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Source1

{
  "resourceType": "ConceptMap",
  "id": "R4-Immunization-element-map-to-R3",
  "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",
            "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ConceptMap/R4-Immunization-element-map-to-R3",
  "version": "0.1.0",
  "name": "R4ImmunizationElementMapToR3",
  "title": "Cross-version mapping for FHIR R4 Immunization to FHIR STU3 Immunization",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:03:32.4064828-05:00",
  "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 R4 Immunization to FHIR STU3.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "sourceUri": "http://hl7.org/fhir/4.0",
  "targetUri": "http://hl7.org/fhir/3.0",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Immunization",
      "sourceVersion": "4.0.1",
      "target": "http://hl7.org/fhir/StructureDefinition/Immunization",
      "targetVersion": "3.0.2",
      "element": [
        {
          "code": "Immunization.meta",
          "display": "meta",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.meta",
              "display": "Immunization.meta",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.meta` is mapped to FHIR STU3 element `Immunization.meta` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.implicitRules",
              "display": "Immunization.implicitRules",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.implicitRules` is mapped to FHIR STU3 element `Immunization.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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."
            }
          ]
        },
        {
          "code": "Immunization.language",
          "display": "language",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.language",
              "display": "Immunization.language",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.language` is mapped to FHIR STU3 element `Immunization.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": "Immunization.text",
          "display": "text",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.text",
              "display": "Immunization.text",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.text` is mapped to FHIR STU3 element `Immunization.text` as `Equivalent`.\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 information is added later."
            }
          ]
        },
        {
          "code": "Immunization.contained",
          "display": "contained",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.contained",
              "display": "Immunization.contained",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.contained` is mapped to FHIR STU3 element `Immunization.contained` as `Equivalent`.\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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."
            }
          ]
        },
        {
          "code": "Immunization.identifier",
          "display": "identifier",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.identifier",
              "display": "Immunization.identifier",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.identifier` is mapped to FHIR STU3 element `Immunization.identifier` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.status",
          "display": "status",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "Immunization.notGiven",
              "display": "Immunization.notGiven",
              "equivalence": "relatedto",
              "comment": "Element `Immunization.status` is mapped to FHIR STU3 element `Immunization.status` as `SourceIsBroaderThanTarget`.\nElement `Immunization.status` is mapped to FHIR STU3 element `Immunization.notGiven` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.status` do not allow expression of the necessary codes, per the bindings on the source and target.\nWill generally be set to show that the immunization has been completed or not done.  This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."
            },
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "Immunization.status",
              "display": "Immunization.status",
              "equivalence": "relatedto",
              "comment": "Element `Immunization.status` is mapped to FHIR STU3 element `Immunization.status` as `SourceIsBroaderThanTarget`.\nElement `Immunization.status` is mapped to FHIR STU3 element `Immunization.notGiven` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.status` do not allow expression of the necessary codes, per the bindings on the source and target.\nWill generally be set to show that the immunization has been completed or not done.  This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."
            }
          ]
        },
        {
          "code": "Immunization.statusReason",
          "display": "statusReason",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Immunization.notGiven",
              "display": "Immunization.notGiven",
              "equivalence": "wider",
              "comment": "Element `Immunization.statusReason` is mapped to FHIR STU3 element `Immunization.notGiven` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.statusReason` do not cover the following types: CodeableConcept.\nThe mappings for `Immunization.statusReason` do not cover the following types based on type expansion: coding, text.\nThis is generally only used for the status of \"not-done\". The reason for performing the immunization event is captured in reasonCode, not here."
