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Packagehl7.fhir.uv.xver-r4b.r3
Resource TypeConceptMap
IdConceptMap-R4B-Procedure-element-map-to-R3.json
FHIR VersionR3
Sourcehttp://hl7.org/fhir/uv/xver-r4b.r3/0.1.0/ConceptMap-R4B-Procedure-element-map-to-R3.html
URLhttp://hl7.org/fhir/uv/xver/ConceptMap/R4B-Procedure-element-map-to-R3
Version0.1.0
Statusactive
Date2026-03-17T16:04:27.2040399-05:00
NameR4BProcedureElementMapToR3
TitleCross-version mapping for FHIR R4B Procedure to FHIR STU3 Procedure
Realmuv
Authorityhl7
DescriptionThis ConceptMap represents cross-version mappings for elements from a FHIR R4B Procedure to FHIR STU3.

Resources that use this resource

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Resources that this resource uses

StructureDefinition
hl7.fhir.uv.xver-r4b.r5#0.1.0extension-Procedure.asserterR4B: Person who asserts this procedure (new)
hl7.fhir.uv.xver-r4b.r3#0.1.0extension-Procedure.identifierR4B: identifier additional types
hl7.fhir.uv.xver-r4b.r3#0.1.0extension-Procedure.instantiatesCanonicalR4B: Instantiates FHIR protocol or definition (new)
hl7.fhir.uv.xver-r4b.r3#0.1.0extension-Procedure.instantiatesUriR4B: Instantiates external protocol or definition (new)
hl7.fhir.uv.xver-r4b.r3#0.1.0extension-Procedure.metaR4B: meta additional types
hl7.fhir.uv.xver-r4b.r3#0.1.0extension-Procedure.noteR4B: note additional types
hl7.fhir.uv.xver-r4b.r5#0.1.0extension-Procedure.performedR4B: When the procedure was performed (new)
hl7.fhir.uv.xver-r4b.r3#0.1.0extension-Procedure.recorderR4B: Who recorded the procedure (new)
hl7.fhir.uv.xver-r4b.r3#0.1.0extension-Procedure.statusR4B: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown additional codes
hl7.fhir.uv.xver-r4b.r3#0.1.0extension-Procedure.textR4B: text additional types

Narrative

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

Generated Narrative: ConceptMap R4B-Procedure-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/Procedure|4.3.0 to http://hl7.org/fhir/StructureDefinition/Procedure|3.0.2

