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Packagehl7.fhir.uv.xver-r5.r4
Resource TypeConceptMap
IdConceptMap-R5-ClinicalUseDefinition-element-map-to-R4.json
FHIR VersionR4
Sourcehttp://hl7.org/fhir/uv/xver-r5.r4/0.1.0/ConceptMap-R5-ClinicalUseDefinition-element-map-to-R4.html
URLhttp://hl7.org/fhir/uv/xver/ConceptMap/R5-ClinicalUseDefinition-element-map-to-R4
Version0.1.0
Statusactive
Date2026-03-17T16:04:44.485545-05:00
NameR5ClinicalUseDefinitionElementMapToR4
TitleCross-version mapping for FHIR R5 ClinicalUseDefinition to FHIR R4 Basic
Realmuv
Authorityhl7
DescriptionThis ConceptMap represents cross-version mappings for elements from a FHIR R5 ClinicalUseDefinition to FHIR R4.

Resources that use this resource

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Resources that this resource uses

StructureDefinition
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ClinicalUseDefinition.categoryR5: A categorisation of the issue, primarily for dividing warnings into subject heading areas such as "Pregnancy", "Overdose" (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ClinicalUseDefinition.contraindicationR5: Specifics for when this is a contraindication (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ClinicalUseDefinition.contraindication.otherTherapyR5: Information about use of the product in relation to other therapies described as part of the contraindication (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ClinicalUseDefinition.indicationR5: Specifics for when this is an indication (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ClinicalUseDefinition.interactionR5: Specifics for when this is an interaction (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ClinicalUseDefinition.libraryR5: Logic used by the clinical use definition (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ClinicalUseDefinition.populationR5: The population group to which this applies (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ClinicalUseDefinition.typeR5: indication | contraindication | interaction | undesirable-effect | warning (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ClinicalUseDefinition.undesirableEffectR5: A possible negative outcome from the use of this treatment (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ClinicalUseDefinition.warningR5: Critical environmental, health or physical risks or hazards. For example 'Do not operate heavy machinery', 'May cause drowsiness' (new)

Narrative

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

Generated Narrative: ConceptMap R5-ClinicalUseDefinition-element-map-to-R4

Mapping from http://hl7.org/fhir/5.0 to http://hl7.org/fhir/4.0


Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition|5.0.0 to Basicversion: 4.0.1)

