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Packagehl7.fhir.uv.xver-r4b.r5
Resource TypeConceptMap
IdConceptMap-R4B-ConceptMap-element-map-to-R5.json
FHIR VersionR5
Sourcehttp://hl7.org/fhir/uv/xver-r4b.r5/0.1.0/ConceptMap-R4B-ConceptMap-element-map-to-R5.html
URLhttp://hl7.org/fhir/uv/xver/ConceptMap/R4B-ConceptMap-element-map-to-R5
Version0.1.0
Statusactive
Date2026-03-17T16:03:50.8488643-05:00
NameR4BConceptMapElementMapToR5
TitleCross-version mapping for FHIR R4B ConceptMap to FHIR R5 ConceptMap
Realmuv
Authorityhl7
DescriptionThis ConceptMap represents cross-version mappings for elements from a FHIR R4B ConceptMap to FHIR R5.

Resources that use this resource

No resources found


Resources that this resource uses

StructureDefinition
hl7.fhir.uv.xver-r4b.r5#0.1.0extension-ConceptMap.group.element.target.dependsOn.displayR4B: Display for the code (if value is a code) (new)
hl7.fhir.uv.xver-r4b.r5#0.1.0extension-ConceptMap.group.element.target.dependsOn.systemR4B: Code System (if necessary) (new)
hl7.fhir.uv.xver-r4b.r5#0.1.0extension-ConceptMap.group.element.target.equivalenceR4B: relatedto | equivalent | equal | wider | subsumes | narrower | specializes | inexact | unmatched | disjoint additional codes
hl7.fhir.uv.xver-r4b.r5#0.1.0extension-ConceptMap.group.sourceVersionR4B: Specific version of the code system (new)
hl7.fhir.uv.xver-r4b.r5#0.1.0extension-ConceptMap.group.targetVersionR4B: Specific version of the code system (new)
hl7.fhir.uv.xver-r4b.r5#0.1.0extension-ConceptMap.sourceR4B: The source value set that contains the concepts that are being mapped (new)
hl7.fhir.uv.xver-r4b.r5#0.1.0extension-ConceptMap.targetR4B: The target value set which provides context for the mappings (new)

Narrative

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

Generated Narrative: ConceptMap R4B-ConceptMap-element-map-to-R5

Mapping from http://hl7.org/fhir/4.3 to http://hl7.org/fhir/5.0


Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/ConceptMap|4.3.0 to ConceptMapversion: 5.0.0)