Source Concept DetailsRelationshipTarget Concept DetailsComment
Codes from http://hl7.org/fhir/StructureDefinition/Procedure|4.3.0Codes from http://hl7.org/fhir/StructureDefinition/Procedure|3.0.2
Procedure.metametamaps to wider conceptProcedure.metaProcedure.metaElement `Procedure.meta` is mapped to FHIR STU3 element `Procedure.meta` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.meta` do not cover the following types: Meta. The mappings for `Procedure.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId.
Procedure.implicitRulesimplicitRulesis equivalent toProcedure.implicitRulesProcedure.implicitRulesElement `Procedure.implicitRules` is mapped to FHIR STU3 element `Procedure.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.
Procedure.languagelanguageis equivalent toProcedure.languageProcedure.languageElement `Procedure.language` is mapped to FHIR STU3 element `Procedure.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).
Procedure.texttextmaps to wider conceptProcedure.textProcedure.textElement `Procedure.text` is mapped to FHIR STU3 element `Procedure.text` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.text` do not cover the following types: Narrative. The mappings for `Procedure.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.
Procedure.containedcontainedis equivalent toProcedure.containedProcedure.containedElement `Procedure.contained` is mapped to FHIR STU3 element `Procedure.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.
Procedure.identifieridentifiermaps to wider conceptProcedure.identifierProcedure.identifierElement `Procedure.identifier` is mapped to FHIR STU3 element `Procedure.identifier` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.identifier` do not cover the following types: Identifier. The mappings for `Procedure.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. This is a business identifier, not a resource identifier (see [discussion](https://hl7.org/fhir/resource.htm#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and Person resource instances might share the same social insurance number.
Procedure.basedOnbasedOnmaps to wider conceptProcedure.basedOnProcedure.basedOnElement `Procedure.basedOn` is mapped to FHIR STU3 element `Procedure.basedOn` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.basedOn` 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 `Procedure.basedOn` with unmapped reference targets: CarePlan, ServiceRequest.
Procedure.partOfpartOfmaps to wider conceptProcedure.partOfProcedure.partOfElement `Procedure.partOf` is mapped to FHIR STU3 element `Procedure.partOf` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Procedure.partOf` with unmapped reference targets: MedicationAdministration, Observation, Procedure. The MedicationAdministration resource has a partOf reference to Procedure, but this is not a circular reference. For example, the anesthesia MedicationAdministration is part of the surgical Procedure (MedicationAdministration.partOf = Procedure). For example, the procedure to insert the IV port for an IV medication administration is part of the medication administration (Procedure.partOf = MedicationAdministration).
Procedure.statusstatusis related toProcedure.notDoneProcedure.notDoneElement `Procedure.status` is mapped to FHIR STU3 element `Procedure.status` as `RelatedTo`. Element `Procedure.status` is mapped to FHIR STU3 element `Procedure.notDone` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.status` do not allow expression of the necessary codes, per the bindings on the source and target. The "unknown" code is not to be used to convey other statuses. The "unknown" code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
is related toProcedure.statusProcedure.statusElement `Procedure.status` is mapped to FHIR STU3 element `Procedure.status` as `RelatedTo`. Element `Procedure.status` is mapped to FHIR STU3 element `Procedure.notDone` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.status` do not allow expression of the necessary codes, per the bindings on the source and target. The "unknown" code is not to be used to convey other statuses. The "unknown" code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
Procedure.statusReasonstatusReasonis equivalent toProcedure.notDoneReasonProcedure.notDoneReasonElement `Procedure.statusReason` is mapped to FHIR STU3 element `Procedure.notDoneReason` as `Equivalent`. This is generally only used for "exception" statuses such as "not-done", "suspended" or "aborted". The reason for performing the event at all is captured in reasonCode, not here.
Procedure.categorycategoryis equivalent toProcedure.categoryProcedure.categoryElement `Procedure.category` is mapped to FHIR STU3 element `Procedure.category` as `Equivalent`.
Procedure.codecodeis equivalent toProcedure.codeProcedure.codeElement `Procedure.code` is mapped to FHIR STU3 element `Procedure.code` as `Equivalent`.
Procedure.subjectsubjectmaps to wider conceptProcedure.subjectProcedure.subjectElement `Procedure.subject` is mapped to FHIR STU3 element `Procedure.subject` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.subject` 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 `Procedure.subject` with unmapped reference targets: Group, Patient.
Procedure.encounterencountermaps to wider conceptProcedure.contextProcedure.contextElement `Procedure.encounter` is mapped to FHIR STU3 element `Procedure.context` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.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 `Procedure.encounter` with unmapped reference targets: Encounter. This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.
Procedure.performed[x]performed[x]maps to wider conceptProcedure.performed[x]Procedure.performed[x]Element `Procedure.performed[x]` is mapped to FHIR STU3 element `Procedure.performed[x]` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.performed[x]` do not cover the following types: Age, Period, Range, string. The target context `Procedure.performed[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Procedure`. Age is generally used when the patient reports an age at which the procedure was performed. Range is generally used when the patient reports an age range when the procedure was performed, such as sometime between 20-25 years old. dateTime supports a range of precision due to some procedures being reported as past procedures that might not have millisecond precision while other procedures performed and documented during the encounter might have more precise UTC timestamps with timezone.
Procedure.performerperformermaps to wider conceptProcedure.performerProcedure.performerElement `Procedure.performer` is mapped to FHIR STU3 element `Procedure.performer` as `Equivalent`.
Procedure.performer.functionfunctionis equivalent toProcedure.performer.roleProcedure.performer.roleElement `Procedure.performer.function` is mapped to FHIR STU3 element `Procedure.performer.role` as `Equivalent`.
