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Packagehl7.fhir.uv.xver-r4.r5
Resource TypeConceptMap
IdConceptMap-R4-Specimen-element-map-to-R5.json
FHIR VersionR5
Sourcehttp://hl7.org/fhir/uv/xver-r4.r5/0.1.0/ConceptMap-R4-Specimen-element-map-to-R5.html
URLhttp://hl7.org/fhir/uv/xver/ConceptMap/R4-Specimen-element-map-to-R5
Version0.1.0
Statusactive
Date2026-03-17T16:04:37.9398405-05:00
NameR4SpecimenElementMapToR5
TitleCross-version mapping for FHIR R4 Specimen to FHIR R5 Specimen
Realmuv
Authorityhl7
DescriptionThis ConceptMap represents cross-version mappings for elements from a FHIR R4 Specimen to FHIR R5.

Resources that use this resource

No resources found


Resources that this resource uses

StructureDefinition
hl7.fhir.uv.xver-r4.r5#0.1.0extension-Specimen.container.additiveR4: Additive associated with container (new)
hl7.fhir.uv.xver-r4.r5#0.1.0extension-Specimen.container.capacityR4: Container volume or size (new)
hl7.fhir.uv.xver-r4.r5#0.1.0extension-Specimen.container.descriptionR4: Textual description of the container (new)
hl7.fhir.uv.xver-r4.r5#0.1.0extension-Specimen.container.identifierR4: Id for the container (new)
hl7.fhir.uv.xver-r4.r5#0.1.0extension-Specimen.container.typeR4: Kind of container directly associated with specimen (new)

Narrative

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

Generated Narrative: ConceptMap R4-Specimen-element-map-to-R5

Mapping from http://hl7.org/fhir/4.0 to http://hl7.org/fhir/5.0


Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/Specimen|4.0.1 to Specimenversion: 5.0.0)

