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

FHIR IG analytics

Packagehl7.fhir.uv.xver-r4b.r3
Resource TypeConceptMap
IdConceptMap-R4B-DiagnosticReport-element-map-to-R3.json
FHIR VersionR3
Sourcehttp://hl7.org/fhir/uv/xver-r4b.r3/0.1.0/ConceptMap-R4B-DiagnosticReport-element-map-to-R3.html
URLhttp://hl7.org/fhir/uv/xver/ConceptMap/R4B-DiagnosticReport-element-map-to-R3
Version0.1.0
Statusactive
Date2026-03-17T16:04:31.9640241-05:00
NameR4BDiagnosticReportElementMapToR3
TitleCross-version mapping for FHIR R4B DiagnosticReport to FHIR STU3 DiagnosticReport
Realmuv
Authorityhl7
DescriptionThis ConceptMap represents cross-version mappings for elements from a FHIR R4B DiagnosticReport to FHIR STU3.

Resources that use this resource

No resources found


Resources that this resource uses

StructureDefinition
hl7.fhir.uv.xver-r4b.r3#0.1.0extension-DiagnosticReport.identifierR4B: identifier additional types
hl7.fhir.uv.xver-r4b.r3#0.1.0extension-DiagnosticReport.metaR4B: meta additional types
hl7.fhir.uv.xver-r4b.r3#0.1.0extension-DiagnosticReport.presentedFormR4B: presentedForm additional types
hl7.fhir.uv.xver-r4b.r3#0.1.0extension-DiagnosticReport.resultsInterpreterR4B: Primary result interpreter (new)
hl7.fhir.uv.xver-r4b.r3#0.1.0extension-DiagnosticReport.textR4B: text additional types

Narrative

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

Generated Narrative: ConceptMap R4B-DiagnosticReport-element-map-to-R3

Mapping from http://hl7.org/fhir/4.3 to http://hl7.org/fhir/3.0


Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.3.0 to http://hl7.org/fhir/StructureDefinition/DiagnosticReport|3.0.2

