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Packagehl7.fhir.uv.xver-r3.r5
Resource TypeConceptMap
IdConceptMap-R3-DiagnosticReport-element-map-to-R5.json
FHIR VersionR5
Sourcehttp://hl7.org/fhir/uv/xver-r3.r5/0.1.0/ConceptMap-R3-DiagnosticReport-element-map-to-R5.html
URLhttp://hl7.org/fhir/uv/xver/ConceptMap/R3-DiagnosticReport-element-map-to-R5
Version0.1.0
Statusactive
Date2026-03-17T16:04:59.7201676-05:00
NameR3DiagnosticReportElementMapToR5
TitleCross-version mapping for FHIR STU3 DiagnosticReport to FHIR R5 DiagnosticReport
Realmuv
Authorityhl7
DescriptionThis ConceptMap represents cross-version mappings for elements from a FHIR STU3 DiagnosticReport to FHIR R5.

Resources that use this resource

No resources found


Resources that this resource uses

StructureDefinition
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-DiagnosticReport.identifierSTU3: identifier additional types
hl7.fhir.uv.xver-r3.r4b.r4#0.0.1-snapshot-2extension-DiagnosticReport.imagingStudyCross-version Extension for R3.DiagnosticReport.imagingStudy for use in FHIR R4B
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-DiagnosticReport.metaSTU3: meta additional types
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-DiagnosticReport.performer.roleSTU3: Type of performer (new)
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-DiagnosticReport.presentedFormSTU3: presentedForm additional types
hl7.fhir.uv.xver-r3.r5#0.1.0extension-DiagnosticReport.statusSTU3: registered | partial | preliminary | final + additional codes
hl7.fhir.uv.xver-r3.r4b#0.1.0extension-DiagnosticReport.textSTU3: text additional types

Narrative

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

Generated Narrative: ConceptMap R3-DiagnosticReport-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/DiagnosticReport|3.0.2 to DiagnosticReportversion: 5.0.0)

