FHIR IG analytics| Package | hl7.fhir.uv.xver-r3.r5 |
| Resource Type | ConceptMap |
| Id | ConceptMap-R3-ClinicalImpression-element-map-to-R5.json |
| FHIR Version | R5 |
| Source | http://hl7.org/fhir/uv/xver-r3.r5/0.1.0/ConceptMap-R3-ClinicalImpression-element-map-to-R5.html |
| URL | http://hl7.org/fhir/uv/xver/ConceptMap/R3-ClinicalImpression-element-map-to-R5 |
| Version | 0.1.0 |
| Status | active |
| Date | 2026-03-17T16:04:59.4192755-05:00 |
| Name | R3ClinicalImpressionElementMapToR5 |
| Title | Cross-version mapping for FHIR STU3 ClinicalImpression to FHIR R5 ClinicalImpression |
| Realm | uv |
| Authority | hl7 |
| Description | This ConceptMap represents cross-version mappings for elements from a FHIR STU3 ClinicalImpression to FHIR R5. |
No resources found
| StructureDefinition | ||
| hl7.fhir.uv.xver-r3.r4b.r4#0.0.1-snapshot-2 | extension-ClinicalImpression.action | Cross-version Extension for R3.ClinicalImpression.action for use in FHIR R4B |
| hl7.fhir.uv.xver-r3.r5#0.1.0 | extension-ClinicalImpression.code | STU3: Kind of assessment performed (new) |
| hl7.fhir.uv.xver-r3.r4b.r4#0.0.1-snapshot-2 | extension-ClinicalImpression.finding.item | Cross-version Extension for R3.ClinicalImpression.finding.item[x] for use in FHIR R4B |
| hl7.fhir.uv.xver-r3.r4b#0.1.0 | extension-ClinicalImpression.identifier | STU3: identifier additional types |
| hl7.fhir.uv.xver-r3.r5#0.1.0 | extension-ClinicalImpression.investigation | STU3: One or more sets of investigations (signs, symptions, etc.) (new) |
| hl7.fhir.uv.xver-r3.r4b#0.1.0 | extension-ClinicalImpression.meta | STU3: meta additional types |
| hl7.fhir.uv.xver-r3.r4b#0.1.0 | extension-ClinicalImpression.note | STU3: note additional types |
| hl7.fhir.uv.xver-r3.r4b#0.1.0 | extension-ClinicalImpression.text | STU3: text additional types |
Note: links and images are rebased to the (stated) source
Generated Narrative: ConceptMap R3-ClinicalImpression-element-map-to-R5
Mapping from http://hl7.org/fhir/3.0 to http://hl7.org/fhir/5.0
Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2 to ClinicalImpressionversion: 5.0.0)
| Source Code | Relationship | Target Code | Comment |
| ClinicalImpression.meta (meta) | is broader than | ClinicalImpression.meta | Element `ClinicalImpression.meta` is mapped to FHIR R5 element `ClinicalImpression.meta` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.meta` do not cover the following types: Meta. The mappings for `ClinicalImpression.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId. |
| ClinicalImpression.implicitRules (implicitRules) | is equivalent to | ClinicalImpression.implicitRules | Element `ClinicalImpression.implicitRules` is mapped to FHIR R5 element `ClinicalImpression.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. |
| ClinicalImpression.language (language) | is equivalent to | ClinicalImpression.language | Element `ClinicalImpression.language` is mapped to FHIR R5 element `ClinicalImpression.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). |
| ClinicalImpression.text (text) | is broader than | ClinicalImpression.text | Element `ClinicalImpression.text` is mapped to FHIR R5 element `ClinicalImpression.text` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.text` do not cover the following types: Narrative. The mappings for `ClinicalImpression.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. |
| ClinicalImpression.contained (contained) | is equivalent to | ClinicalImpression.contained | Element `ClinicalImpression.contained` is mapped to FHIR R5 element `ClinicalImpression.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. |
| ClinicalImpression.identifier (identifier) | is broader than | ClinicalImpression.identifier | Element `ClinicalImpression.identifier` is mapped to FHIR R5 element `ClinicalImpression.identifier` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.identifier` do not cover the following types: Identifier. The mappings for `ClinicalImpression.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. |
| ClinicalImpression.status (status) | is equivalent to | ClinicalImpression.status | Element `ClinicalImpression.status` is mapped to FHIR R5 element `ClinicalImpression.status` as `SourceIsNarrowerThanTarget`. The mappings for `ClinicalImpression.status` do not allow expression of the necessary codes, per the bindings on the source and target. This element is labeled as a modifier because the status contains the code entered-in-error that marks the clinical impression as not currently valid. |
| ClinicalImpression.description (description) | is equivalent to | ClinicalImpression.description | Element `ClinicalImpression.description` is mapped to FHIR R5 element `ClinicalImpression.description` as `Equivalent`. |
| ClinicalImpression.subject (subject) | is broader than | ClinicalImpression.subject | Element `ClinicalImpression.subject` is mapped to FHIR R5 element `ClinicalImpression.subject` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.subject` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.subject` with unmapped reference targets: Group, Patient. |