Source Concept DetailsRelationshipTarget Concept DetailsComment
Codes from http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.3.0Codes from http://hl7.org/fhir/StructureDefinition/DiagnosticReport|3.0.2
DiagnosticReport.metametamaps to wider conceptDiagnosticReport.metaDiagnosticReport.metaElement `DiagnosticReport.meta` is mapped to FHIR STU3 element `DiagnosticReport.meta` as `SourceIsBroaderThanTarget`. The mappings for `DiagnosticReport.meta` do not cover the following types: Meta. The mappings for `DiagnosticReport.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId.
DiagnosticReport.implicitRulesimplicitRulesis equivalent toDiagnosticReport.implicitRulesDiagnosticReport.implicitRulesElement `DiagnosticReport.implicitRules` is mapped to FHIR STU3 element `DiagnosticReport.implicitRules` as `Equivalent`. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. 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.
DiagnosticReport.languagelanguageis equivalent toDiagnosticReport.languageDiagnosticReport.languageElement `DiagnosticReport.language` is mapped to FHIR STU3 element `DiagnosticReport.language` as `Equivalent`. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
DiagnosticReport.texttextmaps to wider conceptDiagnosticReport.textDiagnosticReport.textElement `DiagnosticReport.text` is mapped to FHIR STU3 element `DiagnosticReport.text` as `SourceIsBroaderThanTarget`. The mappings for `DiagnosticReport.text` do not cover the following types: Narrative. The mappings for `DiagnosticReport.text` do not cover the following types based on type expansion: div, status. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
DiagnosticReport.containedcontainedis equivalent toDiagnosticReport.containedDiagnosticReport.containedElement `DiagnosticReport.contained` is mapped to FHIR STU3 element `DiagnosticReport.contained` as `SourceIsBroaderThanTarget`. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
DiagnosticReport.identifieridentifiermaps to wider conceptDiagnosticReport.identifierDiagnosticReport.identifierElement `DiagnosticReport.identifier` is mapped to FHIR STU3 element `DiagnosticReport.identifier` as `SourceIsBroaderThanTarget`. The mappings for `DiagnosticReport.identifier` do not cover the following types: Identifier. The mappings for `DiagnosticReport.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. Usually assigned by the Information System of the diagnostic service provider (filler id).
DiagnosticReport.basedOnbasedOnmaps to wider conceptDiagnosticReport.basedOnDiagnosticReport.basedOnElement `DiagnosticReport.basedOn` is mapped to FHIR STU3 element `DiagnosticReport.basedOn` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `DiagnosticReport.basedOn` with unmapped reference targets: CarePlan, ImmunizationRecommendation, MedicationRequest, NutritionOrder, ServiceRequest. Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.
DiagnosticReport.statusstatusis equivalent toDiagnosticReport.statusDiagnosticReport.statusElement `DiagnosticReport.status` is mapped to FHIR STU3 element `DiagnosticReport.status` as `Equivalent`.
DiagnosticReport.categorycategoryis equivalent toDiagnosticReport.categoryDiagnosticReport.categoryElement `DiagnosticReport.category` is mapped to FHIR STU3 element `DiagnosticReport.category` as `SourceIsBroaderThanTarget`. Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.
DiagnosticReport.codecodeis equivalent toDiagnosticReport.codeDiagnosticReport.codeElement `DiagnosticReport.code` is mapped to FHIR STU3 element `DiagnosticReport.code` as `Equivalent`.
DiagnosticReport.subjectsubjectmaps to wider conceptDiagnosticReport.subjectDiagnosticReport.subjectElement `DiagnosticReport.subject` is mapped to FHIR STU3 element `DiagnosticReport.subject` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `DiagnosticReport.subject` with unmapped reference targets: Device, Group, Location, Medication, Organization, Patient, Practitioner, Procedure, Substance.
DiagnosticReport.encounterencountermaps to wider conceptDiagnosticReport.contextDiagnosticReport.contextElement `DiagnosticReport.encounter` is mapped to FHIR STU3 element `DiagnosticReport.context` as `SourceIsBroaderThanTarget`. The mappings for `DiagnosticReport.encounter` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `DiagnosticReport.encounter` with unmapped reference targets: Encounter. This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).
