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Source1

{
  "resourceType": "ConceptMap",
  "id": "R4-AdverseEvent-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-r4.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-r4.r5"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ConceptMap/R4-AdverseEvent-element-map-to-R5",
  "version": "0.1.0",
  "name": "R4AdverseEventElementMapToR5",
  "title": "Cross-version mapping for FHIR R4 AdverseEvent to FHIR R5 AdverseEvent",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:04:34.4239593-05:00",
  "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 AdverseEvent to FHIR R5.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "sourceScopeCanonical": "http://hl7.org/fhir/4.0",
  "targetScopeUri": "http://hl7.org/fhir/5.0",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/AdverseEvent|4.0.1",
      "target": "http://hl7.org/fhir/StructureDefinition/AdverseEvent|5.0.0",
      "element": [
        {
          "code": "AdverseEvent.meta",
          "display": "meta",
          "target": [
            {
              "code": "AdverseEvent.meta",
              "display": "AdverseEvent.meta",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.meta` is mapped to FHIR R5 element `AdverseEvent.meta` as `Equivalent`."
            }
          ]
        },
        {
          "code": "AdverseEvent.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "code": "AdverseEvent.implicitRules",
              "display": "AdverseEvent.implicitRules",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.implicitRules` is mapped to FHIR R5 element `AdverseEvent.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": "AdverseEvent.language",
          "display": "language",
          "target": [
            {
              "code": "AdverseEvent.language",
              "display": "AdverseEvent.language",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.language` is mapped to FHIR R5 element `AdverseEvent.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": "AdverseEvent.text",
          "display": "text",
          "target": [
            {
              "code": "AdverseEvent.text",
              "display": "AdverseEvent.text",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.text` is mapped to FHIR R5 element `AdverseEvent.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": "AdverseEvent.contained",
          "display": "contained",
          "target": [
            {
              "code": "AdverseEvent.contained",
              "display": "AdverseEvent.contained",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.contained` is mapped to FHIR R5 element `AdverseEvent.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": "AdverseEvent.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "AdverseEvent.identifier",
              "display": "AdverseEvent.identifier",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.identifier` is mapped to FHIR R5 element `AdverseEvent.identifier` as `SourceIsNarrowerThanTarget`.\nThis is a business identifier, not a resource identifier (see [discussion](https://hl7.org/fhir/resource.htm#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number."
            }
          ]
        },
        {
          "code": "AdverseEvent.actuality",
          "display": "actuality",
          "target": [
            {
              "code": "AdverseEvent.actuality",
              "display": "AdverseEvent.actuality",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.actuality` is mapped to FHIR R5 element `AdverseEvent.actuality` as `Equivalent`."
            }
          ]
        },
        {
          "code": "AdverseEvent.category",
          "display": "category",
          "target": [
            {
              "code": "AdverseEvent.category",
              "display": "AdverseEvent.category",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.category` is mapped to FHIR R5 element `AdverseEvent.category` as `Equivalent`."
            }
          ]
        },
        {
          "code": "AdverseEvent.event",
          "display": "event",
          "target": [
            {
              "code": "AdverseEvent.code",
              "display": "AdverseEvent.code",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.event` is mapped to FHIR R5 element `AdverseEvent.code` as `Equivalent`."
            }
          ]
        },
        {
          "code": "AdverseEvent.subject",
          "display": "subject",
          "target": [
            {
              "code": "AdverseEvent.subject",
              "display": "AdverseEvent.subject",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.subject` is mapped to FHIR R5 element `AdverseEvent.subject` as `Equivalent`.\nIf AdverseEvent.resultingCondition differs among members of the group, then use Patient as the subject."
            }
          ]
        },
        {
          "code": "AdverseEvent.encounter",
          "display": "encounter",
          "target": [
            {
              "code": "AdverseEvent.encounter",
              "display": "AdverseEvent.encounter",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.encounter` is mapped to FHIR R5 element `AdverseEvent.encounter` as `Equivalent`.\nThis will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.  For example, if a medication administration was considered an adverse event because it resulted in a rash, then the encounter when the medication administration was given is the context.  If the patient reports the AdverseEvent during a second encounter, that second encounter is not the context."
