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Source1

{
  "resourceType": "ConceptMap",
  "id": "R5-ActivityDefinition-element-map-to-R4",
  "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-r5.r4"
          }
        ]
      }
    },
    {
      "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-r5.r4"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ConceptMap/R5-ActivityDefinition-element-map-to-R4",
  "version": "0.1.0",
  "name": "R5ActivityDefinitionElementMapToR4",
  "title": "Cross-version mapping for FHIR R5 ActivityDefinition to FHIR R4 ActivityDefinition",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:04:43.4298859-05:00",
  "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 R5 ActivityDefinition to FHIR R4.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "sourceCanonical": "http://hl7.org/fhir/5.0",
  "targetUri": "http://hl7.org/fhir/4.0",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
      "targetVersion": "4.0.1",
      "element": [
        {
          "code": "ActivityDefinition.meta",
          "display": "meta",
          "target": [
            {
              "code": "ActivityDefinition.meta",
              "display": "ActivityDefinition.meta",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.meta` is mapped to FHIR R4 element `ActivityDefinition.meta` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ActivityDefinition.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "code": "ActivityDefinition.implicitRules",
              "display": "ActivityDefinition.implicitRules",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.implicitRules` is mapped to FHIR R4 element `ActivityDefinition.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 its narrative along with other profiles, value sets, etc."
            }
          ]
        },
        {
          "code": "ActivityDefinition.language",
          "display": "language",
          "target": [
            {
              "code": "ActivityDefinition.language",
              "display": "ActivityDefinition.language",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.language` is mapped to FHIR R4 element `ActivityDefinition.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": "ActivityDefinition.text",
          "display": "text",
          "target": [
            {
              "code": "ActivityDefinition.text",
              "display": "ActivityDefinition.text",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.text` is mapped to FHIR R4 element `ActivityDefinition.text` as `Equivalent`.\nContained resources do not have a 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": "ActivityDefinition.contained",
          "display": "contained",
          "target": [
            {
              "code": "ActivityDefinition.contained",
              "display": "ActivityDefinition.contained",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.contained` is mapped to FHIR R4 element `ActivityDefinition.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": "ActivityDefinition.url",
          "display": "url",
          "target": [
            {
              "code": "ActivityDefinition.url",
              "display": "ActivityDefinition.url",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.url` is mapped to FHIR R4 element `ActivityDefinition.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": "ActivityDefinition.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "ActivityDefinition.identifier",
              "display": "ActivityDefinition.identifier",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.identifier` is mapped to FHIR R4 element `ActivityDefinition.identifier` as `Equivalent`.\nTypically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this activity definition outside of FHIR, where it is not possible to use the logical URI."
            }
          ]
        },
        {
          "code": "ActivityDefinition.version",
          "display": "version",
          "target": [
            {
              "code": "ActivityDefinition.version",
              "display": "ActivityDefinition.version",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.version` is mapped to FHIR R4 element `ActivityDefinition.version` as `Equivalent`.\nThere may be different activity definition 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 activity definition with the format [url]|[version]. The version SHOULD NOT contain a '#' - see [Business Version](https://hl7.org/fhir/resource.h.html#bv-format)."
            }
          ]
        },
        {
          "code": "ActivityDefinition.name",
          "display": "name",
          "target": [
            {
              "code": "ActivityDefinition.name",
              "display": "ActivityDefinition.name",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.name` is mapped to FHIR R4 element `ActivityDefinition.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": "ActivityDefinition.title",
          "display": "title",
          "target": [
            {
              "code": "ActivityDefinition.title",
              "display": "ActivityDefinition.title",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.title` is mapped to FHIR R4 element `ActivityDefinition.title` as `Equivalent`.\nThis name does not need to be machine-processing friendly and may contain punctuation, white-space, etc."
            }
          ]
        },
        {
          "code": "ActivityDefinition.subtitle",
          "display": "subtitle",
          "target": [
            {
              "code": "ActivityDefinition.subtitle",
              "display": "ActivityDefinition.subtitle",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.subtitle` is mapped to FHIR R4 element `ActivityDefinition.subtitle` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ActivityDefinition.status",
          "display": "status",
          "target": [
            {
              "code": "ActivityDefinition.status",
              "display": "ActivityDefinition.status",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.status` is mapped to FHIR R4 element `ActivityDefinition.status` as `Equivalent`.\nAllows filtering of activity definitions that are appropriate for use versus not.\n\nSee guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization)."