DiagnosticReport.effective[x]effective[x]is equivalent toDiagnosticReport.effective[x]DiagnosticReport.effective[x]Element `DiagnosticReport.effective[x]` is mapped to FHIR STU3 element `DiagnosticReport.effective[x]` as `SourceIsBroaderThanTarget`. The target context `DiagnosticReport.effective[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `DiagnosticReport`. If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic.
DiagnosticReport.issuedissuedis equivalent toDiagnosticReport.issuedDiagnosticReport.issuedElement `DiagnosticReport.issued` is mapped to FHIR STU3 element `DiagnosticReport.issued` as `Equivalent`. May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.
DiagnosticReport.performerperformeris equivalent toDiagnosticReport.performerDiagnosticReport.performerElement `DiagnosticReport.performer` is mapped to FHIR STU3 element `DiagnosticReport.performer` as `Equivalent`. Element `DiagnosticReport.performer` is mapped to FHIR STU3 element `DiagnosticReport.performer.actor` as `RelatedTo`. This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.
is related toDiagnosticReport.performer.actorDiagnosticReport.performer.actorElement `DiagnosticReport.performer` is mapped to FHIR STU3 element `DiagnosticReport.performer` as `Equivalent`. Element `DiagnosticReport.performer` is mapped to FHIR STU3 element `DiagnosticReport.performer.actor` as `RelatedTo`. This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.
DiagnosticReport.specimenspecimenmaps to wider conceptDiagnosticReport.specimenDiagnosticReport.specimenElement `DiagnosticReport.specimen` is mapped to FHIR STU3 element `DiagnosticReport.specimen` as `SourceIsBroaderThanTarget`. The mappings for `DiagnosticReport.specimen` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `DiagnosticReport.specimen` with unmapped reference targets: Specimen. If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group.
DiagnosticReport.resultresultmaps to wider conceptDiagnosticReport.resultDiagnosticReport.resultElement `DiagnosticReport.result` is mapped to FHIR STU3 element `DiagnosticReport.result` as `SourceIsBroaderThanTarget`. The mappings for `DiagnosticReport.result` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `DiagnosticReport.result` with unmapped reference targets: Observation. Observations can contain observations.
DiagnosticReport.imagingStudyimagingStudymaps to wider conceptDiagnosticReport.imagingStudyDiagnosticReport.imagingStudyElement `DiagnosticReport.imagingStudy` is mapped to FHIR STU3 element `DiagnosticReport.imagingStudy` as `SourceIsBroaderThanTarget`. The mappings for `DiagnosticReport.imagingStudy` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `DiagnosticReport.imagingStudy` with unmapped reference targets: ImagingStudy. ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided.
DiagnosticReport.mediamediamaps to wider conceptDiagnosticReport.imageDiagnosticReport.imageElement `DiagnosticReport.media` is mapped to FHIR STU3 element `DiagnosticReport.image` as `Equivalent`.
DiagnosticReport.media.commentcommentis equivalent toDiagnosticReport.image.commentDiagnosticReport.image.commentElement `DiagnosticReport.media.comment` is mapped to FHIR STU3 element `DiagnosticReport.image.comment` as `Equivalent`. The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion.
DiagnosticReport.media.linklinkmaps to wider conceptDiagnosticReport.image.linkDiagnosticReport.image.linkElement `DiagnosticReport.media.link` is mapped to FHIR STU3 element `DiagnosticReport.image.link` as `SourceIsBroaderThanTarget`. The mappings for `DiagnosticReport.media.link` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `DiagnosticReport.media.link` with unmapped reference targets: Media.
DiagnosticReport.conclusionconclusionis equivalent toDiagnosticReport.conclusionDiagnosticReport.conclusionElement `DiagnosticReport.conclusion` is mapped to FHIR STU3 element `DiagnosticReport.conclusion` as `Equivalent`.
DiagnosticReport.conclusionCodeconclusionCodeis equivalent toDiagnosticReport.codedDiagnosisDiagnosticReport.codedDiagnosisElement `DiagnosticReport.conclusionCode` is mapped to FHIR STU3 element `DiagnosticReport.codedDiagnosis` as `Equivalent`.
DiagnosticReport.presentedFormpresentedFormmaps to wider conceptDiagnosticReport.presentedFormDiagnosticReport.presentedFormElement `DiagnosticReport.presentedForm` is mapped to FHIR STU3 element `DiagnosticReport.presentedForm` as `SourceIsBroaderThanTarget`. The mappings for `DiagnosticReport.presentedForm` do not cover the following types: Attachment. The mappings for `DiagnosticReport.presentedForm` do not cover the following types based on type expansion: contentType, creation, data, hash, language, size, title, url. "application/pdf" is recommended as the most reliable and interoperable in this context.

Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.3.0 to R4B: meta additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
DiagnosticReport.meta (meta)is equivalent toExtension (R4B: meta additional types)Element `DiagnosticReport.meta` is mapped to FHIR STU3 element `DiagnosticReport.meta` as `SourceIsBroaderThanTarget`. The mappings for `DiagnosticReport.meta` do not cover the following types: Meta. The mappings for `DiagnosticReport.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId.

Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.3.0 to R4B: text additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
DiagnosticReport.text (text)is equivalent toExtension (R4B: text additional types)Element `DiagnosticReport.text` is mapped to FHIR STU3 element `DiagnosticReport.text` as `SourceIsBroaderThanTarget`. The mappings for `DiagnosticReport.text` do not cover the following types: Narrative. The mappings for `DiagnosticReport.text` do not cover the following types based on type expansion: div, status. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.3.0 to R4B: identifier additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
DiagnosticReport.identifier (identifier)is equivalent toExtension (R4B: identifier additional types)Element `DiagnosticReport.identifier` is mapped to FHIR STU3 element `DiagnosticReport.identifier` as `SourceIsBroaderThanTarget`. The mappings for `DiagnosticReport.identifier` do not cover the following types: Identifier. The mappings for `DiagnosticReport.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. Usually assigned by the Information System of the diagnostic service provider (filler id).

Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.3.0 to R4B: Primary result interpreter (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
DiagnosticReport.resultsInterpreter (resultsInterpreter)is equivalent toExtension (R4B: Primary result interpreter (new))Element `DiagnosticReport.resultsInterpreter` has a context of DiagnosticReport based on following the parent source element upwards and mapping to `DiagnosticReport`. Element `DiagnosticReport.resultsInterpreter` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Might not be the same entity that takes responsibility for the clinical report.

Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.3.0 to R4B: presentedForm additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
DiagnosticReport.presentedForm (presentedForm)is equivalent toExtension (R4B: presentedForm additional types)Element `DiagnosticReport.presentedForm` is mapped to FHIR STU3 element `DiagnosticReport.presentedForm` as `SourceIsBroaderThanTarget`. The mappings for `DiagnosticReport.presentedForm` do not cover the following types: Attachment. The mappings for `DiagnosticReport.presentedForm` do not cover the following types based on type expansion: contentType, creation, data, hash, language, size, title, url. "application/pdf" is recommended as the most reliable and interoperable in this context.

