeasure.clinicalRecommendationStatementMeasure.clinicalRecommendationStatementElement `Measure.clinicalRecommendationStatement` is mapped to FHIR R4B element `Measure.clinicalRecommendationStatement` as `Equivalent`.
Measure.improvementNotationimprovementNotationmaps to wider conceptMeasure.improvementNotationMeasure.improvementNotationElement `Measure.improvementNotation` is mapped to FHIR R4B element `Measure.improvementNotation` as `SourceIsBroaderThanTarget`. The mappings for `Measure.improvementNotation` do not cover the following types: string. The mappings for `Measure.improvementNotation` do not cover the following types based on type expansion: value.
Measure.definitiondefinitionis equivalent toMeasure.definitionMeasure.definitionElement `Measure.definition` is mapped to FHIR R4B element `Measure.definition` as `Equivalent`.
Measure.guidanceguidanceis equivalent toMeasure.guidanceMeasure.guidanceElement `Measure.guidance` is mapped to FHIR R4B element `Measure.guidance` as `Equivalent`.
Measure.groupgroupmaps to wider conceptMeasure.groupMeasure.groupElement `Measure.group` is mapped to FHIR R4B element `Measure.group` as `Equivalent`.
Measure.group.descriptiondescriptionis equivalent toMeasure.group.descriptionMeasure.group.descriptionElement `Measure.group.description` is mapped to FHIR R4B element `Measure.group.description` as `Equivalent`.
Measure.group.populationpopulationmaps to wider conceptMeasure.group.populationMeasure.group.populationElement `Measure.group.population` is mapped to FHIR R4B element `Measure.group.population` as `Equivalent`.
Measure.group.population.codecodeis equivalent toMeasure.group.population.codeMeasure.group.population.codeElement `Measure.group.population.code` is mapped to FHIR R4B element `Measure.group.population.code` as `Equivalent`.
Measure.group.population.descriptiondescriptionis equivalent toMeasure.group.population.descriptionMeasure.group.population.descriptionElement `Measure.group.population.description` is mapped to FHIR R4B element `Measure.group.population.description` as `Equivalent`.
Measure.group.population.criteriacriteriamaps to wider conceptMeasure.group.population.criteriaMeasure.group.population.criteriaElement `Measure.group.population.criteria` is mapped to FHIR R4B element `Measure.group.population.criteria` as `SourceIsBroaderThanTarget`. The mappings for `Measure.group.population.criteria` do not cover the following types: string. The mappings for `Measure.group.population.criteria` do not cover the following types based on type expansion: value. In the case of a continuous variable or ratio measure, this may be the name of a function that calculates the value of the individual observation for each patient or event in the population. For these types of measures, individual observations are reported as observation resources included in the evaluatedResources bundle for each patient. See the MeasureReport resource or the Quality Reporting topic for more information.
Measure.group.stratifierstratifiermaps to wider conceptMeasure.group.stratifierMeasure.group.stratifierElement `Measure.group.stratifier` is mapped to FHIR R4B element `Measure.group.stratifier` as `Equivalent`.
Measure.group.stratifier.criteriacriteriamaps to wider conceptMeasure.group.stratifier.criteriaMeasure.group.stratifier.criteriaElement `Measure.group.stratifier.criteria` is mapped to FHIR R4B element `Measure.group.stratifier.criteria` as `SourceIsBroaderThanTarget`. The mappings for `Measure.group.stratifier.criteria` do not cover the following types: string. The mappings for `Measure.group.stratifier.criteria` do not cover the following types based on type expansion: value.
Measure.group.stratifier.pathpathis equivalent toMeasure.group.stratifierMeasure.group.stratifierElement `Measure.group.stratifier.path` is mapped to FHIR R4B element `Measure.group.stratifier.criteria` as `SourceIsBroaderThanTarget`. Element `Measure.group.stratifier.path` is mapped to FHIR R4B element `Measure.group.stratifier` as `SourceIsNarrowerThanTarget`.
is related toMeasure.group.stratifier.criteriaMeasure.group.stratifier.criteriaElement `Measure.group.stratifier.path` is mapped to FHIR R4B element `Measure.group.stratifier.criteria` as `SourceIsBroaderThanTarget`. Element `Measure.group.stratifier.path` is mapped to FHIR R4B element `Measure.group.stratifier` as `SourceIsNarrowerThanTarget`.
Measure.supplementalDatasupplementalDatamaps to wider conceptMeasure.supplementalDataMeasure.supplementalDataElement `Measure.supplementalData` is mapped to FHIR R4B element `Measure.supplementalData` as `Equivalent`. Note that supplemental data are reported as observations for each patient and included in the evaluatedResources bundle. See the MeasureReport resource or the Quality Reporting topic for more information.
Measure.supplementalData.usageusageis equivalent toMeasure.supplementalData.usageMeasure.supplementalData.usageElement `Measure.supplementalData.usage` is mapped to FHIR R4B element `Measure.supplementalData.usage` as `Equivalent`.
Measure.supplementalData.criteriacriteriamaps to wider conceptMeasure.supplementalData.criteriaMeasure.supplementalData.criteriaElement `Measure.supplementalData.criteria` is mapped to FHIR R4B element `Measure.supplementalData.criteria` as `SourceIsBroaderThanTarget`. The mappings for `Measure.supplementalData.criteria` do not cover the following types: string. The mappings for `Measure.supplementalData.criteria` do not cover the following types based on type expansion: value.