| ClinicalImpression.context (context) | is broader than | ClinicalImpression.encounter | Element `ClinicalImpression.context` is mapped to FHIR R5 element `ClinicalImpression.encounter` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.context` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.context` with unmapped reference targets: Encounter, EpisodeOfCare. |
| ClinicalImpression.effective[x] (effective[x]) | is equivalent to | ClinicalImpression.effective[x] | Element `ClinicalImpression.effective[x]` is mapped to FHIR R5 element `ClinicalImpression.effective[x]` as `SourceIsBroaderThanTarget`. The target context `ClinicalImpression.effective[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ClinicalImpression`. This SHOULD be accurate to at least the minute, though some assessments only have a known date. |
| ClinicalImpression.date (date) | is equivalent to | ClinicalImpression.date | Element `ClinicalImpression.date` is mapped to FHIR R5 element `ClinicalImpression.date` as `Equivalent`. |
| ClinicalImpression.assessor (assessor) | is broader than | ClinicalImpression.performer | Element `ClinicalImpression.assessor` is mapped to FHIR R5 element `ClinicalImpression.performer` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.assessor` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.assessor` with unmapped reference targets: Practitioner. |
| ClinicalImpression.previous (previous) | is broader than | ClinicalImpression.previous | Element `ClinicalImpression.previous` is mapped to FHIR R5 element `ClinicalImpression.previous` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.previous` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.previous` with unmapped reference targets: ClinicalImpression. It is always likely that multiple previous assessments exist for a patient. The point of quoting a previous assessment is that this assessment is relative to it (see resolved). |
| ClinicalImpression.problem (problem) | is broader than | ClinicalImpression.problem | Element `ClinicalImpression.problem` is mapped to FHIR R5 element `ClinicalImpression.problem` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.problem` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.problem` with unmapped reference targets: AllergyIntolerance, Condition. e.g. The patient is a pregnant, and cardiac congestive failure, ‎Adenocarcinoma, and is allergic to penicillin. |
| ClinicalImpression.protocol (protocol) | is equivalent to | ClinicalImpression.protocol | Element `ClinicalImpression.protocol` is mapped to FHIR R5 element `ClinicalImpression.protocol` as `Equivalent`. |
| ClinicalImpression.summary (summary) | is equivalent to | ClinicalImpression.summary | Element `ClinicalImpression.summary` is mapped to FHIR R5 element `ClinicalImpression.summary` as `Equivalent`. |
| ClinicalImpression.finding (finding) | is broader than | ClinicalImpression.finding | Element `ClinicalImpression.finding` is mapped to FHIR R5 element `ClinicalImpression.finding` as `Equivalent`. |
| ClinicalImpression.finding.item[x] (item[x]) | is related to | ClinicalImpression.finding.item | Element `ClinicalImpression.finding.item[x]` is mapped to FHIR R5 element `ClinicalImpression.finding.item` as `RelatedTo`. The mappings for `ClinicalImpression.finding.item[x]` do not cover the following types: Reference. |
| ClinicalImpression.finding.basis (basis) | is equivalent to | ClinicalImpression.finding.basis | Element `ClinicalImpression.finding.basis` is mapped to FHIR R5 element `ClinicalImpression.finding.basis` as `Equivalent`. |
| ClinicalImpression.prognosisCodeableConcept (prognosisCodeableConcept) | is equivalent to | ClinicalImpression.prognosisCodeableConcept | Element `ClinicalImpression.prognosisCodeableConcept` is mapped to FHIR R5 element `ClinicalImpression.prognosisCodeableConcept` as `Equivalent`. |
| ClinicalImpression.prognosisReference (prognosisReference) | is broader than | ClinicalImpression.prognosisReference | Element `ClinicalImpression.prognosisReference` is mapped to FHIR R5 element `ClinicalImpression.prognosisReference` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.prognosisReference` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.prognosisReference` with unmapped reference targets: RiskAssessment. |
| ClinicalImpression.note (note) | is broader than | ClinicalImpression.note | Element `ClinicalImpression.note` is mapped to FHIR R5 element `ClinicalImpression.note` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.note` do not cover the following types: Annotation. The mappings for `ClinicalImpression.note` do not cover the following types based on type expansion: author[x], text, time. Don't use this element for content that should more properly appear as one of the specific elements of the impression. |
Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2 to STU3: meta additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClinicalImpression.meta (meta) | is equivalent to | Extension (STU3: meta additional types) | Element `ClinicalImpression.meta` is mapped to FHIR R5 element `ClinicalImpression.meta` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.meta` do not cover the following types: Meta. The mappings for `ClinicalImpression.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/ClinicalImpression|3.0.2 to STU3: text additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClinicalImpression.text (text) | is equivalent to | Extension (STU3: text additional types) | Element `ClinicalImpression.text` is mapped to FHIR R5 element `ClinicalImpression.text` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.text` do not cover the following types: Narrative. The mappings for `ClinicalImpression.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/ClinicalImpression|3.0.2 to STU3: identifier additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClinicalImpression.identifier (identifier) | is equivalent to | Extension (STU3: identifier additional types) | Element `ClinicalImpression.identifier` is mapped to FHIR R5 element `ClinicalImpression.identifier` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.identifier` do not cover the following types: Identifier. The mappings for `ClinicalImpression.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. |
Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2 to STU3: Kind of assessment performed (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClinicalImpression.code (code) | is equivalent to | Extension (STU3: Kind of assessment performed (new)) | Element `ClinicalImpression.code` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`. Element `ClinicalImpression.code` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). This is present as a place-holder only and may be removed based on feedback/work group opinion. |
Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2 to STU3: One or more sets of investigations (signs, symptions, etc.) (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClinicalImpression.investigation (investigation) | is equivalent to | Extension (STU3: One or more sets of investigations (signs, symptions, etc.) (new)) | Element `ClinicalImpression.investigation` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`. Element `ClinicalImpression.investigation` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). |
| ClinicalImpression.investigation.code (code) | is equivalent to | Extension.extension:code (STU3: A name/code for the set (new)) | Element `ClinicalImpression.investigation.code` is part of an existing definition because parent element `ClinicalImpression.investigation` requires a cross-version extension. Element `ClinicalImpression.investigation.code` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`. Element `ClinicalImpression.investigation.code` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). |
| ClinicalImpression.investigation.item (item) | is equivalent to | Extension.extension:item (STU3: Record of a specific investigation (new)) | Element `ClinicalImpression.investigation.item` is part of an existing definition because parent element `ClinicalImpression.investigation` requires a cross-version extension. Element `ClinicalImpression.investigation.item` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`. Element `ClinicalImpression.investigation.item` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). Most investigations are observations of one kind of or another but some other specific types of data collection resources can also be used. |
Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2 to STU3: item additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClinicalImpression.finding.item[x] (item[x]) | is broader than | Extension (STU3: item additional types) | Element `ClinicalImpression.finding.item[x]` is mapped to FHIR R5 element `ClinicalImpression.finding.item` as `RelatedTo`. The mappings for `ClinicalImpression.finding.item[x]` do not cover the following types: Reference. |
Group 8 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2 to STU3: Action taken as part of assessment procedure (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClinicalImpression.action (action) | is equivalent to | Extension (STU3: Action taken as part of assessment procedure (new)) | Element `ClinicalImpression.action` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`. Element `ClinicalImpression.action` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). Actions recommended as a result of the impression should not be captured using the 'action' element. |
Group 9 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2 to STU3: note additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| ClinicalImpression.note (note) | is equivalent to | Extension (STU3: note additional types) | Element `ClinicalImpression.note` is mapped to FHIR R5 element `ClinicalImpression.note` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.note` do not cover the following types: Annotation. The mappings for `ClinicalImpression.note` do not cover the following types based on type expansion: author[x], text, time. Don't use this element for content that should more properly appear as one of the specific elements of the impression. |