Source1

{
  "resourceType": "ConceptMap",
  "id": "R4B-DiagnosticReport-element-map-to-R3",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fhir"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ConceptMap/R4B-DiagnosticReport-element-map-to-R3",
  "version": "0.1.0",
  "name": "R4BDiagnosticReportElementMapToR3",
  "title": "Cross-version mapping for FHIR R4B DiagnosticReport to FHIR STU3 DiagnosticReport",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:04:31.9640241-05:00",
  "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 R4B DiagnosticReport to FHIR STU3.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "sourceUri": "http://hl7.org/fhir/4.3",
  "targetUri": "http://hl7.org/fhir/3.0",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
      "sourceVersion": "4.3.0",
      "target": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
      "targetVersion": "3.0.2",
      "element": [
        {
          "code": "DiagnosticReport.meta",
          "display": "meta",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "DiagnosticReport.meta",
              "display": "DiagnosticReport.meta",
              "equivalence": "wider",
              "comment": "Element `DiagnosticReport.meta` is mapped to FHIR STU3 element `DiagnosticReport.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.meta` do not cover the following types: Meta.\nThe mappings for `DiagnosticReport.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId."
            }
          ]
        },
        {
          "code": "DiagnosticReport.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "DiagnosticReport.implicitRules",
              "display": "DiagnosticReport.implicitRules",
              "equivalence": "equivalent",
              "comment": "Element `DiagnosticReport.implicitRules` is mapped to FHIR STU3 element `DiagnosticReport.implicitRules` as `Equivalent`.\nAsserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. 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": "DiagnosticReport.language",
          "display": "language",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "DiagnosticReport.language",
              "display": "DiagnosticReport.language",
              "equivalence": "equivalent",
              "comment": "Element `DiagnosticReport.language` is mapped to FHIR STU3 element `DiagnosticReport.language` as `Equivalent`.\nLanguage is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."
            }
          ]
        },
        {
          "code": "DiagnosticReport.text",
          "display": "text",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "DiagnosticReport.text",
              "display": "DiagnosticReport.text",
              "equivalence": "wider",
              "comment": "Element `DiagnosticReport.text` is mapped to FHIR STU3 element `DiagnosticReport.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.text` do not cover the following types: Narrative.\nThe mappings for `DiagnosticReport.text` do not cover the following types based on type expansion: div, status.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later."
            }
          ]
        },
        {
          "code": "DiagnosticReport.contained",
          "display": "contained",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "DiagnosticReport.contained",
              "display": "DiagnosticReport.contained",
              "equivalence": "equivalent",
              "comment": "Element `DiagnosticReport.contained` is mapped to FHIR STU3 element `DiagnosticReport.contained` as `SourceIsBroaderThanTarget`.\nThis should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."
            }
          ]
        },
        {
          "code": "DiagnosticReport.identifier",
          "display": "identifier",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "DiagnosticReport.identifier",
              "display": "DiagnosticReport.identifier",
              "equivalence": "wider",
              "comment": "Element `DiagnosticReport.identifier` is mapped to FHIR STU3 element `DiagnosticReport.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.identifier` do not cover the following types: Identifier.\nThe mappings for `DiagnosticReport.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.\nUsually assigned by the Information System of the diagnostic service provider (filler id)."
            }
          ]
        },
        {
          "code": "DiagnosticReport.basedOn",
          "display": "basedOn",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "DiagnosticReport.basedOn",
              "display": "DiagnosticReport.basedOn",
              "equivalence": "wider",
              "comment": "Element `DiagnosticReport.basedOn` is mapped to FHIR STU3 element `DiagnosticReport.basedOn` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `DiagnosticReport.basedOn` with unmapped reference targets: CarePlan, ImmunizationRecommendation, MedicationRequest, NutritionOrder, ServiceRequest.\nNote: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports."
            }
          ]
        },
        {
          "code": "DiagnosticReport.status",
          "display": "status",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "DiagnosticReport.status",
              "display": "DiagnosticReport.status",
              "equivalence": "equivalent",
              "comment": "Element `DiagnosticReport.status` is mapped to FHIR STU3 element `DiagnosticReport.status` as `Equivalent`."
            }
          ]
        },
        {
          "code": "DiagnosticReport.category",
          "display": "category",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "DiagnosticReport.category",
              "display": "DiagnosticReport.category",
              "equivalence": "equivalent",
              "comment": "Element `DiagnosticReport.category` is mapped to FHIR STU3 element `DiagnosticReport.category` as `SourceIsBroaderThanTarget`.\nMultiple categories are allowed using various categorization schemes.   The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code."
            }
          ]
        },
        {
          "code": "DiagnosticReport.code",
          "display": "code",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "DiagnosticReport.code",
              "display": "DiagnosticReport.code",
              "equivalence": "equivalent",