Source CodeRelationshipTarget CodeComment
ClinicalUseDefinition.meta (meta)is equivalent toBasic.metaElement matches Basic element path `Basic.meta` (`Resource.meta`), use that element instead. Element `ClinicalUseDefinition.meta` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.meta` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.implicitRules (implicitRules)is equivalent toBasic.implicitRulesElement matches Basic element path `Basic.implicitRules` (`Resource.implicitRules`), use that element instead. Element `ClinicalUseDefinition.implicitRules` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.implicitRules` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). 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 its narrative along with other profiles, value sets, etc.
ClinicalUseDefinition.language (language)is equivalent toBasic.languageElement matches Basic element path `Basic.language` (`Resource.language`), use that element instead. Element `ClinicalUseDefinition.language` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.language` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). 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).
ClinicalUseDefinition.text (text)is equivalent toBasic.textElement matches Basic element path `Basic.text` (`DomainResource.text`), use that element instead. Element `ClinicalUseDefinition.text` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.text` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Contained 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.
ClinicalUseDefinition.contained (contained)is equivalent toBasic.containedElement matches Basic element path `Basic.contained` (`DomainResource.contained`), use that element instead. Element `ClinicalUseDefinition.contained` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contained` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). 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.
ClinicalUseDefinition.identifier (identifier)is equivalent toBasic.identifierElement matches Basic element path `Basic.identifier` (`Basic.identifier`), use that element instead. Element `ClinicalUseDefinition.identifier` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.identifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). An externally-defined extension that has been mapped as the representation of FHIR R5 element `ClinicalUseDefinition.identifier`: `http://hl7.org/fhir/StructureDefinition/artifact-identifier`.
ClinicalUseDefinition.subject (subject)is equivalent toBasic.subjectElement matches Basic element path `Basic.subject` (`Basic.subject`), use that element instead. Element `ClinicalUseDefinition.subject` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.subject` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition|5.0.0 to R5: indication | contraindication | interaction | undesirable-effect | warning (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ClinicalUseDefinition.type (type)maps to wider conceptExtension (R5: indication | contraindication | interaction | undesirable-effect | warning (new))Element `ClinicalUseDefinition.type` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition|5.0.0 to R5: A categorisation of the issue, primarily for dividing warnings into subject heading areas such as "Pregnancy", "Overdose" (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ClinicalUseDefinition.category (category)maps to wider conceptExtension (R5: A categorisation of the issue, primarily for dividing warnings into subject heading areas such as "Pregnancy", "Overdose" (new))Element `ClinicalUseDefinition.category` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.category` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition|5.0.0 to R5: Specifics for when this is a contraindication (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ClinicalUseDefinition.contraindication (contraindication)maps to wider conceptExtension (R5: Specifics for when this is a contraindication (new))Element `ClinicalUseDefinition.contraindication` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.contraindication.diseaseSymptomProcedure (diseaseSymptomProcedure)maps to wider conceptExtension.extension:diseaseSymptomProcedure (R5: The situation that is being documented as contraindicating against this item (new))Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.contraindication.diseaseStatus (diseaseStatus)maps to wider conceptExtension.extension:diseaseStatus (R5: The status of the disease or symptom for the contraindication (new))Element `ClinicalUseDefinition.contraindication.diseaseStatus` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.diseaseStatus` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.diseaseStatus` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.contraindication.comorbidity (comorbidity)maps to wider conceptExtension.extension:comorbidity (R5: A comorbidity (concurrent condition) or coinfection (new))Element `ClinicalUseDefinition.contraindication.comorbidity` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.comorbidity` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.comorbidity` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.contraindication.indication (indication)maps to wider conceptExtension.extension:indication (R5: The indication which this is a contraidication for (new))Element `ClinicalUseDefinition.contraindication.indication` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.indication` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.indication` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.contraindication.applicability (applicability)maps to wider conceptExtension.extension:applicability (R5: An expression that returns true or false, indicating whether the indication is applicable or not, after having applied its other elements (new))Element `ClinicalUseDefinition.contraindication.applicability` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.applicability` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.applicability` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). The expression may be inlined or may be a reference to a named expression within a logic library referenced by the library element.