FHIR
FHIRsmith{
"resourceType": "ConceptMap",
"id": "R3-ClinicalImpression-element-map-to-R5",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fhir"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 0,
"_valueInteger": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r5"
}
]
}
},
{
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"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.r5"
}
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],
"url": "http://hl7.org/fhir/uv/xver/ConceptMap/R3-ClinicalImpression-element-map-to-R5",
"version": "0.1.0",
"name": "R3ClinicalImpressionElementMapToR5",
"title": "Cross-version mapping for FHIR STU3 ClinicalImpression to FHIR R5 ClinicalImpression",
"status": "active",
"experimental": false,
"date": "2026-03-17T16:04:59.4192755-05:00",
"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 ClinicalImpression to FHIR R5.",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001",
"display": "World"
}
]
}
],
"sourceScopeCanonical": "http://hl7.org/fhir/3.0",
"targetScopeUri": "http://hl7.org/fhir/5.0",
"group": [
{
"source": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2",
"target": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression|5.0.0",
"element": [
{
"code": "ClinicalImpression.meta",
"display": "meta",
"target": [
{
"code": "ClinicalImpression.meta",
"display": "ClinicalImpression.meta",
"relationship": "source-is-broader-than-target",
"comment": "Element `ClinicalImpression.meta` is mapped to FHIR R5 element `ClinicalImpression.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `ClinicalImpression.meta` do not cover the following types: Meta.\nThe mappings for `ClinicalImpression.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
}
]
},
{
"code": "ClinicalImpression.implicitRules",
"display": "implicitRules",
"target": [
{
"code": "ClinicalImpression.implicitRules",
"display": "ClinicalImpression.implicitRules",
"relationship": "equivalent",
"comment": "Element `ClinicalImpression.implicitRules` is mapped to FHIR R5 element `ClinicalImpression.implicitRules` as `Equivalent`.\nAsserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. \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": "ClinicalImpression.language",
"display": "language",
"target": [
{
"code": "ClinicalImpression.language",
"display": "ClinicalImpression.language",
"relationship": "equivalent",
"comment": "Element `ClinicalImpression.language` is mapped to FHIR R5 element `ClinicalImpression.language` as `Equivalent`.\nLanguage is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."
}
]
},
{
"code": "ClinicalImpression.text",
"display": "text",
"target": [
{
"code": "ClinicalImpression.text",
"display": "ClinicalImpression.text",
"relationship": "source-is-broader-than-target",
"comment": "Element `ClinicalImpression.text` is mapped to FHIR R5 element `ClinicalImpression.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `ClinicalImpression.text` do not cover the following types: Narrative.\nThe mappings for `ClinicalImpression.text` do not cover the following types based on type expansion: div, status.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative. 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": "ClinicalImpression.contained",
"display": "contained",
"target": [
{
"code": "ClinicalImpression.contained",
"display": "ClinicalImpression.contained",
"relationship": "equivalent",
"comment": "Element `ClinicalImpression.contained` is mapped to FHIR R5 element `ClinicalImpression.contained` as `SourceIsBroaderThanTarget`.\nThis should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."
}
]
},
{
"code": "ClinicalImpression.identifier",
"display": "identifier",
"target": [
{
"code": "ClinicalImpression.identifier",
"display": "ClinicalImpression.identifier",
"relationship": "source-is-broader-than-target",
"comment": "Element `ClinicalImpression.identifier` is mapped to FHIR R5 element `ClinicalImpression.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `ClinicalImpression.identifier` do not cover the following types: Identifier.\nThe mappings for `ClinicalImpression.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
}
]
},
{
"code": "ClinicalImpression.status",
"display": "status",
"target": [
{
"code": "ClinicalImpression.status",
"display": "ClinicalImpression.status",
"relationship": "equivalent",
"comment": "Element `ClinicalImpression.status` is mapped to FHIR R5 element `ClinicalImpression.status` as `SourceIsNarrowerThanTarget`.\nThe mappings for `ClinicalImpression.status` do not allow expression of the necessary codes, per the bindings on the source and target.\nThis element is labeled as a modifier because the status contains the code entered-in-error that marks the clinical impression as not currently valid."