Source CodeRelationshipTarget CodeComment
Specimen.meta (meta)is equivalent toSpecimen.metaElement `Specimen.meta` is mapped to FHIR R5 element `Specimen.meta` as `Equivalent`.
Specimen.implicitRules (implicitRules)is equivalent toSpecimen.implicitRulesElement `Specimen.implicitRules` is mapped to FHIR R5 element `Specimen.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. 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.
Specimen.language (language)is equivalent toSpecimen.languageElement `Specimen.language` is mapped to FHIR R5 element `Specimen.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).
Specimen.text (text)is equivalent toSpecimen.textElement `Specimen.text` is mapped to FHIR R5 element `Specimen.text` as `Equivalent`. 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 information is added later.
Specimen.contained (contained)is equivalent toSpecimen.containedElement `Specimen.contained` is mapped to FHIR R5 element `Specimen.contained` as `Equivalent`. 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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Specimen.identifier (identifier)is equivalent toSpecimen.identifierElement `Specimen.identifier` is mapped to FHIR R5 element `Specimen.identifier` as `Equivalent`.
Specimen.accessionIdentifier (accessionIdentifier)is equivalent toSpecimen.accessionIdentifierElement `Specimen.accessionIdentifier` is mapped to FHIR R5 element `Specimen.accessionIdentifier` as `Equivalent`.
Specimen.status (status)is equivalent toSpecimen.statusElement `Specimen.status` is mapped to FHIR R5 element `Specimen.status` as `Equivalent`. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
Specimen.type (type)is equivalent toSpecimen.typeElement `Specimen.type` is mapped to FHIR R5 element `Specimen.type` as `Equivalent`. The type can change the way that a specimen is handled and drives what kind of analyses can properly be performed on the specimen. It is frequently used in diagnostic work flow decision making systems.
Specimen.subject (subject)is equivalent toSpecimen.subjectElement `Specimen.subject` is mapped to FHIR R5 element `Specimen.subject` as `Equivalent`.
Specimen.receivedTime (receivedTime)is equivalent toSpecimen.receivedTimeElement `Specimen.receivedTime` is mapped to FHIR R5 element `Specimen.receivedTime` as `Equivalent`.
Specimen.parent (parent)is equivalent toSpecimen.parentElement `Specimen.parent` is mapped to FHIR R5 element `Specimen.parent` as `Equivalent`. The parent specimen could be the source from which the current specimen is derived by some processing step (e.g. an aliquot or isolate or extracted nucleic acids from clinical samples) or one of many specimens that were combined to create a pooled sample.
Specimen.request (request)is equivalent toSpecimen.requestElement `Specimen.request` is mapped to FHIR R5 element `Specimen.request` as `Equivalent`. The request may be explicit or implied such with a ServiceRequest that requires a blood draw.
Specimen.collection (collection)is broader thanSpecimen.collectionElement `Specimen.collection` is mapped to FHIR R5 element `Specimen.collection` as `Equivalent`.
Specimen.collection.collector (collector)is equivalent toSpecimen.collection.collectorElement `Specimen.collection.collector` is mapped to FHIR R5 element `Specimen.collection.collector` as `Equivalent`.
Specimen.collection.collected[x] (collected[x])is equivalent toSpecimen.collection.collected[x]Element `Specimen.collection.collected[x]` is mapped to FHIR R5 element `Specimen.collection.collected[x]` as `Equivalent`. The target context `Specimen.collection.collected[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Specimen.collection`.
Specimen.collection.duration (duration)is equivalent toSpecimen.collection.durationElement `Specimen.collection.duration` is mapped to FHIR R5 element `Specimen.collection.duration` as `Equivalent`.
Specimen.collection.quantity (quantity)is equivalent toSpecimen.collection.quantityElement `Specimen.collection.quantity` is mapped to FHIR R5 element `Specimen.collection.quantity` as `Equivalent`.
Specimen.collection.method (method)is equivalent toSpecimen.collection.methodElement `Specimen.collection.method` is mapped to FHIR R5 element `Specimen.collection.method` as `Equivalent`.
Specimen.collection.bodySite (bodySite)is equivalent toSpecimen.collection.bodySiteElement `Specimen.collection.bodySite` is mapped to FHIR R5 element `Specimen.collection.bodySite` as `SourceIsNarrowerThanTarget`. If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension [bodySite](https://hl7.org/fhir/extension-bodysite.html).
Specimen.collection.fastingStatus[x] (fastingStatus[x])is equivalent toSpecimen.collection.fastingStatus[x]Element `Specimen.collection.fastingStatus[x]` is mapped to FHIR R5 element `Specimen.collection.fastingStatus[x]` as `Equivalent`. The target context `Specimen.collection.fastingStatus[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Specimen.collection`. Representing fasting status using this element is preferred to representing it with an observation using a 'pre-coordinated code' such as LOINC 2005-7 (Calcium [Moles/​time] in 2 hour Urine --12 hours fasting), or using a component observation ` such as `Observation.component code` = LOINC 49541-6 (Fasting status - Reported).
Specimen.processing (processing)is broader thanSpecimen.processingElement `Specimen.processing` is mapped to FHIR R5 element `Specimen.processing` as `Equivalent`.
Specimen.processing.description (description)is equivalent toSpecimen.processing.descriptionElement `Specimen.processing.description` is mapped to FHIR R5 element `Specimen.processing.description` as `Equivalent`.
Specimen.processing.procedure (procedure)is equivalent toSpecimen.processing.methodElement `Specimen.processing.procedure` is mapped to FHIR R5 element `Specimen.processing.method` as `Equivalent`.
Specimen.processing.additive (additive)is equivalent toSpecimen.processing.additiveElement `Specimen.processing.additive` is mapped to FHIR R5 element `Specimen.processing.additive` as `Equivalent`.
Specimen.processing.time[x] (time[x])is equivalent toSpecimen.processing.time[x]Element `Specimen.processing.time[x]` is mapped to FHIR R5 element `Specimen.processing.time[x]` as `Equivalent`. The target context `Specimen.processing.time[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Specimen.processing`.
Specimen.container (container)is broader thanSpecimen.containerElement `Specimen.container` is mapped to FHIR R5 element `Specimen.container` as `Equivalent`.
Specimen.container.specimenQuantity (specimenQuantity)is equivalent toSpecimen.container.specimenQuantityElement `Specimen.container.specimenQuantity` is mapped to FHIR R5 element `Specimen.container.specimenQuantity` as `Equivalent`.
Specimen.condition (condition)is equivalent toSpecimen.conditionElement `Specimen.condition` is mapped to FHIR R5 element `Specimen.condition` as `Equivalent`. Specimen condition is an observation made about the specimen. It's a point-in-time assessment. It can be used to assess its quality or appropriateness for a specific test.
Specimen.note (note)is equivalent toSpecimen.noteElement `Specimen.note` is mapped to FHIR R5 element `Specimen.note` as `Equivalent`.

Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/Specimen|4.0.1 to R4: Id for the container (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
Specimen.container.identifier (identifier)is equivalent toExtension (R4: Id for the container (new))Element `Specimen.container.identifier` has a context of Specimen.container based on following the parent source element upwards and mapping to `Specimen`. Element `Specimen.container.identifier` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/Specimen|4.0.1 to R4: Textual description of the container (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
Specimen.container.description (description)is equivalent toExtension (R4: Textual description of the container (new))Element `Specimen.container.description` has a context of Specimen.container based on following the parent source element upwards and mapping to `Specimen`. Element `Specimen.container.description` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/Specimen|4.0.1 to R4: Kind of container directly associated with specimen (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
Specimen.container.type (type)is equivalent toExtension (R4: Kind of container directly associated with specimen (new))Element `Specimen.container.type` has a context of Specimen.container based on following the parent source element upwards and mapping to `Specimen`. Element `Specimen.container.type` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/Specimen|4.0.1 to R4: Container volume or size (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
Specimen.container.capacity (capacity)is equivalent toExtension (R4: Container volume or size (new))Element `Specimen.container.capacity` has a context of Specimen.container based on following the parent source element upwards and mapping to `Specimen`. Element `Specimen.container.capacity` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/Specimen|4.0.1 to R4: Additive associated with container (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
Specimen.container.additive[x] (additive[x])is equivalent toExtension (R4: Additive associated with container (new))Element `Specimen.container.additive[x]` has a context of Specimen.container based on following the parent source element upwards and mapping to `Specimen`. Element `Specimen.container.additive[x]` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

