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Source1

{
  "resourceType": "ConceptMap",
  "id": "R3-Specimen-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-Specimen-element-map-to-R4B",
  "version": "0.1.0",
  "name": "R3SpecimenElementMapToR4B",
  "title": "Cross-version mapping for FHIR STU3 Specimen to FHIR R4B Specimen",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:04:11.468285-05:00",
  "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 Specimen 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/Specimen",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/StructureDefinition/Specimen",
      "targetVersion": "4.3.0",
      "element": [
        {
          "code": "Specimen.meta",
          "display": "meta",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Specimen.meta",
              "display": "Specimen.meta",
              "equivalence": "wider",
              "comment": "Element `Specimen.meta` is mapped to FHIR R4B element `Specimen.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `Specimen.meta` do not cover the following types: Meta.\nThe mappings for `Specimen.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        },
        {
          "code": "Specimen.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Specimen.implicitRules",
              "display": "Specimen.implicitRules",
              "equivalence": "equivalent",
              "comment": "Element `Specimen.implicitRules` is mapped to FHIR R4B element `Specimen.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": "Specimen.language",
          "display": "language",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Specimen.language",
              "display": "Specimen.language",
              "equivalence": "equivalent",
              "comment": "Element `Specimen.language` is mapped to FHIR R4B element `Specimen.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": "Specimen.text",
          "display": "text",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Specimen.text",
              "display": "Specimen.text",
              "equivalence": "wider",
              "comment": "Element `Specimen.text` is mapped to FHIR R4B element `Specimen.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `Specimen.text` do not cover the following types: Narrative.\nThe mappings for `Specimen.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": "Specimen.contained",
          "display": "contained",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Specimen.contained",
              "display": "Specimen.contained",
              "equivalence": "equivalent",
              "comment": "Element `Specimen.contained` is mapped to FHIR R4B element `Specimen.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": "Specimen.identifier",
          "display": "identifier",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Specimen.identifier",
              "display": "Specimen.identifier",
              "equivalence": "wider",
              "comment": "Element `Specimen.identifier` is mapped to FHIR R4B element `Specimen.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `Specimen.identifier` do not cover the following types: Identifier.\nThe mappings for `Specimen.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        },
        {
          "code": "Specimen.accessionIdentifier",
          "display": "accessionIdentifier",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Specimen.accessionIdentifier",
              "display": "Specimen.accessionIdentifier",
              "equivalence": "wider",
              "comment": "Element `Specimen.accessionIdentifier` is mapped to FHIR R4B element `Specimen.accessionIdentifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `Specimen.accessionIdentifier` do not cover the following types: Identifier.\nThe mappings for `Specimen.accessionIdentifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        },
        {
          "code": "Specimen.status",
          "display": "status",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Specimen.status",
              "display": "Specimen.status",
              "equivalence": "equivalent",
              "comment": "Element `Specimen.status` is mapped to FHIR R4B element `Specimen.status` as `Equivalent`.\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."
            }
          ]
        },
        {
          "code": "Specimen.type",
          "display": "type",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Specimen.type",
              "display": "Specimen.type",
              "equivalence": "equivalent",
              "comment": "Element `Specimen.type` is mapped to FHIR R4B element `Specimen.type` as `Equivalent`.\nThe type can change the way that a specimen is handled, and drives what kind of analyses can properly be performed on the specimen. It is frequently used in diagnostic work flow decision making systems."
            }
          ]
        },
        {
          "code": "Specimen.subject",
          "display": "subject",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Specimen.subject",
              "display": "Specimen.subject",
              "equivalence": "wider",
              "comment": "Element `Specimen.subject` is mapped to FHIR R4B element `Specimen.subject` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Specimen.subject` with unmapped reference targets: Device, Group, Patient, Substance."
            }
          ]
        },
        {
          "code": "Specimen.receivedTime",
          "display": "receivedTime",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Specimen.receivedTime",
              "display": "Specimen.receivedTime",
              "equivalence": "equivalent",
              "comment": "Element `Specimen.receivedTime` is mapped to FHIR R4B element `Specimen.receivedTime` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.parent",
          "display": "parent",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Specimen.parent",
              "display": "Specimen.parent",
              "equivalence": "wider",
              "comment": "Element `Specimen.parent` is mapped to FHIR R4B element `Specimen.parent` as `SourceIsBroaderThanTarget`.\nThe mappings for `Specimen.parent` do not cover the following types based on type expansion: display, identifier, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Specimen.parent` with unmapped reference targets: Specimen.\nThe parent specimen could be the source from which the current specimen is derived by some processing step (e.g. an aliquot or isolate or extracted nucleic acids from clinical samples) or one of many specimens that were combined to create a pooled sample."