}
]
},
{
"code": "ClinicalImpression.description",
"display": "description",
"target": [
{
"code": "ClinicalImpression.description",
"display": "ClinicalImpression.description",
"relationship": "equivalent",
"comment": "Element `ClinicalImpression.description` is mapped to FHIR R5 element `ClinicalImpression.description` as `Equivalent`."
}
]
},
{
"code": "ClinicalImpression.subject",
"display": "subject",
"target": [
{
"code": "ClinicalImpression.subject",
"display": "ClinicalImpression.subject",
"relationship": "source-is-broader-than-target",
"comment": "Element `ClinicalImpression.subject` is mapped to FHIR R5 element `ClinicalImpression.subject` as `SourceIsBroaderThanTarget`.\nThe mappings for `ClinicalImpression.subject` 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 `ClinicalImpression.subject` with unmapped reference targets: Group, Patient."
}
]
},
{
"code": "ClinicalImpression.context",
"display": "context",
"target": [
{
"code": "ClinicalImpression.encounter",
"display": "ClinicalImpression.encounter",
"relationship": "source-is-broader-than-target",
"comment": "Element `ClinicalImpression.context` is mapped to FHIR R5 element `ClinicalImpression.encounter` as `SourceIsBroaderThanTarget`.\nThe mappings for `ClinicalImpression.context` 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 `ClinicalImpression.context` with unmapped reference targets: Encounter, EpisodeOfCare."
}
]
},
{
"code": "ClinicalImpression.effective[x]",
"display": "effective[x]",
"target": [
{
"code": "ClinicalImpression.effective[x]",
"display": "ClinicalImpression.effective[x]",
"relationship": "equivalent",
"comment": "Element `ClinicalImpression.effective[x]` is mapped to FHIR R5 element `ClinicalImpression.effective[x]` as `SourceIsBroaderThanTarget`.\nThe target context `ClinicalImpression.effective[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ClinicalImpression`.\nThis SHOULD be accurate to at least the minute, though some assessments only have a known date."
}
]
},
{
"code": "ClinicalImpression.date",
"display": "date",
"target": [
{
"code": "ClinicalImpression.date",
"display": "ClinicalImpression.date",
"relationship": "equivalent",
"comment": "Element `ClinicalImpression.date` is mapped to FHIR R5 element `ClinicalImpression.date` as `Equivalent`."
}
]
},
{
"code": "ClinicalImpression.assessor",
"display": "assessor",
"target": [
{
"code": "ClinicalImpression.performer",
"display": "ClinicalImpression.performer",
"relationship": "source-is-broader-than-target",
"comment": "Element `ClinicalImpression.assessor` is mapped to FHIR R5 element `ClinicalImpression.performer` as `SourceIsBroaderThanTarget`.\nThe mappings for `ClinicalImpression.assessor` 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 `ClinicalImpression.assessor` with unmapped reference targets: Practitioner."
}
]
},
{
"code": "ClinicalImpression.previous",
"display": "previous",
"target": [
{
"code": "ClinicalImpression.previous",
"display": "ClinicalImpression.previous",
"relationship": "source-is-broader-than-target",
"comment": "Element `ClinicalImpression.previous` is mapped to FHIR R5 element `ClinicalImpression.previous` as `SourceIsBroaderThanTarget`.\nThe mappings for `ClinicalImpression.previous` 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 `ClinicalImpression.previous` with unmapped reference targets: ClinicalImpression.\nIt is always likely that multiple previous assessments exist for a patient. The point of quoting a previous assessment is that this assessment is relative to it (see resolved)."
}
]
},
{
"code": "ClinicalImpression.problem",
"display": "problem",
"target": [
{
"code": "ClinicalImpression.problem",
"display": "ClinicalImpression.problem",
"relationship": "source-is-broader-than-target",
"comment": "Element `ClinicalImpression.problem` is mapped to FHIR R5 element `ClinicalImpression.problem` as `SourceIsBroaderThanTarget`.\nThe mappings for `ClinicalImpression.problem` 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 `ClinicalImpression.problem` with unmapped reference targets: AllergyIntolerance, Condition.\ne.g. The patient is a pregnant, and cardiac congestive failure, ‎Adenocarcinoma, and is allergic to penicillin."