Source CodeRelationshipTarget CodeComment
DiagnosticReport.meta (meta)is broader thanDiagnosticReport.metaElement `DiagnosticReport.meta` is mapped to FHIR R5 element `DiagnosticReport.meta` as `SourceIsBroaderThanTarget`. The mappings for `DiagnosticReport.meta` do not cover the following types: Meta. The mappings for `DiagnosticReport.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.
DiagnosticReport.implicitRules (implicitRules)is equivalent toDiagnosticReport.implicitRulesElement `DiagnosticReport.implicitRules` is mapped to FHIR R5 element `DiagnosticReport.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.
DiagnosticReport.language (language)is equivalent toDiagnosticReport.languageElement `DiagnosticReport.language` is mapped to FHIR R5 element `DiagnosticReport.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).
DiagnosticReport.text (text)is broader thanDiagnosticReport.textElement `DiagnosticReport.text` is mapped to FHIR R5 element `DiagnosticReport.text` as `SourceIsBroaderThanTarget`. The mappings for `DiagnosticReport.text` do not cover the following types: Narrative. The mappings for `DiagnosticReport.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.
DiagnosticReport.contained (contained)is equivalent toDiagnosticReport.containedElement `DiagnosticReport.contained` is mapped to FHIR R5 element `DiagnosticReport.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.
DiagnosticReport.identifier (identifier)is broader thanDiagnosticReport.identifierElement `DiagnosticReport.identifier` is mapped to FHIR R5 element `DiagnosticReport.identifier` as `SourceIsBroaderThanTarget`. The mappings for `DiagnosticReport.identifier` do not cover the following types: Identifier. The mappings for `DiagnosticReport.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. Usually assigned by the Information System of the diagnostic service provider (filler id).
DiagnosticReport.basedOn (basedOn)is broader thanDiagnosticReport.basedOnElement `DiagnosticReport.basedOn` is mapped to FHIR R5 element `DiagnosticReport.basedOn` as `RelatedTo`. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `DiagnosticReport.basedOn` with unmapped reference targets: CarePlan, ImmunizationRecommendation, MedicationRequest, NutritionOrder, ProcedureRequest, ReferralRequest. Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.
DiagnosticReport.status (status)is broader thanDiagnosticReport.statusElement `DiagnosticReport.status` is mapped to FHIR R5 element `DiagnosticReport.status` as `RelatedTo`. The mappings for `DiagnosticReport.status` do not allow expression of the necessary codes, per the bindings on the source and target. The target context `DiagnosticReport.status` is a modifier element, so this extension does not need to be defined as a modifier. This is labeled as "Is Modifier" because applications need to take appropriate action if a report is withdrawn.
DiagnosticReport.category (category)is equivalent toDiagnosticReport.categoryElement `DiagnosticReport.category` is mapped to FHIR R5 element `DiagnosticReport.category` as `SourceIsNarrowerThanTarget`. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.
DiagnosticReport.code (code)is equivalent toDiagnosticReport.codeElement `DiagnosticReport.code` is mapped to FHIR R5 element `DiagnosticReport.code` as `Equivalent`.
DiagnosticReport.subject (subject)is broader thanDiagnosticReport.subjectElement `DiagnosticReport.subject` is mapped to FHIR R5 element `DiagnosticReport.subject` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `DiagnosticReport.subject` with unmapped reference targets: Device, Group, Location, Patient.
DiagnosticReport.context (context)is broader thanDiagnosticReport.encounterElement `DiagnosticReport.context` is mapped to FHIR R5 element `DiagnosticReport.encounter` as `SourceIsBroaderThanTarget`. The mappings for `DiagnosticReport.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 `DiagnosticReport.context` with unmapped reference targets: Encounter, EpisodeOfCare. This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter or episode but still be tied to the context of the encounter or episode (e.g. pre-admission lab tests).
DiagnosticReport.effective[x] (effective[x])is equivalent toDiagnosticReport.effective[x]Element `DiagnosticReport.effective[x]` is mapped to FHIR R5 element `DiagnosticReport.effective[x]` as `SourceIsBroaderThanTarget`. The target context `DiagnosticReport.effective[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `DiagnosticReport`. If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic.
DiagnosticReport.issued (issued)is equivalent toDiagnosticReport.issuedElement `DiagnosticReport.issued` is mapped to FHIR R5 element `DiagnosticReport.issued` as `Equivalent`. May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.
DiagnosticReport.performer (performer)is broader thanDiagnosticReport.performerElement `DiagnosticReport.performer` is mapped to FHIR R5 element `DiagnosticReport.performer` as `Equivalent`.
DiagnosticReport.performer.actor (actor)is related toDiagnosticReport.performerElement `DiagnosticReport.performer.actor` is mapped to FHIR R5 element `DiagnosticReport.performer` as `RelatedTo`. The mappings for `DiagnosticReport.performer.actor` 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 `DiagnosticReport.performer.actor` with unmapped reference targets: Organization, Practitioner. This is not necessarily the source of the atomic data items. It is the entity that takes responsibility for the clinical report.
DiagnosticReport.specimen (specimen)is broader thanDiagnosticReport.specimenElement `DiagnosticReport.specimen` is mapped to FHIR R5 element `DiagnosticReport.specimen` as `SourceIsBroaderThanTarget`. The mappings for `DiagnosticReport.specimen` 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 `DiagnosticReport.specimen` with unmapped reference targets: Specimen. If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group.
DiagnosticReport.result (result)is broader thanDiagnosticReport.resultElement `DiagnosticReport.result` is mapped to FHIR R5 element `DiagnosticReport.result` as `SourceIsBroaderThanTarget`. The mappings for `DiagnosticReport.result` 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 `DiagnosticReport.result` with unmapped reference targets: Observation.
DiagnosticReport.image (image)is broader thanDiagnosticReport.mediaElement `DiagnosticReport.image` is mapped to FHIR R5 element `DiagnosticReport.media` as `Equivalent`.
DiagnosticReport.image.comment (comment)is equivalent toDiagnosticReport.media.commentElement `DiagnosticReport.image.comment` is mapped to FHIR R5 element `DiagnosticReport.media.comment` as `Equivalent`. The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion.
DiagnosticReport.image.link (link)is related toDiagnosticReport.media.linkElement `DiagnosticReport.image.link` is mapped to FHIR R5 element `DiagnosticReport.media.link` as `RelatedTo`. The mappings for `DiagnosticReport.image.link` 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 `DiagnosticReport.image.link` with unmapped reference targets: Media.
DiagnosticReport.conclusion (conclusion)is equivalent toDiagnosticReport.conclusionElement `DiagnosticReport.conclusion` is mapped to FHIR R5 element `DiagnosticReport.conclusion` as `Equivalent`.
DiagnosticReport.codedDiagnosis (codedDiagnosis)is equivalent toDiagnosticReport.conclusionCodeElement `DiagnosticReport.codedDiagnosis` is mapped to FHIR R5 element `DiagnosticReport.conclusionCode` as `Equivalent`.
DiagnosticReport.presentedForm (presentedForm)is broader thanDiagnosticReport.presentedFormElement `DiagnosticReport.presentedForm` is mapped to FHIR R5 element `DiagnosticReport.presentedForm` as `SourceIsBroaderThanTarget`. The mappings for `DiagnosticReport.presentedForm` do not cover the following types: Attachment. The mappings for `DiagnosticReport.presentedForm` do not cover the following types based on type expansion: contentType, creation, data, hash, language, size, title, url. "application/pdf" is recommended as the most reliable and interoperable in this context.