              "comment": "Element `DiagnosticReport.code` is mapped to FHIR STU3 element `DiagnosticReport.code` as `Equivalent`."
            }
          ]
        },
        {
          "code": "DiagnosticReport.subject",
          "display": "subject",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "DiagnosticReport.subject",
              "display": "DiagnosticReport.subject",
              "equivalence": "wider",
              "comment": "Element `DiagnosticReport.subject` is mapped to FHIR STU3 element `DiagnosticReport.subject` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `DiagnosticReport.subject` with unmapped reference targets: Device, Group, Location, Medication, Organization, Patient, Practitioner, Procedure, Substance."
            }
          ]
        },
        {
          "code": "DiagnosticReport.encounter",
          "display": "encounter",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "DiagnosticReport.context",
              "display": "DiagnosticReport.context",
              "equivalence": "wider",
              "comment": "Element `DiagnosticReport.encounter` is mapped to FHIR STU3 element `DiagnosticReport.context` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.encounter` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `DiagnosticReport.encounter` with unmapped reference targets: Encounter.\nThis will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter  but still be tied to the context of the encounter  (e.g. pre-admission laboratory tests)."
            }
          ]
        },
        {
          "code": "DiagnosticReport.effective[x]",
          "display": "effective[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "DiagnosticReport.effective[x]",
              "display": "DiagnosticReport.effective[x]",
              "equivalence": "equivalent",
              "comment": "Element `DiagnosticReport.effective[x]` is mapped to FHIR STU3 element `DiagnosticReport.effective[x]` as `SourceIsBroaderThanTarget`.\nThe target context `DiagnosticReport.effective[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `DiagnosticReport`.\nIf the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic."
            }
          ]
        },
        {
          "code": "DiagnosticReport.issued",
          "display": "issued",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "DiagnosticReport.issued",
              "display": "DiagnosticReport.issued",
              "equivalence": "equivalent",
              "comment": "Element `DiagnosticReport.issued` is mapped to FHIR STU3 element `DiagnosticReport.issued` as `Equivalent`.\nMay be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report."
            }
          ]
        },
        {
          "code": "DiagnosticReport.performer",
          "display": "performer",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "DiagnosticReport.performer",
              "display": "DiagnosticReport.performer",
              "equivalence": "equivalent",
              "comment": "Element `DiagnosticReport.performer` is mapped to FHIR STU3 element `DiagnosticReport.performer` as `Equivalent`.\nElement `DiagnosticReport.performer` is mapped to FHIR STU3 element `DiagnosticReport.performer.actor` as `RelatedTo`.\nThis is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report."
            },
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "DiagnosticReport.performer.actor",
              "display": "DiagnosticReport.performer.actor",
              "equivalence": "relatedto",
              "comment": "Element `DiagnosticReport.performer` is mapped to FHIR STU3 element `DiagnosticReport.performer` as `Equivalent`.\nElement `DiagnosticReport.performer` is mapped to FHIR STU3 element `DiagnosticReport.performer.actor` as `RelatedTo`.\nThis is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report."
            }
          ]
        },
        {
          "code": "DiagnosticReport.specimen",
          "display": "specimen",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "DiagnosticReport.specimen",
              "display": "DiagnosticReport.specimen",
              "equivalence": "wider",
              "comment": "Element `DiagnosticReport.specimen` is mapped to FHIR STU3 element `DiagnosticReport.specimen` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.specimen` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `DiagnosticReport.specimen` with unmapped reference targets: Specimen.\nIf the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group."
            }
          ]
        },
        {
          "code": "DiagnosticReport.result",
          "display": "result",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "DiagnosticReport.result",
              "display": "DiagnosticReport.result",
              "equivalence": "wider",
              "comment": "Element `DiagnosticReport.result` is mapped to FHIR STU3 element `DiagnosticReport.result` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.result` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `DiagnosticReport.result` with unmapped reference targets: Observation.\nObservations can contain observations."
            }
          ]
        },
        {
          "code": "DiagnosticReport.imagingStudy",
          "display": "imagingStudy",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "DiagnosticReport.imagingStudy",
              "display": "DiagnosticReport.imagingStudy",
              "equivalence": "wider",
              "comment": "Element `DiagnosticReport.imagingStudy` is mapped to FHIR STU3 element `DiagnosticReport.imagingStudy` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.imagingStudy` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `DiagnosticReport.imagingStudy` with unmapped reference targets: ImagingStudy.\nImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided."
            }
          ]
        },
        {
          "code": "DiagnosticReport.media",
          "display": "media",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "DiagnosticReport.image",
              "display": "DiagnosticReport.image",
              "equivalence": "wider",
              "comment": "Element `DiagnosticReport.media` is mapped to FHIR STU3 element `DiagnosticReport.image` as `Equivalent`."
            }
          ]
        },
        {