            }
          ]
        },
        {
          "code": "Immunization.vaccineCode",
          "display": "vaccineCode",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.vaccineCode",
              "display": "Immunization.vaccineCode",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.vaccineCode` is mapped to FHIR STU3 element `Immunization.vaccineCode` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.patient",
          "display": "patient",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.patient",
              "display": "Immunization.patient",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.patient` is mapped to FHIR STU3 element `Immunization.patient` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.encounter",
          "display": "encounter",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.encounter",
              "display": "Immunization.encounter",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.encounter` is mapped to FHIR STU3 element `Immunization.encounter` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.occurrence[x]",
          "display": "occurrence[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Immunization.date",
              "display": "Immunization.date",
              "equivalence": "wider",
              "comment": "Element `Immunization.occurrence[x]` is mapped to FHIR STU3 element `Immunization.date` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.occurrence[x]` do not cover the following types: string.\nThe mappings for `Immunization.occurrence[x]` do not cover the following types based on type expansion: value.\nWhen immunizations are given a specific date and time should always be known.   When immunizations are patient reported, a specific date might not be known.  Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given. An exact date is always preferable, but the use of the String data type is acceptable when an exact date is not known. A small number of vaccines (e.g. live oral typhoid vaccine) are given as a series of patient self-administered dose over a span of time. In cases like this, often, only the first dose (typically a provider supervised dose) is recorded with the occurrence indicating the date/time of the first dose."
            }
          ]
        },
        {
          "code": "Immunization.primarySource",
          "display": "primarySource",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.primarySource",
              "display": "Immunization.primarySource",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.primarySource` is mapped to FHIR STU3 element `Immunization.primarySource` as `Equivalent`.\nReflects the “reliability” of the content."
            }
          ]
        },
        {
          "code": "Immunization.reportOrigin",
          "display": "reportOrigin",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.reportOrigin",
              "display": "Immunization.reportOrigin",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.reportOrigin` is mapped to FHIR STU3 element `Immunization.reportOrigin` as `Equivalent`.\nShould not be populated if primarySource = True, not required even if primarySource = False."
            }
          ]
        },
        {
          "code": "Immunization.location",
          "display": "location",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.location",
              "display": "Immunization.location",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.location` is mapped to FHIR STU3 element `Immunization.location` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.manufacturer",
          "display": "manufacturer",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.manufacturer",
              "display": "Immunization.manufacturer",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.manufacturer` is mapped to FHIR STU3 element `Immunization.manufacturer` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.lotNumber",
          "display": "lotNumber",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.lotNumber",
              "display": "Immunization.lotNumber",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.lotNumber` is mapped to FHIR STU3 element `Immunization.lotNumber` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.expirationDate",
          "display": "expirationDate",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.expirationDate",
              "display": "Immunization.expirationDate",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.expirationDate` is mapped to FHIR STU3 element `Immunization.expirationDate` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.site",
          "display": "site",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.site",
              "display": "Immunization.site",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.site` is mapped to FHIR STU3 element `Immunization.site` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.route",
          "display": "route",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.route",
              "display": "Immunization.route",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.route` is mapped to FHIR STU3 element `Immunization.route` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.doseQuantity",
          "display": "doseQuantity",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.doseQuantity",
              "display": "Immunization.doseQuantity",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.doseQuantity` is mapped to FHIR STU3 element `Immunization.doseQuantity` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.performer",
          "display": "performer",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Immunization.practitioner",
              "display": "Immunization.practitioner",
              "equivalence": "wider",
              "comment": "Element `Immunization.performer` is mapped to FHIR STU3 element `Immunization.practitioner` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.performer.function",
          "display": "function",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.practitioner.role",
              "display": "Immunization.practitioner.role",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.performer.function` is mapped to FHIR STU3 element `Immunization.practitioner.role` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.performer.actor",
          "display": "actor",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Immunization.practitioner.actor",
              "display": "Immunization.practitioner.actor",
              "equivalence": "wider",
              "comment": "Element `Immunization.performer.actor` is mapped to FHIR STU3 element `Immunization.practitioner.actor` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `Immunization.performer.actor` with unmapped reference targets: Organization, PractitionerRole.\nWhen the individual practitioner who performed the action is known, it is best to send."
