FHIR © HL7.org  |  FHIRsmith 4.0.1  |  Server Home  |  XIG Home  |  XIG Stats  | 

FHIR IG analytics

Packagehl7.fhir.uv.xver-r4.r5
Resource TypeConceptMap
IdConceptMap-R4-ValueSet-element-map-to-R5.json
FHIR VersionR5
Sourcehttp://hl7.org/fhir/uv/xver-r4.r5/0.1.0/ConceptMap-R4-ValueSet-element-map-to-R5.html
URLhttp://hl7.org/fhir/uv/xver/ConceptMap/R4-ValueSet-element-map-to-R5
Version0.1.0
Statusactive
Date2026-03-17T16:04:38.9679099-05:00
NameR4ValueSetElementMapToR5
TitleCross-version mapping for FHIR R4 ValueSet to FHIR R5 ValueSet
Realmuv
Authorityhl7
DescriptionThis ConceptMap represents cross-version mappings for elements from a FHIR R4 ValueSet to FHIR R5.

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

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

Generated Narrative: ConceptMap R4-ValueSet-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/ValueSet|4.0.1 to ValueSetversion: 5.0.0)

Source CodeRelationshipTarget CodeComment
ValueSet.meta (meta)is equivalent toValueSet.metaElement `ValueSet.meta` is mapped to FHIR R5 element `ValueSet.meta` as `Equivalent`.
ValueSet.implicitRules (implicitRules)is equivalent toValueSet.implicitRulesElement `ValueSet.implicitRules` is mapped to FHIR R5 element `ValueSet.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.
ValueSet.language (language)is equivalent toValueSet.languageElement `ValueSet.language` is mapped to FHIR R5 element `ValueSet.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).
ValueSet.text (text)is equivalent toValueSet.textElement `ValueSet.text` is mapped to FHIR R5 element `ValueSet.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.
ValueSet.contained (contained)is equivalent toValueSet.containedElement `ValueSet.contained` is mapped to FHIR R5 element `ValueSet.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.
ValueSet.url (url)is equivalent toValueSet.urlElement `ValueSet.url` is mapped to FHIR R5 element `ValueSet.url` as `Equivalent`. Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version. The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in [Technical and Business Versions](https://hl7.org/fhir/resource..html#versions). In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](https://hl7.org/fhir/resou.html#meta) element to indicate where the current master source of the resource can be found.
ValueSet.identifier (identifier)is equivalent toValueSet.identifierElement `ValueSet.identifier` is mapped to FHIR R5 element `ValueSet.identifier` as `Equivalent`. Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this value set outside of FHIR, where it is not possible to use the logical URI.
ValueSet.version (version)is equivalent toValueSet.versionElement `ValueSet.version` is mapped to FHIR R5 element `ValueSet.version` as `Equivalent`. There may be different value set instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the value set with the format [url]|[version].
ValueSet.name (name)is equivalent toValueSet.nameElement `ValueSet.name` is mapped to FHIR R5 element `ValueSet.name` as `Equivalent`. The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.A name should be provided unless the value set is a contained resource (e.g. an anonymous value set in a profile). Most registries will require a name.
ValueSet.title (title)is equivalent toValueSet.titleElement `ValueSet.title` is mapped to FHIR R5 element `ValueSet.title` as `Equivalent`. This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.
ValueSet.status (status)is equivalent toValueSet.statusElement `ValueSet.status` is mapped to FHIR R5 element `ValueSet.status` as `Equivalent`. Allows filtering of value sets that are appropriate for use versus not.See also the [valueset-workflowStatus](https://hl7.org/fhir/extension-valueset-workflowstatus.html) extension for additional status information related to the editorial process.
ValueSet.experimental (experimental)is equivalent toValueSet.experimentalElement `ValueSet.experimental` is mapped to FHIR R5 element `ValueSet.experimental` as `Equivalent`. Allows filtering of value sets that are appropriate for use versus not.
ValueSet.date (date)is equivalent toValueSet.dateElement `ValueSet.date` is mapped to FHIR R5 element `ValueSet.date` as `Equivalent`. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the value set. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.
ValueSet.publisher (publisher)is equivalent toValueSet.publisherElement `ValueSet.publisher` is mapped to FHIR R5 element `ValueSet.publisher` as `Equivalent`. Usually an organization but may be an individual. The publisher (or steward) of the value set is the organization or individual primarily responsible for the maintenance and upkeep of the value set. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the value set. This item SHOULD be populated unless the information is available from context.
ValueSet.contact (contact)is equivalent toValueSet.contactElement `ValueSet.contact` is mapped to FHIR R5 element `ValueSet.contact` as `Equivalent`. May be a web site, an email address, a telephone number, etc.
ValueSet.description (description)is equivalent toValueSet.descriptionElement `ValueSet.description` is mapped to FHIR R5 element `ValueSet.description` as `Equivalent`. This description can be used to capture details such as why the value set was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the value set as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the value set is presumed to be the predominant language in the place the value set was created).The description is not intended to describe the semantics of the Value Set - there are no intrinsic semantics separate from the codes contained in its expansion. The description should capture its intended use, which is needed for ensuring integrity for its use in models across future changes. A description should be provided unless the value set is a contained resource (e.g. an anonymous value set in a profile). Most registries will require a description.
ValueSet.useContext (useContext)is equivalent toValueSet.useContextElement `ValueSet.useContext` is mapped to FHIR R5 element `ValueSet.useContext` as `Equivalent`. When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.
ValueSet.jurisdiction (jurisdiction)is equivalent toValueSet.jurisdictionElement `ValueSet.jurisdiction` is mapped to FHIR R5 element `ValueSet.jurisdiction` as `Equivalent`. It may be possible for the value set to be used in jurisdictions other than those for which it was originally designed or intended.