            }
          ]
        },
        {
          "code": "Specimen.request",
          "display": "request",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Specimen.request",
              "display": "Specimen.request",
              "equivalence": "wider",
              "comment": "Element `Specimen.request` is mapped to FHIR R4B element `Specimen.request` as `RelatedTo`.\nThe mappings for `Specimen.request` do not cover the following types based on type expansion: display, identifier, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Specimen.request` with unmapped reference targets: ProcedureRequest.\nThe request may be explicit or implied such with a ProcedureRequest that requires a blood draw."
            }
          ]
        },
        {
          "code": "Specimen.collection",
          "display": "collection",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Specimen.collection",
              "display": "Specimen.collection",
              "equivalence": "wider",
              "comment": "Element `Specimen.collection` is mapped to FHIR R4B element `Specimen.collection` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.collection.collector",
          "display": "collector",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Specimen.collection.collector",
              "display": "Specimen.collection.collector",
              "equivalence": "wider",
              "comment": "Element `Specimen.collection.collector` is mapped to FHIR R4B element `Specimen.collection.collector` as `SourceIsBroaderThanTarget`.\nThe mappings for `Specimen.collection.collector` do not cover the following types based on type expansion: display, identifier, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Specimen.collection.collector` with unmapped reference targets: Practitioner."
            }
          ]
        },
        {
          "code": "Specimen.collection.collected[x]",
          "display": "collected[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Specimen.collection.collected[x]",
              "display": "Specimen.collection.collected[x]",
              "equivalence": "equivalent",
              "comment": "Element `Specimen.collection.collected[x]` is mapped to FHIR R4B element `Specimen.collection.collected[x]` as `SourceIsBroaderThanTarget`.\nThe target context `Specimen.collection.collected[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Specimen.collection`."
            }
          ]
        },
        {
          "code": "Specimen.collection.quantity",
          "display": "quantity",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Specimen.collection.quantity",
              "display": "Specimen.collection.quantity",
              "equivalence": "equivalent",
              "comment": "Element `Specimen.collection.quantity` is mapped to FHIR R4B element `Specimen.collection.quantity` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.collection.method",
          "display": "method",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Specimen.collection.method",
              "display": "Specimen.collection.method",
              "equivalence": "equivalent",
              "comment": "Element `Specimen.collection.method` is mapped to FHIR R4B element `Specimen.collection.method` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.collection.bodySite",
          "display": "bodySite",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Specimen.collection.bodySite",
              "display": "Specimen.collection.bodySite",
              "equivalence": "equivalent",
              "comment": "Element `Specimen.collection.bodySite` is mapped to FHIR R4B element `Specimen.collection.bodySite` as `Equivalent`.\nIf the use case requires  BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately)  then use the standard extension [body-site-instance](https://hl7.org/fhir/extension-body-site-instance.html)."
            }
          ]
        },
        {
          "code": "Specimen.processing",
          "display": "processing",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Specimen.processing",
              "display": "Specimen.processing",
              "equivalence": "wider",
              "comment": "Element `Specimen.processing` is mapped to FHIR R4B element `Specimen.processing` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.processing.description",
          "display": "description",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Specimen.processing.description",
              "display": "Specimen.processing.description",
              "equivalence": "equivalent",
              "comment": "Element `Specimen.processing.description` is mapped to FHIR R4B element `Specimen.processing.description` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.processing.procedure",
          "display": "procedure",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Specimen.processing.procedure",
              "display": "Specimen.processing.procedure",
              "equivalence": "equivalent",
              "comment": "Element `Specimen.processing.procedure` is mapped to FHIR R4B element `Specimen.processing.procedure` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.processing.additive",
          "display": "additive",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Specimen.processing.additive",
              "display": "Specimen.processing.additive",
              "equivalence": "wider",
              "comment": "Element `Specimen.processing.additive` is mapped to FHIR R4B element `Specimen.processing.additive` as `SourceIsBroaderThanTarget`.\nThe mappings for `Specimen.processing.additive` do not cover the following types based on type expansion: display, identifier, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Specimen.processing.additive` with unmapped reference targets: Substance."
            }
          ]
        },
        {
          "code": "Specimen.processing.time[x]",
          "display": "time[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Specimen.processing.time[x]",
              "display": "Specimen.processing.time[x]",
              "equivalence": "equivalent",
              "comment": "Element `Specimen.processing.time[x]` is mapped to FHIR R4B element `Specimen.processing.time[x]` as `SourceIsBroaderThanTarget`.\nThe target context `Specimen.processing.time[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Specimen.processing`."