            }
          ]
        },
        {
          "code": "Immunization.note",
          "display": "note",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.note",
              "display": "Immunization.note",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.note` is mapped to FHIR STU3 element `Immunization.note` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.reasonCode",
          "display": "reasonCode",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "Immunization.explanation.reason",
              "display": "Immunization.explanation.reason",
              "equivalence": "relatedto",
              "comment": "Element `Immunization.reasonCode` is mapped to FHIR STU3 element `Immunization.explanation.reason` as `SourceIsBroaderThanTarget`.\nElement `Immunization.reasonCode` is mapped to FHIR STU3 element `Immunization.explanation.reasonNotGiven` as `SourceIsBroaderThanTarget`."
            },
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "Immunization.explanation.reasonNotGiven",
              "display": "Immunization.explanation.reasonNotGiven",
              "equivalence": "relatedto",
              "comment": "Element `Immunization.reasonCode` is mapped to FHIR STU3 element `Immunization.explanation.reason` as `SourceIsBroaderThanTarget`.\nElement `Immunization.reasonCode` is mapped to FHIR STU3 element `Immunization.explanation.reasonNotGiven` as `SourceIsBroaderThanTarget`."
            }
          ]
        },
        {
          "code": "Immunization.reaction",
          "display": "reaction",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Immunization.reaction",
              "display": "Immunization.reaction",
              "equivalence": "wider",
              "comment": "Element `Immunization.reaction` is mapped to FHIR STU3 element `Immunization.reaction` as `Equivalent`.\nA reaction may be an indication of an allergy or intolerance and, if this is determined to be the case, it should be recorded as a new AllergyIntolerance resource instance as most systems will not query against past Immunization.reaction elements."
            }
          ]
        },
        {
          "code": "Immunization.reaction.date",
          "display": "date",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.reaction.date",
              "display": "Immunization.reaction.date",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.reaction.date` is mapped to FHIR STU3 element `Immunization.reaction.date` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.reaction.detail",
          "display": "detail",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.reaction.detail",
              "display": "Immunization.reaction.detail",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.reaction.detail` is mapped to FHIR STU3 element `Immunization.reaction.detail` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.reaction.reported",
          "display": "reported",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.reaction.reported",
              "display": "Immunization.reaction.reported",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.reaction.reported` is mapped to FHIR STU3 element `Immunization.reaction.reported` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.protocolApplied",
          "display": "protocolApplied",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Immunization.vaccinationProtocol",
              "display": "Immunization.vaccinationProtocol",
              "equivalence": "wider",
              "comment": "Element `Immunization.protocolApplied` is mapped to FHIR STU3 element `Immunization.vaccinationProtocol` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.protocolApplied.series",
          "display": "series",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.vaccinationProtocol.series",
              "display": "Immunization.vaccinationProtocol.series",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.protocolApplied.series` is mapped to FHIR STU3 element `Immunization.vaccinationProtocol.series` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.protocolApplied.authority",
          "display": "authority",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.vaccinationProtocol.authority",
              "display": "Immunization.vaccinationProtocol.authority",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.protocolApplied.authority` is mapped to FHIR STU3 element `Immunization.vaccinationProtocol.authority` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.protocolApplied.targetDisease",
          "display": "targetDisease",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Immunization.vaccinationProtocol.targetDisease",
              "display": "Immunization.vaccinationProtocol.targetDisease",
              "equivalence": "equivalent",
              "comment": "Element `Immunization.protocolApplied.targetDisease` is mapped to FHIR STU3 element `Immunization.vaccinationProtocol.targetDisease` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Immunization.protocolApplied.doseNumber[x]",
          "display": "doseNumber[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Immunization.vaccinationProtocol.doseSequence",
              "display": "Immunization.vaccinationProtocol.doseSequence",
              "equivalence": "wider",
              "comment": "Element `Immunization.protocolApplied.doseNumber[x]` is mapped to FHIR STU3 element `Immunization.vaccinationProtocol.doseSequence` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.protocolApplied.doseNumber[x]` do not cover the following types: string.\nThe mappings for `Immunization.protocolApplied.doseNumber[x]` do not cover the following types based on type expansion: value.\nThe use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose)."