            }
          ]
        },
        {
          "code": "ActivityDefinition.experimental",
          "display": "experimental",
          "target": [
            {
              "code": "ActivityDefinition.experimental",
              "display": "ActivityDefinition.experimental",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.experimental` is mapped to FHIR R4 element `ActivityDefinition.experimental` as `Equivalent`.\nAllows filtering of activity definitions that are appropriate for use versus not."
            }
          ]
        },
        {
          "code": "ActivityDefinition.subject[x]",
          "display": "subject[x]",
          "target": [
            {
              "code": "ActivityDefinition.subject[x]",
              "display": "ActivityDefinition.subject[x]",
              "equivalence": "relatedto",
              "comment": "Element `ActivityDefinition.subject[x]` is mapped to FHIR R4 element `ActivityDefinition.subject[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `ActivityDefinition.subject[x]` do not cover the following types: canonical.\nThe target context `ActivityDefinition.subject[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ActivityDefinition`.\nThe standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R5 element `ActivityDefinition.subject[x]` with unmapped reference targets: AdministrableProductDefinition, ManufacturedItemDefinition, MedicinalProductDefinition, PackagedProductDefinition, SubstanceDefinition.\nSource element `ActivityDefinition.subject[x]` has unmapped reference types. While the target element `ActivityDefinition.subject[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.\nNote that the choice of canonical for the subject element was introduced in R4B to support pharmaceutical quality use cases. To ensure as much backwards-compatibility as possible, it is recommended to only use the new canonical type with these use cases."
            }
          ]
        },
        {
          "code": "ActivityDefinition.date",
          "display": "date",
          "target": [
            {
              "code": "ActivityDefinition.date",
              "display": "ActivityDefinition.date",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.date` is mapped to FHIR R4 element `ActivityDefinition.date` as `Equivalent`.\nThe date is often not tracked until the resource is published, but may be present on draft content. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the activity definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.\n\nSee guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization)."
            }
          ]
        },
        {
          "code": "ActivityDefinition.publisher",
          "display": "publisher",
          "target": [
            {
              "code": "ActivityDefinition.publisher",
              "display": "ActivityDefinition.publisher",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.publisher` is mapped to FHIR R4 element `ActivityDefinition.publisher` as `Equivalent`.\nUsually an organization but may be an individual. The publisher (or steward) of the activity definition is the organization or individual primarily responsible for the maintenance and upkeep of the activity definition. 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 activity definition. This item SHOULD be populated unless the information is available from context."
            }
          ]
        },
        {
          "code": "ActivityDefinition.contact",
          "display": "contact",
          "target": [
            {
              "code": "ActivityDefinition.contact",
              "display": "ActivityDefinition.contact",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.contact` is mapped to FHIR R4 element `ActivityDefinition.contact` as `Equivalent`.\nMay be a web site, an email address, a telephone number, etc.\n\nSee guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization)."
            }
          ]
        },
        {
          "code": "ActivityDefinition.description",
          "display": "description",
          "target": [
            {
              "code": "ActivityDefinition.description",
              "display": "ActivityDefinition.description",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.description` is mapped to FHIR R4 element `ActivityDefinition.description` as `Equivalent`.\nThis description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the activity definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the activity definition is presumed to be the predominant language in the place the activity definition was created)."
            }
          ]
        },
        {
          "code": "ActivityDefinition.useContext",
          "display": "useContext",
          "target": [
            {
              "code": "ActivityDefinition.useContext",
              "display": "ActivityDefinition.useContext",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.useContext` is mapped to FHIR R4 element `ActivityDefinition.useContext` as `Equivalent`.\nWhen multiple useContexts are specified, there is no expectation that all or any of the contexts apply."
            }
          ]
        },
        {
          "code": "ActivityDefinition.jurisdiction",
          "display": "jurisdiction",
          "target": [
            {
              "code": "ActivityDefinition.jurisdiction",
              "display": "ActivityDefinition.jurisdiction",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.jurisdiction` is mapped to FHIR R4 element `ActivityDefinition.jurisdiction` as `Equivalent`.\nElement `ActivityDefinition.jurisdiction` has been flagged as deprecated.\nIt may be possible for the activity definition to be used in jurisdictions other than those for which it was originally designed or intended.\n\nDEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'jurisdiction' code in the useContext element.  (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#jurisdiction and useContext.valueCodeableConcept indicating the jurisdiction.)"