Procedure.performer.actoractormaps to wider conceptProcedure.performer.actorProcedure.performer.actorElement `Procedure.performer.actor` is mapped to FHIR STU3 element `Procedure.performer.actor` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Procedure.performer.actor` with unmapped reference targets: Device, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson.
Procedure.performer.onBehalfOfonBehalfOfmaps to wider conceptProcedure.performer.onBehalfOfProcedure.performer.onBehalfOfElement `Procedure.performer.onBehalfOf` is mapped to FHIR STU3 element `Procedure.performer.onBehalfOf` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.performer.onBehalfOf` 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 `Procedure.performer.onBehalfOf` with unmapped reference targets: Organization.
Procedure.locationlocationmaps to wider conceptProcedure.locationProcedure.locationElement `Procedure.location` is mapped to FHIR STU3 element `Procedure.location` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.location` 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 `Procedure.location` with unmapped reference targets: Location.
Procedure.reasonCodereasonCodeis related toProcedure.notDoneReasonProcedure.notDoneReasonElement `Procedure.reasonCode` is mapped to FHIR STU3 element `Procedure.notDoneReason` as `SourceIsBroaderThanTarget`. Element `Procedure.reasonCode` is mapped to FHIR STU3 element `Procedure.reasonCode` as `Equivalent`. Use Procedure.reasonCode when a code sufficiently describes the reason. Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative. For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used. Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference. Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure.
is equivalent toProcedure.reasonCodeProcedure.reasonCodeElement `Procedure.reasonCode` is mapped to FHIR STU3 element `Procedure.notDoneReason` as `SourceIsBroaderThanTarget`. Element `Procedure.reasonCode` is mapped to FHIR STU3 element `Procedure.reasonCode` as `Equivalent`. Use Procedure.reasonCode when a code sufficiently describes the reason. Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative. For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used. Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference. Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure.
Procedure.reasonReferencereasonReferencemaps to wider conceptProcedure.reasonReferenceProcedure.reasonReferenceElement `Procedure.reasonReference` is mapped to FHIR STU3 element `Procedure.reasonReference` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Procedure.reasonReference` with unmapped reference targets: Condition, DiagnosticReport, DocumentReference, Observation, Procedure. It is possible for a procedure to be a reason (such as C-Section) for another procedure (such as an epidural). Other examples include endoscopy for dilatation and biopsy (a combination of diagnostic and therapeutic use). Use Procedure.reasonCode when a code sufficiently describes the reason. Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative. For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used. Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference. Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure.
Procedure.bodySitebodySiteis equivalent toProcedure.bodySiteProcedure.bodySiteElement `Procedure.bodySite` is mapped to FHIR STU3 element `Procedure.bodySite` as `Equivalent`. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [procedure-targetbodystructure](https://hl7.org/fhir/extension-procedure-targetbodystructure.html).
Procedure.outcomeoutcomeis equivalent toProcedure.outcomeProcedure.outcomeElement `Procedure.outcome` is mapped to FHIR STU3 element `Procedure.outcome` as `Equivalent`. If outcome contains narrative text only, it can be captured using the CodeableConcept.text.
Procedure.reportreportmaps to wider conceptProcedure.reportProcedure.reportElement `Procedure.report` is mapped to FHIR STU3 element `Procedure.report` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Procedure.report` with unmapped reference targets: Composition, DiagnosticReport, DocumentReference. There could potentially be multiple reports - e.g. if this was a procedure which took multiple biopsies resulting in a number of anatomical pathology reports.
Procedure.complicationcomplicationis equivalent toProcedure.complicationProcedure.complicationElement `Procedure.complication` is mapped to FHIR STU3 element `Procedure.complication` as `Equivalent`. If complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text.
Procedure.complicationDetailcomplicationDetailmaps to wider conceptProcedure.complicationDetailProcedure.complicationDetailElement `Procedure.complicationDetail` is mapped to FHIR STU3 element `Procedure.complicationDetail` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.complicationDetail` 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 `Procedure.complicationDetail` with unmapped reference targets: Condition.
Procedure.followUpfollowUpis equivalent toProcedure.followUpProcedure.followUpElement `Procedure.followUp` is mapped to FHIR STU3 element `Procedure.followUp` as `Equivalent`.
Procedure.notenotemaps to wider conceptProcedure.noteProcedure.noteElement `Procedure.note` is mapped to FHIR STU3 element `Procedure.note` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.note` do not cover the following types: Annotation. The mappings for `Procedure.note` do not cover the following types based on type expansion: author[x], text, time.
Procedure.focalDevicefocalDevicemaps to wider conceptProcedure.focalDeviceProcedure.focalDeviceElement `Procedure.focalDevice` is mapped to FHIR STU3 element `Procedure.focalDevice` as `Equivalent`.
Procedure.focalDevice.actionactionis equivalent toProcedure.focalDevice.actionProcedure.focalDevice.actionElement `Procedure.focalDevice.action` is mapped to FHIR STU3 element `Procedure.focalDevice.action` as `Equivalent`.
Procedure.focalDevice.manipulatedmanipulatedmaps to wider conceptProcedure.focalDevice.manipulatedProcedure.focalDevice.manipulatedElement `Procedure.focalDevice.manipulated` is mapped to FHIR STU3 element `Procedure.focalDevice.manipulated` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.focalDevice.manipulated` 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 `Procedure.focalDevice.manipulated` with unmapped reference targets: Device.
Procedure.usedReferenceusedReferencemaps to wider conceptProcedure.usedReferenceProcedure.usedReferenceElement `Procedure.usedReference` is mapped to FHIR STU3 element `Procedure.usedReference` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Procedure.usedReference` with unmapped reference targets: Device, Medication, Substance. For devices actually implanted or removed, use Procedure.device.
Procedure.usedCodeusedCodeis equivalent toProcedure.usedCodeProcedure.usedCodeElement `Procedure.usedCode` is mapped to FHIR STU3 element `Procedure.usedCode` as `Equivalent`. For devices actually implanted or removed, use Procedure.device.