Measure.supplementalData.pathpathis equivalent toMeasure.supplementalDataMeasure.supplementalDataElement `Measure.supplementalData.path` is mapped to FHIR R4B element `Measure.supplementalData.criteria` as `SourceIsBroaderThanTarget`. Element `Measure.supplementalData.path` is mapped to FHIR R4B element `Measure.supplementalData` as `SourceIsNarrowerThanTarget`.
is related toMeasure.supplementalData.criteriaMeasure.supplementalData.criteriaElement `Measure.supplementalData.path` is mapped to FHIR R4B element `Measure.supplementalData.criteria` as `SourceIsBroaderThanTarget`. Element `Measure.supplementalData.path` is mapped to FHIR R4B element `Measure.supplementalData` as `SourceIsNarrowerThanTarget`.

Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: meta additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
Measure.meta (meta)is equivalent toExtension (STU3: meta additional types)Element `Measure.meta` is mapped to FHIR R4B element `Measure.meta` as `SourceIsBroaderThanTarget`. The mappings for `Measure.meta` do not cover the following types: Meta. The mappings for `Measure.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.

Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: text additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
Measure.text (text)is equivalent toExtension (STU3: text additional types)Element `Measure.text` is mapped to FHIR R4B element `Measure.text` as `SourceIsBroaderThanTarget`. The mappings for `Measure.text` do not cover the following types: Narrative. The mappings for `Measure.text` do not cover the following types based on type expansion: div, status. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.

Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: identifier additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
Measure.identifier (identifier)is equivalent toExtension (STU3: identifier additional types)Element `Measure.identifier` is mapped to FHIR R4B element `Measure.identifier` as `SourceIsBroaderThanTarget`. The mappings for `Measure.identifier` do not cover the following types: Identifier. The mappings for `Measure.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, e.g., to identify this measure outside of FHIR, where it is not possible to use the logical URI.

Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: effectivePeriod additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
Measure.effectivePeriod (effectivePeriod)is equivalent toExtension (STU3: effectivePeriod additional types)Element `Measure.effectivePeriod` is mapped to FHIR R4B element `Measure.effectivePeriod` as `SourceIsBroaderThanTarget`. The mappings for `Measure.effectivePeriod` do not cover the following types: Period. The mappings for `Measure.effectivePeriod` do not cover the following types based on type expansion: end, start. The effective period for a measure determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.

Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: Context the content is intended to support additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
Measure.useContext (useContext)is equivalent toExtension (STU3: Context the content is intended to support additional types)Element `Measure.useContext` is mapped to FHIR R4B element `Measure.useContext` as `SourceIsBroaderThanTarget`. The mappings for `Measure.useContext` do not cover the following types: UsageContext. The mappings for `Measure.useContext` do not cover the following types based on type expansion: code, value[x]. When multiple useContexts are specified, there is no expectation whether all or any of the contexts apply.

Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: A content contributor (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
Measure.contributor (contributor)is equivalent toExtension (STU3: A content contributor (new))Element `Measure.contributor` has a context of Measure based on following the parent source element upwards and mapping to `Measure`. Element `Measure.contributor` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Group 8 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: contact additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
Measure.contact (contact)is equivalent toExtension (STU3: contact additional types)Element `Measure.contact` is mapped to FHIR R4B element `Measure.contact` as `SourceIsBroaderThanTarget`. The mappings for `Measure.contact` do not cover the following types: ContactDetail. The mappings for `Measure.contact` do not cover the following types based on type expansion: name, telecom. May be a web site, an email address, a telephone number, etc.

Group 9 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: Additional documentation, citations, etc additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
Measure.relatedArtifact (relatedArtifact)is equivalent toExtension (STU3: Additional documentation, citations, etc additional types)Element `Measure.relatedArtifact` is mapped to FHIR R4B element `Measure.relatedArtifact` as `SourceIsBroaderThanTarget`. The mappings for `Measure.relatedArtifact` do not cover the following types: RelatedArtifact. The mappings for `Measure.relatedArtifact` do not cover the following types based on type expansion: citation, display, document, resource, type, url. Each related artifact is either an attachment, or a reference to another resource, but not both.

Group 10 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: library additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
Measure.library (library)is equivalent toExtension (STU3: library additional types)Element `Measure.library` is mapped to FHIR R4B element `Measure.library` as `SourceIsBroaderThanTarget`. The mappings for `Measure.library` do not cover the following types: Reference. The mappings for `Measure.library` do not cover the following types based on type expansion: display, identifier, reference.

Group 11 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: Improvement notation for the measure, e.g. higher score indicates better quality additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
Measure.improvementNotation (improvementNotation)is equivalent toExtension (STU3: Improvement notation for the measure, e.g. higher score indicates better quality additional types)Element `Measure.improvementNotation` is mapped to FHIR R4B element `Measure.improvementNotation` as `SourceIsBroaderThanTarget`. The mappings for `Measure.improvementNotation` do not cover the following types: string. The mappings for `Measure.improvementNotation` do not cover the following types based on type expansion: value.