Source1

{
  "resourceType": "ConceptMap",
  "id": "R4-Specimen-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-Specimen-element-map-to-R5",
  "version": "0.1.0",
  "name": "R4SpecimenElementMapToR5",
  "title": "Cross-version mapping for FHIR R4 Specimen to FHIR R5 Specimen",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:04:37.9398405-05:00",
  "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 Specimen 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/Specimen|4.0.1",
      "target": "http://hl7.org/fhir/StructureDefinition/Specimen|5.0.0",
      "element": [
        {
          "code": "Specimen.meta",
          "display": "meta",
          "target": [
            {
              "code": "Specimen.meta",
              "display": "Specimen.meta",
              "relationship": "equivalent",
              "comment": "Element `Specimen.meta` is mapped to FHIR R5 element `Specimen.meta` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "code": "Specimen.implicitRules",
              "display": "Specimen.implicitRules",
              "relationship": "equivalent",
              "comment": "Element `Specimen.implicitRules` is mapped to FHIR R5 element `Specimen.implicitRules` as `Equivalent`.\nAsserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. 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": "Specimen.language",
          "display": "language",
          "target": [
            {
              "code": "Specimen.language",
              "display": "Specimen.language",
              "relationship": "equivalent",
              "comment": "Element `Specimen.language` is mapped to FHIR R5 element `Specimen.language` as `Equivalent`.\nLanguage is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."
            }
          ]
        },
        {
          "code": "Specimen.text",
          "display": "text",
          "target": [
            {
              "code": "Specimen.text",
              "display": "Specimen.text",
              "relationship": "equivalent",
              "comment": "Element `Specimen.text` is mapped to FHIR R5 element `Specimen.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": "Specimen.contained",
          "display": "contained",
          "target": [
            {
              "code": "Specimen.contained",
              "display": "Specimen.contained",
              "relationship": "equivalent",
              "comment": "Element `Specimen.contained` is mapped to FHIR R5 element `Specimen.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": "Specimen.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "Specimen.identifier",
              "display": "Specimen.identifier",
              "relationship": "equivalent",
              "comment": "Element `Specimen.identifier` is mapped to FHIR R5 element `Specimen.identifier` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.accessionIdentifier",
          "display": "accessionIdentifier",
          "target": [
            {
              "code": "Specimen.accessionIdentifier",
              "display": "Specimen.accessionIdentifier",
              "relationship": "equivalent",
              "comment": "Element `Specimen.accessionIdentifier` is mapped to FHIR R5 element `Specimen.accessionIdentifier` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.status",
          "display": "status",
          "target": [
            {
              "code": "Specimen.status",
              "display": "Specimen.status",
              "relationship": "equivalent",
              "comment": "Element `Specimen.status` is mapped to FHIR R5 element `Specimen.status` as `Equivalent`.\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."
            }
          ]
        },
        {
          "code": "Specimen.type",
          "display": "type",
          "target": [
            {
              "code": "Specimen.type",
              "display": "Specimen.type",
              "relationship": "equivalent",
              "comment": "Element `Specimen.type` is mapped to FHIR R5 element `Specimen.type` as `Equivalent`.\nThe type can change the way that a specimen is handled and drives what kind of analyses can properly be performed on the specimen. It is frequently used in diagnostic work flow decision making systems."
            }
          ]
        },
        {
          "code": "Specimen.subject",
          "display": "subject",
          "target": [
            {
              "code": "Specimen.subject",
              "display": "Specimen.subject",
              "relationship": "equivalent",
              "comment": "Element `Specimen.subject` is mapped to FHIR R5 element `Specimen.subject` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.receivedTime",
          "display": "receivedTime",
          "target": [
            {
              "code": "Specimen.receivedTime",
              "display": "Specimen.receivedTime",
              "relationship": "equivalent",
              "comment": "Element `Specimen.receivedTime` is mapped to FHIR R5 element `Specimen.receivedTime` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.parent",
          "display": "parent",
          "target": [
            {
              "code": "Specimen.parent",
              "display": "Specimen.parent",
              "relationship": "equivalent",
              "comment": "Element `Specimen.parent` is mapped to FHIR R5 element `Specimen.parent` as `Equivalent`.\nThe parent specimen could be the source from which the current specimen is derived by some processing step (e.g. an aliquot or isolate or extracted nucleic acids from clinical samples) or one of many specimens that were combined to create a pooled sample."
            }
          ]
        },
        {
          "code": "Specimen.request",
          "display": "request",
          "target": [
            {
              "code": "Specimen.request",
              "display": "Specimen.request",
              "relationship": "equivalent",
              "comment": "Element `Specimen.request` is mapped to FHIR R5 element `Specimen.request` as `Equivalent`.\nThe request may be explicit or implied such with a ServiceRequest that requires a blood draw."
            }
          ]
        },
        {
          "code": "Specimen.collection",
          "display": "collection",
          "target": [
            {
              "code": "Specimen.collection",
              "display": "Specimen.collection",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Specimen.collection` is mapped to FHIR R5 element `Specimen.collection` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.collection.collector",
          "display": "collector",
          "target": [
            {
              "code": "Specimen.collection.collector",
              "display": "Specimen.collection.collector",
              "relationship": "equivalent",
              "comment": "Element `Specimen.collection.collector` is mapped to FHIR R5 element `Specimen.collection.collector` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.collection.collected[x]",
          "display": "collected[x]",
          "target": [
            {
              "code": "Specimen.collection.collected[x]",
              "display": "Specimen.collection.collected[x]",
              "relationship": "equivalent",
              "comment": "Element `Specimen.collection.collected[x]` is mapped to FHIR R5 element `Specimen.collection.collected[x]` as `Equivalent`.\nThe target context `Specimen.collection.collected[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Specimen.collection`."
            }
          ]
        },
        {
          "code": "Specimen.collection.duration",
          "display": "duration",
          "target": [
            {
              "code": "Specimen.collection.duration",
              "display": "Specimen.collection.duration",
              "relationship": "equivalent",
              "comment": "Element `Specimen.collection.duration` is mapped to FHIR R5 element `Specimen.collection.duration` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.collection.quantity",
          "display": "quantity",
          "target": [
            {
              "code": "Specimen.collection.quantity",
              "display": "Specimen.collection.quantity",
              "relationship": "equivalent",
              "comment": "Element `Specimen.collection.quantity` is mapped to FHIR R5 element `Specimen.collection.quantity` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.collection.method",