Source CodeRelationshipTarget CodeComment
ConceptMap.meta (meta)is equivalent toConceptMap.metaElement `ConceptMap.meta` is mapped to FHIR R5 element `ConceptMap.meta` as `Equivalent`.
ConceptMap.implicitRules (implicitRules)is equivalent toConceptMap.implicitRulesElement `ConceptMap.implicitRules` is mapped to FHIR R5 element `ConceptMap.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.
ConceptMap.language (language)is equivalent toConceptMap.languageElement `ConceptMap.language` is mapped to FHIR R5 element `ConceptMap.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).
ConceptMap.text (text)is equivalent toConceptMap.textElement `ConceptMap.text` is mapped to FHIR R5 element `ConceptMap.text` as `Equivalent`. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
ConceptMap.contained (contained)is equivalent toConceptMap.containedElement `ConceptMap.contained` is mapped to FHIR R5 element `ConceptMap.contained` as `Equivalent`. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
ConceptMap.url (url)is equivalent toConceptMap.urlElement `ConceptMap.url` is mapped to FHIR R5 element `ConceptMap.url` as `Equivalent`. Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version. The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in [Technical and Business Versions](https://hl7.org/fhir/resource..html#versions). In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](https://hl7.org/fhir/resou.html#meta) element to indicate where the current master source of the resource can be found.
ConceptMap.identifier (identifier)is equivalent toConceptMap.identifierElement `ConceptMap.identifier` is mapped to FHIR R5 element `ConceptMap.identifier` as `SourceIsNarrowerThanTarget`. Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this concept map outside of FHIR, where it is not possible to use the logical URI.
ConceptMap.version (version)is equivalent toConceptMap.versionElement `ConceptMap.version` is mapped to FHIR R5 element `ConceptMap.version` as `Equivalent`. There may be different concept map instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the concept map with the format [url]|[version].
ConceptMap.name (name)is equivalent toConceptMap.nameElement `ConceptMap.name` is mapped to FHIR R5 element `ConceptMap.name` as `Equivalent`. The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.
ConceptMap.title (title)is equivalent toConceptMap.titleElement `ConceptMap.title` is mapped to FHIR R5 element `ConceptMap.title` as `Equivalent`. This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.
ConceptMap.status (status)is equivalent toConceptMap.statusElement `ConceptMap.status` is mapped to FHIR R5 element `ConceptMap.status` as `Equivalent`. Allows filtering of concept maps that are appropriate for use versus not.
ConceptMap.experimental (experimental)is equivalent toConceptMap.experimentalElement `ConceptMap.experimental` is mapped to FHIR R5 element `ConceptMap.experimental` as `Equivalent`. Allows filtering of concept maps that are appropriate for use versus not.
ConceptMap.date (date)is equivalent toConceptMap.dateElement `ConceptMap.date` is mapped to FHIR R5 element `ConceptMap.date` as `Equivalent`. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the concept map. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.
ConceptMap.publisher (publisher)is equivalent toConceptMap.publisherElement `ConceptMap.publisher` is mapped to FHIR R5 element `ConceptMap.publisher` as `Equivalent`. Usually an organization but may be an individual. The publisher (or steward) of the concept map is the organization or individual primarily responsible for the maintenance and upkeep of the concept map. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the concept map. This item SHOULD be populated unless the information is available from context.
ConceptMap.contact (contact)is equivalent toConceptMap.contactElement `ConceptMap.contact` is mapped to FHIR R5 element `ConceptMap.contact` as `Equivalent`. May be a web site, an email address, a telephone number, etc.
ConceptMap.description (description)is equivalent toConceptMap.descriptionElement `ConceptMap.description` is mapped to FHIR R5 element `ConceptMap.description` as `Equivalent`. The description is not intended to describe the semantics of the concept map. The description should capture its intended use, which is needed for ensuring integrity for its use in models across future changes.
ConceptMap.useContext (useContext)is equivalent toConceptMap.useContextElement `ConceptMap.useContext` is mapped to FHIR R5 element `ConceptMap.useContext` as `Equivalent`. When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.
ConceptMap.jurisdiction (jurisdiction)is equivalent toConceptMap.jurisdictionElement `ConceptMap.jurisdiction` is mapped to FHIR R5 element `ConceptMap.jurisdiction` as `Equivalent`. It may be possible for the concept map to be used in jurisdictions other than those for which it was originally designed or intended.
ConceptMap.purpose (purpose)is equivalent toConceptMap.purposeElement `ConceptMap.purpose` is mapped to FHIR R5 element `ConceptMap.purpose` as `Equivalent`. This element does not describe the usage of the concept map. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this concept map.
ConceptMap.copyright (copyright)is equivalent toConceptMap.copyrightElement `ConceptMap.copyright` is mapped to FHIR R5 element `ConceptMap.copyright` as `Equivalent`. Frequently the copyright differs between the concept map and codes that are included. The copyright statement should clearly differentiate between these when required.
ConceptMap.group (group)is broader thanConceptMap.groupElement `ConceptMap.group` is mapped to FHIR R5 element `ConceptMap.group` as `Equivalent`.