Group 12 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: The measure set, e.g. Preventive Care and Screening (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
Measure.set (set)is equivalent toExtension (STU3: The measure set, e.g. Preventive Care and Screening (new))Element `Measure.set` has a context of Measure based on following the parent source element upwards and mapping to `Measure`. Element `Measure.set` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Group 13 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: Unique identifier (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
Measure.group.identifier (identifier)is equivalent toExtension (STU3: Unique identifier (new))Element `Measure.group.identifier` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.identifier` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Group 14 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: Short name (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
Measure.group.name (name)is equivalent toExtension (STU3: Short name (new))Element `Measure.group.name` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.name` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Group 15 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: Unique identifier (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
Measure.group.population.identifier (identifier)is equivalent toExtension (STU3: Unique identifier (new))Element `Measure.group.population.identifier` has a context of Measure.group.population based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.population.identifier` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Group 16 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: Short name (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
Measure.group.population.name (name)is equivalent toExtension (STU3: Short name (new))Element `Measure.group.population.name` has a context of Measure.group.population based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.population.name` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Group 17 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
Measure.group.population.criteria (criteria)is equivalent toExtension (STU3: The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria additional types)Element `Measure.group.population.criteria` is mapped to FHIR R4B element `Measure.group.population.criteria` as `SourceIsBroaderThanTarget`. The mappings for `Measure.group.population.criteria` do not cover the following types: string. The mappings for `Measure.group.population.criteria` do not cover the following types based on type expansion: value. In the case of a continuous variable or ratio measure, this may be the name of a function that calculates the value of the individual observation for each patient or event in the population. For these types of measures, individual observations are reported as observation resources included in the evaluatedResources bundle for each patient. See the MeasureReport resource or the Quality Reporting topic for more information.

Group 18 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: The identifier for the stratifier used to coordinate the reported data back to this stratifier (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
Measure.group.stratifier.identifier (identifier)is equivalent toExtension (STU3: The identifier for the stratifier used to coordinate the reported data back to this stratifier (new))Element `Measure.group.stratifier.identifier` has a context of Measure.group.stratifier based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.stratifier.identifier` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Group 19 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: criteria additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
Measure.group.stratifier.criteria (criteria)is equivalent toExtension (STU3: criteria additional types)Element `Measure.group.stratifier.criteria` is mapped to FHIR R4B element `Measure.group.stratifier.criteria` as `SourceIsBroaderThanTarget`. The mappings for `Measure.group.stratifier.criteria` do not cover the following types: string. The mappings for `Measure.group.stratifier.criteria` do not cover the following types based on type expansion: value.

Group 20 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: Identifier, unique within the measure (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
Measure.supplementalData.identifier (identifier)is equivalent toExtension (STU3: Identifier, unique within the measure (new))Element `Measure.supplementalData.identifier` has a context of Measure.supplementalData based on following the parent source element upwards and mapping to `Measure`. Element `Measure.supplementalData.identifier` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Group 21 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: criteria additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
Measure.supplementalData.criteria (criteria)is equivalent toExtension (STU3: criteria additional types)Element `Measure.supplementalData.criteria` is mapped to FHIR R4B element `Measure.supplementalData.criteria` as `SourceIsBroaderThanTarget`. The mappings for `Measure.supplementalData.criteria` do not cover the following types: string. The mappings for `Measure.supplementalData.criteria` do not cover the following types based on type expansion: value.

Source1

{
  "resourceType": "ConceptMap",
  "id": "R3-Measure-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-r3.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-r3.r4b"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ConceptMap/R3-Measure-element-map-to-R4B",
  "version": "0.1.0",
  "name": "R3MeasureElementMapToR4B",
  "title": "Cross-version mapping for FHIR STU3 Measure to FHIR R4B Measure",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:04:11.0590652-05:00",
  "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 STU3 Measure to FHIR R4B.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "sourceCanonical": "http://hl7.org/fhir/3.0",
  "targetUri": "http://hl7.org/fhir/4.3",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Measure",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/StructureDefinition/Measure",
      "targetVersion": "4.3.0",
      "element": [
        {
          "code": "Measure.meta",
          "display": "meta",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Measure.meta",
              "display": "Measure.meta",
              "equivalence": "wider",
              "comment": "Element `Measure.meta` is mapped to FHIR R4B element `Measure.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `Measure.meta` do not cover the following types: Meta.\nThe mappings for `Measure.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        },
        {
          "code": "Measure.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.implicitRules",
              "display": "Measure.implicitRules",
              "equivalence": "equivalent",
              "comment": "Element `Measure.implicitRules` is mapped to FHIR R4B element `Measure.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. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation."
            }
          ]
        },
        {
          "code": "Measure.language",
          "display": "language",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.language",
              "display": "Measure.language",
              "equivalence": "equivalent",
              "comment": "Element `Measure.language` is mapped to FHIR R4B element `Measure.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": "Measure.text",
          "display": "text",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Measure.text",
              "display": "Measure.text",
              "equivalence": "wider",
              "comment": "Element `Measure.text` is mapped to FHIR R4B element `Measure.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `Measure.text` do not cover the following types: Narrative.\nThe mappings for `Measure.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. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later."