}
]
},
{
"code": "ClinicalImpression.protocol",
"display": "protocol",
"target": [
{
"code": "ClinicalImpression.protocol",
"display": "ClinicalImpression.protocol",
"relationship": "equivalent",
"comment": "Element `ClinicalImpression.protocol` is mapped to FHIR R5 element `ClinicalImpression.protocol` as `Equivalent`."
}
]
},
{
"code": "ClinicalImpression.summary",
"display": "summary",
"target": [
{
"code": "ClinicalImpression.summary",
"display": "ClinicalImpression.summary",
"relationship": "equivalent",
"comment": "Element `ClinicalImpression.summary` is mapped to FHIR R5 element `ClinicalImpression.summary` as `Equivalent`."
}
]
},
{
"code": "ClinicalImpression.finding",
"display": "finding",
"target": [
{
"code": "ClinicalImpression.finding",
"display": "ClinicalImpression.finding",
"relationship": "source-is-broader-than-target",
"comment": "Element `ClinicalImpression.finding` is mapped to FHIR R5 element `ClinicalImpression.finding` as `Equivalent`."
}
]
},
{
"code": "ClinicalImpression.finding.item[x]",
"display": "item[x]",
"target": [
{
"code": "ClinicalImpression.finding.item",
"display": "ClinicalImpression.finding.item",
"relationship": "related-to",
"comment": "Element `ClinicalImpression.finding.item[x]` is mapped to FHIR R5 element `ClinicalImpression.finding.item` as `RelatedTo`.\nThe mappings for `ClinicalImpression.finding.item[x]` do not cover the following types: Reference."
}
]
},
{
"code": "ClinicalImpression.finding.basis",
"display": "basis",
"target": [
{
"code": "ClinicalImpression.finding.basis",
"display": "ClinicalImpression.finding.basis",
"relationship": "equivalent",
"comment": "Element `ClinicalImpression.finding.basis` is mapped to FHIR R5 element `ClinicalImpression.finding.basis` as `Equivalent`."
}
]
},
{
"code": "ClinicalImpression.prognosisCodeableConcept",
"display": "prognosisCodeableConcept",
"target": [
{
"code": "ClinicalImpression.prognosisCodeableConcept",
"display": "ClinicalImpression.prognosisCodeableConcept",
"relationship": "equivalent",
"comment": "Element `ClinicalImpression.prognosisCodeableConcept` is mapped to FHIR R5 element `ClinicalImpression.prognosisCodeableConcept` as `Equivalent`."
}
]
},
{
"code": "ClinicalImpression.prognosisReference",
"display": "prognosisReference",
"target": [
{
"code": "ClinicalImpression.prognosisReference",
"display": "ClinicalImpression.prognosisReference",
"relationship": "source-is-broader-than-target",
"comment": "Element `ClinicalImpression.prognosisReference` is mapped to FHIR R5 element `ClinicalImpression.prognosisReference` as `SourceIsBroaderThanTarget`.\nThe mappings for `ClinicalImpression.prognosisReference` 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 `ClinicalImpression.prognosisReference` with unmapped reference targets: RiskAssessment."