ClinicalUseDefinition.contraindication.otherTherapy (otherTherapy)maps to wider conceptExtension.extension:otherTherapy (R5: Information about use of the product in relation to other therapies described as part of the contraindication (new))Element `ClinicalUseDefinition.contraindication.otherTherapy` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.otherTherapy` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.otherTherapy` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.contraindication.otherTherapy.relationshipType (relationshipType)maps to wider conceptExtension.extension:otherTherapy.extension:relationshipType (R5: The type of relationship between the product indication/contraindication and another therapy (new))Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication.otherTherapy` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.contraindication.otherTherapy.treatment (treatment)maps to wider conceptExtension.extension:otherTherapy.extension:treatment (R5: Reference to a specific medication, substance etc. as part of an indication or contraindication (new))Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication.otherTherapy` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition|5.0.0 to R5: Information about use of the product in relation to other therapies described as part of the contraindication (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ClinicalUseDefinition.contraindication.otherTherapy (otherTherapy)maps to wider conceptExtension (R5: Information about use of the product in relation to other therapies described as part of the contraindication (new))Element `ClinicalUseDefinition.contraindication.otherTherapy` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.otherTherapy` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.otherTherapy` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.contraindication.otherTherapy.relationshipType (relationshipType)maps to wider conceptExtension.extension:relationshipType (R5: The type of relationship between the product indication/contraindication and another therapy (new))Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication.otherTherapy` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.contraindication.otherTherapy.treatment (treatment)maps to wider conceptExtension.extension:treatment (R5: Reference to a specific medication, substance etc. as part of an indication or contraindication (new))Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication.otherTherapy` requires a cross-version extension. Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.indication.otherTherapy (otherTherapy)maps to wider conceptExtension.extension:otherTherapyElement `ClinicalUseDefinition.indication.otherTherapy` is part of an existing definition because parent element `ClinicalUseDefinition.indication` requires a cross-version extension. Element `ClinicalUseDefinition.indication.otherTherapy` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.indication.otherTherapy` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition|5.0.0 to R5: Specifics for when this is an indication (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ClinicalUseDefinition.indication (indication)maps to wider conceptExtension (R5: Specifics for when this is an indication (new))Element `ClinicalUseDefinition.indication` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.indication` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.indication.diseaseSymptomProcedure (diseaseSymptomProcedure)maps to wider conceptExtension.extension:diseaseSymptomProcedure (R5: The situation that is being documented as an indicaton for this item (new))Element `ClinicalUseDefinition.indication.diseaseSymptomProcedure` is part of an existing definition because parent element `ClinicalUseDefinition.indication` requires a cross-version extension. Element `ClinicalUseDefinition.indication.diseaseSymptomProcedure` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.indication.diseaseSymptomProcedure` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.indication.diseaseStatus (diseaseStatus)maps to wider conceptExtension.extension:diseaseStatus (R5: The status of the disease or symptom for the indication (new))Element `ClinicalUseDefinition.indication.diseaseStatus` is part of an existing definition because parent element `ClinicalUseDefinition.indication` requires a cross-version extension. Element `ClinicalUseDefinition.indication.diseaseStatus` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.indication.diseaseStatus` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.indication.comorbidity (comorbidity)maps to wider conceptExtension.extension:comorbidity (R5: A comorbidity or coinfection as part of the indication (new))Element `ClinicalUseDefinition.indication.comorbidity` is part of an existing definition because parent element `ClinicalUseDefinition.indication` requires a cross-version extension. Element `ClinicalUseDefinition.indication.comorbidity` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.indication.comorbidity` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.indication.intendedEffect (intendedEffect)maps to wider conceptExtension.extension:intendedEffect (R5: The intended effect, aim or strategy to be achieved (new))Element `ClinicalUseDefinition.indication.intendedEffect` is part of an existing definition because parent element `ClinicalUseDefinition.indication` requires a cross-version extension. Element `ClinicalUseDefinition.indication.intendedEffect` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.indication.intendedEffect` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.indication.duration[x] (duration[x])maps to wider conceptExtension.extension:duration (R5: Timing or duration information (new))Element `ClinicalUseDefinition.indication.duration[x]` is part of an existing definition because parent element `ClinicalUseDefinition.indication` requires a cross-version extension. Element `ClinicalUseDefinition.indication.duration[x]` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.indication.duration[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.indication.undesirableEffect (undesirableEffect)maps to wider conceptExtension.extension:undesirableEffect (R5: An unwanted side effect or negative outcome of the subject of this resource when being used for this indication (new))Element `ClinicalUseDefinition.indication.undesirableEffect` is part of an existing definition because parent element `ClinicalUseDefinition.indication` requires a cross-version extension. Element `ClinicalUseDefinition.indication.undesirableEffect` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.indication.undesirableEffect` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.indication.applicability (applicability)maps to wider conceptExtension.extension:applicability (R5: An expression that returns true or false, indicating whether the indication is applicable or not, after having applied its other elements (new))Element `ClinicalUseDefinition.indication.applicability` is part of an existing definition because parent element `ClinicalUseDefinition.indication` requires a cross-version extension. Element `ClinicalUseDefinition.indication.applicability` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.indication.applicability` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). The expression may be inlined or may be a reference to a named expression within a logic library referenced by the library element.