ValueSet.immutable (immutable)is equivalent toValueSet.immutableElement `ValueSet.immutable` is mapped to FHIR R5 element `ValueSet.immutable` as `Equivalent`. Normally immutability is set to 'false', which is the default assumption if it is not populated. Note that the implication is that if this is set to 'true', there may be only one ValueSet version for this definition. Immutability tends to be set to 'true' in one of two cases: - Where the value set, by the nature of its usage, cannot change. For example "All specializations of ACT in ActClassCode" - Where there's no safe way to express the "Purpose" such that someone else could safely make changes to the value set definition. Source workflow control must guarantee that the same URI always yields the same definition.
ValueSet.purpose (purpose)is equivalent toValueSet.purposeElement `ValueSet.purpose` is mapped to FHIR R5 element `ValueSet.purpose` as `Equivalent`. This element does not describe the usage of the value set. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this value set.
ValueSet.copyright (copyright)is equivalent toValueSet.copyrightElement `ValueSet.copyright` is mapped to FHIR R5 element `ValueSet.copyright` as `Equivalent`. nullFrequently, the copyright differs between the value set and the codes that are included. The copyright statement should clearly differentiate between these when required.
ValueSet.compose (compose)is broader thanValueSet.composeElement `ValueSet.compose` is mapped to FHIR R5 element `ValueSet.compose` as `Equivalent`.
ValueSet.compose.lockedDate (lockedDate)is equivalent toValueSet.compose.lockedDateElement `ValueSet.compose.lockedDate` is mapped to FHIR R5 element `ValueSet.compose.lockedDate` as `Equivalent`. With a defined lockedDate the value set is considered "Locked". Otherwise, the value set may have different expansions as underlying code systems and/or value sets evolve. The interpretation of lockedDate is often dependent on the context - e.g. a SNOMED CT derived value set with a lockedDate will have a different expansion in USA than in UK. If a value set specifies a version for include and exclude statements, and also specifies a locked date, the specified versions need to be available that date, or the value set will not be usable.
ValueSet.compose.inactive (inactive)is equivalent toValueSet.compose.inactiveElement `ValueSet.compose.inactive` is mapped to FHIR R5 element `ValueSet.compose.inactive` as `Equivalent`. Note that in the FHIR terminology framework, "deprecated" does not mean inactive, but in some code systems, e.g. LOINC, "deprecated" does mean inactive. Code systems should define what codes are considered to be inactive. If this is not clearly defined (including in the FHIR code system resource), then all codes are assumed to be active. The Value Set Definition specification defines an ActiveOnly element, which is the reverse of this element e.g. (ValueSet.compose.inactive=FALSE) is the same as (VSD.ActiveOnly=TRUE).
ValueSet.compose.include (include)is broader thanValueSet.compose.includeElement `ValueSet.compose.include` is mapped to FHIR R5 element `ValueSet.compose.include` as `Equivalent`. All the conditions in an include must be true. If a system is listed, all the codes from the system are listed. If one or more filters are listed, all of the filters must apply. If one or more value sets are listed, the codes must be in all the value sets. E.g. each include is 'include all the codes that meet all these conditions'.
ValueSet.compose.include.system (system)is equivalent toValueSet.compose.include.systemElement `ValueSet.compose.include.system` is mapped to FHIR R5 element `ValueSet.compose.include.system` as `Equivalent`. If there are no codes or filters, the entire code system is included. Note that the set of codes that are included may contain abstract codes. See ''Coding.system'' for further documentation about the correct value for the system element.
ValueSet.compose.include.version (version)is equivalent toValueSet.compose.include.versionElement `ValueSet.compose.include.version` is mapped to FHIR R5 element `ValueSet.compose.include.version` as `Equivalent`. This is used when selecting the descendants of a concept - they may change between versions. If no version is specified, then the exact contents of the value set might not be known until a context of use binds it to a particular version. The special value '*' means all versions; It is at server discretion regarding expansions and which versions must be supported.
ValueSet.compose.include.concept (concept)is broader thanValueSet.compose.include.conceptElement `ValueSet.compose.include.concept` is mapped to FHIR R5 element `ValueSet.compose.include.concept` as `Equivalent`. The list of concepts is considered ordered, though the order might not have any particular significance. Typically, the order of an expansion follows that defined in the compose element.
ValueSet.compose.include.concept.code (code)is equivalent toValueSet.compose.include.concept.codeElement `ValueSet.compose.include.concept.code` is mapped to FHIR R5 element `ValueSet.compose.include.concept.code` as `Equivalent`. Expressions are allowed if defined by the underlying code system.
ValueSet.compose.include.concept.display (display)is equivalent toValueSet.compose.include.concept.displayElement `ValueSet.compose.include.concept.display` is mapped to FHIR R5 element `ValueSet.compose.include.concept.display` as `Equivalent`. The value set resource allows for an alternative display to be specified for when this concept is used in this particular value set. See notes in the value set narrative about the correct use of this element.
ValueSet.compose.include.concept.designation (designation)is broader thanValueSet.compose.include.concept.designationElement `ValueSet.compose.include.concept.designation` is mapped to FHIR R5 element `ValueSet.compose.include.concept.designation` as `Equivalent`. Concepts have both a ```display``` and an array of ```designation```. The display is equivalent to a special designation with an implied ```designation.use``` of "primary code" and a language equal to the [Resource Language](https://hl7.org/fhir/resource..html#language).
ValueSet.compose.include.concept.designation.language (language)is equivalent toValueSet.compose.include.concept.designation.languageElement `ValueSet.compose.include.concept.designation.language` is mapped to FHIR R5 element `ValueSet.compose.include.concept.designation.language` as `Equivalent`. In the absence of a language, the resource language applies.