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

Source CodeRelationshipTarget CodeComment
Procedure.meta (meta)is equivalent toExtension (R4B: meta additional types)Element `Procedure.meta` is mapped to FHIR STU3 element `Procedure.meta` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.meta` do not cover the following types: Meta. The mappings for `Procedure.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/Procedure|4.3.0 to R4B: text additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
Procedure.text (text)is equivalent toExtension (R4B: text additional types)Element `Procedure.text` is mapped to FHIR STU3 element `Procedure.text` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.text` do not cover the following types: Narrative. The mappings for `Procedure.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/Procedure|4.3.0 to R4B: identifier additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
Procedure.identifier (identifier)is equivalent toExtension (R4B: identifier additional types)Element `Procedure.identifier` is mapped to FHIR STU3 element `Procedure.identifier` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.identifier` do not cover the following types: Identifier. The mappings for `Procedure.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. This is a business identifier, not a resource identifier (see [discussion](https://hl7.org/fhir/resource.htm#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and Person resource instances might share the same social insurance number.

Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/Procedure|4.3.0 to R4B: Instantiates FHIR protocol or definition (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
Procedure.instantiatesCanonical (instantiatesCanonical)is equivalent toExtension (R4B: Instantiates FHIR protocol or definition (new))Element `Procedure.instantiatesCanonical` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.instantiatesCanonical` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).

Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/Procedure|4.3.0 to R4B: Instantiates external protocol or definition (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
Procedure.instantiatesUri (instantiatesUri)is equivalent toExtension (R4B: Instantiates external protocol or definition (new))Element `Procedure.instantiatesUri` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.instantiatesUri` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.

Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/Procedure|4.3.0 to R4B: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown additional codesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
Procedure.status (status)maps to wider conceptExtension (R4B: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown additional codes)Element `Procedure.status` is mapped to FHIR STU3 element `Procedure.status` as `RelatedTo`. Element `Procedure.status` is mapped to FHIR STU3 element `Procedure.notDone` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.status` do not allow expression of the necessary codes, per the bindings on the source and target. The "unknown" code is not to be used to convey other statuses. The "unknown" code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

Group 8 Mapping from http://hl7.org/fhir/StructureDefinition/Procedure|4.3.0 to R4B: When the procedure was performed additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
Procedure.performed[x] (performed[x])is equivalent toExtension (R4B: When the procedure was performed additional types)Element `Procedure.performed[x]` is mapped to FHIR STU3 element `Procedure.performed[x]` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.performed[x]` do not cover the following types: Age, Period, Range, string. The target context `Procedure.performed[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Procedure`. Age is generally used when the patient reports an age at which the procedure was performed. Range is generally used when the patient reports an age range when the procedure was performed, such as sometime between 20-25 years old. dateTime supports a range of precision due to some procedures being reported as past procedures that might not have millisecond precision while other procedures performed and documented during the encounter might have more precise UTC timestamps with timezone.

Group 9 Mapping from http://hl7.org/fhir/StructureDefinition/Procedure|4.3.0 to R4B: Who recorded the procedure (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
Procedure.recorder (recorder)is equivalent toExtension (R4B: Who recorded the procedure (new))Element `Procedure.recorder` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.recorder` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).

Group 10 Mapping from http://hl7.org/fhir/StructureDefinition/Procedure|4.3.0 to R4B: Person who asserts this procedure (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
Procedure.asserter (asserter)is equivalent toExtension (R4B: Person who asserts this procedure (new))Element `Procedure.asserter` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.asserter` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).

Group 11 Mapping from http://hl7.org/fhir/StructureDefinition/Procedure|4.3.0 to R4B: note additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
Procedure.note (note)is equivalent toExtension (R4B: note additional types)Element `Procedure.note` is mapped to FHIR STU3 element `Procedure.note` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.note` do not cover the following types: Annotation. The mappings for `Procedure.note` do not cover the following types based on type expansion: author[x], text, time.