            }
          ]
        },
        {
          "code": "Measure.contained",
          "display": "contained",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.contained",
              "display": "Measure.contained",
              "equivalence": "equivalent",
              "comment": "Element `Measure.contained` is mapped to FHIR R4B element `Measure.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": "Measure.url",
          "display": "url",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.url",
              "display": "Measure.url",
              "equivalence": "equivalent",
              "comment": "Element `Measure.url` is mapped to FHIR R4B element `Measure.url` as `Equivalent`.\nCan be a urn:uuid: or a urn:oid:, but real http: addresses are preferred.  Multiple instances may share the same url if they have a distinct version."
            }
          ]
        },
        {
          "code": "Measure.identifier",
          "display": "identifier",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Measure.identifier",
              "display": "Measure.identifier",
              "equivalence": "wider",
              "comment": "Element `Measure.identifier` is mapped to FHIR R4B element `Measure.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `Measure.identifier` do not cover the following types: Identifier.\nThe mappings for `Measure.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.\nTypically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, e.g., to identify this measure outside of FHIR, where it is not possible to use the logical URI."
            }
          ]
        },
        {
          "code": "Measure.version",
          "display": "version",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.version",
              "display": "Measure.version",
              "equivalence": "equivalent",
              "comment": "Element `Measure.version` is mapped to FHIR R4B element `Measure.version` as `Equivalent`.\nThere may be different measure instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a refrence to a particular business version of the measure with the format [url]|[version]."
            }
          ]
        },
        {
          "code": "Measure.name",
          "display": "name",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.name",
              "display": "Measure.name",
              "equivalence": "equivalent",
              "comment": "Element `Measure.name` is mapped to FHIR R4B element `Measure.name` as `Equivalent`.\nThe name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure that it is computable friendly."
            }
          ]
        },
        {
          "code": "Measure.title",
          "display": "title",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.title",
              "display": "Measure.title",
              "equivalence": "equivalent",
              "comment": "Element `Measure.title` is mapped to FHIR R4B element `Measure.title` as `Equivalent`.\nThis name does not need to be machine-processing friendly and may contain punctuation, white-space, etc."
            }
          ]
        },
        {
          "code": "Measure.status",
          "display": "status",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.status",
              "display": "Measure.status",
              "equivalence": "equivalent",
              "comment": "Element `Measure.status` is mapped to FHIR R4B element `Measure.status` as `Equivalent`.\nAllows filtering of measures that are appropriate for use vs. not.  \nThis is labeled as \"Is Modifier\" because applications should not use a retired measure without due consideration."
            }
          ]
        },
        {
          "code": "Measure.experimental",
          "display": "experimental",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.experimental",
              "display": "Measure.experimental",
              "equivalence": "equivalent",
              "comment": "Element `Measure.experimental` is mapped to FHIR R4B element `Measure.experimental` as `Equivalent`.\nAllows filtering of measure that are appropriate for use vs. not. This is labeled as \"Is Modifier\" because applications should not use an experimental measure in production."
            }
          ]
        },
        {
          "code": "Measure.date",
          "display": "date",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.date",
              "display": "Measure.date",
              "equivalence": "equivalent",
              "comment": "Element `Measure.date` is mapped to FHIR R4B element `Measure.date` as `Equivalent`.\nNote that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the measure. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource."
            }
          ]
        },
        {
          "code": "Measure.publisher",
          "display": "publisher",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.publisher",
              "display": "Measure.publisher",
              "equivalence": "equivalent",
              "comment": "Element `Measure.publisher` is mapped to FHIR R4B element `Measure.publisher` as `Equivalent`.\nUsually an organization, but may be an individual. The publisher (or steward) of the measure is the organization or individual primarily responsible for the maintenance and upkeep of the measure. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the measure. This item SHOULD be populated unless the information is available from context."
            }
          ]
        },
        {
          "code": "Measure.description",
          "display": "description",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.description",
              "display": "Measure.description",
              "equivalence": "equivalent",
              "comment": "Element `Measure.description` is mapped to FHIR R4B element `Measure.description` as `Equivalent`.\nThis description can be used to capture details such as why the measure was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the measure as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the profile is presumed to be the predominant language in the place the profile was created)."
            }
          ]
        },
        {
          "code": "Measure.purpose",
          "display": "purpose",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.purpose",
              "display": "Measure.purpose",
              "equivalence": "equivalent",
              "comment": "Element `Measure.purpose` is mapped to FHIR R4B element `Measure.purpose` as `Equivalent`.\nThis element does not describe the usage of the measure Instead  it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this measure."
            }
          ]
        },
        {
          "code": "Measure.usage",
          "display": "usage",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.usage",
              "display": "Measure.usage",
              "equivalence": "equivalent",
              "comment": "Element `Measure.usage` is mapped to FHIR R4B element `Measure.usage` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Measure.approvalDate",
          "display": "approvalDate",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.approvalDate",
              "display": "Measure.approvalDate",
              "equivalence": "equivalent",
              "comment": "Element `Measure.approvalDate` is mapped to FHIR R4B element `Measure.approvalDate` as `Equivalent`.\nThe 'date' element may be more recent than the approval date because of minor changes / editorial corrections."