ValueSet.compose.include.concept.designation.use (use)is equivalent toValueSet.compose.include.concept.designation.useElement `ValueSet.compose.include.concept.designation.use` is mapped to FHIR R5 element `ValueSet.compose.include.concept.designation.use` as `Equivalent`. If no use is provided, the designation can be assumed to be suitable for general display to a human user.
ValueSet.compose.include.concept.designation.value (value)is equivalent toValueSet.compose.include.concept.designation.valueElement `ValueSet.compose.include.concept.designation.value` is mapped to FHIR R5 element `ValueSet.compose.include.concept.designation.value` as `Equivalent`.
ValueSet.compose.include.filter (filter)is broader thanValueSet.compose.include.filterElement `ValueSet.compose.include.filter` is mapped to FHIR R5 element `ValueSet.compose.include.filter` as `Equivalent`. Selecting codes by specifying filters based on properties is only possible where the underlying code system defines appropriate properties. Note that in some cases, the underlying code system defines the logical concepts but not the literal codes for the concepts. In such cases, the literal definitions may be provided by a third party.
ValueSet.compose.include.filter.property (property)is equivalent toValueSet.compose.include.filter.propertyElement `ValueSet.compose.include.filter.property` is mapped to FHIR R5 element `ValueSet.compose.include.filter.property` as `Equivalent`.
ValueSet.compose.include.filter.op (op)is equivalent toValueSet.compose.include.filter.opElement `ValueSet.compose.include.filter.op` is mapped to FHIR R5 element `ValueSet.compose.include.filter.op` as `SourceIsNarrowerThanTarget`. The mappings for `ValueSet.compose.include.filter.op` do not allow expression of the necessary codes, per the bindings on the source and target. In case filter.property represents a property of the system, the operation applies to the selected property. In case filter.property represents a filter of the system, the operation SHALL match one of the CodeSystem.filter.operator values.
ValueSet.compose.include.filter.value (value)is equivalent toValueSet.compose.include.filter.valueElement `ValueSet.compose.include.filter.value` is mapped to FHIR R5 element `ValueSet.compose.include.filter.value` as `Equivalent`. Use regex matching with care - full regex matching on every SNOMED CT term is prohibitive, for example.
ValueSet.compose.include.valueSet (valueSet)is equivalent toValueSet.compose.include.valueSetElement `ValueSet.compose.include.valueSet` is mapped to FHIR R5 element `ValueSet.compose.include.valueSet` as `Equivalent`. The value set URI is either a logical reference to a defined value set such as a [SNOMED CT reference set](https://hl7.org/fhir/snomedct..html#implicit), or a direct reference to a value set definition using ValueSet.url. The reference might not refer to an actual FHIR ValueSet resource; in this case, whatever is referred to is an implicit definition of a value set that needs to be clear about how versions are resolved.
ValueSet.compose.exclude (exclude)is equivalent toValueSet.compose.excludeElement `ValueSet.compose.exclude` is mapped to FHIR R5 element `ValueSet.compose.exclude` as `Equivalent`. Usually this is used to selectively exclude codes that were included by subsumption in the inclusions. Any display names specified for the codes are ignored.
ValueSet.expansion (expansion)is broader thanValueSet.expansionElement `ValueSet.expansion` is mapped to FHIR R5 element `ValueSet.expansion` as `Equivalent`. Expansion is performed to produce a collection of codes that are ready to use for data entry or validation. Value set expansions are always considered to be stateless - they are a record of the set of codes in the value set at a point in time under a given set of conditions, and are not subject to ongoing maintenance. Expansion.parameter is a simplified list of parameters - a subset of the features of the [Parameters](https://hl7.org/fhir/parameters.html) resource.
ValueSet.expansion.identifier (identifier)is equivalent toValueSet.expansion.identifierElement `ValueSet.expansion.identifier` is mapped to FHIR R5 element `ValueSet.expansion.identifier` as `Equivalent`. Typically, this uri is a UUID (e.g. urn:uuid:8230ff20-c97a-4167-a59d-dc2cb9df16dd).
ValueSet.expansion.timestamp (timestamp)is equivalent toValueSet.expansion.timestampElement `ValueSet.expansion.timestamp` is mapped to FHIR R5 element `ValueSet.expansion.timestamp` as `Equivalent`. This SHOULD be a fully populated instant, but in some circumstances, value sets are expanded by hand, and the expansion is published without that precision.
ValueSet.expansion.total (total)is equivalent toValueSet.expansion.totalElement `ValueSet.expansion.total` is mapped to FHIR R5 element `ValueSet.expansion.total` as `Equivalent`. Paging only applies to flat expansions.
ValueSet.expansion.offset (offset)is equivalent toValueSet.expansion.offsetElement `ValueSet.expansion.offset` is mapped to FHIR R5 element `ValueSet.expansion.offset` as `Equivalent`. Paging only applies to flat expansions. If a filter is applied, the count is the number of concepts that matched the filter, not the number of concepts in an unfiltered view of the expansion.
ValueSet.expansion.parameter (parameter)is broader thanValueSet.expansion.parameterElement `ValueSet.expansion.parameter` is mapped to FHIR R5 element `ValueSet.expansion.parameter` as `Equivalent`. The server decides which parameters to include here, but at a minimum, the list SHOULD include all of the parameters that affect the $expand operation. If the expansion will be persisted all of these parameters SHALL be included. If the codeSystem on the server has a specified version then this version SHALL be provided as a parameter in the expansion (note that not all code systems have a version).
ValueSet.expansion.parameter.name (name)is equivalent toValueSet.expansion.parameter.nameElement `ValueSet.expansion.parameter.name` is mapped to FHIR R5 element `ValueSet.expansion.parameter.name` as `Equivalent`. The names are assigned at the discretion of the server.