          "display": "method",
          "target": [
            {
              "code": "Specimen.collection.method",
              "display": "Specimen.collection.method",
              "relationship": "equivalent",
              "comment": "Element `Specimen.collection.method` is mapped to FHIR R5 element `Specimen.collection.method` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.collection.bodySite",
          "display": "bodySite",
          "target": [
            {
              "code": "Specimen.collection.bodySite",
              "display": "Specimen.collection.bodySite",
              "relationship": "equivalent",
              "comment": "Element `Specimen.collection.bodySite` is mapped to FHIR R5 element `Specimen.collection.bodySite` as `SourceIsNarrowerThanTarget`.\nIf the use case requires  BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately)  then use the standard extension [bodySite](https://hl7.org/fhir/extension-bodysite.html)."
            }
          ]
        },
        {
          "code": "Specimen.collection.fastingStatus[x]",
          "display": "fastingStatus[x]",
          "target": [
            {
              "code": "Specimen.collection.fastingStatus[x]",
              "display": "Specimen.collection.fastingStatus[x]",
              "relationship": "equivalent",
              "comment": "Element `Specimen.collection.fastingStatus[x]` is mapped to FHIR R5 element `Specimen.collection.fastingStatus[x]` as `Equivalent`.\nThe target context `Specimen.collection.fastingStatus[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Specimen.collection`.\nRepresenting fasting status using this element is preferred to representing it with an observation using a 'pre-coordinated code'  such as  LOINC 2005-7 (Calcium [Moles/​time] in 2 hour Urine --12 hours fasting), or  using  a component observation ` such as `Observation.component code`  = LOINC 49541-6 (Fasting status - Reported)."
            }
          ]
        },
        {
          "code": "Specimen.processing",
          "display": "processing",
          "target": [
            {
              "code": "Specimen.processing",
              "display": "Specimen.processing",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Specimen.processing` is mapped to FHIR R5 element `Specimen.processing` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.processing.description",
          "display": "description",
          "target": [
            {
              "code": "Specimen.processing.description",
              "display": "Specimen.processing.description",
              "relationship": "equivalent",
              "comment": "Element `Specimen.processing.description` is mapped to FHIR R5 element `Specimen.processing.description` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.processing.procedure",
          "display": "procedure",
          "target": [
            {
              "code": "Specimen.processing.method",
              "display": "Specimen.processing.method",
              "relationship": "equivalent",
              "comment": "Element `Specimen.processing.procedure` is mapped to FHIR R5 element `Specimen.processing.method` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.processing.additive",
          "display": "additive",
          "target": [
            {
              "code": "Specimen.processing.additive",
              "display": "Specimen.processing.additive",
              "relationship": "equivalent",
              "comment": "Element `Specimen.processing.additive` is mapped to FHIR R5 element `Specimen.processing.additive` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.processing.time[x]",
          "display": "time[x]",
          "target": [
            {
              "code": "Specimen.processing.time[x]",
              "display": "Specimen.processing.time[x]",
              "relationship": "equivalent",
              "comment": "Element `Specimen.processing.time[x]` is mapped to FHIR R5 element `Specimen.processing.time[x]` as `Equivalent`.\nThe target context `Specimen.processing.time[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Specimen.processing`."
            }
          ]
        },
        {
          "code": "Specimen.container",
          "display": "container",
          "target": [
            {
              "code": "Specimen.container",
              "display": "Specimen.container",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Specimen.container` is mapped to FHIR R5 element `Specimen.container` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.container.specimenQuantity",
          "display": "specimenQuantity",
          "target": [
            {
              "code": "Specimen.container.specimenQuantity",
              "display": "Specimen.container.specimenQuantity",
              "relationship": "equivalent",
              "comment": "Element `Specimen.container.specimenQuantity` is mapped to FHIR R5 element `Specimen.container.specimenQuantity` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Specimen.condition",
          "display": "condition",
          "target": [
            {
              "code": "Specimen.condition",
              "display": "Specimen.condition",
              "relationship": "equivalent",
              "comment": "Element `Specimen.condition` is mapped to FHIR R5 element `Specimen.condition` as `Equivalent`.\nSpecimen condition is an observation made about the specimen.  It's a point-in-time assessment.  It can be used to assess its quality or appropriateness for a specific test."
            }
          ]
        },
        {
          "code": "Specimen.note",
          "display": "note",
          "target": [
            {
              "code": "Specimen.note",
              "display": "Specimen.note",
              "relationship": "equivalent",
              "comment": "Element `Specimen.note` is mapped to FHIR R5 element `Specimen.note` as `Equivalent`."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Specimen|4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Specimen.container.identifier|0.1.0",
      "element": [
        {
          "code": "Specimen.container.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Specimen.container.identifier` has a context of Specimen.container based on following the parent source element upwards and mapping to `Specimen`.\nElement `Specimen.container.identifier` 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/Specimen|4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Specimen.container.description|0.1.0",
      "element": [
        {
          "code": "Specimen.container.description",
          "display": "description",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Specimen.container.description` has a context of Specimen.container based on following the parent source element upwards and mapping to `Specimen`.\nElement `Specimen.container.description` 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/Specimen|4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Specimen.container.type|0.1.0",
      "element": [
        {
          "code": "Specimen.container.type",
          "display": "type",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Specimen.container.type` has a context of Specimen.container based on following the parent source element upwards and mapping to `Specimen`.\nElement `Specimen.container.type` 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/Specimen|4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Specimen.container.capacity|0.1.0",
      "element": [
        {
          "code": "Specimen.container.capacity",
          "display": "capacity",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Specimen.container.capacity` has a context of Specimen.container based on following the parent source element upwards and mapping to `Specimen`.\nElement `Specimen.container.capacity` 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/Specimen|4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Specimen.container.additive|0.1.0",
      "element": [
        {
          "code": "Specimen.container.additive[x]",
          "display": "additive[x]",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Specimen.container.additive[x]` has a context of Specimen.container based on following the parent source element upwards and mapping to `Specimen`.\nElement `Specimen.container.additive[x]` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    }
  ]
}