            }
          ]
        },
        {
          "code": "AdverseEvent.detected",
          "display": "detected",
          "target": [
            {
              "code": "AdverseEvent.detected",
              "display": "AdverseEvent.detected",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.detected` is mapped to FHIR R5 element `AdverseEvent.detected` as `Equivalent`."
            }
          ]
        },
        {
          "code": "AdverseEvent.recordedDate",
          "display": "recordedDate",
          "target": [
            {
              "code": "AdverseEvent.recordedDate",
              "display": "AdverseEvent.recordedDate",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.recordedDate` is mapped to FHIR R5 element `AdverseEvent.recordedDate` as `Equivalent`.\nThe recordedDate represents the date when this particular AdverseEvent record was created in the system, not the date of the most recent update.  The date of the last record modification can be retrieved from the resource metadata."
            }
          ]
        },
        {
          "code": "AdverseEvent.resultingCondition",
          "display": "resultingCondition",
          "target": [
            {
              "code": "AdverseEvent.resultingEffect",
              "display": "AdverseEvent.resultingEffect",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.resultingCondition` is mapped to FHIR R5 element `AdverseEvent.resultingEffect` as `Equivalent`."
            }
          ]
        },
        {
          "code": "AdverseEvent.location",
          "display": "location",
          "target": [
            {
              "code": "AdverseEvent.location",
              "display": "AdverseEvent.location",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.location` is mapped to FHIR R5 element `AdverseEvent.location` as `Equivalent`."
            }
          ]
        },
        {
          "code": "AdverseEvent.seriousness",
          "display": "seriousness",
          "target": [
            {
              "code": "AdverseEvent.seriousness",
              "display": "AdverseEvent.seriousness",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.seriousness` is mapped to FHIR R5 element `AdverseEvent.seriousness` as `Equivalent`."
            }
          ]
        },
        {
          "code": "AdverseEvent.outcome",
          "display": "outcome",
          "target": [
            {
              "code": "AdverseEvent.outcome",
              "display": "AdverseEvent.outcome",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `AdverseEvent.outcome` is mapped to FHIR R5 element `AdverseEvent.outcome` as `RelatedTo`."
            }
          ]
        },
        {
          "code": "AdverseEvent.recorder",
          "display": "recorder",
          "target": [
            {
              "code": "AdverseEvent.recorder",
              "display": "AdverseEvent.recorder",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.recorder` is mapped to FHIR R5 element `AdverseEvent.recorder` as `Equivalent`."
            }
          ]
        },
        {
          "code": "AdverseEvent.contributor",
          "display": "contributor",
          "target": [
            {
              "code": "AdverseEvent.participant",
              "display": "AdverseEvent.participant",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.contributor` is mapped to FHIR R5 element `AdverseEvent.participant` as `Equivalent`."
            }
          ]
        },
        {
          "code": "AdverseEvent.suspectEntity",
          "display": "suspectEntity",
          "target": [
            {
              "code": "AdverseEvent.suspectEntity",
              "display": "AdverseEvent.suspectEntity",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `AdverseEvent.suspectEntity` is mapped to FHIR R5 element `AdverseEvent.suspectEntity` as `Equivalent`."
            }
          ]
        },
        {
          "code": "AdverseEvent.suspectEntity.instance",
          "display": "instance",
          "target": [
            {
              "code": "AdverseEvent.suspectEntity.instance[x]",
              "display": "AdverseEvent.suspectEntity.instance[x]",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.suspectEntity.instance` is mapped to FHIR R5 element `AdverseEvent.suspectEntity.instance[x]` as `Equivalent`.\nThe target context `AdverseEvent.suspectEntity.instance[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `AdverseEvent.suspectEntity`."
            }
          ]
        },
        {
          "code": "AdverseEvent.suspectEntity.causality",
          "display": "causality",
          "target": [
            {
              "code": "AdverseEvent.suspectEntity.causality",
              "display": "AdverseEvent.suspectEntity.causality",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `AdverseEvent.suspectEntity.causality` is mapped to FHIR R5 element `AdverseEvent.suspectEntity.causality` as `SourceIsBroaderThanTarget`."
            }
          ]
        },
        {
          "code": "AdverseEvent.suspectEntity.causality.assessment",
          "display": "assessment",
          "target": [
            {
              "code": "AdverseEvent.suspectEntity.causality.assessmentMethod",
              "display": "AdverseEvent.suspectEntity.causality.assessmentMethod",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.suspectEntity.causality.assessment` is mapped to FHIR R5 element `AdverseEvent.suspectEntity.causality.assessmentMethod` as `Equivalent`."