ConceptMap.group.source (source)is equivalent toConceptMap.group.sourceElement `ConceptMap.group.source` is mapped to FHIR R5 element `ConceptMap.group.source` as `Equivalent`. This is not needed if the source value set is specified and it contains concepts from only a single system.
ConceptMap.group.target (target)is equivalent toConceptMap.group.targetElement `ConceptMap.group.target` is mapped to FHIR R5 element `ConceptMap.group.target` as `Equivalent`. This is not needed if the target value set is specified and it contains concepts from only a single system. The group target may also be omitted if all of the target element equivalence values are 'unmatched'.
ConceptMap.group.element (element)is broader thanConceptMap.group.elementElement `ConceptMap.group.element` is mapped to FHIR R5 element `ConceptMap.group.element` as `Equivalent`. Generally, the ideal is that there would only be one mapping for each concept in the source value set, but a given concept may be mapped multiple times with different comments or dependencies.
ConceptMap.group.element.code (code)is equivalent toConceptMap.group.element.codeElement `ConceptMap.group.element.code` is mapped to FHIR R5 element `ConceptMap.group.element.code` as `Equivalent`.
ConceptMap.group.element.display (display)is equivalent toConceptMap.group.element.displayElement `ConceptMap.group.element.display` is mapped to FHIR R5 element `ConceptMap.group.element.display` as `Equivalent`. The display is ignored when processing the map.
ConceptMap.group.element.target (target)is broader thanConceptMap.group.element.targetElement `ConceptMap.group.element.target` is mapped to FHIR R5 element `ConceptMap.group.element.target` as `Equivalent`. Ideally there would only be one map, with equal or equivalent mapping. But multiple maps are allowed for several narrower options, or to assert that other concepts are unmatched.
ConceptMap.group.element.target.code (code)is equivalent toConceptMap.group.element.target.codeElement `ConceptMap.group.element.target.code` is mapped to FHIR R5 element `ConceptMap.group.element.target.code` as `Equivalent`.
ConceptMap.group.element.target.display (display)is equivalent toConceptMap.group.element.target.displayElement `ConceptMap.group.element.target.display` is mapped to FHIR R5 element `ConceptMap.group.element.target.display` as `Equivalent`. The display is ignored when processing the map.
ConceptMap.group.element.target.equivalence (equivalence)is related toConceptMap.group.element.target.relationshipElement `ConceptMap.group.element.target.equivalence` is mapped to FHIR R5 element `ConceptMap.group.element.target.relationship` as `RelatedTo`. The mappings for `ConceptMap.group.element.target.equivalence` do not allow expression of the necessary codes, per the bindings on the source and target. The target context `ConceptMap.group.element.target.relationship` is a modifier element, so this extension does not need to be defined as a modifier. This element is labeled as a modifier because it may indicate that a target does not apply.
ConceptMap.group.element.target.comment (comment)is equivalent toConceptMap.group.element.target.commentElement `ConceptMap.group.element.target.comment` is mapped to FHIR R5 element `ConceptMap.group.element.target.comment` as `Equivalent`.
ConceptMap.group.element.target.dependsOn (dependsOn)is broader thanConceptMap.group.element.target.dependsOnElement `ConceptMap.group.element.target.dependsOn` is mapped to FHIR R5 element `ConceptMap.group.element.target.dependsOn` as `Equivalent`.
ConceptMap.group.element.target.dependsOn.property (property)is narrower thanConceptMap.group.element.target.dependsOn.attributeElement `ConceptMap.group.element.target.dependsOn.property` is mapped to FHIR R5 element `ConceptMap.group.element.target.dependsOn.attribute` as `SourceIsNarrowerThanTarget`.
ConceptMap.group.element.target.dependsOn.value (value)is equivalent toConceptMap.group.element.target.dependsOn.value[x]Element `ConceptMap.group.element.target.dependsOn.value` is mapped to FHIR R5 element `ConceptMap.group.element.target.dependsOn.value[x]` as `Equivalent`. The target context `ConceptMap.group.element.target.dependsOn.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ConceptMap.group.element.target.dependsOn`.
ConceptMap.group.element.target.product (product)is equivalent toConceptMap.group.element.target.productElement `ConceptMap.group.element.target.product` is mapped to FHIR R5 element `ConceptMap.group.element.target.product` as `Equivalent`.
ConceptMap.group.unmapped (unmapped)is broader thanConceptMap.group.unmappedElement `ConceptMap.group.unmapped` is mapped to FHIR R5 element `ConceptMap.group.unmapped` as `Equivalent`. This only applies if the source code has a system value that matches the system defined for the group.
ConceptMap.group.unmapped.mode (mode)is equivalent toConceptMap.group.unmapped.modeElement `ConceptMap.group.unmapped.mode` is mapped to FHIR R5 element `ConceptMap.group.unmapped.mode` as `Equivalent`.
ConceptMap.group.unmapped.code (code)is equivalent toConceptMap.group.unmapped.codeElement `ConceptMap.group.unmapped.code` is mapped to FHIR R5 element `ConceptMap.group.unmapped.code` as `Equivalent`.
ConceptMap.group.unmapped.display (display)is equivalent toConceptMap.group.unmapped.displayElement `ConceptMap.group.unmapped.display` is mapped to FHIR R5 element `ConceptMap.group.unmapped.display` as `Equivalent`. The display is ignored when processing the map.
ConceptMap.group.unmapped.url (url)is equivalent toConceptMap.group.unmapped.otherMapElement `ConceptMap.group.unmapped.url` is mapped to FHIR R5 element `ConceptMap.group.unmapped.otherMap` as `Equivalent`.

Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/ConceptMap|4.3.0 to R4B: The source value set that contains the concepts that are being mapped (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ConceptMap.source[x] (source[x])is broader thanExtension (R4B: The source value set that contains the concepts that are being mapped (new))Element `ConceptMap.source[x]` has a context of ConceptMap based on following the parent source element upwards and mapping to `ConceptMap`. Element `ConceptMap.source[x]` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). Should be a version specific reference. URIs SHOULD be absolute. If there is no source or target value set, there is no specified context for the map (not recommended). The source value set may select codes from either an explicit (standard or local) or implicit code system.

Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/ConceptMap|4.3.0 to R4B: The target value set which provides context for the mappings (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ConceptMap.target[x] (target[x])is broader thanExtension (R4B: The target value set which provides context for the mappings (new))Element `ConceptMap.target[x]` has a context of ConceptMap based on following the parent source element upwards and mapping to `ConceptMap`. Element `ConceptMap.target[x]` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). Should be a version specific reference. URIs SHOULD be absolute. If there is no source or target value set, the is no specified context for the map.

Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/ConceptMap|4.3.0 to R4B: Specific version of the code system (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ConceptMap.group.sourceVersion (sourceVersion)is broader thanExtension (R4B: Specific version of the code system (new))Element `ConceptMap.group.sourceVersion` has a context of ConceptMap.group based on following the parent source element upwards and mapping to `ConceptMap`. Element `ConceptMap.group.sourceVersion` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). The specification of a particular code system version may be required for code systems which lack concept permanence.

Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/ConceptMap|4.3.0 to R4B: Specific version of the code system (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ConceptMap.group.targetVersion (targetVersion)is broader thanExtension (R4B: Specific version of the code system (new))Element `ConceptMap.group.targetVersion` has a context of ConceptMap.group based on following the parent source element upwards and mapping to `ConceptMap`. Element `ConceptMap.group.targetVersion` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). The specification of a particular code system version may be required for code systems which lack concept permanence.

Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/ConceptMap|4.3.0 to R4B: relatedto | equivalent | equal | wider | subsumes | narrower | specializes | inexact | unmatched | disjoint additional codesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
ConceptMap.group.element.target.equivalence (equivalence)is broader thanExtension (R4B: relatedto | equivalent | equal | wider | subsumes | narrower | specializes | inexact | unmatched | disjoint additional codes)Element `ConceptMap.group.element.target.equivalence` is mapped to FHIR R5 element `ConceptMap.group.element.target.relationship` as `RelatedTo`. The mappings for `ConceptMap.group.element.target.equivalence` do not allow expression of the necessary codes, per the bindings on the source and target. The target context `ConceptMap.group.element.target.relationship` is a modifier element, so this extension does not need to be defined as a modifier. This element is labeled as a modifier because it may indicate that a target does not apply.

Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/ConceptMap|4.3.0 to R4B: Code System (if necessary) (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ConceptMap.group.element.target.dependsOn.system (system)is broader thanExtension (R4B: Code System (if necessary) (new))Element `ConceptMap.group.element.target.dependsOn.system` has a context of ConceptMap.group.element.target.dependsOn based on following the parent source element upwards and mapping to `ConceptMap`. Element `ConceptMap.group.element.target.dependsOn.system` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

Group 8 Mapping from http://hl7.org/fhir/StructureDefinition/ConceptMap|4.3.0 to R4B: Display for the code (if value is a code) (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ConceptMap.group.element.target.dependsOn.display (display)is broader thanExtension (R4B: Display for the code (if value is a code) (new))Element `ConceptMap.group.element.target.dependsOn.display` has a context of ConceptMap.group.element.target.dependsOn based on following the parent source element upwards and mapping to `ConceptMap`. Element `ConceptMap.group.element.target.dependsOn.display` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). The display is ignored when processing the map.