            }
          ]
        },
        {
          "code": "Immunization.protocolApplied.seriesDoses[x]",
          "display": "seriesDoses[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Immunization.vaccinationProtocol.seriesDoses",
              "display": "Immunization.vaccinationProtocol.seriesDoses",
              "equivalence": "wider",
              "comment": "Element `Immunization.protocolApplied.seriesDoses[x]` is mapped to FHIR STU3 element `Immunization.vaccinationProtocol.seriesDoses` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.protocolApplied.seriesDoses[x]` do not cover the following types: string.\nThe mappings for `Immunization.protocolApplied.seriesDoses[x]` do not cover the following types based on type expansion: value.\nThe use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Immunization",
      "sourceVersion": "4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Immunization.status",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Immunization.status",
          "display": "status",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `Immunization.status` is mapped to FHIR STU3 element `Immunization.status` as `SourceIsBroaderThanTarget`.\nElement `Immunization.status` is mapped to FHIR STU3 element `Immunization.notGiven` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.status` do not allow expression of the necessary codes, per the bindings on the source and target.\nWill generally be set to show that the immunization has been completed or not done.  This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Immunization",
      "sourceVersion": "4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Immunization.statusReason",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Immunization.statusReason",
          "display": "statusReason",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `Immunization.statusReason` is mapped to FHIR STU3 element `Immunization.notGiven` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.statusReason` do not cover the following types: CodeableConcept.\nThe mappings for `Immunization.statusReason` do not cover the following types based on type expansion: coding, text.\nThis is generally only used for the status of \"not-done\". The reason for performing the immunization event is captured in reasonCode, not here."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Immunization",
      "sourceVersion": "4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Immunization.occurrence",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Immunization.occurrence[x]",
          "display": "occurrence[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `Immunization.occurrence[x]` is mapped to FHIR STU3 element `Immunization.date` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.occurrence[x]` do not cover the following types: string.\nThe mappings for `Immunization.occurrence[x]` do not cover the following types based on type expansion: value.\nWhen immunizations are given a specific date and time should always be known.   When immunizations are patient reported, a specific date might not be known.  Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given. An exact date is always preferable, but the use of the String data type is acceptable when an exact date is not known. A small number of vaccines (e.g. live oral typhoid vaccine) are given as a series of patient self-administered dose over a span of time. In cases like this, often, only the first dose (typically a provider supervised dose) is recorded with the occurrence indicating the date/time of the first dose."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Immunization",
      "sourceVersion": "4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Immunization.recorded",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Immunization.recorded",
          "display": "recorded",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `Immunization.recorded` has a context of Immunization.explanation based on following the parent source element upwards and mapping to `Immunization`.\nElement `Immunization.recorded` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Immunization",
      "sourceVersion": "4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Immunization.reasonReference",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Immunization.reasonReference",
          "display": "reasonReference",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `Immunization.reasonReference` has a context of Immunization.explanation based on following the parent source element upwards and mapping to `Immunization`.\nElement `Immunization.reasonReference` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Immunization",
      "sourceVersion": "4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Immunization.isSubpotent",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Immunization.isSubpotent",
          "display": "isSubpotent",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `Immunization.isSubpotent` has a context of Immunization.explanation based on following the parent source element upwards and mapping to `Immunization`.\nElement `Immunization.isSubpotent` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nTypically, the recognition of the dose being sub-potent is retrospective, after the administration (ex. notification of a manufacturer recall after administration). However, in the case of a partial administration (the patient moves unexpectedly and only some of the dose is actually administered), subpotency may be recognized immediately, but it is still important to record the event."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Immunization",
      "sourceVersion": "4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Immunization.subpotentReason",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Immunization.subpotentReason",