Source1

{
  "resourceType": "ConceptMap",
  "id": "R4B-Procedure-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-Procedure-element-map-to-R3",
  "version": "0.1.0",
  "name": "R4BProcedureElementMapToR3",
  "title": "Cross-version mapping for FHIR R4B Procedure to FHIR STU3 Procedure",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:04:27.2040399-05:00",
  "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 Procedure 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/Procedure",
      "sourceVersion": "4.3.0",
      "target": "http://hl7.org/fhir/StructureDefinition/Procedure",
      "targetVersion": "3.0.2",
      "element": [
        {
          "code": "Procedure.meta",
          "display": "meta",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Procedure.meta",
              "display": "Procedure.meta",
              "equivalence": "wider",
              "comment": "Element `Procedure.meta` is mapped to FHIR STU3 element `Procedure.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `Procedure.meta` do not cover the following types: Meta.\nThe mappings for `Procedure.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId."
            }
          ]
        },
        {
          "code": "Procedure.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Procedure.implicitRules",
              "display": "Procedure.implicitRules",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.implicitRules` is mapped to FHIR STU3 element `Procedure.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": "Procedure.language",
          "display": "language",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Procedure.language",
              "display": "Procedure.language",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.language` is mapped to FHIR STU3 element `Procedure.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": "Procedure.text",
          "display": "text",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Procedure.text",
              "display": "Procedure.text",
              "equivalence": "wider",
              "comment": "Element `Procedure.text` is mapped to FHIR STU3 element `Procedure.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `Procedure.text` do not cover the following types: Narrative.\nThe mappings for `Procedure.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": "Procedure.contained",
          "display": "contained",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Procedure.contained",
              "display": "Procedure.contained",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.contained` is mapped to FHIR STU3 element `Procedure.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": "Procedure.identifier",
          "display": "identifier",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Procedure.identifier",
              "display": "Procedure.identifier",
              "equivalence": "wider",
              "comment": "Element `Procedure.identifier` is mapped to FHIR STU3 element `Procedure.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `Procedure.identifier` do not cover the following types: Identifier.\nThe mappings for `Procedure.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.\nThis is a business identifier, not a resource identifier (see [discussion](https://hl7.org/fhir/resource.htm#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and Person resource instances might share the same social insurance number."
            }
          ]
        },
        {
          "code": "Procedure.basedOn",
          "display": "basedOn",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Procedure.basedOn",
              "display": "Procedure.basedOn",
              "equivalence": "wider",
              "comment": "Element `Procedure.basedOn` is mapped to FHIR STU3 element `Procedure.basedOn` as `SourceIsBroaderThanTarget`.\nThe mappings for `Procedure.basedOn` 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 `Procedure.basedOn` with unmapped reference targets: CarePlan, ServiceRequest."
            }
          ]
        },
        {
          "code": "Procedure.partOf",
          "display": "partOf",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Procedure.partOf",
              "display": "Procedure.partOf",
              "equivalence": "wider",
              "comment": "Element `Procedure.partOf` is mapped to FHIR STU3 element `Procedure.partOf` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Procedure.partOf` with unmapped reference targets: MedicationAdministration, Observation, Procedure.\nThe MedicationAdministration resource has a partOf reference to Procedure, but this is not a circular reference.   For example, the anesthesia MedicationAdministration is part of the surgical Procedure (MedicationAdministration.partOf = Procedure).  For example, the procedure to insert the IV port for an IV medication administration is part of the medication administration (Procedure.partOf = MedicationAdministration)."
            }
          ]
        },
        {
          "code": "Procedure.status",
          "display": "status",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "Procedure.notDone",
              "display": "Procedure.notDone",
              "equivalence": "relatedto",
              "comment": "Element `Procedure.status` is mapped to FHIR STU3 element `Procedure.status` as `RelatedTo`.\nElement `Procedure.status` is mapped to FHIR STU3 element `Procedure.notDone` as `SourceIsBroaderThanTarget`.\nThe mappings for `Procedure.status` do not allow expression of the necessary codes, per the bindings on the source and target.\nThe \"unknown\" code is not to be used to convey other statuses.  The \"unknown\" code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure.\n\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."
            },
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "Procedure.status",
              "display": "Procedure.status",
              "equivalence": "relatedto",
              "comment": "Element `Procedure.status` is mapped to FHIR STU3 element `Procedure.status` as `RelatedTo`.\nElement `Procedure.status` is mapped to FHIR STU3 element `Procedure.notDone` as `SourceIsBroaderThanTarget`.\nThe mappings for `Procedure.status` do not allow expression of the necessary codes, per the bindings on the source and target.\nThe \"unknown\" code is not to be used to convey other statuses.  The \"unknown\" code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure.\n\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."
            }
          ]
        },
        {
          "code": "Procedure.statusReason",
          "display": "statusReason",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Procedure.notDoneReason",
              "display": "Procedure.notDoneReason",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.statusReason` is mapped to FHIR STU3 element `Procedure.notDoneReason` as `Equivalent`.\nThis is generally only used for \"exception\" statuses such as \"not-done\", \"suspended\" or \"aborted\". The reason for performing the event at all is captured in reasonCode, not here."