Source1

{
  "resourceType": "ConceptMap",
  "id": "R4B-ConceptMap-element-map-to-R5",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fhir"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r5"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r5"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ConceptMap/R4B-ConceptMap-element-map-to-R5",
  "version": "0.1.0",
  "name": "R4BConceptMapElementMapToR5",
  "title": "Cross-version mapping for FHIR R4B ConceptMap to FHIR R5 ConceptMap",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:03:50.8488643-05:00",
  "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 ConceptMap to FHIR R5.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "sourceScopeCanonical": "http://hl7.org/fhir/4.3",
  "targetScopeUri": "http://hl7.org/fhir/5.0",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ConceptMap|4.3.0",
      "target": "http://hl7.org/fhir/StructureDefinition/ConceptMap|5.0.0",
      "element": [
        {
          "code": "ConceptMap.meta",
          "display": "meta",
          "target": [
            {
              "code": "ConceptMap.meta",
              "display": "ConceptMap.meta",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.meta` is mapped to FHIR R5 element `ConceptMap.meta` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ConceptMap.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "code": "ConceptMap.implicitRules",
              "display": "ConceptMap.implicitRules",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.implicitRules` is mapped to FHIR R5 element `ConceptMap.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": "ConceptMap.language",
          "display": "language",
          "target": [
            {
              "code": "ConceptMap.language",
              "display": "ConceptMap.language",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.language` is mapped to FHIR R5 element `ConceptMap.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": "ConceptMap.text",
          "display": "text",
          "target": [
            {
              "code": "ConceptMap.text",
              "display": "ConceptMap.text",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.text` is mapped to FHIR R5 element `ConceptMap.text` as `Equivalent`.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later."
            }
          ]
        },
        {
          "code": "ConceptMap.contained",
          "display": "contained",
          "target": [
            {
              "code": "ConceptMap.contained",
              "display": "ConceptMap.contained",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.contained` is mapped to FHIR R5 element `ConceptMap.contained` as `Equivalent`.\nThis should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."
            }
          ]
        },
        {
          "code": "ConceptMap.url",
          "display": "url",
          "target": [
            {
              "code": "ConceptMap.url",
              "display": "ConceptMap.url",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.url` is mapped to FHIR R5 element `ConceptMap.url` as `Equivalent`.\nCan be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](https://hl7.org/fhir/resource..html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](https://hl7.org/fhir/resou.html#meta) element to indicate where the current master source of the resource can be found."
            }
          ]
        },
        {
          "code": "ConceptMap.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "ConceptMap.identifier",
              "display": "ConceptMap.identifier",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.identifier` is mapped to FHIR R5 element `ConceptMap.identifier` as `SourceIsNarrowerThanTarget`.\nTypically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this concept map outside of FHIR, where it is not possible to use the logical URI."
            }
          ]
        },
        {
          "code": "ConceptMap.version",
          "display": "version",
          "target": [
            {
              "code": "ConceptMap.version",
              "display": "ConceptMap.version",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.version` is mapped to FHIR R5 element `ConceptMap.version` as `Equivalent`.\nThere may be different concept map instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the concept map with the format [url]|[version]."
            }
          ]
        },
        {
          "code": "ConceptMap.name",
          "display": "name",
          "target": [
            {
              "code": "ConceptMap.name",
              "display": "ConceptMap.name",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.name` is mapped to FHIR R5 element `ConceptMap.name` as `Equivalent`.\nThe name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly."
            }
          ]
        },
        {
          "code": "ConceptMap.title",
          "display": "title",
          "target": [
            {
              "code": "ConceptMap.title",
              "display": "ConceptMap.title",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.title` is mapped to FHIR R5 element `ConceptMap.title` as `Equivalent`.\nThis name does not need to be machine-processing friendly and may contain punctuation, white-space, etc."
            }
          ]
        },
        {
          "code": "ConceptMap.status",
          "display": "status",
          "target": [
            {
              "code": "ConceptMap.status",
              "display": "ConceptMap.status",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.status` is mapped to FHIR R5 element `ConceptMap.status` as `Equivalent`.\nAllows filtering of concept maps that are appropriate for use versus not."
            }
          ]
        },
        {
          "code": "ConceptMap.experimental",
          "display": "experimental",
          "target": [
            {
              "code": "ConceptMap.experimental",
              "display": "ConceptMap.experimental",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.experimental` is mapped to FHIR R5 element `ConceptMap.experimental` as `Equivalent`.\nAllows filtering of concept maps that are appropriate for use versus not."
            }
          ]
        },
        {
          "code": "ConceptMap.date",
          "display": "date",
          "target": [
            {
              "code": "ConceptMap.date",
              "display": "ConceptMap.date",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.date` is mapped to FHIR R5 element `ConceptMap.date` as `Equivalent`.\nNote that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the concept map. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource."