}
]
},
{
"code": "ClinicalImpression.note",
"display": "note",
"target": [
{
"code": "ClinicalImpression.note",
"display": "ClinicalImpression.note",
"relationship": "source-is-broader-than-target",
"comment": "Element `ClinicalImpression.note` is mapped to FHIR R5 element `ClinicalImpression.note` as `SourceIsBroaderThanTarget`.\nThe mappings for `ClinicalImpression.note` do not cover the following types: Annotation.\nThe mappings for `ClinicalImpression.note` do not cover the following types based on type expansion: author[x], text, time.\nDon't use this element for content that should more properly appear as one of the specific elements of the impression."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2",
"target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-ClinicalImpression.meta|0.1.0",
"element": [
{
"code": "ClinicalImpression.meta",
"display": "meta",
"target": [
{
"code": "Extension",
"relationship": "equivalent",
"comment": "Element `ClinicalImpression.meta` is mapped to FHIR R5 element `ClinicalImpression.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `ClinicalImpression.meta` do not cover the following types: Meta.\nThe mappings for `ClinicalImpression.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2",
"target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-ClinicalImpression.text|0.1.0",
"element": [
{
"code": "ClinicalImpression.text",
"display": "text",
"target": [
{
"code": "Extension",
"relationship": "equivalent",
"comment": "Element `ClinicalImpression.text` is mapped to FHIR R5 element `ClinicalImpression.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `ClinicalImpression.text` do not cover the following types: Narrative.\nThe mappings for `ClinicalImpression.text` do not cover the following types based on type expansion: div, status.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative. 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/ClinicalImpression|3.0.2",
"target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-ClinicalImpression.identifier|0.1.0",
"element": [
{
"code": "ClinicalImpression.identifier",
"display": "identifier",
"target": [
{
"code": "Extension",
"relationship": "equivalent",
"comment": "Element `ClinicalImpression.identifier` is mapped to FHIR R5 element `ClinicalImpression.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `ClinicalImpression.identifier` do not cover the following types: Identifier.\nThe mappings for `ClinicalImpression.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2",
"target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-ClinicalImpression.code|0.1.0",
"element": [
{
"code": "ClinicalImpression.code",
"display": "code",
"target": [
{
"code": "Extension",
"relationship": "equivalent",
"comment": "Element `ClinicalImpression.code` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`.\nElement `ClinicalImpression.code` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nThis is present as a place-holder only and may be removed based on feedback/work group opinion."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2",
"target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-ClinicalImpression.investigation|0.1.0",
"element": [
{
"code": "ClinicalImpression.investigation",
"display": "investigation",
"target": [
{
"code": "Extension",
"relationship": "equivalent",
"comment": "Element `ClinicalImpression.investigation` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`.\nElement `ClinicalImpression.investigation` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."
}
]
},
{
"code": "ClinicalImpression.investigation.code",
"display": "code",
"target": [
{
"code": "Extension.extension:code",
"relationship": "equivalent",
"comment": "Element `ClinicalImpression.investigation.code` is part of an existing definition because parent element `ClinicalImpression.investigation` requires a cross-version extension.\nElement `ClinicalImpression.investigation.code` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`.\nElement `ClinicalImpression.investigation.code` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."
}
]
},
{
"code": "ClinicalImpression.investigation.item",
"display": "item",
"target": [
{
"code": "Extension.extension:item",
"relationship": "equivalent",
"comment": "Element `ClinicalImpression.investigation.item` is part of an existing definition because parent element `ClinicalImpression.investigation` requires a cross-version extension.\nElement `ClinicalImpression.investigation.item` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`.\nElement `ClinicalImpression.investigation.item` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nMost investigations are observations of one kind of or another but some other specific types of data collection resources can also be used."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2",
"target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-ClinicalImpression.finding.item|0.1.0",
"element": [
{
"code": "ClinicalImpression.finding.item[x]",
"display": "item[x]",
"target": [
{
"code": "Extension",
"relationship": "source-is-broader-than-target",
"comment": "Element `ClinicalImpression.finding.item[x]` is mapped to FHIR R5 element `ClinicalImpression.finding.item` as `RelatedTo`.\nThe mappings for `ClinicalImpression.finding.item[x]` do not cover the following types: Reference."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2",
"target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-ClinicalImpression.action|0.1.0",
"element": [
{
"code": "ClinicalImpression.action",
"display": "action",
"target": [
{
"code": "Extension",
"relationship": "equivalent",
"comment": "Element `ClinicalImpression.action` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`.\nElement `ClinicalImpression.action` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nActions recommended as a result of the impression should not be captured using the 'action' element."
}
]
}
]
},
{
"source": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2",
"target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-ClinicalImpression.note|0.1.0",
"element": [
{
"code": "ClinicalImpression.note",
"display": "note",
"target": [
{
"code": "Extension",
"relationship": "equivalent",
"comment": "Element `ClinicalImpression.note` is mapped to FHIR R5 element `ClinicalImpression.note` as `SourceIsBroaderThanTarget`.\nThe mappings for `ClinicalImpression.note` do not cover the following types: Annotation.\nThe mappings for `ClinicalImpression.note` do not cover the following types based on type expansion: author[x], text, time.\nDon't use this element for content that should more properly appear as one of the specific elements of the impression."
}
]
}
]
}
]
}