            }
          ]
        },
        {
          "code": "Procedure.category",
          "display": "category",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Procedure.category",
              "display": "Procedure.category",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.category` is mapped to FHIR STU3 element `Procedure.category` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Procedure.code",
          "display": "code",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Procedure.code",
              "display": "Procedure.code",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.code` is mapped to FHIR STU3 element `Procedure.code` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Procedure.subject",
          "display": "subject",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Procedure.subject",
              "display": "Procedure.subject",
              "equivalence": "wider",
              "comment": "Element `Procedure.subject` is mapped to FHIR STU3 element `Procedure.subject` as `SourceIsBroaderThanTarget`.\nThe mappings for `Procedure.subject` 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 `Procedure.subject` with unmapped reference targets: Group, Patient."
            }
          ]
        },
        {
          "code": "Procedure.encounter",
          "display": "encounter",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Procedure.context",
              "display": "Procedure.context",
              "equivalence": "wider",
              "comment": "Element `Procedure.encounter` is mapped to FHIR STU3 element `Procedure.context` as `SourceIsBroaderThanTarget`.\nThe mappings for `Procedure.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 `Procedure.encounter` with unmapped reference targets: Encounter.\nThis will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter."
            }
          ]
        },
        {
          "code": "Procedure.performed[x]",
          "display": "performed[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Procedure.performed[x]",
              "display": "Procedure.performed[x]",
              "equivalence": "wider",
              "comment": "Element `Procedure.performed[x]` is mapped to FHIR STU3 element `Procedure.performed[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `Procedure.performed[x]` do not cover the following types: Age, Period, Range, string.\nThe target context `Procedure.performed[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Procedure`.\nAge is generally used when the patient reports an age at which the procedure was performed. Range is generally used when the patient reports an age range when the procedure was performed, such as sometime between 20-25 years old.  dateTime supports a range of precision due to some procedures being reported as past procedures that might not have millisecond precision while other procedures performed and documented during the encounter might have more precise UTC timestamps with timezone."
            }
          ]
        },
        {
          "code": "Procedure.performer",
          "display": "performer",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Procedure.performer",
              "display": "Procedure.performer",
              "equivalence": "wider",
              "comment": "Element `Procedure.performer` is mapped to FHIR STU3 element `Procedure.performer` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Procedure.performer.function",
          "display": "function",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Procedure.performer.role",
              "display": "Procedure.performer.role",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.performer.function` is mapped to FHIR STU3 element `Procedure.performer.role` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Procedure.performer.actor",
          "display": "actor",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Procedure.performer.actor",
              "display": "Procedure.performer.actor",
              "equivalence": "wider",
              "comment": "Element `Procedure.performer.actor` is mapped to FHIR STU3 element `Procedure.performer.actor` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Procedure.performer.actor` with unmapped reference targets: Device, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson."
            }
          ]
        },
        {
          "code": "Procedure.performer.onBehalfOf",
          "display": "onBehalfOf",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Procedure.performer.onBehalfOf",
              "display": "Procedure.performer.onBehalfOf",
              "equivalence": "wider",
              "comment": "Element `Procedure.performer.onBehalfOf` is mapped to FHIR STU3 element `Procedure.performer.onBehalfOf` as `SourceIsBroaderThanTarget`.\nThe mappings for `Procedure.performer.onBehalfOf` 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 `Procedure.performer.onBehalfOf` with unmapped reference targets: Organization."
            }
          ]
        },
        {
          "code": "Procedure.location",
          "display": "location",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Procedure.location",
              "display": "Procedure.location",
              "equivalence": "wider",
              "comment": "Element `Procedure.location` is mapped to FHIR STU3 element `Procedure.location` as `SourceIsBroaderThanTarget`.\nThe mappings for `Procedure.location` 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 `Procedure.location` with unmapped reference targets: Location."
            }
          ]
        },
        {
          "code": "Procedure.reasonCode",
          "display": "reasonCode",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "Procedure.notDoneReason",
              "display": "Procedure.notDoneReason",
              "equivalence": "relatedto",
              "comment": "Element `Procedure.reasonCode` is mapped to FHIR STU3 element `Procedure.notDoneReason` as `SourceIsBroaderThanTarget`.\nElement `Procedure.reasonCode` is mapped to FHIR STU3 element `Procedure.reasonCode` as `Equivalent`.\nUse Procedure.reasonCode when a code sufficiently describes the reason.  Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative.  For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used.  Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference.  Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure."
            },
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Procedure.reasonCode",
              "display": "Procedure.reasonCode",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.reasonCode` is mapped to FHIR STU3 element `Procedure.notDoneReason` as `SourceIsBroaderThanTarget`.\nElement `Procedure.reasonCode` is mapped to FHIR STU3 element `Procedure.reasonCode` as `Equivalent`.\nUse Procedure.reasonCode when a code sufficiently describes the reason.  Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative.  For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used.  Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference.  Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure."