            }
          ]
        },
        {
          "code": "ConceptMap.publisher",
          "display": "publisher",
          "target": [
            {
              "code": "ConceptMap.publisher",
              "display": "ConceptMap.publisher",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.publisher` is mapped to FHIR R5 element `ConceptMap.publisher` as `Equivalent`.\nUsually an organization but may be an individual. The publisher (or steward) of the concept map is the organization or individual primarily responsible for the maintenance and upkeep of the concept map. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the concept map. This item SHOULD be populated unless the information is available from context."
            }
          ]
        },
        {
          "code": "ConceptMap.contact",
          "display": "contact",
          "target": [
            {
              "code": "ConceptMap.contact",
              "display": "ConceptMap.contact",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.contact` is mapped to FHIR R5 element `ConceptMap.contact` as `Equivalent`.\nMay be a web site, an email address, a telephone number, etc."
            }
          ]
        },
        {
          "code": "ConceptMap.description",
          "display": "description",
          "target": [
            {
              "code": "ConceptMap.description",
              "display": "ConceptMap.description",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.description` is mapped to FHIR R5 element `ConceptMap.description` as `Equivalent`.\nThe description is not intended to describe the semantics of the concept map. The description should capture its intended use, which is needed for ensuring integrity for its use in models across future changes."
            }
          ]
        },
        {
          "code": "ConceptMap.useContext",
          "display": "useContext",
          "target": [
            {
              "code": "ConceptMap.useContext",
              "display": "ConceptMap.useContext",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.useContext` is mapped to FHIR R5 element `ConceptMap.useContext` as `Equivalent`.\nWhen multiple useContexts are specified, there is no expectation that all or any of the contexts apply."
            }
          ]
        },
        {
          "code": "ConceptMap.jurisdiction",
          "display": "jurisdiction",
          "target": [
            {
              "code": "ConceptMap.jurisdiction",
              "display": "ConceptMap.jurisdiction",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.jurisdiction` is mapped to FHIR R5 element `ConceptMap.jurisdiction` as `Equivalent`.\nIt may be possible for the concept map to be used in jurisdictions other than those for which it was originally designed or intended."
            }
          ]
        },
        {
          "code": "ConceptMap.purpose",
          "display": "purpose",
          "target": [
            {
              "code": "ConceptMap.purpose",
              "display": "ConceptMap.purpose",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.purpose` is mapped to FHIR R5 element `ConceptMap.purpose` as `Equivalent`.\nThis element does not describe the usage of the concept map. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this concept map."
            }
          ]
        },
        {
          "code": "ConceptMap.copyright",
          "display": "copyright",
          "target": [
            {
              "code": "ConceptMap.copyright",
              "display": "ConceptMap.copyright",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.copyright` is mapped to FHIR R5 element `ConceptMap.copyright` as `Equivalent`.\nFrequently the copyright differs between the concept map and codes that are included. The copyright statement should clearly differentiate between these when required."
            }
          ]
        },
        {
          "code": "ConceptMap.group",
          "display": "group",
          "target": [
            {
              "code": "ConceptMap.group",
              "display": "ConceptMap.group",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `ConceptMap.group` is mapped to FHIR R5 element `ConceptMap.group` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ConceptMap.group.source",
          "display": "source",
          "target": [
            {
              "code": "ConceptMap.group.source",
              "display": "ConceptMap.group.source",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.group.source` is mapped to FHIR R5 element `ConceptMap.group.source` as `Equivalent`.\nThis is not needed if the source value set is specified and it contains concepts from only a single system."
            }
          ]
        },
        {
          "code": "ConceptMap.group.target",
          "display": "target",
          "target": [
            {
              "code": "ConceptMap.group.target",
              "display": "ConceptMap.group.target",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.group.target` is mapped to FHIR R5 element `ConceptMap.group.target` as `Equivalent`.\nThis is not needed if the target value set is specified and it contains concepts from only a single system. The group target may also be omitted if all of the target element equivalence values are 'unmatched'."
            }
          ]
        },
        {
          "code": "ConceptMap.group.element",
          "display": "element",
          "target": [
            {
              "code": "ConceptMap.group.element",
              "display": "ConceptMap.group.element",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `ConceptMap.group.element` is mapped to FHIR R5 element `ConceptMap.group.element` as `Equivalent`.\nGenerally, the ideal is that there would only be one mapping for each concept in the source value set, but a given concept may be mapped multiple times with different comments or dependencies."
            }
          ]
        },
        {
          "code": "ConceptMap.group.element.code",
          "display": "code",
          "target": [
            {
              "code": "ConceptMap.group.element.code",
              "display": "ConceptMap.group.element.code",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.group.element.code` is mapped to FHIR R5 element `ConceptMap.group.element.code` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ConceptMap.group.element.display",
          "display": "display",
          "target": [
            {
              "code": "ConceptMap.group.element.display",