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

Source CodeRelationshipTarget CodeComment
DiagnosticReport.meta (meta)is equivalent toExtension (STU3: meta additional types)Element `DiagnosticReport.meta` is mapped to FHIR R5 element `DiagnosticReport.meta` as `SourceIsBroaderThanTarget`. The mappings for `DiagnosticReport.meta` do not cover the following types: Meta. The mappings for `DiagnosticReport.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/DiagnosticReport|3.0.2 to STU3: text additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
DiagnosticReport.text (text)is equivalent toExtension (STU3: text additional types)Element `DiagnosticReport.text` is mapped to FHIR R5 element `DiagnosticReport.text` as `SourceIsBroaderThanTarget`. The mappings for `DiagnosticReport.text` do not cover the following types: Narrative. The mappings for `DiagnosticReport.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/DiagnosticReport|3.0.2 to STU3: identifier additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
DiagnosticReport.identifier (identifier)is equivalent toExtension (STU3: identifier additional types)Element `DiagnosticReport.identifier` is mapped to FHIR R5 element `DiagnosticReport.identifier` as `SourceIsBroaderThanTarget`. The mappings for `DiagnosticReport.identifier` do not cover the following types: Identifier. The mappings for `DiagnosticReport.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. Usually assigned by the Information System of the diagnostic service provider (filler id).

Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/DiagnosticReport|3.0.2 to STU3: registered | partial | preliminary | final + additional codesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
DiagnosticReport.status (status)is equivalent toExtension (STU3: registered | partial | preliminary | final + additional codes)Element `DiagnosticReport.status` is mapped to FHIR R5 element `DiagnosticReport.status` as `RelatedTo`. The mappings for `DiagnosticReport.status` do not allow expression of the necessary codes, per the bindings on the source and target. The target context `DiagnosticReport.status` is a modifier element, so this extension does not need to be defined as a modifier. This is labeled as "Is Modifier" because applications need to take appropriate action if a report is withdrawn.

Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/DiagnosticReport|3.0.2 to STU3: Type of performer (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
DiagnosticReport.performer.role (role)is equivalent toExtension (STU3: Type of performer (new))Element `DiagnosticReport.performer.role` has a context of DiagnosticReport.performer based on following the parent source element upwards and mapping to `DiagnosticReport`. Element `DiagnosticReport.performer.role` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/DiagnosticReport|3.0.2 to STU3: Reference to full details of imaging associated with the diagnostic report (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
DiagnosticReport.imagingStudy (imagingStudy)is broader thanExtension (STU3: Reference to full details of imaging associated with the diagnostic report (new))Element `DiagnosticReport.imagingStudy` has a context of DiagnosticReport based on following the parent source element upwards and mapping to `DiagnosticReport`. Element `DiagnosticReport.imagingStudy` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). ImagingStudy and ImageManifest and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However each caters to different types of displays for different types of purposes. Neither, either, or both may be provided.

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

Source CodeRelationshipTarget CodeComment
DiagnosticReport.presentedForm (presentedForm)is equivalent toExtension (STU3: presentedForm additional types)Element `DiagnosticReport.presentedForm` is mapped to FHIR R5 element `DiagnosticReport.presentedForm` as `SourceIsBroaderThanTarget`. The mappings for `DiagnosticReport.presentedForm` do not cover the following types: Attachment. The mappings for `DiagnosticReport.presentedForm` do not cover the following types based on type expansion: contentType, creation, data, hash, language, size, title, url. "application/pdf" is recommended as the most reliable and interoperable in this context.