            }
          ]
        },
        {
          "code": "Procedure.reasonReference",
          "display": "reasonReference",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Procedure.reasonReference",
              "display": "Procedure.reasonReference",
              "equivalence": "wider",
              "comment": "Element `Procedure.reasonReference` is mapped to FHIR STU3 element `Procedure.reasonReference` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Procedure.reasonReference` with unmapped reference targets: Condition, DiagnosticReport, DocumentReference, Observation, Procedure.\nIt is possible for a procedure to be a reason (such as C-Section) for another procedure (such as an epidural). Other examples include endoscopy for dilatation and biopsy (a combination of diagnostic and therapeutic use). \nUse Procedure.reasonCode when a code sufficiently describes the reason.  Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative.  For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used.  Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference.  Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure."
            }
          ]
        },
        {
          "code": "Procedure.bodySite",
          "display": "bodySite",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Procedure.bodySite",
              "display": "Procedure.bodySite",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.bodySite` is mapped to FHIR STU3 element `Procedure.bodySite` as `Equivalent`.\nIf the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [procedure-targetbodystructure](https://hl7.org/fhir/extension-procedure-targetbodystructure.html)."
            }
          ]
        },
        {
          "code": "Procedure.outcome",
          "display": "outcome",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Procedure.outcome",
              "display": "Procedure.outcome",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.outcome` is mapped to FHIR STU3 element `Procedure.outcome` as `Equivalent`.\nIf outcome contains narrative text only, it can be captured using the CodeableConcept.text."
            }
          ]
        },
        {
          "code": "Procedure.report",
          "display": "report",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Procedure.report",
              "display": "Procedure.report",
              "equivalence": "wider",
              "comment": "Element `Procedure.report` is mapped to FHIR STU3 element `Procedure.report` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Procedure.report` with unmapped reference targets: Composition, DiagnosticReport, DocumentReference.\nThere could potentially be multiple reports - e.g. if this was a procedure which took multiple biopsies resulting in a number of anatomical pathology reports."
            }
          ]
        },
        {
          "code": "Procedure.complication",
          "display": "complication",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Procedure.complication",
              "display": "Procedure.complication",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.complication` is mapped to FHIR STU3 element `Procedure.complication` as `Equivalent`.\nIf complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text."
            }
          ]
        },
        {
          "code": "Procedure.complicationDetail",
          "display": "complicationDetail",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Procedure.complicationDetail",
              "display": "Procedure.complicationDetail",
              "equivalence": "wider",
              "comment": "Element `Procedure.complicationDetail` is mapped to FHIR STU3 element `Procedure.complicationDetail` as `SourceIsBroaderThanTarget`.\nThe mappings for `Procedure.complicationDetail` 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 `Procedure.complicationDetail` with unmapped reference targets: Condition."
            }
          ]
        },
        {
          "code": "Procedure.followUp",
          "display": "followUp",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Procedure.followUp",
              "display": "Procedure.followUp",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.followUp` is mapped to FHIR STU3 element `Procedure.followUp` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Procedure.note",
          "display": "note",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Procedure.note",
              "display": "Procedure.note",
              "equivalence": "wider",
              "comment": "Element `Procedure.note` is mapped to FHIR STU3 element `Procedure.note` as `SourceIsBroaderThanTarget`.\nThe mappings for `Procedure.note` do not cover the following types: Annotation.\nThe mappings for `Procedure.note` do not cover the following types based on type expansion: author[x], text, time."
            }
          ]
        },
        {
          "code": "Procedure.focalDevice",
          "display": "focalDevice",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Procedure.focalDevice",
              "display": "Procedure.focalDevice",
              "equivalence": "wider",
              "comment": "Element `Procedure.focalDevice` is mapped to FHIR STU3 element `Procedure.focalDevice` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Procedure.focalDevice.action",
          "display": "action",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Procedure.focalDevice.action",
              "display": "Procedure.focalDevice.action",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.focalDevice.action` is mapped to FHIR STU3 element `Procedure.focalDevice.action` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Procedure.focalDevice.manipulated",
          "display": "manipulated",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Procedure.focalDevice.manipulated",
              "display": "Procedure.focalDevice.manipulated",
              "equivalence": "wider",
              "comment": "Element `Procedure.focalDevice.manipulated` is mapped to FHIR STU3 element `Procedure.focalDevice.manipulated` as `SourceIsBroaderThanTarget`.\nThe mappings for `Procedure.focalDevice.manipulated` 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 `Procedure.focalDevice.manipulated` with unmapped reference targets: Device."
            }
          ]
        },
        {
          "code": "Procedure.usedReference",
          "display": "usedReference",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Procedure.usedReference",
              "display": "Procedure.usedReference",
              "equivalence": "wider",