ValueSet.expansion.parameter.value[x] (value[x])is equivalent toValueSet.expansion.parameter.value[x]Element `ValueSet.expansion.parameter.value[x]` is mapped to FHIR R5 element `ValueSet.expansion.parameter.value[x]` as `RelatedTo`. The target context `ValueSet.expansion.parameter.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ValueSet.expansion.parameter`.
ValueSet.expansion.contains (contains)is broader thanValueSet.expansion.containsElement `ValueSet.expansion.contains` is mapped to FHIR R5 element `ValueSet.expansion.contains` as `Equivalent`.
ValueSet.expansion.contains.system (system)is equivalent toValueSet.expansion.contains.systemElement `ValueSet.expansion.contains.system` is mapped to FHIR R5 element `ValueSet.expansion.contains.system` as `Equivalent`.
ValueSet.expansion.contains.abstract (abstract)is equivalent toValueSet.expansion.contains.abstractElement `ValueSet.expansion.contains.abstract` is mapped to FHIR R5 element `ValueSet.expansion.contains.abstract` as `Equivalent`. This should not be understood to exclude its use for searching (e.g. by subsumption testing). The client should know whether it is appropriate for the user to select an abstract code or not.
ValueSet.expansion.contains.inactive (inactive)is equivalent toValueSet.expansion.contains.inactiveElement `ValueSet.expansion.contains.inactive` is mapped to FHIR R5 element `ValueSet.expansion.contains.inactive` as `Equivalent`. This should only have a value if the concept is inactive.
ValueSet.expansion.contains.version (version)is equivalent toValueSet.expansion.contains.versionElement `ValueSet.expansion.contains.version` is mapped to FHIR R5 element `ValueSet.expansion.contains.version` as `Equivalent`. The exact value of the version string is specified by the system from which the code is derived.
ValueSet.expansion.contains.code (code)is equivalent toValueSet.expansion.contains.codeElement `ValueSet.expansion.contains.code` is mapped to FHIR R5 element `ValueSet.expansion.contains.code` as `Equivalent`.
ValueSet.expansion.contains.display (display)is equivalent toValueSet.expansion.contains.displayElement `ValueSet.expansion.contains.display` is mapped to FHIR R5 element `ValueSet.expansion.contains.display` as `Equivalent`.
ValueSet.expansion.contains.designation (designation)is equivalent toValueSet.expansion.contains.designationElement `ValueSet.expansion.contains.designation` is mapped to FHIR R5 element `ValueSet.expansion.contains.designation` as `Equivalent`. The designations provided must be based on the value set and code system definitions.
ValueSet.expansion.contains.contains (contains)is equivalent toValueSet.expansion.contains.containsElement `ValueSet.expansion.contains.contains` is mapped to FHIR R5 element `ValueSet.expansion.contains.contains` as `Equivalent`. If the expansion uses this element, there is no implication about the logical relationship between them, and the structure cannot be used for logical inferencing. The structure exists to provide navigational assistance for helping human users to locate codes in the expansion.

Source1

{
  "resourceType": "ConceptMap",
  "id": "R4-ValueSet-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-ValueSet-element-map-to-R5",
  "version": "0.1.0",
  "name": "R4ValueSetElementMapToR5",
  "title": "Cross-version mapping for FHIR R4 ValueSet to FHIR R5 ValueSet",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:04:38.9679099-05:00",
  "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 ValueSet 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/ValueSet|4.0.1",
      "target": "http://hl7.org/fhir/StructureDefinition/ValueSet|5.0.0",
      "element": [
        {
          "code": "ValueSet.meta",
          "display": "meta",
          "target": [
            {
              "code": "ValueSet.meta",
              "display": "ValueSet.meta",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.meta` is mapped to FHIR R5 element `ValueSet.meta` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ValueSet.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "code": "ValueSet.implicitRules",
              "display": "ValueSet.implicitRules",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.implicitRules` is mapped to FHIR R5 element `ValueSet.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": "ValueSet.language",
          "display": "language",
          "target": [
            {
              "code": "ValueSet.language",
              "display": "ValueSet.language",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.language` is mapped to FHIR R5 element `ValueSet.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": "ValueSet.text",
          "display": "text",
          "target": [
            {
              "code": "ValueSet.text",
              "display": "ValueSet.text",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.text` is mapped to FHIR R5 element `ValueSet.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": "ValueSet.contained",
          "display": "contained",
          "target": [
            {
              "code": "ValueSet.contained",
              "display": "ValueSet.contained",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.contained` is mapped to FHIR R5 element `ValueSet.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": "ValueSet.url",
          "display": "url",
          "target": [
            {
              "code": "ValueSet.url",
              "display": "ValueSet.url",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.url` is mapped to FHIR R5 element `ValueSet.url` as `Equivalent`.\nCan be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](https://hl7.org/fhir/resource..html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](https://hl7.org/fhir/resou.html#meta) element to indicate where the current master source of the resource can be found."
            }
          ]
        },
        {
          "code": "ValueSet.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "ValueSet.identifier",
              "display": "ValueSet.identifier",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.identifier` is mapped to FHIR R5 element `ValueSet.identifier` as `Equivalent`.\nTypically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this value set outside of FHIR, where it is not possible to use the logical URI."
            }
          ]
        },
        {
          "code": "ValueSet.version",
          "display": "version",
          "target": [
            {
              "code": "ValueSet.version",
              "display": "ValueSet.version",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.version` is mapped to FHIR R5 element `ValueSet.version` as `Equivalent`.\nThere may be different value set instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the value set with the format [url]|[version]."
            }
          ]
        },
        {
          "code": "ValueSet.name",
          "display": "name",
          "target": [
            {
              "code": "ValueSet.name",
              "display": "ValueSet.name",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.name` is mapped to FHIR R5 element `ValueSet.name` as `Equivalent`.\nThe name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.A name should be provided unless the value set is a contained resource (e.g. an anonymous value set in a profile). Most registries will require a name."