Source1

{
  "resourceType": "ConceptMap",
  "id": "R3-DiagnosticReport-element-map-to-R5",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fhir"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r5"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r5"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ConceptMap/R3-DiagnosticReport-element-map-to-R5",
  "version": "0.1.0",
  "name": "R3DiagnosticReportElementMapToR5",
  "title": "Cross-version mapping for FHIR STU3 DiagnosticReport to FHIR R5 DiagnosticReport",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:04:59.7201676-05:00",
  "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 DiagnosticReport to FHIR R5.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "sourceScopeCanonical": "http://hl7.org/fhir/3.0",
  "targetScopeUri": "http://hl7.org/fhir/5.0",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport|3.0.2",
      "target": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport|5.0.0",
      "element": [
        {
          "code": "DiagnosticReport.meta",
          "display": "meta",
          "target": [
            {
              "code": "DiagnosticReport.meta",
              "display": "DiagnosticReport.meta",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `DiagnosticReport.meta` is mapped to FHIR R5 element `DiagnosticReport.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.meta` do not cover the following types: Meta.\nThe mappings for `DiagnosticReport.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        },
        {
          "code": "DiagnosticReport.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "code": "DiagnosticReport.implicitRules",
              "display": "DiagnosticReport.implicitRules",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.implicitRules` is mapped to FHIR R5 element `DiagnosticReport.implicitRules` as `Equivalent`.\nAsserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. \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": "DiagnosticReport.language",
          "display": "language",
          "target": [
            {
              "code": "DiagnosticReport.language",
              "display": "DiagnosticReport.language",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.language` is mapped to FHIR R5 element `DiagnosticReport.language` as `Equivalent`.\nLanguage is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource  Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."
            }
          ]
        },
        {
          "code": "DiagnosticReport.text",
          "display": "text",
          "target": [
            {
              "code": "DiagnosticReport.text",
              "display": "DiagnosticReport.text",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `DiagnosticReport.text` is mapped to FHIR R5 element `DiagnosticReport.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.text` do not cover the following types: Narrative.\nThe mappings for `DiagnosticReport.text` do not cover the following types based on type expansion: div, status.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative. 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": "DiagnosticReport.contained",
          "display": "contained",
          "target": [
            {
              "code": "DiagnosticReport.contained",
              "display": "DiagnosticReport.contained",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.contained` is mapped to FHIR R5 element `DiagnosticReport.contained` as `SourceIsBroaderThanTarget`.\nThis should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."
            }
          ]
        },
        {
          "code": "DiagnosticReport.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "DiagnosticReport.identifier",
              "display": "DiagnosticReport.identifier",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `DiagnosticReport.identifier` is mapped to FHIR R5 element `DiagnosticReport.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.identifier` do not cover the following types: Identifier.\nThe mappings for `DiagnosticReport.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.\nUsually assigned by the Information System of the diagnostic service provider (filler id)."
            }
          ]
        },
        {
          "code": "DiagnosticReport.basedOn",
          "display": "basedOn",
          "target": [
            {
              "code": "DiagnosticReport.basedOn",
              "display": "DiagnosticReport.basedOn",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `DiagnosticReport.basedOn` is mapped to FHIR R5 element `DiagnosticReport.basedOn` as `RelatedTo`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `DiagnosticReport.basedOn` with unmapped reference targets: CarePlan, ImmunizationRecommendation, MedicationRequest, NutritionOrder, ProcedureRequest, ReferralRequest.\nNote: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports."
            }
          ]
        },
        {
          "code": "DiagnosticReport.status",
          "display": "status",
          "target": [
            {
              "code": "DiagnosticReport.status",
              "display": "DiagnosticReport.status",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `DiagnosticReport.status` is mapped to FHIR R5 element `DiagnosticReport.status` as `RelatedTo`.\nThe mappings for `DiagnosticReport.status` do not allow expression of the necessary codes, per the bindings on the source and target.\nThe target context `DiagnosticReport.status` is a modifier element, so this extension does not need to be defined as a modifier.\nThis is labeled as \"Is Modifier\" because applications need to take appropriate action if a report is withdrawn."
            }
          ]
        },
        {
          "code": "DiagnosticReport.category",
          "display": "category",
          "target": [
            {
              "code": "DiagnosticReport.category",
              "display": "DiagnosticReport.category",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.category` is mapped to FHIR R5 element `DiagnosticReport.category` as `SourceIsNarrowerThanTarget`.\nThe level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code."
            }
          ]
        },
        {
          "code": "DiagnosticReport.code",
          "display": "code",
          "target": [
            {
              "code": "DiagnosticReport.code",
              "display": "DiagnosticReport.code",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.code` is mapped to FHIR R5 element `DiagnosticReport.code` as `Equivalent`."