            }
          ]
        },
        {
          "code": "Measure.lastReviewDate",
          "display": "lastReviewDate",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.lastReviewDate",
              "display": "Measure.lastReviewDate",
              "equivalence": "equivalent",
              "comment": "Element `Measure.lastReviewDate` is mapped to FHIR R4B element `Measure.lastReviewDate` as `Equivalent`.\nIf specified, this is usually after the approval date."
            }
          ]
        },
        {
          "code": "Measure.effectivePeriod",
          "display": "effectivePeriod",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Measure.effectivePeriod",
              "display": "Measure.effectivePeriod",
              "equivalence": "wider",
              "comment": "Element `Measure.effectivePeriod` is mapped to FHIR R4B element `Measure.effectivePeriod` as `SourceIsBroaderThanTarget`.\nThe mappings for `Measure.effectivePeriod` do not cover the following types: Period.\nThe mappings for `Measure.effectivePeriod` do not cover the following types based on type expansion: end, start.\nThe effective period for a measure  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015."
            }
          ]
        },
        {
          "code": "Measure.useContext",
          "display": "useContext",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Measure.useContext",
              "display": "Measure.useContext",
              "equivalence": "wider",
              "comment": "Element `Measure.useContext` is mapped to FHIR R4B element `Measure.useContext` as `SourceIsBroaderThanTarget`.\nThe mappings for `Measure.useContext` do not cover the following types: UsageContext.\nThe mappings for `Measure.useContext` do not cover the following types based on type expansion: code, value[x].\nWhen multiple useContexts are specified, there is no expectation whether all or any of the contexts apply."
            }
          ]
        },
        {
          "code": "Measure.jurisdiction",
          "display": "jurisdiction",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.jurisdiction",
              "display": "Measure.jurisdiction",
              "equivalence": "equivalent",
              "comment": "Element `Measure.jurisdiction` is mapped to FHIR R4B element `Measure.jurisdiction` as `Equivalent`.\nIt may be possible for the measure to be used in jurisdictions other than those for which it was originally designed or intended."
            }
          ]
        },
        {
          "code": "Measure.topic",
          "display": "topic",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.topic",
              "display": "Measure.topic",
              "equivalence": "equivalent",
              "comment": "Element `Measure.topic` is mapped to FHIR R4B element `Measure.topic` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Measure.contact",
          "display": "contact",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Measure.contact",
              "display": "Measure.contact",
              "equivalence": "wider",
              "comment": "Element `Measure.contact` is mapped to FHIR R4B element `Measure.contact` as `SourceIsBroaderThanTarget`.\nThe mappings for `Measure.contact` do not cover the following types: ContactDetail.\nThe mappings for `Measure.contact` do not cover the following types based on type expansion: name, telecom.\nMay be a web site, an email address, a telephone number, etc."
            }
          ]
        },
        {
          "code": "Measure.copyright",
          "display": "copyright",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.copyright",
              "display": "Measure.copyright",
              "equivalence": "equivalent",
              "comment": "Element `Measure.copyright` is mapped to FHIR R4B element `Measure.copyright` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Measure.relatedArtifact",
          "display": "relatedArtifact",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Measure.relatedArtifact",
              "display": "Measure.relatedArtifact",
              "equivalence": "wider",
              "comment": "Element `Measure.relatedArtifact` is mapped to FHIR R4B element `Measure.relatedArtifact` as `SourceIsBroaderThanTarget`.\nThe mappings for `Measure.relatedArtifact` do not cover the following types: RelatedArtifact.\nThe mappings for `Measure.relatedArtifact` do not cover the following types based on type expansion: citation, display, document, resource, type, url.\nEach related artifact is either an attachment, or a reference to another resource, but not both."
            }
          ]
        },
        {
          "code": "Measure.library",
          "display": "library",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Measure.library",
              "display": "Measure.library",
              "equivalence": "wider",
              "comment": "Element `Measure.library` is mapped to FHIR R4B element `Measure.library` as `SourceIsBroaderThanTarget`.\nThe mappings for `Measure.library` do not cover the following types: Reference.\nThe mappings for `Measure.library` do not cover the following types based on type expansion: display, identifier, reference."
            }
          ]
        },
        {
          "code": "Measure.disclaimer",
          "display": "disclaimer",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.disclaimer",
              "display": "Measure.disclaimer",
              "equivalence": "equivalent",
              "comment": "Element `Measure.disclaimer` is mapped to FHIR R4B element `Measure.disclaimer` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Measure.scoring",
          "display": "scoring",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.scoring",
              "display": "Measure.scoring",
              "equivalence": "equivalent",
              "comment": "Element `Measure.scoring` is mapped to FHIR R4B element `Measure.scoring` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Measure.compositeScoring",
          "display": "compositeScoring",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.compositeScoring",
              "display": "Measure.compositeScoring",
              "equivalence": "equivalent",
              "comment": "Element `Measure.compositeScoring` is mapped to FHIR R4B element `Measure.compositeScoring` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Measure.type",
          "display": "type",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.type",
              "display": "Measure.type",
              "equivalence": "equivalent",
              "comment": "Element `Measure.type` is mapped to FHIR R4B element `Measure.type` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Measure.riskAdjustment",
          "display": "riskAdjustment",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.riskAdjustment",
              "display": "Measure.riskAdjustment",
              "equivalence": "equivalent",
              "comment": "Element `Measure.riskAdjustment` is mapped to FHIR R4B element `Measure.riskAdjustment` as `Equivalent`.\nDescribes the method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers. Indicates whether an eMeasure is subject to the statistical process for reducing, removing, or clarifying the influences of confounding factors to allow more useful comparisons."