              "display": "ConceptMap.group.element.display",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.group.element.display` is mapped to FHIR R5 element `ConceptMap.group.element.display` as `Equivalent`.\nThe display is ignored when processing the map."
            }
          ]
        },
        {
          "code": "ConceptMap.group.element.target",
          "display": "target",
          "target": [
            {
              "code": "ConceptMap.group.element.target",
              "display": "ConceptMap.group.element.target",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `ConceptMap.group.element.target` is mapped to FHIR R5 element `ConceptMap.group.element.target` as `Equivalent`.\nIdeally there would only be one map, with equal or equivalent mapping. But multiple maps are allowed for several narrower options, or to assert that other concepts are unmatched."
            }
          ]
        },
        {
          "code": "ConceptMap.group.element.target.code",
          "display": "code",
          "target": [
            {
              "code": "ConceptMap.group.element.target.code",
              "display": "ConceptMap.group.element.target.code",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.group.element.target.code` is mapped to FHIR R5 element `ConceptMap.group.element.target.code` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ConceptMap.group.element.target.display",
          "display": "display",
          "target": [
            {
              "code": "ConceptMap.group.element.target.display",
              "display": "ConceptMap.group.element.target.display",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.group.element.target.display` is mapped to FHIR R5 element `ConceptMap.group.element.target.display` as `Equivalent`.\nThe display is ignored when processing the map."
            }
          ]
        },
        {
          "code": "ConceptMap.group.element.target.equivalence",
          "display": "equivalence",
          "target": [
            {
              "code": "ConceptMap.group.element.target.relationship",
              "display": "ConceptMap.group.element.target.relationship",
              "relationship": "related-to",
              "comment": "Element `ConceptMap.group.element.target.equivalence` is mapped to FHIR R5 element `ConceptMap.group.element.target.relationship` as `RelatedTo`.\nThe mappings for `ConceptMap.group.element.target.equivalence` do not allow expression of the necessary codes, per the bindings on the source and target.\nThe target context `ConceptMap.group.element.target.relationship` is a modifier element, so this extension does not need to be defined as a modifier.\nThis element is labeled as a modifier because it may indicate that a target does not apply."
            }
          ]
        },
        {
          "code": "ConceptMap.group.element.target.comment",
          "display": "comment",
          "target": [
            {
              "code": "ConceptMap.group.element.target.comment",
              "display": "ConceptMap.group.element.target.comment",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.group.element.target.comment` is mapped to FHIR R5 element `ConceptMap.group.element.target.comment` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ConceptMap.group.element.target.dependsOn",
          "display": "dependsOn",
          "target": [
            {
              "code": "ConceptMap.group.element.target.dependsOn",
              "display": "ConceptMap.group.element.target.dependsOn",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `ConceptMap.group.element.target.dependsOn` is mapped to FHIR R5 element `ConceptMap.group.element.target.dependsOn` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ConceptMap.group.element.target.dependsOn.property",
          "display": "property",
          "target": [
            {
              "code": "ConceptMap.group.element.target.dependsOn.attribute",
              "display": "ConceptMap.group.element.target.dependsOn.attribute",
              "relationship": "source-is-narrower-than-target",
              "comment": "Element `ConceptMap.group.element.target.dependsOn.property` is mapped to FHIR R5 element `ConceptMap.group.element.target.dependsOn.attribute` as `SourceIsNarrowerThanTarget`."
            }
          ]
        },
        {
          "code": "ConceptMap.group.element.target.dependsOn.value",
          "display": "value",
          "target": [
            {
              "code": "ConceptMap.group.element.target.dependsOn.value[x]",
              "display": "ConceptMap.group.element.target.dependsOn.value[x]",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.group.element.target.dependsOn.value` is mapped to FHIR R5 element `ConceptMap.group.element.target.dependsOn.value[x]` as `Equivalent`.\nThe target context `ConceptMap.group.element.target.dependsOn.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ConceptMap.group.element.target.dependsOn`."
            }
          ]
        },
        {
          "code": "ConceptMap.group.element.target.product",
          "display": "product",
          "target": [
            {
              "code": "ConceptMap.group.element.target.product",
              "display": "ConceptMap.group.element.target.product",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.group.element.target.product` is mapped to FHIR R5 element `ConceptMap.group.element.target.product` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ConceptMap.group.unmapped",
          "display": "unmapped",
          "target": [
            {
              "code": "ConceptMap.group.unmapped",
              "display": "ConceptMap.group.unmapped",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `ConceptMap.group.unmapped` is mapped to FHIR R5 element `ConceptMap.group.unmapped` as `Equivalent`.\nThis only applies if the source code has a system value that matches the system defined for the group."
            }
          ]
        },
        {
          "code": "ConceptMap.group.unmapped.mode",
          "display": "mode",
          "target": [
            {
              "code": "ConceptMap.group.unmapped.mode",
              "display": "ConceptMap.group.unmapped.mode",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.group.unmapped.mode` is mapped to FHIR R5 element `ConceptMap.group.unmapped.mode` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ConceptMap.group.unmapped.code",
          "display": "code",
          "target": [
            {
              "code": "ConceptMap.group.unmapped.code",
              "display": "ConceptMap.group.unmapped.code",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.group.unmapped.code` is mapped to FHIR R5 element `ConceptMap.group.unmapped.code` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ConceptMap.group.unmapped.display",