          "code": "DiagnosticReport.media.comment",
          "display": "comment",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "DiagnosticReport.image.comment",
              "display": "DiagnosticReport.image.comment",
              "equivalence": "equivalent",
              "comment": "Element `DiagnosticReport.media.comment` is mapped to FHIR STU3 element `DiagnosticReport.image.comment` as `Equivalent`.\nThe comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion."
            }
          ]
        },
        {
          "code": "DiagnosticReport.media.link",
          "display": "link",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "DiagnosticReport.image.link",
              "display": "DiagnosticReport.image.link",
              "equivalence": "wider",
              "comment": "Element `DiagnosticReport.media.link` is mapped to FHIR STU3 element `DiagnosticReport.image.link` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.media.link` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `DiagnosticReport.media.link` with unmapped reference targets: Media."
            }
          ]
        },
        {
          "code": "DiagnosticReport.conclusion",
          "display": "conclusion",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "DiagnosticReport.conclusion",
              "display": "DiagnosticReport.conclusion",
              "equivalence": "equivalent",
              "comment": "Element `DiagnosticReport.conclusion` is mapped to FHIR STU3 element `DiagnosticReport.conclusion` as `Equivalent`."
            }
          ]
        },
        {
          "code": "DiagnosticReport.conclusionCode",
          "display": "conclusionCode",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "DiagnosticReport.codedDiagnosis",
              "display": "DiagnosticReport.codedDiagnosis",
              "equivalence": "equivalent",
              "comment": "Element `DiagnosticReport.conclusionCode` is mapped to FHIR STU3 element `DiagnosticReport.codedDiagnosis` as `Equivalent`."
            }
          ]
        },
        {
          "code": "DiagnosticReport.presentedForm",
          "display": "presentedForm",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "DiagnosticReport.presentedForm",
              "display": "DiagnosticReport.presentedForm",
              "equivalence": "wider",
              "comment": "Element `DiagnosticReport.presentedForm` is mapped to FHIR STU3 element `DiagnosticReport.presentedForm` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.presentedForm` do not cover the following types: Attachment.\nThe mappings for `DiagnosticReport.presentedForm` do not cover the following types based on type expansion: contentType, creation, data, hash, language, size, title, url.\n\"application/pdf\" is recommended as the most reliable and interoperable in this context."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
      "sourceVersion": "4.3.0",
      "target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-DiagnosticReport.meta",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "DiagnosticReport.meta",
          "display": "meta",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `DiagnosticReport.meta` is mapped to FHIR STU3 element `DiagnosticReport.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.meta` do not cover the following types: Meta.\nThe mappings for `DiagnosticReport.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
      "sourceVersion": "4.3.0",
      "target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-DiagnosticReport.text",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "DiagnosticReport.text",
          "display": "text",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `DiagnosticReport.text` is mapped to FHIR STU3 element `DiagnosticReport.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.text` do not cover the following types: Narrative.\nThe mappings for `DiagnosticReport.text` do not cover the following types based on type expansion: div, status.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
      "sourceVersion": "4.3.0",
      "target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-DiagnosticReport.identifier",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "DiagnosticReport.identifier",
          "display": "identifier",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `DiagnosticReport.identifier` is mapped to FHIR STU3 element `DiagnosticReport.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.identifier` do not cover the following types: Identifier.\nThe mappings for `DiagnosticReport.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.\nUsually assigned by the Information System of the diagnostic service provider (filler id)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
      "sourceVersion": "4.3.0",
      "target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-DiagnosticReport.resultsInterpreter",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "DiagnosticReport.resultsInterpreter",
          "display": "resultsInterpreter",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `DiagnosticReport.resultsInterpreter` has a context of DiagnosticReport based on following the parent source element upwards and mapping to `DiagnosticReport`.\nElement `DiagnosticReport.resultsInterpreter` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nMight not be the same entity that takes responsibility for the clinical report."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
      "sourceVersion": "4.3.0",
      "target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-DiagnosticReport.presentedForm",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "DiagnosticReport.presentedForm",
          "display": "presentedForm",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `DiagnosticReport.presentedForm` is mapped to FHIR STU3 element `DiagnosticReport.presentedForm` as `SourceIsBroaderThanTarget`.\nThe mappings for `DiagnosticReport.presentedForm` do not cover the following types: Attachment.\nThe mappings for `DiagnosticReport.presentedForm` do not cover the following types based on type expansion: contentType, creation, data, hash, language, size, title, url.\n\"application/pdf\" is recommended as the most reliable and interoperable in this context."
            }
          ]
        }
      ]
    }
  ]
}