            }
          ]
        },
        {
          "code": "ActivityDefinition.purpose",
          "display": "purpose",
          "target": [
            {
              "code": "ActivityDefinition.purpose",
              "display": "ActivityDefinition.purpose",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.purpose` is mapped to FHIR R4 element `ActivityDefinition.purpose` as `Equivalent`.\nThis element does not describe the usage of the activity definition. 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 activity definition."
            }
          ]
        },
        {
          "code": "ActivityDefinition.usage",
          "display": "usage",
          "target": [
            {
              "code": "ActivityDefinition.usage",
              "display": "ActivityDefinition.usage",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.usage` is mapped to FHIR R4 element `ActivityDefinition.usage` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ActivityDefinition.copyright",
          "display": "copyright",
          "target": [
            {
              "code": "ActivityDefinition.copyright",
              "display": "ActivityDefinition.copyright",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.copyright` is mapped to FHIR R4 element `ActivityDefinition.copyright` as `Equivalent`.\nThe short copyright declaration (e.g. (c) '2015+ xyz organization' should be sent in the copyrightLabel element."
            }
          ]
        },
        {
          "code": "ActivityDefinition.approvalDate",
          "display": "approvalDate",
          "target": [
            {
              "code": "ActivityDefinition.approvalDate",
              "display": "ActivityDefinition.approvalDate",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.approvalDate` is mapped to FHIR R4 element `ActivityDefinition.approvalDate` as `Equivalent`.\nThe 'date' element may be more recent than the approval date because of minor changes or editorial corrections.\n\nSee guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization)."
            }
          ]
        },
        {
          "code": "ActivityDefinition.lastReviewDate",
          "display": "lastReviewDate",
          "target": [
            {
              "code": "ActivityDefinition.lastReviewDate",
              "display": "ActivityDefinition.lastReviewDate",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.lastReviewDate` is mapped to FHIR R4 element `ActivityDefinition.lastReviewDate` as `Equivalent`.\nIf specified, this date follows the original approval date.\n\nSee guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization)."
            }
          ]
        },
        {
          "code": "ActivityDefinition.effectivePeriod",
          "display": "effectivePeriod",
          "target": [
            {
              "code": "ActivityDefinition.effectivePeriod",
              "display": "ActivityDefinition.effectivePeriod",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.effectivePeriod` is mapped to FHIR R4 element `ActivityDefinition.effectivePeriod` as `Equivalent`.\nThe effective period for an activity definition  determines when the content is applicable for usage and is independent of publication and review dates. For example, a activity intended to be used for the year 2016 might be published in 2015.\n\nSee guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization)."
            }
          ]
        },
        {
          "code": "ActivityDefinition.topic",
          "display": "topic",
          "target": [
            {
              "code": "ActivityDefinition.topic",
              "display": "ActivityDefinition.topic",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.topic` is mapped to FHIR R4 element `ActivityDefinition.topic` as `Equivalent`.\nElement `ActivityDefinition.topic` has been flagged as deprecated.\nDEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'topic' code in the useContext element.  (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#topic and useContext.valueCodeableConcept indicating the topic)"
            }
          ]
        },
        {
          "code": "ActivityDefinition.author",
          "display": "author",
          "target": [
            {
              "code": "ActivityDefinition.author",
              "display": "ActivityDefinition.author",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.author` is mapped to FHIR R4 element `ActivityDefinition.author` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ActivityDefinition.editor",
          "display": "editor",
          "target": [
            {
              "code": "ActivityDefinition.editor",
              "display": "ActivityDefinition.editor",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.editor` is mapped to FHIR R4 element `ActivityDefinition.editor` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ActivityDefinition.reviewer",
          "display": "reviewer",
          "target": [
            {
              "code": "ActivityDefinition.reviewer",
              "display": "ActivityDefinition.reviewer",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.reviewer` is mapped to FHIR R4 element `ActivityDefinition.reviewer` as `Equivalent`.\nSee guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization)."
            }
          ]
        },
        {
          "code": "ActivityDefinition.endorser",
          "display": "endorser",
          "target": [
            {
              "code": "ActivityDefinition.endorser",
              "display": "ActivityDefinition.endorser",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.endorser` is mapped to FHIR R4 element `ActivityDefinition.endorser` as `Equivalent`.\nSee guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization)."