          "display": "display",
          "target": [
            {
              "code": "ConceptMap.group.unmapped.display",
              "display": "ConceptMap.group.unmapped.display",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.group.unmapped.display` is mapped to FHIR R5 element `ConceptMap.group.unmapped.display` as `Equivalent`.\nThe display is ignored when processing the map."
            }
          ]
        },
        {
          "code": "ConceptMap.group.unmapped.url",
          "display": "url",
          "target": [
            {
              "code": "ConceptMap.group.unmapped.otherMap",
              "display": "ConceptMap.group.unmapped.otherMap",
              "relationship": "equivalent",
              "comment": "Element `ConceptMap.group.unmapped.url` is mapped to FHIR R5 element `ConceptMap.group.unmapped.otherMap` as `Equivalent`."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ConceptMap|4.3.0",
      "target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ConceptMap.source|0.1.0",
      "element": [
        {
          "code": "ConceptMap.source[x]",
          "display": "source[x]",
          "target": [
            {
              "code": "Extension",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `ConceptMap.source[x]` has a context of ConceptMap based on following the parent source element upwards and mapping to `ConceptMap`.\nElement `ConceptMap.source[x]` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nShould be a version specific reference. URIs SHOULD be absolute. If there is no source or target value set, there is no specified context for the map (not recommended).  The source value set may select codes from either an explicit (standard or local) or implicit code system."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ConceptMap|4.3.0",
      "target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ConceptMap.target|0.1.0",
      "element": [
        {
          "code": "ConceptMap.target[x]",
          "display": "target[x]",
          "target": [
            {
              "code": "Extension",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `ConceptMap.target[x]` has a context of ConceptMap based on following the parent source element upwards and mapping to `ConceptMap`.\nElement `ConceptMap.target[x]` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nShould be a version specific reference. URIs SHOULD be absolute. If there is no source or target value set, the is no specified context for the map."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ConceptMap|4.3.0",
      "target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ConceptMap.group.sourceVersion|0.1.0",
      "element": [
        {
          "code": "ConceptMap.group.sourceVersion",
          "display": "sourceVersion",
          "target": [
            {
              "code": "Extension",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `ConceptMap.group.sourceVersion` has a context of ConceptMap.group based on following the parent source element upwards and mapping to `ConceptMap`.\nElement `ConceptMap.group.sourceVersion` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nThe specification of a particular code system version may be required for code systems which lack concept permanence."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ConceptMap|4.3.0",
      "target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ConceptMap.group.targetVersion|0.1.0",
      "element": [
        {
          "code": "ConceptMap.group.targetVersion",
          "display": "targetVersion",
          "target": [
            {
              "code": "Extension",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `ConceptMap.group.targetVersion` has a context of ConceptMap.group based on following the parent source element upwards and mapping to `ConceptMap`.\nElement `ConceptMap.group.targetVersion` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nThe specification of a particular code system version may be required for code systems which lack concept permanence."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ConceptMap|4.3.0",
      "target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ConceptMap.group.element.target.equivalence|0.1.0",
      "element": [
        {
          "code": "ConceptMap.group.element.target.equivalence",
          "display": "equivalence",
          "target": [
            {
              "code": "Extension",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `ConceptMap.group.element.target.equivalence` is mapped to FHIR R5 element `ConceptMap.group.element.target.relationship` as `RelatedTo`.\nThe mappings for `ConceptMap.group.element.target.equivalence` do not allow expression of the necessary codes, per the bindings on the source and target.\nThe target context `ConceptMap.group.element.target.relationship` is a modifier element, so this extension does not need to be defined as a modifier.\nThis element is labeled as a modifier because it may indicate that a target does not apply."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ConceptMap|4.3.0",
      "target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ConceptMap.group.element.target.dependsOn.system|0.1.0",
      "element": [
        {
          "code": "ConceptMap.group.element.target.dependsOn.system",
          "display": "system",
          "target": [
            {
              "code": "Extension",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `ConceptMap.group.element.target.dependsOn.system` has a context of ConceptMap.group.element.target.dependsOn based on following the parent source element upwards and mapping to `ConceptMap`.\nElement `ConceptMap.group.element.target.dependsOn.system` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ConceptMap|4.3.0",
      "target": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ConceptMap.group.element.target.dependsOn.display|0.1.0",
      "element": [
        {
          "code": "ConceptMap.group.element.target.dependsOn.display",
          "display": "display",
          "target": [
            {
              "code": "Extension",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `ConceptMap.group.element.target.dependsOn.display` has a context of ConceptMap.group.element.target.dependsOn based on following the parent source element upwards and mapping to `ConceptMap`.\nElement `ConceptMap.group.element.target.dependsOn.display` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nThe display is ignored when processing the map."
            }
          ]
        }
      ]
    }
  ]
}