            }
          ]
        },
        {
          "code": "ValueSet.title",
          "display": "title",
          "target": [
            {
              "code": "ValueSet.title",
              "display": "ValueSet.title",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.title` is mapped to FHIR R5 element `ValueSet.title` as `Equivalent`.\nThis name does not need to be machine-processing friendly and may contain punctuation, white-space, etc."
            }
          ]
        },
        {
          "code": "ValueSet.status",
          "display": "status",
          "target": [
            {
              "code": "ValueSet.status",
              "display": "ValueSet.status",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.status` is mapped to FHIR R5 element `ValueSet.status` as `Equivalent`.\nAllows filtering of value sets that are appropriate for use versus not.See also the [valueset-workflowStatus](https://hl7.org/fhir/extension-valueset-workflowstatus.html) extension for additional status information related to the editorial process."
            }
          ]
        },
        {
          "code": "ValueSet.experimental",
          "display": "experimental",
          "target": [
            {
              "code": "ValueSet.experimental",
              "display": "ValueSet.experimental",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.experimental` is mapped to FHIR R5 element `ValueSet.experimental` as `Equivalent`.\nAllows filtering of value sets that are appropriate for use versus not."
            }
          ]
        },
        {
          "code": "ValueSet.date",
          "display": "date",
          "target": [
            {
              "code": "ValueSet.date",
              "display": "ValueSet.date",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.date` is mapped to FHIR R5 element `ValueSet.date` as `Equivalent`.\nNote that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the value set. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource."
            }
          ]
        },
        {
          "code": "ValueSet.publisher",
          "display": "publisher",
          "target": [
            {
              "code": "ValueSet.publisher",
              "display": "ValueSet.publisher",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.publisher` is mapped to FHIR R5 element `ValueSet.publisher` as `Equivalent`.\nUsually an organization but may be an individual. The publisher (or steward) of the value set is the organization or individual primarily responsible for the maintenance and upkeep of the value set. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the value set. This item SHOULD be populated unless the information is available from context."
            }
          ]
        },
        {
          "code": "ValueSet.contact",
          "display": "contact",
          "target": [
            {
              "code": "ValueSet.contact",
              "display": "ValueSet.contact",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.contact` is mapped to FHIR R5 element `ValueSet.contact` as `Equivalent`.\nMay be a web site, an email address, a telephone number, etc."
            }
          ]
        },
        {
          "code": "ValueSet.description",
          "display": "description",
          "target": [
            {
              "code": "ValueSet.description",
              "display": "ValueSet.description",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.description` is mapped to FHIR R5 element `ValueSet.description` as `Equivalent`.\nThis description can be used to capture details such as why the value set was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the value set as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the value set is presumed to be the predominant language in the place the value set was created).The description is not intended to describe the semantics of the Value Set - there are no intrinsic semantics separate from the codes contained in its expansion. The description should capture its intended use, which is needed for ensuring integrity for its use in models across future changes. A description should be provided unless the value set is a contained resource (e.g. an anonymous value set in a profile). Most registries will require a description."
            }
          ]
        },
        {
          "code": "ValueSet.useContext",
          "display": "useContext",
          "target": [
            {
              "code": "ValueSet.useContext",
              "display": "ValueSet.useContext",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.useContext` is mapped to FHIR R5 element `ValueSet.useContext` as `Equivalent`.\nWhen multiple useContexts are specified, there is no expectation that all or any of the contexts apply."
            }
          ]
        },
        {
          "code": "ValueSet.jurisdiction",
          "display": "jurisdiction",
          "target": [
            {
              "code": "ValueSet.jurisdiction",
              "display": "ValueSet.jurisdiction",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.jurisdiction` is mapped to FHIR R5 element `ValueSet.jurisdiction` as `Equivalent`.\nIt may be possible for the value set to be used in jurisdictions other than those for which it was originally designed or intended."
            }
          ]
        },
        {
          "code": "ValueSet.immutable",
          "display": "immutable",
          "target": [
            {
              "code": "ValueSet.immutable",
              "display": "ValueSet.immutable",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.immutable` is mapped to FHIR R5 element `ValueSet.immutable` as `Equivalent`.\nNormally immutability is set to 'false', which is the default assumption if it is not populated.  Note that the implication is that if this is set to 'true', there may be only one ValueSet version for this definition. Immutability tends to be set to 'true' in one of two cases: - Where the value set, by the nature of its usage, cannot change.  For example \"All specializations of ACT in ActClassCode\" - Where there's no safe way to express the \"Purpose\" such that someone else could safely make changes to the value set definition. Source workflow control must guarantee that the same URI always yields the same definition."
            }
          ]
        },
        {
          "code": "ValueSet.purpose",
          "display": "purpose",
          "target": [
            {
              "code": "ValueSet.purpose",
              "display": "ValueSet.purpose",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.purpose` is mapped to FHIR R5 element `ValueSet.purpose` as `Equivalent`.\nThis element does not describe the usage of the value set. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this value set."
            }
          ]
        },
        {
          "code": "ValueSet.copyright",
          "display": "copyright",
          "target": [
            {
              "code": "ValueSet.copyright",
              "display": "ValueSet.copyright",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.copyright` is mapped to FHIR R5 element `ValueSet.copyright` as `Equivalent`.\nnullFrequently, the copyright differs between the value set and the codes that are included. The copyright statement should clearly differentiate between these when required."