            }
          ]
        },
        {
          "code": "ActivityDefinition.relatedArtifact",
          "display": "relatedArtifact",
          "target": [
            {
              "code": "ActivityDefinition.relatedArtifact",
              "display": "ActivityDefinition.relatedArtifact",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.relatedArtifact` is mapped to FHIR R4 element `ActivityDefinition.relatedArtifact` as `Equivalent`.\nEach related artifact is either an attachment, or a reference to another resource, but not both."
            }
          ]
        },
        {
          "code": "ActivityDefinition.library",
          "display": "library",
          "target": [
            {
              "code": "ActivityDefinition.library",
              "display": "ActivityDefinition.library",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.library` is mapped to FHIR R4 element `ActivityDefinition.library` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ActivityDefinition.kind",
          "display": "kind",
          "target": [
            {
              "code": "ActivityDefinition.kind",
              "display": "ActivityDefinition.kind",
              "equivalence": "wider",
              "comment": "Element `ActivityDefinition.kind` is mapped to FHIR R4 element `ActivityDefinition.kind` as `SourceIsBroaderThanTarget`.\nThe kind element may only specify Request resource types to facilitate considering user input as part of processing the result of any automated clinical reasoning processes. To support creation of event resources, such as Observations, RiskAssessments, and DetectedIssues, use a Task resource with the focus of the task set to the event resource to be created. Note that the kind of resource to be created may determine what types of extensions are permitted."
            }
          ]
        },
        {
          "code": "ActivityDefinition.profile",
          "display": "profile",
          "target": [
            {
              "code": "ActivityDefinition.profile",
              "display": "ActivityDefinition.profile",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.profile` is mapped to FHIR R4 element `ActivityDefinition.profile` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ActivityDefinition.code",
          "display": "code",
          "target": [
            {
              "code": "ActivityDefinition.code",
              "display": "ActivityDefinition.code",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.code` is mapped to FHIR R4 element `ActivityDefinition.code` as `Equivalent`.\nTends to be less relevant for activities involving particular products."
            }
          ]
        },
        {
          "code": "ActivityDefinition.intent",
          "display": "intent",
          "target": [
            {
              "code": "ActivityDefinition.intent",
              "display": "ActivityDefinition.intent",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.intent` is mapped to FHIR R4 element `ActivityDefinition.intent` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ActivityDefinition.priority",
          "display": "priority",
          "target": [
            {
              "code": "ActivityDefinition.priority",
              "display": "ActivityDefinition.priority",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.priority` is mapped to FHIR R4 element `ActivityDefinition.priority` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ActivityDefinition.doNotPerform",
          "display": "doNotPerform",
          "target": [
            {
              "code": "ActivityDefinition.doNotPerform",
              "display": "ActivityDefinition.doNotPerform",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.doNotPerform` is mapped to FHIR R4 element `ActivityDefinition.doNotPerform` as `Equivalent`.\nThis element is not intended to be used to communicate a decision support response to cancel an order in progress. That should be done with the \"remove\" type of a PlanDefinition or RequestOrchestration."
            }
          ]
        },
        {
          "code": "ActivityDefinition.timing[x]",
          "display": "timing[x]",
          "target": [
            {
              "code": "ActivityDefinition.timing[x]",
              "display": "ActivityDefinition.timing[x]",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.timing[x]` is mapped to FHIR R4 element `ActivityDefinition.timing[x]` as `Equivalent`.\nThe target context `ActivityDefinition.timing[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ActivityDefinition`.\nThe intent of the timing element is to provide timing when the action should be performed. As a definitional resource, this timing is interpreted as part of an apply operation so that the timing of the result actions in a CarePlan or RequestOrchestration, for example, would be specified by evaluating the timing definition in the context of the apply and setting the resulting timing on the appropriate elements of the target resource. If the timing is an Age, the activity is expected to be performed when the subject is the given Age. When the timing is a Duration, the activity is expected to be performed within the specified duration from the apply. When the timing is a Range, it may be a range of Ages or Durations, providing a range for the expected timing of the resulting activity. When the timing is a Timing, it is establishing a schedule for the timing of the resulting activity."
            }
          ]
        },
        {
          "code": "ActivityDefinition.location",
          "display": "location",
          "target": [
            {
              "code": "ActivityDefinition.location",
              "display": "ActivityDefinition.location",
              "equivalence": "wider",
              "comment": "Element `ActivityDefinition.location` is mapped to FHIR R4 element `ActivityDefinition.location` as `SourceIsBroaderThanTarget`.\nThe mappings for `ActivityDefinition.location` do not cover the following types: CodeableReference.\nThe mappings for `ActivityDefinition.location` do not cover the following types based on type expansion: concept.\nMay reference a specific clinical location or may just identify a type of location."