            }
          ]
        },
        {
          "code": "Specimen.container",
          "display": "container",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Specimen.container",
              "display": "Specimen.container",
              "equivalence": "wider",
              "comment": "Element `Specimen.container` is mapped to FHIR R4B element `Specimen.container` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.container.identifier",
          "display": "identifier",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Specimen.container.identifier",
              "display": "Specimen.container.identifier",
              "equivalence": "wider",
              "comment": "Element `Specimen.container.identifier` is mapped to FHIR R4B element `Specimen.container.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `Specimen.container.identifier` do not cover the following types: Identifier.\nThe mappings for `Specimen.container.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        },
        {
          "code": "Specimen.container.description",
          "display": "description",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Specimen.container.description",
              "display": "Specimen.container.description",
              "equivalence": "equivalent",
              "comment": "Element `Specimen.container.description` is mapped to FHIR R4B element `Specimen.container.description` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.container.type",
          "display": "type",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Specimen.container.type",
              "display": "Specimen.container.type",
              "equivalence": "equivalent",
              "comment": "Element `Specimen.container.type` is mapped to FHIR R4B element `Specimen.container.type` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.container.capacity",
          "display": "capacity",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Specimen.container.capacity",
              "display": "Specimen.container.capacity",
              "equivalence": "equivalent",
              "comment": "Element `Specimen.container.capacity` is mapped to FHIR R4B element `Specimen.container.capacity` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.container.specimenQuantity",
          "display": "specimenQuantity",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Specimen.container.specimenQuantity",
              "display": "Specimen.container.specimenQuantity",
              "equivalence": "equivalent",
              "comment": "Element `Specimen.container.specimenQuantity` is mapped to FHIR R4B element `Specimen.container.specimenQuantity` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.container.additive[x]",
          "display": "additive[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Specimen.container.additive[x]",
              "display": "Specimen.container.additive[x]",
              "equivalence": "wider",
              "comment": "Element `Specimen.container.additive[x]` is mapped to FHIR R4B element `Specimen.container.additive[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `Specimen.container.additive[x]` do not cover the following types based on type expansion: display, identifier, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Specimen.container.additive[x]` with unmapped reference targets: Substance.\nSource element `Specimen.container.additive[x]` has unmapped reference types. While the target element `Specimen.container.additive[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it."
            }
          ]
        },
        {
          "code": "Specimen.note",
          "display": "note",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Specimen.note",
              "display": "Specimen.note",
              "equivalence": "wider",
              "comment": "Element `Specimen.note` is mapped to FHIR R4B element `Specimen.note` as `SourceIsBroaderThanTarget`.\nThe mappings for `Specimen.note` do not cover the following types: Annotation.\nThe mappings for `Specimen.note` do not cover the following types based on type expansion: author[x], text, time."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Specimen",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Specimen.meta",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Specimen.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 `Specimen.meta` is mapped to FHIR R4B element `Specimen.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `Specimen.meta` do not cover the following types: Meta.\nThe mappings for `Specimen.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Specimen",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Specimen.text",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Specimen.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 `Specimen.text` is mapped to FHIR R4B element `Specimen.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `Specimen.text` do not cover the following types: Narrative.\nThe mappings for `Specimen.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/Specimen",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Specimen.identifier",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Specimen.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 `Specimen.identifier` is mapped to FHIR R4B element `Specimen.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `Specimen.identifier` do not cover the following types: Identifier.\nThe mappings for `Specimen.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Specimen",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Specimen.accessionIdentifier",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Specimen.accessionIdentifier",
          "display": "accessionIdentifier",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Specimen.accessionIdentifier` is mapped to FHIR R4B element `Specimen.accessionIdentifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `Specimen.accessionIdentifier` do not cover the following types: Identifier.\nThe mappings for `Specimen.accessionIdentifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Specimen",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Specimen.container.identifier",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Specimen.container.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 `Specimen.container.identifier` is mapped to FHIR R4B element `Specimen.container.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `Specimen.container.identifier` do not cover the following types: Identifier.\nThe mappings for `Specimen.container.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Specimen",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Specimen.note",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Specimen.note",
          "display": "note",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Specimen.note` is mapped to FHIR R4B element `Specimen.note` as `SourceIsBroaderThanTarget`.\nThe mappings for `Specimen.note` do not cover the following types: Annotation.\nThe mappings for `Specimen.note` do not cover the following types based on type expansion: author[x], text, time."
            }
          ]
        }
      ]
    }
  ]
}