              "comment": "Element `Procedure.usedReference` is mapped to FHIR STU3 element `Procedure.usedReference` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `Procedure.usedReference` with unmapped reference targets: Device, Medication, Substance.\nFor devices actually implanted or removed, use Procedure.device."
            }
          ]
        },
        {
          "code": "Procedure.usedCode",
          "display": "usedCode",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Procedure.usedCode",
              "display": "Procedure.usedCode",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.usedCode` is mapped to FHIR STU3 element `Procedure.usedCode` as `Equivalent`.\nFor devices actually implanted or removed, use Procedure.device."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Procedure",
      "sourceVersion": "4.3.0",
      "target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Procedure.meta",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Procedure.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 `Procedure.meta` is mapped to FHIR STU3 element `Procedure.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `Procedure.meta` do not cover the following types: Meta.\nThe mappings for `Procedure.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Procedure",
      "sourceVersion": "4.3.0",
      "target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Procedure.text",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Procedure.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 `Procedure.text` is mapped to FHIR STU3 element `Procedure.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `Procedure.text` do not cover the following types: Narrative.\nThe mappings for `Procedure.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/Procedure",
      "sourceVersion": "4.3.0",
      "target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Procedure.identifier",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Procedure.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 `Procedure.identifier` is mapped to FHIR STU3 element `Procedure.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `Procedure.identifier` do not cover the following types: Identifier.\nThe mappings for `Procedure.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.\nThis is a business identifier, not a resource identifier (see [discussion](https://hl7.org/fhir/resource.htm#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and Person resource instances might share the same social insurance number."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Procedure",
      "sourceVersion": "4.3.0",
      "target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Procedure.instantiatesCanonical",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Procedure.instantiatesCanonical",
          "display": "instantiatesCanonical",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.instantiatesCanonical` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`.\nElement `Procedure.instantiatesCanonical` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Procedure",
      "sourceVersion": "4.3.0",
      "target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Procedure.instantiatesUri",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Procedure.instantiatesUri",
          "display": "instantiatesUri",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.instantiatesUri` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`.\nElement `Procedure.instantiatesUri` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nThis might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Procedure",
      "sourceVersion": "4.3.0",
      "target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Procedure.status",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Procedure.status",
          "display": "status",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `Procedure.status` is mapped to FHIR STU3 element `Procedure.status` as `RelatedTo`.\nElement `Procedure.status` is mapped to FHIR STU3 element `Procedure.notDone` as `SourceIsBroaderThanTarget`.\nThe mappings for `Procedure.status` do not allow expression of the necessary codes, per the bindings on the source and target.\nThe \"unknown\" code is not to be used to convey other statuses.  The \"unknown\" code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure.\n\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Procedure",
      "sourceVersion": "4.3.0",
      "target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Procedure.performed",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Procedure.performed[x]",
          "display": "performed[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.performed[x]` is mapped to FHIR STU3 element `Procedure.performed[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `Procedure.performed[x]` do not cover the following types: Age, Period, Range, string.\nThe target context `Procedure.performed[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Procedure`.\nAge is generally used when the patient reports an age at which the procedure was performed. Range is generally used when the patient reports an age range when the procedure was performed, such as sometime between 20-25 years old.  dateTime supports a range of precision due to some procedures being reported as past procedures that might not have millisecond precision while other procedures performed and documented during the encounter might have more precise UTC timestamps with timezone."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Procedure",
      "sourceVersion": "4.3.0",
      "target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Procedure.recorder",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Procedure.recorder",
          "display": "recorder",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.recorder` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`.\nElement `Procedure.recorder` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Procedure",
      "sourceVersion": "4.3.0",
      "target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Procedure.asserter",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Procedure.asserter",
          "display": "asserter",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.asserter` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`.\nElement `Procedure.asserter` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Procedure",
      "sourceVersion": "4.3.0",
      "target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-Procedure.note",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Procedure.note",
          "display": "note",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.note` is mapped to FHIR STU3 element `Procedure.note` as `SourceIsBroaderThanTarget`.\nThe mappings for `Procedure.note` do not cover the following types: Annotation.\nThe mappings for `Procedure.note` do not cover the following types based on type expansion: author[x], text, time."
            }
          ]
        }
      ]
    }
  ]
}