            }
          ]
        },
        {
          "code": "ActivityDefinition.participant",
          "display": "participant",
          "target": [
            {
              "code": "ActivityDefinition.participant",
              "display": "ActivityDefinition.participant",
              "equivalence": "wider",
              "comment": "Element `ActivityDefinition.participant` is mapped to FHIR R4 element `ActivityDefinition.participant` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ActivityDefinition.participant.type",
          "display": "type",
          "target": [
            {
              "code": "ActivityDefinition.participant.type",
              "display": "ActivityDefinition.participant.type",
              "equivalence": "wider",
              "comment": "Element `ActivityDefinition.participant.type` is mapped to FHIR R4 element `ActivityDefinition.participant.type` as `SourceIsBroaderThanTarget`."
            }
          ]
        },
        {
          "code": "ActivityDefinition.participant.role",
          "display": "role",
          "target": [
            {
              "code": "ActivityDefinition.participant.role",
              "display": "ActivityDefinition.participant.role",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.participant.role` is mapped to FHIR R4 element `ActivityDefinition.participant.role` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ActivityDefinition.product[x]",
          "display": "product[x]",
          "target": [
            {
              "code": "ActivityDefinition.product[x]",
              "display": "ActivityDefinition.product[x]",
              "equivalence": "wider",
              "comment": "Element `ActivityDefinition.product[x]` is mapped to FHIR R4 element `ActivityDefinition.product[x]` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `ActivityDefinition.product[x]` with unmapped reference targets: Ingredient, SubstanceDefinition.\nSource element `ActivityDefinition.product[x]` has unmapped reference types. While the target element `ActivityDefinition.product[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it."
            }
          ]
        },
        {
          "code": "ActivityDefinition.quantity",
          "display": "quantity",
          "target": [
            {
              "code": "ActivityDefinition.quantity",
              "display": "ActivityDefinition.quantity",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.quantity` is mapped to FHIR R4 element `ActivityDefinition.quantity` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ActivityDefinition.dosage",
          "display": "dosage",
          "target": [
            {
              "code": "ActivityDefinition.dosage",
              "display": "ActivityDefinition.dosage",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.dosage` is mapped to FHIR R4 element `ActivityDefinition.dosage` as `Equivalent`.\nIf a dosage instruction is used, the definition should not specify timing or quantity."
            }
          ]
        },
        {
          "code": "ActivityDefinition.bodySite",
          "display": "bodySite",
          "target": [
            {
              "code": "ActivityDefinition.bodySite",
              "display": "ActivityDefinition.bodySite",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.bodySite` is mapped to FHIR R4 element `ActivityDefinition.bodySite` as `Equivalent`.\nOnly used if not implicit in the code found in ServiceRequest.type."
            }
          ]
        },
        {
          "code": "ActivityDefinition.specimenRequirement",
          "display": "specimenRequirement",
          "target": [
            {
              "code": "ActivityDefinition.specimenRequirement",
              "display": "ActivityDefinition.specimenRequirement",
              "equivalence": "wider",
              "comment": "Element `ActivityDefinition.specimenRequirement` is mapped to FHIR R4 element `ActivityDefinition.specimenRequirement` as `SourceIsBroaderThanTarget`.\nThe mappings for `ActivityDefinition.specimenRequirement` do not cover the following types: canonical.\nThe mappings for `ActivityDefinition.specimenRequirement` do not cover the following types based on type expansion: value."
            }
          ]
        },
        {
          "code": "ActivityDefinition.observationRequirement",
          "display": "observationRequirement",
          "target": [
            {
              "code": "ActivityDefinition.observationRequirement",
              "display": "ActivityDefinition.observationRequirement",
              "equivalence": "wider",
              "comment": "Element `ActivityDefinition.observationRequirement` is mapped to FHIR R4 element `ActivityDefinition.observationRequirement` as `SourceIsBroaderThanTarget`.\nThe mappings for `ActivityDefinition.observationRequirement` do not cover the following types: canonical.\nThe mappings for `ActivityDefinition.observationRequirement` do not cover the following types based on type expansion: value."