            }
          ]
        },
        {
          "code": "Measure.rateAggregation",
          "display": "rateAggregation",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.rateAggregation",
              "display": "Measure.rateAggregation",
              "equivalence": "equivalent",
              "comment": "Element `Measure.rateAggregation` is mapped to FHIR R4B element `Measure.rateAggregation` as `Equivalent`.\nThe measure rate for an organization or clinician is based upon the entities’ aggregate data and summarizes the performance of the entity over a given time period (e.g., monthly, quarterly, yearly). The aggregated data are derived from the results of a specific measure algorithm and, if appropriate, the application of specific risk adjustment models.  Can also be used to describe how to risk adjust the data based on supplemental data elements described in the eMeasure (e.g., pneumonia hospital measures antibiotic selection in the ICU versus non-ICU and then the roll-up of the two). This could be applied to aggregated cohort measure definitions (e.g., CDC's aggregate reporting for TB at the state level)."
            }
          ]
        },
        {
          "code": "Measure.rationale",
          "display": "rationale",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.rationale",
              "display": "Measure.rationale",
              "equivalence": "equivalent",
              "comment": "Element `Measure.rationale` is mapped to FHIR R4B element `Measure.rationale` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Measure.clinicalRecommendationStatement",
          "display": "clinicalRecommendationStatement",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.clinicalRecommendationStatement",
              "display": "Measure.clinicalRecommendationStatement",
              "equivalence": "equivalent",
              "comment": "Element `Measure.clinicalRecommendationStatement` is mapped to FHIR R4B element `Measure.clinicalRecommendationStatement` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Measure.improvementNotation",
          "display": "improvementNotation",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Measure.improvementNotation",
              "display": "Measure.improvementNotation",
              "equivalence": "wider",
              "comment": "Element `Measure.improvementNotation` is mapped to FHIR R4B element `Measure.improvementNotation` as `SourceIsBroaderThanTarget`.\nThe mappings for `Measure.improvementNotation` do not cover the following types: string.\nThe mappings for `Measure.improvementNotation` do not cover the following types based on type expansion: value."
            }
          ]
        },
        {
          "code": "Measure.definition",
          "display": "definition",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.definition",
              "display": "Measure.definition",
              "equivalence": "equivalent",
              "comment": "Element `Measure.definition` is mapped to FHIR R4B element `Measure.definition` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Measure.guidance",
          "display": "guidance",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.guidance",
              "display": "Measure.guidance",
              "equivalence": "equivalent",
              "comment": "Element `Measure.guidance` is mapped to FHIR R4B element `Measure.guidance` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Measure.group",
          "display": "group",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Measure.group",
              "display": "Measure.group",
              "equivalence": "wider",
              "comment": "Element `Measure.group` is mapped to FHIR R4B element `Measure.group` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Measure.group.description",
          "display": "description",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.group.description",
              "display": "Measure.group.description",
              "equivalence": "equivalent",
              "comment": "Element `Measure.group.description` is mapped to FHIR R4B element `Measure.group.description` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Measure.group.population",
          "display": "population",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Measure.group.population",
              "display": "Measure.group.population",
              "equivalence": "wider",
              "comment": "Element `Measure.group.population` is mapped to FHIR R4B element `Measure.group.population` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Measure.group.population.code",
          "display": "code",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.group.population.code",
              "display": "Measure.group.population.code",
              "equivalence": "equivalent",
              "comment": "Element `Measure.group.population.code` is mapped to FHIR R4B element `Measure.group.population.code` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Measure.group.population.description",
          "display": "description",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.group.population.description",
              "display": "Measure.group.population.description",
              "equivalence": "equivalent",
              "comment": "Element `Measure.group.population.description` is mapped to FHIR R4B element `Measure.group.population.description` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Measure.group.population.criteria",
          "display": "criteria",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Measure.group.population.criteria",
              "display": "Measure.group.population.criteria",
              "equivalence": "wider",
              "comment": "Element `Measure.group.population.criteria` is mapped to FHIR R4B element `Measure.group.population.criteria` as `SourceIsBroaderThanTarget`.\nThe mappings for `Measure.group.population.criteria` do not cover the following types: string.\nThe mappings for `Measure.group.population.criteria` do not cover the following types based on type expansion: value.\nIn the case of a continuous variable or ratio measure, this may be the name of a function that calculates the value of the individual observation for each patient or event in the population. For these types of measures, individual observations are reported as observation resources included in the evaluatedResources bundle for each patient. See the MeasureReport resource or the Quality Reporting topic for more information."