            }
          ]
        },
        {
          "code": "ValueSet.compose",
          "display": "compose",
          "target": [
            {
              "code": "ValueSet.compose",
              "display": "ValueSet.compose",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `ValueSet.compose` is mapped to FHIR R5 element `ValueSet.compose` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ValueSet.compose.lockedDate",
          "display": "lockedDate",
          "target": [
            {
              "code": "ValueSet.compose.lockedDate",
              "display": "ValueSet.compose.lockedDate",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.compose.lockedDate` is mapped to FHIR R5 element `ValueSet.compose.lockedDate` as `Equivalent`.\nWith a defined lockedDate the value set is considered \"Locked\". Otherwise, the value set may have different expansions as underlying code systems and/or value sets evolve.  The interpretation of lockedDate is often dependent on the context - e.g. a SNOMED CT derived value set with a lockedDate will have a different expansion in USA than in UK.  If a value set specifies a version for include and exclude statements, and also specifies a locked date, the specified versions need to be available that date, or the value set will not be usable."
            }
          ]
        },
        {
          "code": "ValueSet.compose.inactive",
          "display": "inactive",
          "target": [
            {
              "code": "ValueSet.compose.inactive",
              "display": "ValueSet.compose.inactive",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.compose.inactive` is mapped to FHIR R5 element `ValueSet.compose.inactive` as `Equivalent`.\nNote that in the FHIR terminology framework, \"deprecated\" does not mean inactive, but in some code systems, e.g. LOINC, \"deprecated\" does mean inactive. Code systems should define what codes are considered to be inactive. If this is not clearly defined (including in the FHIR code system resource), then all codes are assumed to be active.\n\nThe Value Set Definition specification defines an ActiveOnly element, which is the reverse of this element e.g. (ValueSet.compose.inactive=FALSE) is the same as (VSD.ActiveOnly=TRUE)."
            }
          ]
        },
        {
          "code": "ValueSet.compose.include",
          "display": "include",
          "target": [
            {
              "code": "ValueSet.compose.include",
              "display": "ValueSet.compose.include",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `ValueSet.compose.include` is mapped to FHIR R5 element `ValueSet.compose.include` as `Equivalent`.\nAll the conditions in an include must be true. If a system is listed, all the codes from the system are listed. If one or more filters are listed, all of the filters must apply. If one or more value sets are listed, the codes must be in all the value sets. E.g. each include is 'include all the codes that meet all these conditions'."
            }
          ]
        },
        {
          "code": "ValueSet.compose.include.system",
          "display": "system",
          "target": [
            {
              "code": "ValueSet.compose.include.system",
              "display": "ValueSet.compose.include.system",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.compose.include.system` is mapped to FHIR R5 element `ValueSet.compose.include.system` as `Equivalent`.\nIf there are no codes or filters, the entire code system is included. Note that the set of codes that are included may contain abstract codes. See ''Coding.system'' for further documentation about the correct value for the system element."
            }
          ]
        },
        {
          "code": "ValueSet.compose.include.version",
          "display": "version",
          "target": [
            {
              "code": "ValueSet.compose.include.version",
              "display": "ValueSet.compose.include.version",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.compose.include.version` is mapped to FHIR R5 element `ValueSet.compose.include.version` as `Equivalent`.\nThis is used when selecting the descendants of a concept - they may change between versions. If no version is specified, then the exact contents of the value set might not be known until a context of use binds it to a particular version. The special value '*' means all versions; It is at server discretion regarding expansions and which versions must be supported."
            }
          ]
        },
        {
          "code": "ValueSet.compose.include.concept",
          "display": "concept",
          "target": [
            {
              "code": "ValueSet.compose.include.concept",
              "display": "ValueSet.compose.include.concept",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `ValueSet.compose.include.concept` is mapped to FHIR R5 element `ValueSet.compose.include.concept` as `Equivalent`.\nThe list of concepts is considered ordered, though the order might not have any particular significance. Typically, the order of an expansion follows that defined in the compose element."
            }
          ]
        },
        {
          "code": "ValueSet.compose.include.concept.code",
          "display": "code",
          "target": [
            {
              "code": "ValueSet.compose.include.concept.code",
              "display": "ValueSet.compose.include.concept.code",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.compose.include.concept.code` is mapped to FHIR R5 element `ValueSet.compose.include.concept.code` as `Equivalent`.\nExpressions are allowed if defined by the underlying code system."
            }
          ]
        },
        {
          "code": "ValueSet.compose.include.concept.display",
          "display": "display",
          "target": [
            {
              "code": "ValueSet.compose.include.concept.display",
              "display": "ValueSet.compose.include.concept.display",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.compose.include.concept.display` is mapped to FHIR R5 element `ValueSet.compose.include.concept.display` as `Equivalent`.\nThe value set resource allows for an alternative display to be specified for when this concept is used in this particular value set. See notes in the value set narrative about the correct use of this element."
            }
          ]
        },
        {
          "code": "ValueSet.compose.include.concept.designation",
          "display": "designation",
          "target": [
            {
              "code": "ValueSet.compose.include.concept.designation",
              "display": "ValueSet.compose.include.concept.designation",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `ValueSet.compose.include.concept.designation` is mapped to FHIR R5 element `ValueSet.compose.include.concept.designation` as `Equivalent`.\nConcepts have both a ```display``` and an array of ```designation```. The display is equivalent to a special designation with an implied ```designation.use``` of \"primary code\" and a language equal to the [Resource Language](https://hl7.org/fhir/resource..html#language)."
            }
          ]
        },
        {
          "code": "ValueSet.compose.include.concept.designation.language",
          "display": "language",
          "target": [
            {
              "code": "ValueSet.compose.include.concept.designation.language",
              "display": "ValueSet.compose.include.concept.designation.language",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.compose.include.concept.designation.language` is mapped to FHIR R5 element `ValueSet.compose.include.concept.designation.language` as `Equivalent`.\nIn the absence of a language, the resource language applies."