            }
          ]
        },
        {
          "code": "AdverseEvent.suspectEntity.causality.productRelatedness",
          "display": "productRelatedness",
          "target": [
            {
              "code": "AdverseEvent.suspectEntity.causality.entityRelatedness",
              "display": "AdverseEvent.suspectEntity.causality.entityRelatedness",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `AdverseEvent.suspectEntity.causality.productRelatedness` is mapped to FHIR R5 element `AdverseEvent.suspectEntity.causality.entityRelatedness` as `SourceIsBroaderThanTarget`.\nThe mappings for `AdverseEvent.suspectEntity.causality.productRelatedness` do not cover the following types: string.\nThe mappings for `AdverseEvent.suspectEntity.causality.productRelatedness` do not cover the following types based on type expansion: value."
            }
          ]
        },
        {
          "code": "AdverseEvent.suspectEntity.causality.author",
          "display": "author",
          "target": [
            {
              "code": "AdverseEvent.suspectEntity.causality.author",
              "display": "AdverseEvent.suspectEntity.causality.author",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.suspectEntity.causality.author` is mapped to FHIR R5 element `AdverseEvent.suspectEntity.causality.author` as `Equivalent`."
            }
          ]
        },
        {
          "code": "AdverseEvent.subjectMedicalHistory",
          "display": "subjectMedicalHistory",
          "target": [
            {
              "code": "AdverseEvent.contributingFactor",
              "display": "AdverseEvent.contributingFactor",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.subjectMedicalHistory` is mapped to FHIR R5 element `AdverseEvent.contributingFactor` as `Equivalent`."
            }
          ]
        },
        {
          "code": "AdverseEvent.study",
          "display": "study",
          "target": [
            {
              "code": "AdverseEvent.study",
              "display": "AdverseEvent.study",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.study` is mapped to FHIR R5 element `AdverseEvent.study` as `Equivalent`."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/AdverseEvent|4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-AdverseEvent.date|0.1.0",
      "element": [
        {
          "code": "AdverseEvent.date",
          "display": "date",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.date` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`.\nElement `AdverseEvent.date` 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/AdverseEvent|4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-AdverseEvent.severity|0.1.0",
      "element": [
        {
          "code": "AdverseEvent.severity",
          "display": "severity",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.severity` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`.\nElement `AdverseEvent.severity` 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/AdverseEvent|4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-AdverseEvent.outcome|0.1.0",
      "element": [
        {
          "code": "AdverseEvent.outcome",
          "display": "outcome",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.outcome` is mapped to FHIR R5 element `AdverseEvent.outcome` as `RelatedTo`."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/AdverseEvent|4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-AdverseEvent.suspectEntity.causality.productRelatedness|0.1.0",
      "element": [
        {
          "code": "AdverseEvent.suspectEntity.causality.productRelatedness",
          "display": "productRelatedness",
          "target": [
            {
              "code": "Extension",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `AdverseEvent.suspectEntity.causality.productRelatedness` is mapped to FHIR R5 element `AdverseEvent.suspectEntity.causality.entityRelatedness` as `SourceIsBroaderThanTarget`.\nThe mappings for `AdverseEvent.suspectEntity.causality.productRelatedness` do not cover the following types: string.\nThe mappings for `AdverseEvent.suspectEntity.causality.productRelatedness` do not cover the following types based on type expansion: value."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/AdverseEvent|4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-AdverseEvent.suspectEntity.causality.method|0.1.0",
      "element": [
        {
          "code": "AdverseEvent.suspectEntity.causality.method",
          "display": "method",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.suspectEntity.causality.method` has a context of AdverseEvent.suspectEntity.causality based on following the parent source element upwards and mapping to `AdverseEvent`.\nElement `AdverseEvent.suspectEntity.causality.method` 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/AdverseEvent|4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-AdverseEvent.referenceDocument|0.1.0",
      "element": [
        {
          "code": "AdverseEvent.referenceDocument",
          "display": "referenceDocument",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `AdverseEvent.referenceDocument` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`.\nElement `AdverseEvent.referenceDocument` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    }
  ]
}