            }
          ]
        },
        {
          "code": "Measure.group.stratifier",
          "display": "stratifier",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Measure.group.stratifier",
              "display": "Measure.group.stratifier",
              "equivalence": "wider",
              "comment": "Element `Measure.group.stratifier` is mapped to FHIR R4B element `Measure.group.stratifier` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Measure.group.stratifier.criteria",
          "display": "criteria",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Measure.group.stratifier.criteria",
              "display": "Measure.group.stratifier.criteria",
              "equivalence": "wider",
              "comment": "Element `Measure.group.stratifier.criteria` is mapped to FHIR R4B element `Measure.group.stratifier.criteria` as `SourceIsBroaderThanTarget`.\nThe mappings for `Measure.group.stratifier.criteria` do not cover the following types: string.\nThe mappings for `Measure.group.stratifier.criteria` do not cover the following types based on type expansion: value."
            }
          ]
        },
        {
          "code": "Measure.group.stratifier.path",
          "display": "path",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.group.stratifier",
              "display": "Measure.group.stratifier",
              "equivalence": "equivalent",
              "comment": "Element `Measure.group.stratifier.path` is mapped to FHIR R4B element `Measure.group.stratifier.criteria` as `SourceIsBroaderThanTarget`.\nElement `Measure.group.stratifier.path` is mapped to FHIR R4B element `Measure.group.stratifier` as `SourceIsNarrowerThanTarget`."
            },
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "Measure.group.stratifier.criteria",
              "display": "Measure.group.stratifier.criteria",
              "equivalence": "relatedto",
              "comment": "Element `Measure.group.stratifier.path` is mapped to FHIR R4B element `Measure.group.stratifier.criteria` as `SourceIsBroaderThanTarget`.\nElement `Measure.group.stratifier.path` is mapped to FHIR R4B element `Measure.group.stratifier` as `SourceIsNarrowerThanTarget`."
            }
          ]
        },
        {
          "code": "Measure.supplementalData",
          "display": "supplementalData",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Measure.supplementalData",
              "display": "Measure.supplementalData",
              "equivalence": "wider",
              "comment": "Element `Measure.supplementalData` is mapped to FHIR R4B element `Measure.supplementalData` as `Equivalent`.\nNote that supplemental data are reported as observations for each patient and included in the evaluatedResources bundle. See the MeasureReport resource or the Quality Reporting topic for more information."
            }
          ]
        },
        {
          "code": "Measure.supplementalData.usage",
          "display": "usage",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.supplementalData.usage",
              "display": "Measure.supplementalData.usage",
              "equivalence": "equivalent",
              "comment": "Element `Measure.supplementalData.usage` is mapped to FHIR R4B element `Measure.supplementalData.usage` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Measure.supplementalData.criteria",
          "display": "criteria",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Measure.supplementalData.criteria",
              "display": "Measure.supplementalData.criteria",
              "equivalence": "wider",
              "comment": "Element `Measure.supplementalData.criteria` is mapped to FHIR R4B element `Measure.supplementalData.criteria` as `SourceIsBroaderThanTarget`.\nThe mappings for `Measure.supplementalData.criteria` do not cover the following types: string.\nThe mappings for `Measure.supplementalData.criteria` do not cover the following types based on type expansion: value."
            }
          ]
        },
        {
          "code": "Measure.supplementalData.path",
          "display": "path",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Measure.supplementalData",
              "display": "Measure.supplementalData",
              "equivalence": "equivalent",
              "comment": "Element `Measure.supplementalData.path` is mapped to FHIR R4B element `Measure.supplementalData.criteria` as `SourceIsBroaderThanTarget`.\nElement `Measure.supplementalData.path` is mapped to FHIR R4B element `Measure.supplementalData` as `SourceIsNarrowerThanTarget`."
            },
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "Measure.supplementalData.criteria",
              "display": "Measure.supplementalData.criteria",
              "equivalence": "relatedto",
              "comment": "Element `Measure.supplementalData.path` is mapped to FHIR R4B element `Measure.supplementalData.criteria` as `SourceIsBroaderThanTarget`.\nElement `Measure.supplementalData.path` is mapped to FHIR R4B element `Measure.supplementalData` as `SourceIsNarrowerThanTarget`."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Measure",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.meta",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Measure.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 `Measure.meta` is mapped to FHIR R4B element `Measure.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `Measure.meta` do not cover the following types: Meta.\nThe mappings for `Measure.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Measure",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.text",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Measure.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 `Measure.text` is mapped to FHIR R4B element `Measure.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `Measure.text` do not cover the following types: Narrative.\nThe mappings for `Measure.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. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Measure",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.identifier",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Measure.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 `Measure.identifier` is mapped to FHIR R4B element `Measure.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `Measure.identifier` do not cover the following types: Identifier.\nThe mappings for `Measure.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.\nTypically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, e.g., to identify this measure outside of FHIR, where it is not possible to use the logical URI."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Measure",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.effectivePeriod",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Measure.effectivePeriod",
          "display": "effectivePeriod",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Measure.effectivePeriod` is mapped to FHIR R4B element `Measure.effectivePeriod` as `SourceIsBroaderThanTarget`.\nThe mappings for `Measure.effectivePeriod` do not cover the following types: Period.\nThe mappings for `Measure.effectivePeriod` do not cover the following types based on type expansion: end, start.\nThe effective period for a measure  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Measure",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.useContext",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Measure.useContext",
          "display": "useContext",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Measure.useContext` is mapped to FHIR R4B element `Measure.useContext` as `SourceIsBroaderThanTarget`.\nThe mappings for `Measure.useContext` do not cover the following types: UsageContext.\nThe mappings for `Measure.useContext` do not cover the following types based on type expansion: code, value[x].\nWhen multiple useContexts are specified, there is no expectation whether all or any of the contexts apply."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Measure",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.contributor",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Measure.contributor",