            }
          ]
        },
        {
          "code": "ValueSet.compose.include.concept.designation.use",
          "display": "use",
          "target": [
            {
              "code": "ValueSet.compose.include.concept.designation.use",
              "display": "ValueSet.compose.include.concept.designation.use",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.compose.include.concept.designation.use` is mapped to FHIR R5 element `ValueSet.compose.include.concept.designation.use` as `Equivalent`.\nIf no use is provided, the designation can be assumed to be suitable for general display to a human user."
            }
          ]
        },
        {
          "code": "ValueSet.compose.include.concept.designation.value",
          "display": "value",
          "target": [
            {
              "code": "ValueSet.compose.include.concept.designation.value",
              "display": "ValueSet.compose.include.concept.designation.value",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.compose.include.concept.designation.value` is mapped to FHIR R5 element `ValueSet.compose.include.concept.designation.value` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ValueSet.compose.include.filter",
          "display": "filter",
          "target": [
            {
              "code": "ValueSet.compose.include.filter",
              "display": "ValueSet.compose.include.filter",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `ValueSet.compose.include.filter` is mapped to FHIR R5 element `ValueSet.compose.include.filter` as `Equivalent`.\nSelecting codes by specifying filters based on properties is only possible where the underlying code system defines appropriate properties. Note that in some cases, the underlying code system defines the logical concepts but not the literal codes for the concepts. In such cases, the literal definitions may be provided by a third party."
            }
          ]
        },
        {
          "code": "ValueSet.compose.include.filter.property",
          "display": "property",
          "target": [
            {
              "code": "ValueSet.compose.include.filter.property",
              "display": "ValueSet.compose.include.filter.property",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.compose.include.filter.property` is mapped to FHIR R5 element `ValueSet.compose.include.filter.property` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ValueSet.compose.include.filter.op",
          "display": "op",
          "target": [
            {
              "code": "ValueSet.compose.include.filter.op",
              "display": "ValueSet.compose.include.filter.op",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.compose.include.filter.op` is mapped to FHIR R5 element `ValueSet.compose.include.filter.op` as `SourceIsNarrowerThanTarget`.\nThe mappings for `ValueSet.compose.include.filter.op` do not allow expression of the necessary codes, per the bindings on the source and target.\nIn case filter.property represents a property of the system, the operation applies to the selected property. In case filter.property represents a filter of the system, the operation SHALL match one of the CodeSystem.filter.operator values."
            }
          ]
        },
        {
          "code": "ValueSet.compose.include.filter.value",
          "display": "value",
          "target": [
            {
              "code": "ValueSet.compose.include.filter.value",
              "display": "ValueSet.compose.include.filter.value",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.compose.include.filter.value` is mapped to FHIR R5 element `ValueSet.compose.include.filter.value` as `Equivalent`.\nUse regex matching with care - full regex matching on every SNOMED CT term is prohibitive, for example."
            }
          ]
        },
        {
          "code": "ValueSet.compose.include.valueSet",
          "display": "valueSet",
          "target": [
            {
              "code": "ValueSet.compose.include.valueSet",
              "display": "ValueSet.compose.include.valueSet",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.compose.include.valueSet` is mapped to FHIR R5 element `ValueSet.compose.include.valueSet` as `Equivalent`.\nThe value set URI is either a logical reference to a defined value set such as a [SNOMED CT reference set](https://hl7.org/fhir/snomedct..html#implicit), or a direct reference to a value set definition using ValueSet.url. The reference might not refer to an actual FHIR ValueSet resource; in this case, whatever is referred to is an implicit definition of a value set that needs to be clear about how versions are resolved."
            }
          ]
        },
        {
          "code": "ValueSet.compose.exclude",
          "display": "exclude",
          "target": [
            {
              "code": "ValueSet.compose.exclude",
              "display": "ValueSet.compose.exclude",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.compose.exclude` is mapped to FHIR R5 element `ValueSet.compose.exclude` as `Equivalent`.\nUsually this is used to selectively exclude codes that were included by subsumption in the inclusions. Any display names specified for the codes are ignored."
            }
          ]
        },
        {
          "code": "ValueSet.expansion",
          "display": "expansion",
          "target": [
            {
              "code": "ValueSet.expansion",
              "display": "ValueSet.expansion",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `ValueSet.expansion` is mapped to FHIR R5 element `ValueSet.expansion` as `Equivalent`.\nExpansion is performed to produce a collection of codes that are ready to use for data entry or validation. Value set expansions are always considered to be stateless - they are a record of the set of codes in the value set at a point in time under a given set of conditions, and are not subject to ongoing maintenance.\n\nExpansion.parameter is  a simplified list of parameters - a subset of the features of the [Parameters](https://hl7.org/fhir/parameters.html) resource."
            }
          ]
        },
        {
          "code": "ValueSet.expansion.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "ValueSet.expansion.identifier",
              "display": "ValueSet.expansion.identifier",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.expansion.identifier` is mapped to FHIR R5 element `ValueSet.expansion.identifier` as `Equivalent`.\nTypically, this uri is a UUID (e.g. urn:uuid:8230ff20-c97a-4167-a59d-dc2cb9df16dd)."
            }
          ]
        },
        {
          "code": "ValueSet.expansion.timestamp",
          "display": "timestamp",
          "target": [
            {
              "code": "ValueSet.expansion.timestamp",
              "display": "ValueSet.expansion.timestamp",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.expansion.timestamp` is mapped to FHIR R5 element `ValueSet.expansion.timestamp` as `Equivalent`.\nThis SHOULD be a fully populated instant, but in some circumstances, value sets are expanded by hand, and the expansion is published without that precision."
            }
          ]
        },
        {
          "code": "ValueSet.expansion.total",
          "display": "total",
          "target": [
            {
              "code": "ValueSet.expansion.total",
              "display": "ValueSet.expansion.total",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.expansion.total` is mapped to FHIR R5 element `ValueSet.expansion.total` as `Equivalent`.\nPaging only applies to flat expansions."