            }
          ]
        },
        {
          "code": "DiagnosticReport.subject",
          "display": "subject",
          "target": [
            {
              "code": "DiagnosticReport.subject",
              "display": "DiagnosticReport.subject",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `DiagnosticReport.subject` is mapped to FHIR R5 element `DiagnosticReport.subject` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `DiagnosticReport.subject` with unmapped reference targets: Device, Group, Location, Patient."
            }
          ]
        },
        {
          "code": "DiagnosticReport.context",
          "display": "context",
          "target": [
            {
              "code": "DiagnosticReport.encounter",
              "display": "DiagnosticReport.encounter",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `DiagnosticReport.context` is mapped to FHIR R5 element `DiagnosticReport.encounter` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.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 `DiagnosticReport.context` with unmapped reference targets: Encounter, EpisodeOfCare.\nThis will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter or episode but still be tied to the context of the encounter or episode (e.g. pre-admission lab tests)."
            }
          ]
        },
        {
          "code": "DiagnosticReport.effective[x]",
          "display": "effective[x]",
          "target": [
            {
              "code": "DiagnosticReport.effective[x]",
              "display": "DiagnosticReport.effective[x]",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.effective[x]` is mapped to FHIR R5 element `DiagnosticReport.effective[x]` as `SourceIsBroaderThanTarget`.\nThe target context `DiagnosticReport.effective[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `DiagnosticReport`.\nIf the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic."
            }
          ]
        },
        {
          "code": "DiagnosticReport.issued",
          "display": "issued",
          "target": [
            {
              "code": "DiagnosticReport.issued",
              "display": "DiagnosticReport.issued",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.issued` is mapped to FHIR R5 element `DiagnosticReport.issued` as `Equivalent`.\nMay be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report."
            }
          ]
        },
        {
          "code": "DiagnosticReport.performer",
          "display": "performer",
          "target": [
            {
              "code": "DiagnosticReport.performer",
              "display": "DiagnosticReport.performer",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `DiagnosticReport.performer` is mapped to FHIR R5 element `DiagnosticReport.performer` as `Equivalent`."
            }
          ]
        },
        {
          "code": "DiagnosticReport.performer.actor",
          "display": "actor",
          "target": [
            {
              "code": "DiagnosticReport.performer",
              "display": "DiagnosticReport.performer",
              "relationship": "related-to",
              "comment": "Element `DiagnosticReport.performer.actor` is mapped to FHIR R5 element `DiagnosticReport.performer` as `RelatedTo`.\nThe mappings for `DiagnosticReport.performer.actor` 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 `DiagnosticReport.performer.actor` with unmapped reference targets: Organization, Practitioner.\nThis is not necessarily the source of the atomic data items. It is the entity that takes responsibility for the clinical report."
            }
          ]
        },
        {
          "code": "DiagnosticReport.specimen",
          "display": "specimen",
          "target": [
            {
              "code": "DiagnosticReport.specimen",
              "display": "DiagnosticReport.specimen",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `DiagnosticReport.specimen` is mapped to FHIR R5 element `DiagnosticReport.specimen` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.specimen` do not cover the following types based on type expansion: display, identifier, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `DiagnosticReport.specimen` with unmapped reference targets: Specimen.\nIf the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group."
            }
          ]
        },
        {
          "code": "DiagnosticReport.result",
          "display": "result",
          "target": [
            {
              "code": "DiagnosticReport.result",
              "display": "DiagnosticReport.result",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `DiagnosticReport.result` is mapped to FHIR R5 element `DiagnosticReport.result` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.result` do not cover the following types based on type expansion: display, identifier, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `DiagnosticReport.result` with unmapped reference targets: Observation."
            }
          ]
        },
        {
          "code": "DiagnosticReport.image",
          "display": "image",
          "target": [
            {
              "code": "DiagnosticReport.media",
              "display": "DiagnosticReport.media",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `DiagnosticReport.image` is mapped to FHIR R5 element `DiagnosticReport.media` as `Equivalent`."
            }
          ]
        },
        {
          "code": "DiagnosticReport.image.comment",
          "display": "comment",
          "target": [
            {
              "code": "DiagnosticReport.media.comment",
              "display": "DiagnosticReport.media.comment",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.image.comment` is mapped to FHIR R5 element `DiagnosticReport.media.comment` as `Equivalent`.\nThe comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion."
            }
          ]
        },
        {
          "code": "DiagnosticReport.image.link",
          "display": "link",
          "target": [
            {
              "code": "DiagnosticReport.media.link",
              "display": "DiagnosticReport.media.link",
              "relationship": "related-to",
              "comment": "Element `DiagnosticReport.image.link` is mapped to FHIR R5 element `DiagnosticReport.media.link` as `RelatedTo`.\nThe mappings for `DiagnosticReport.image.link` do not cover the following types based on type expansion: display, identifier, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `DiagnosticReport.image.link` with unmapped reference targets: Media."