            }
          ]
        },
        {
          "code": "ActivityDefinition.observationResultRequirement",
          "display": "observationResultRequirement",
          "target": [
            {
              "code": "ActivityDefinition.observationResultRequirement",
              "display": "ActivityDefinition.observationResultRequirement",
              "equivalence": "wider",
              "comment": "Element `ActivityDefinition.observationResultRequirement` is mapped to FHIR R4 element `ActivityDefinition.observationResultRequirement` as `SourceIsBroaderThanTarget`.\nThe mappings for `ActivityDefinition.observationResultRequirement` do not cover the following types: canonical.\nThe mappings for `ActivityDefinition.observationResultRequirement` do not cover the following types based on type expansion: value."
            }
          ]
        },
        {
          "code": "ActivityDefinition.transform",
          "display": "transform",
          "target": [
            {
              "code": "ActivityDefinition.transform",
              "display": "ActivityDefinition.transform",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.transform` is mapped to FHIR R4 element `ActivityDefinition.transform` as `Equivalent`.\nNote that if both a transform and dynamic values are specified, the dynamic values will be applied to the result of the transform."
            }
          ]
        },
        {
          "code": "ActivityDefinition.dynamicValue",
          "display": "dynamicValue",
          "target": [
            {
              "code": "ActivityDefinition.dynamicValue",
              "display": "ActivityDefinition.dynamicValue",
              "equivalence": "wider",
              "comment": "Element `ActivityDefinition.dynamicValue` is mapped to FHIR R4 element `ActivityDefinition.dynamicValue` as `Equivalent`.\nDynamic values are applied in the order in which they are defined in the ActivityDefinition. Note that if both a transform and dynamic values are specified, the dynamic values will be applied to the result of the transform."
            }
          ]
        },
        {
          "code": "ActivityDefinition.dynamicValue.path",
          "display": "path",
          "target": [
            {
              "code": "ActivityDefinition.dynamicValue.path",
              "display": "ActivityDefinition.dynamicValue.path",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.dynamicValue.path` is mapped to FHIR R4 element `ActivityDefinition.dynamicValue.path` as `Equivalent`.\nThe path attribute contains a [Simple FHIRPath Subset](https://hl7.org/fhir/fhirpat.html#simple) that allows path traversal, but not calculation."
            }
          ]
        },
        {
          "code": "ActivityDefinition.dynamicValue.expression",
          "display": "expression",
          "target": [
            {
              "code": "ActivityDefinition.dynamicValue.expression",
              "display": "ActivityDefinition.dynamicValue.expression",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.dynamicValue.expression` is mapped to FHIR R4 element `ActivityDefinition.dynamicValue.expression` as `Equivalent`.\nThe expression may be inlined, or may be a reference to a named expression within a logic library referenced by the library element."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ActivityDefinition.subject",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ActivityDefinition.subject[x]",
          "display": "subject[x]",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ActivityDefinition.subject[x]` is mapped to FHIR R4 element `ActivityDefinition.subject[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `ActivityDefinition.subject[x]` do not cover the following types: canonical.\nThe target context `ActivityDefinition.subject[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ActivityDefinition`.\nThe standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R5 element `ActivityDefinition.subject[x]` with unmapped reference targets: AdministrableProductDefinition, ManufacturedItemDefinition, MedicinalProductDefinition, PackagedProductDefinition, SubstanceDefinition.\nSource element `ActivityDefinition.subject[x]` has unmapped reference types. While the target element `ActivityDefinition.subject[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.\nNote that the choice of canonical for the subject element was introduced in R4B to support pharmaceutical quality use cases. To ensure as much backwards-compatibility as possible, it is recommended to only use the new canonical type with these use cases."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/StructureDefinition/alternate-reference",
      "targetVersion": "5.2.0",
      "element": [
        {
          "code": "ActivityDefinition.subject[x]",
          "display": "subject[x]",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ActivityDefinition.subject[x]` is mapped to FHIR R4 element `ActivityDefinition.subject[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `ActivityDefinition.subject[x]` do not cover the following types: canonical.\nThe target context `ActivityDefinition.subject[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ActivityDefinition`.\nThe standard extension `alternate-reference` has been mapped as PART of the representation of FHIR R5 element `ActivityDefinition.subject[x]` with unmapped reference targets: AdministrableProductDefinition, ManufacturedItemDefinition, MedicinalProductDefinition, PackagedProductDefinition, SubstanceDefinition.\nSource element `ActivityDefinition.subject[x]` has unmapped reference types. While the target element `ActivityDefinition.subject[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.\nNote that the choice of canonical for the subject element was introduced in R4B to support pharmaceutical quality use cases. To ensure as much backwards-compatibility as possible, it is recommended to only use the new canonical type with these use cases."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ActivityDefinition.kind",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ActivityDefinition.kind",