          "display": "subpotentReason",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `Immunization.subpotentReason` has a context of Immunization.explanation based on following the parent source element upwards and mapping to `Immunization`.\nElement `Immunization.subpotentReason` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Immunization",
      "sourceVersion": "4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Immunization.education",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Immunization.education",
          "display": "education",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `Immunization.education` has a context of Immunization.explanation based on following the parent source element upwards and mapping to `Immunization`.\nElement `Immunization.education` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "Immunization.education.documentType",
          "display": "documentType",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension.extension:documentType",
              "equivalence": "wider",
              "comment": "Element `Immunization.education.documentType` is part of an existing definition because parent element `Immunization.education` requires a cross-version extension.\nElement `Immunization.education.documentType` has a context of Immunization.explanation based on following the parent source element upwards and mapping to `Immunization`.\nElement `Immunization.education.documentType` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "Immunization.education.reference",
          "display": "reference",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension.extension:reference",
              "equivalence": "wider",
              "comment": "Element `Immunization.education.reference` is part of an existing definition because parent element `Immunization.education` requires a cross-version extension.\nElement `Immunization.education.reference` has a context of Immunization.explanation based on following the parent source element upwards and mapping to `Immunization`.\nElement `Immunization.education.reference` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "Immunization.education.publicationDate",
          "display": "publicationDate",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension.extension:publicationDate",
              "equivalence": "wider",
              "comment": "Element `Immunization.education.publicationDate` is part of an existing definition because parent element `Immunization.education` requires a cross-version extension.\nElement `Immunization.education.publicationDate` has a context of Immunization.explanation based on following the parent source element upwards and mapping to `Immunization`.\nElement `Immunization.education.publicationDate` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "Immunization.education.presentationDate",
          "display": "presentationDate",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension.extension:presentationDate",
              "equivalence": "wider",
              "comment": "Element `Immunization.education.presentationDate` is part of an existing definition because parent element `Immunization.education` requires a cross-version extension.\nElement `Immunization.education.presentationDate` has a context of Immunization.explanation based on following the parent source element upwards and mapping to `Immunization`.\nElement `Immunization.education.presentationDate` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Immunization",
      "sourceVersion": "4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Immunization.programEligibility",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Immunization.programEligibility",
          "display": "programEligibility",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `Immunization.programEligibility` has a context of Immunization.explanation based on following the parent source element upwards and mapping to `Immunization`.\nElement `Immunization.programEligibility` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Immunization",
      "sourceVersion": "4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Immunization.fundingSource",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Immunization.fundingSource",
          "display": "fundingSource",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `Immunization.fundingSource` has a context of Immunization.explanation based on following the parent source element upwards and mapping to `Immunization`.\nElement `Immunization.fundingSource` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Immunization",
      "sourceVersion": "4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Immunization.protocolApplied.doseNumber",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Immunization.protocolApplied.doseNumber[x]",
          "display": "doseNumber[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `Immunization.protocolApplied.doseNumber[x]` is mapped to FHIR STU3 element `Immunization.vaccinationProtocol.doseSequence` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.protocolApplied.doseNumber[x]` do not cover the following types: string.\nThe mappings for `Immunization.protocolApplied.doseNumber[x]` do not cover the following types based on type expansion: value.\nThe use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Immunization",
      "sourceVersion": "4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Immunization.protocolApplied.seriesDoses",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Immunization.protocolApplied.seriesDoses[x]",
          "display": "seriesDoses[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `Immunization.protocolApplied.seriesDoses[x]` is mapped to FHIR STU3 element `Immunization.vaccinationProtocol.seriesDoses` as `SourceIsBroaderThanTarget`.\nThe mappings for `Immunization.protocolApplied.seriesDoses[x]` do not cover the following types: string.\nThe mappings for `Immunization.protocolApplied.seriesDoses[x]` do not cover the following types based on type expansion: value.\nThe use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose)."
            }
          ]
        }
      ]
    }
  ]
}