          "display": "contributor",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Measure.contributor` has a context of Measure based on following the parent source element upwards and mapping to `Measure`.\nElement `Measure.contributor` 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/Measure",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.contact",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Measure.contact",
          "display": "contact",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Measure.contact` is mapped to FHIR R4B element `Measure.contact` as `SourceIsBroaderThanTarget`.\nThe mappings for `Measure.contact` do not cover the following types: ContactDetail.\nThe mappings for `Measure.contact` do not cover the following types based on type expansion: name, telecom.\nMay be a web site, an email address, a telephone number, etc."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Measure",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.relatedArtifact",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Measure.relatedArtifact",
          "display": "relatedArtifact",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Measure.relatedArtifact` is mapped to FHIR R4B element `Measure.relatedArtifact` as `SourceIsBroaderThanTarget`.\nThe mappings for `Measure.relatedArtifact` do not cover the following types: RelatedArtifact.\nThe mappings for `Measure.relatedArtifact` do not cover the following types based on type expansion: citation, display, document, resource, type, url.\nEach related artifact is either an attachment, or a reference to another resource, but not both."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Measure",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.library",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Measure.library",
          "display": "library",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Measure.library` is mapped to FHIR R4B element `Measure.library` as `SourceIsBroaderThanTarget`.\nThe mappings for `Measure.library` do not cover the following types: Reference.\nThe mappings for `Measure.library` do not cover the following types based on type expansion: display, identifier, reference."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Measure",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.improvementNotation",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Measure.improvementNotation",
          "display": "improvementNotation",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Measure.improvementNotation` is mapped to FHIR R4B element `Measure.improvementNotation` as `SourceIsBroaderThanTarget`.\nThe mappings for `Measure.improvementNotation` do not cover the following types: string.\nThe mappings for `Measure.improvementNotation` do not cover the following types based on type expansion: value."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Measure",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.set",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Measure.set",
          "display": "set",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Measure.set` has a context of Measure based on following the parent source element upwards and mapping to `Measure`.\nElement `Measure.set` 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/Measure",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.group.identifier",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Measure.group.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 `Measure.group.identifier` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`.\nElement `Measure.group.identifier` 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/Measure",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.group.name",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Measure.group.name",
          "display": "name",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Measure.group.name` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`.\nElement `Measure.group.name` 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/Measure",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.group.population.identifier",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Measure.group.population.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 `Measure.group.population.identifier` has a context of Measure.group.population based on following the parent source element upwards and mapping to `Measure`.\nElement `Measure.group.population.identifier` 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/Measure",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.group.population.name",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Measure.group.population.name",
          "display": "name",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Measure.group.population.name` has a context of Measure.group.population based on following the parent source element upwards and mapping to `Measure`.\nElement `Measure.group.population.name` 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/Measure",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.group.population.criteria",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Measure.group.population.criteria",
          "display": "criteria",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Measure.group.population.criteria` is mapped to FHIR R4B element `Measure.group.population.criteria` as `SourceIsBroaderThanTarget`.\nThe mappings for `Measure.group.population.criteria` do not cover the following types: string.\nThe mappings for `Measure.group.population.criteria` do not cover the following types based on type expansion: value.\nIn the case of a continuous variable or ratio measure, this may be the name of a function that calculates the value of the individual observation for each patient or event in the population. For these types of measures, individual observations are reported as observation resources included in the evaluatedResources bundle for each patient. See the MeasureReport resource or the Quality Reporting topic for more information."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Measure",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.group.stratifier.identifier",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Measure.group.stratifier.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 `Measure.group.stratifier.identifier` has a context of Measure.group.stratifier based on following the parent source element upwards and mapping to `Measure`.\nElement `Measure.group.stratifier.identifier` 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/Measure",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.group.stratifier.criteria",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Measure.group.stratifier.criteria",
          "display": "criteria",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Measure.group.stratifier.criteria` is mapped to FHIR R4B element `Measure.group.stratifier.criteria` as `SourceIsBroaderThanTarget`.\nThe mappings for `Measure.group.stratifier.criteria` do not cover the following types: string.\nThe mappings for `Measure.group.stratifier.criteria` do not cover the following types based on type expansion: value."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Measure",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.supplementalData.identifier",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Measure.supplementalData.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 `Measure.supplementalData.identifier` has a context of Measure.supplementalData based on following the parent source element upwards and mapping to `Measure`.\nElement `Measure.supplementalData.identifier` 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/Measure",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.supplementalData.criteria",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Measure.supplementalData.criteria",
          "display": "criteria",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Measure.supplementalData.criteria` is mapped to FHIR R4B element `Measure.supplementalData.criteria` as `SourceIsBroaderThanTarget`.\nThe mappings for `Measure.supplementalData.criteria` do not cover the following types: string.\nThe mappings for `Measure.supplementalData.criteria` do not cover the following types based on type expansion: value."
            }
          ]
        }
      ]
    }
  ]
}