          "display": "kind",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.kind` is mapped to FHIR R4 element `ActivityDefinition.kind` as `SourceIsBroaderThanTarget`.\nThe kind element may only specify Request resource types to facilitate considering user input as part of processing the result of any automated clinical reasoning processes. To support creation of event resources, such as Observations, RiskAssessments, and DetectedIssues, use a Task resource with the focus of the task set to the event resource to be created. Note that the kind of resource to be created may determine what types of extensions are permitted."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ActivityDefinition.asNeeded",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ActivityDefinition.asNeeded[x]",
          "display": "asNeeded[x]",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ActivityDefinition.asNeeded[x]` has a context of ActivityDefinition based on following the parent source element upwards and mapping to `ActivityDefinition`.\nElement `ActivityDefinition.asNeeded[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ActivityDefinition.location",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ActivityDefinition.location",
          "display": "location",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.location` is mapped to FHIR R4 element `ActivityDefinition.location` as `SourceIsBroaderThanTarget`.\nThe mappings for `ActivityDefinition.location` do not cover the following types: CodeableReference.\nThe mappings for `ActivityDefinition.location` do not cover the following types based on type expansion: concept.\nMay reference a specific clinical location or may just identify a type of location."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ActivityDefinition.participant.type",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ActivityDefinition.participant.type",
          "display": "type",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.participant.type` is mapped to FHIR R4 element `ActivityDefinition.participant.type` as `SourceIsBroaderThanTarget`."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ActivityDefinition.participant.typeCanonical",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ActivityDefinition.participant.typeCanonical",
          "display": "typeCanonical",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ActivityDefinition.participant.typeCanonical` has a context of ActivityDefinition.participant based on following the parent source element upwards and mapping to `ActivityDefinition`.\nElement `ActivityDefinition.participant.typeCanonical` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ActivityDefinition.participant.typeReference",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ActivityDefinition.participant.typeReference",
          "display": "typeReference",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ActivityDefinition.participant.typeReference` has a context of ActivityDefinition.participant based on following the parent source element upwards and mapping to `ActivityDefinition`.\nElement `ActivityDefinition.participant.typeReference` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nWhen this element is a reference, it SHOULD be a reference to a definitional resource (for example, a location type, rather than a specific location)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ActivityDefinition.participant.function",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ActivityDefinition.participant.function",
          "display": "function",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ActivityDefinition.participant.function` has a context of ActivityDefinition.participant based on following the parent source element upwards and mapping to `ActivityDefinition`.\nElement `ActivityDefinition.participant.function` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ActivityDefinition.specimenRequirement",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ActivityDefinition.specimenRequirement",
          "display": "specimenRequirement",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.specimenRequirement` is mapped to FHIR R4 element `ActivityDefinition.specimenRequirement` as `SourceIsBroaderThanTarget`.\nThe mappings for `ActivityDefinition.specimenRequirement` do not cover the following types: canonical.\nThe mappings for `ActivityDefinition.specimenRequirement` do not cover the following types based on type expansion: value."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ActivityDefinition.observationRequirement",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ActivityDefinition.observationRequirement",
          "display": "observationRequirement",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.observationRequirement` is mapped to FHIR R4 element `ActivityDefinition.observationRequirement` as `SourceIsBroaderThanTarget`.\nThe mappings for `ActivityDefinition.observationRequirement` do not cover the following types: canonical.\nThe mappings for `ActivityDefinition.observationRequirement` do not cover the following types based on type expansion: value."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ActivityDefinition.observationResultRequirement",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ActivityDefinition.observationResultRequirement",
          "display": "observationResultRequirement",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `ActivityDefinition.observationResultRequirement` is mapped to FHIR R4 element `ActivityDefinition.observationResultRequirement` as `SourceIsBroaderThanTarget`.\nThe mappings for `ActivityDefinition.observationResultRequirement` do not cover the following types: canonical.\nThe mappings for `ActivityDefinition.observationResultRequirement` do not cover the following types based on type expansion: value."
            }
          ]
        }
      ]
    }
  ]
}