            }
          ]
        },
        {
          "code": "ValueSet.expansion.offset",
          "display": "offset",
          "target": [
            {
              "code": "ValueSet.expansion.offset",
              "display": "ValueSet.expansion.offset",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.expansion.offset` is mapped to FHIR R5 element `ValueSet.expansion.offset` as `Equivalent`.\nPaging only applies to flat expansions. If a filter is applied, the count is the number of concepts that matched the filter, not the number of concepts in an unfiltered view of the expansion."
            }
          ]
        },
        {
          "code": "ValueSet.expansion.parameter",
          "display": "parameter",
          "target": [
            {
              "code": "ValueSet.expansion.parameter",
              "display": "ValueSet.expansion.parameter",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `ValueSet.expansion.parameter` is mapped to FHIR R5 element `ValueSet.expansion.parameter` as `Equivalent`.\nThe server decides which parameters to include here, but at a minimum, the list SHOULD include all of the parameters that affect the $expand operation. If the expansion will be persisted all of these parameters SHALL be included. If the codeSystem on the server has a specified version then this version SHALL be provided as a parameter in the expansion (note that not all code systems have a version)."
            }
          ]
        },
        {
          "code": "ValueSet.expansion.parameter.name",
          "display": "name",
          "target": [
            {
              "code": "ValueSet.expansion.parameter.name",
              "display": "ValueSet.expansion.parameter.name",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.expansion.parameter.name` is mapped to FHIR R5 element `ValueSet.expansion.parameter.name` as `Equivalent`.\nThe names are assigned at the discretion of the server."
            }
          ]
        },
        {
          "code": "ValueSet.expansion.parameter.value[x]",
          "display": "value[x]",
          "target": [
            {
              "code": "ValueSet.expansion.parameter.value[x]",
              "display": "ValueSet.expansion.parameter.value[x]",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.expansion.parameter.value[x]` is mapped to FHIR R5 element `ValueSet.expansion.parameter.value[x]` as `RelatedTo`.\nThe target context `ValueSet.expansion.parameter.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ValueSet.expansion.parameter`."
            }
          ]
        },
        {
          "code": "ValueSet.expansion.contains",
          "display": "contains",
          "target": [
            {
              "code": "ValueSet.expansion.contains",
              "display": "ValueSet.expansion.contains",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `ValueSet.expansion.contains` is mapped to FHIR R5 element `ValueSet.expansion.contains` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ValueSet.expansion.contains.system",
          "display": "system",
          "target": [
            {
              "code": "ValueSet.expansion.contains.system",
              "display": "ValueSet.expansion.contains.system",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.expansion.contains.system` is mapped to FHIR R5 element `ValueSet.expansion.contains.system` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ValueSet.expansion.contains.abstract",
          "display": "abstract",
          "target": [
            {
              "code": "ValueSet.expansion.contains.abstract",
              "display": "ValueSet.expansion.contains.abstract",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.expansion.contains.abstract` is mapped to FHIR R5 element `ValueSet.expansion.contains.abstract` as `Equivalent`.\nThis should not be understood to exclude its use for searching (e.g. by subsumption testing). The client should know whether it is appropriate for the user to select an abstract code or not."
            }
          ]
        },
        {
          "code": "ValueSet.expansion.contains.inactive",
          "display": "inactive",
          "target": [
            {
              "code": "ValueSet.expansion.contains.inactive",
              "display": "ValueSet.expansion.contains.inactive",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.expansion.contains.inactive` is mapped to FHIR R5 element `ValueSet.expansion.contains.inactive` as `Equivalent`.\nThis should only have a value if the concept is inactive."
            }
          ]
        },
        {
          "code": "ValueSet.expansion.contains.version",
          "display": "version",
          "target": [
            {
              "code": "ValueSet.expansion.contains.version",
              "display": "ValueSet.expansion.contains.version",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.expansion.contains.version` is mapped to FHIR R5 element `ValueSet.expansion.contains.version` as `Equivalent`.\nThe exact value of the version string is specified by the system from which the code is derived."
            }
          ]
        },
        {
          "code": "ValueSet.expansion.contains.code",
          "display": "code",
          "target": [
            {
              "code": "ValueSet.expansion.contains.code",
              "display": "ValueSet.expansion.contains.code",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.expansion.contains.code` is mapped to FHIR R5 element `ValueSet.expansion.contains.code` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ValueSet.expansion.contains.display",
          "display": "display",
          "target": [
            {
              "code": "ValueSet.expansion.contains.display",
              "display": "ValueSet.expansion.contains.display",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.expansion.contains.display` is mapped to FHIR R5 element `ValueSet.expansion.contains.display` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ValueSet.expansion.contains.designation",
          "display": "designation",
          "target": [
            {
              "code": "ValueSet.expansion.contains.designation",
              "display": "ValueSet.expansion.contains.designation",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.expansion.contains.designation` is mapped to FHIR R5 element `ValueSet.expansion.contains.designation` as `Equivalent`.\nThe designations provided must be based on the value set and code system definitions."
            }
          ]
        },
        {
          "code": "ValueSet.expansion.contains.contains",
          "display": "contains",
          "target": [
            {
              "code": "ValueSet.expansion.contains.contains",
              "display": "ValueSet.expansion.contains.contains",
              "relationship": "equivalent",
              "comment": "Element `ValueSet.expansion.contains.contains` is mapped to FHIR R5 element `ValueSet.expansion.contains.contains` as `Equivalent`.\nIf the expansion uses this element, there is  no implication about the logical relationship between them, and the  structure cannot be used for logical inferencing. The structure  exists to provide navigational assistance for helping human users to  locate codes in the expansion."
            }
          ]
        }
      ]
    }
  ]
}