            }
          ]
        },
        {
          "code": "DiagnosticReport.conclusion",
          "display": "conclusion",
          "target": [
            {
              "code": "DiagnosticReport.conclusion",
              "display": "DiagnosticReport.conclusion",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.conclusion` is mapped to FHIR R5 element `DiagnosticReport.conclusion` as `Equivalent`."
            }
          ]
        },
        {
          "code": "DiagnosticReport.codedDiagnosis",
          "display": "codedDiagnosis",
          "target": [
            {
              "code": "DiagnosticReport.conclusionCode",
              "display": "DiagnosticReport.conclusionCode",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.codedDiagnosis` is mapped to FHIR R5 element `DiagnosticReport.conclusionCode` as `Equivalent`."
            }
          ]
        },
        {
          "code": "DiagnosticReport.presentedForm",
          "display": "presentedForm",
          "target": [
            {
              "code": "DiagnosticReport.presentedForm",
              "display": "DiagnosticReport.presentedForm",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `DiagnosticReport.presentedForm` is mapped to FHIR R5 element `DiagnosticReport.presentedForm` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.presentedForm` do not cover the following types: Attachment.\nThe mappings for `DiagnosticReport.presentedForm` do not cover the following types based on type expansion: contentType, creation, data, hash, language, size, title, url.\n\"application/pdf\" is recommended as the most reliable and interoperable in this context."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport|3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-DiagnosticReport.meta|0.1.0",
      "element": [
        {
          "code": "DiagnosticReport.meta",
          "display": "meta",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.meta` is mapped to FHIR R5 element `DiagnosticReport.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.meta` do not cover the following types: Meta.\nThe mappings for `DiagnosticReport.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport|3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-DiagnosticReport.text|0.1.0",
      "element": [
        {
          "code": "DiagnosticReport.text",
          "display": "text",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.text` is mapped to FHIR R5 element `DiagnosticReport.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.text` do not cover the following types: Narrative.\nThe mappings for `DiagnosticReport.text` do not cover the following types based on type expansion: div, status.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative. 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/DiagnosticReport|3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-DiagnosticReport.identifier|0.1.0",
      "element": [
        {
          "code": "DiagnosticReport.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.identifier` is mapped to FHIR R5 element `DiagnosticReport.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.identifier` do not cover the following types: Identifier.\nThe mappings for `DiagnosticReport.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.\nUsually assigned by the Information System of the diagnostic service provider (filler id)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport|3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-DiagnosticReport.status|0.1.0",
      "element": [
        {
          "code": "DiagnosticReport.status",
          "display": "status",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.status` is mapped to FHIR R5 element `DiagnosticReport.status` as `RelatedTo`.\nThe mappings for `DiagnosticReport.status` do not allow expression of the necessary codes, per the bindings on the source and target.\nThe target context `DiagnosticReport.status` is a modifier element, so this extension does not need to be defined as a modifier.\nThis is labeled as \"Is Modifier\" because applications need to take appropriate action if a report is withdrawn."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport|3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-DiagnosticReport.performer.role|0.1.0",
      "element": [
        {
          "code": "DiagnosticReport.performer.role",
          "display": "role",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.performer.role` has a context of DiagnosticReport.performer based on following the parent source element upwards and mapping to `DiagnosticReport`.\nElement `DiagnosticReport.performer.role` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport|3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-DiagnosticReport.imagingStudy|0.1.0",
      "element": [
        {
          "code": "DiagnosticReport.imagingStudy",
          "display": "imagingStudy",
          "target": [
            {
              "code": "Extension",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `DiagnosticReport.imagingStudy` has a context of DiagnosticReport based on following the parent source element upwards and mapping to `DiagnosticReport`.\nElement `DiagnosticReport.imagingStudy` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nImagingStudy and ImageManifest and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However each caters to different types of displays for different types of purposes. Neither, either, or both may be provided."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport|3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-DiagnosticReport.presentedForm|0.1.0",
      "element": [
        {
          "code": "DiagnosticReport.presentedForm",
          "display": "presentedForm",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `DiagnosticReport.presentedForm` is mapped to FHIR R5 element `DiagnosticReport.presentedForm` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.presentedForm` do not cover the following types: Attachment.\nThe mappings for `DiagnosticReport.presentedForm` do not cover the following types based on type expansion: contentType, creation, data, hash, language, size, title, url.\n\"application/pdf\" is recommended as the most reliable and interoperable in this context."
            }
          ]
        }
      ]
    }
  ]
}