ClinicalUseDefinition.indication.otherTherapy (otherTherapy)maps to wider conceptExtension.extension:otherTherapy (R5: The use of the medicinal product in relation to other therapies described as part of the indication (new))Element `ClinicalUseDefinition.indication.otherTherapy` is part of an existing definition because parent element `ClinicalUseDefinition.indication` requires a cross-version extension. Element `ClinicalUseDefinition.indication.otherTherapy` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.indication.otherTherapy` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition|5.0.0 to R5: Specifics for when this is an interaction (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ClinicalUseDefinition.interaction (interaction)maps to wider conceptExtension (R5: Specifics for when this is an interaction (new))Element `ClinicalUseDefinition.interaction` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.interaction` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.interaction.interactant (interactant)maps to wider conceptExtension.extension:interactant (R5: The specific medication, product, food etc. or laboratory test that interacts (new))Element `ClinicalUseDefinition.interaction.interactant` is part of an existing definition because parent element `ClinicalUseDefinition.interaction` requires a cross-version extension. Element `ClinicalUseDefinition.interaction.interactant` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.interaction.interactant` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.interaction.interactant.item[x] (item[x])maps to wider conceptExtension.extension:interactant.extension:item (R5: The specific medication, product, food etc. or laboratory test that interacts (new))Element `ClinicalUseDefinition.interaction.interactant.item[x]` is part of an existing definition because parent element `ClinicalUseDefinition.interaction.interactant` requires a cross-version extension. Element `ClinicalUseDefinition.interaction.interactant.item[x]` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.interaction.interactant.item[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.interaction.type (type)maps to wider conceptExtension.extension:type (R5: The type of the interaction e.g. drug-drug interaction, drug-lab test interaction (new))Element `ClinicalUseDefinition.interaction.type` is part of an existing definition because parent element `ClinicalUseDefinition.interaction` requires a cross-version extension. Element `ClinicalUseDefinition.interaction.type` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.interaction.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.interaction.effect (effect)maps to wider conceptExtension.extension:effect (R5: The effect of the interaction, for example "reduced gastric absorption of primary medication" (new))Element `ClinicalUseDefinition.interaction.effect` is part of an existing definition because parent element `ClinicalUseDefinition.interaction` requires a cross-version extension. Element `ClinicalUseDefinition.interaction.effect` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.interaction.effect` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.interaction.incidence (incidence)maps to wider conceptExtension.extension:incidence (R5: The incidence of the interaction, e.g. theoretical, observed (new))Element `ClinicalUseDefinition.interaction.incidence` is part of an existing definition because parent element `ClinicalUseDefinition.interaction` requires a cross-version extension. Element `ClinicalUseDefinition.interaction.incidence` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.interaction.incidence` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.interaction.management (management)maps to wider conceptExtension.extension:management (R5: Actions for managing the interaction (new))Element `ClinicalUseDefinition.interaction.management` is part of an existing definition because parent element `ClinicalUseDefinition.interaction` requires a cross-version extension. Element `ClinicalUseDefinition.interaction.management` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.interaction.management` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Group 8 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition|5.0.0 to R5: The population group to which this applies (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ClinicalUseDefinition.population (population)maps to wider conceptExtension (R5: The population group to which this applies (new))Element `ClinicalUseDefinition.population` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.population` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Group 9 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition|5.0.0 to R5: Logic used by the clinical use definition (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ClinicalUseDefinition.library (library)maps to wider conceptExtension (R5: Logic used by the clinical use definition (new))Element `ClinicalUseDefinition.library` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.library` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Group 10 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition|5.0.0 to R5: A possible negative outcome from the use of this treatment (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ClinicalUseDefinition.undesirableEffect (undesirableEffect)maps to wider conceptExtension (R5: A possible negative outcome from the use of this treatment (new))Element `ClinicalUseDefinition.undesirableEffect` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.undesirableEffect` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.undesirableEffect.symptomConditionEffect (symptomConditionEffect)maps to wider conceptExtension.extension:symptomConditionEffect (R5: The situation in which the undesirable effect may manifest (new))Element `ClinicalUseDefinition.undesirableEffect.symptomConditionEffect` is part of an existing definition because parent element `ClinicalUseDefinition.undesirableEffect` requires a cross-version extension. Element `ClinicalUseDefinition.undesirableEffect.symptomConditionEffect` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.undesirableEffect.symptomConditionEffect` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.undesirableEffect.classification (classification)maps to wider conceptExtension.extension:classification (R5: High level classification of the effect (new))Element `ClinicalUseDefinition.undesirableEffect.classification` is part of an existing definition because parent element `ClinicalUseDefinition.undesirableEffect` requires a cross-version extension. Element `ClinicalUseDefinition.undesirableEffect.classification` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.undesirableEffect.classification` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.undesirableEffect.frequencyOfOccurrence (frequencyOfOccurrence)maps to wider conceptExtension.extension:frequencyOfOccurrence (R5: How often the effect is seen (new))Element `ClinicalUseDefinition.undesirableEffect.frequencyOfOccurrence` is part of an existing definition because parent element `ClinicalUseDefinition.undesirableEffect` requires a cross-version extension. Element `ClinicalUseDefinition.undesirableEffect.frequencyOfOccurrence` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.undesirableEffect.frequencyOfOccurrence` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Group 11 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalUseDefinition|5.0.0 to R5: Critical environmental, health or physical risks or hazards. For example 'Do not operate heavy machinery', 'May cause drowsiness' (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ClinicalUseDefinition.warning (warning)maps to wider conceptExtension (R5: Critical environmental, health or physical risks or hazards. For example 'Do not operate heavy machinery', 'May cause drowsiness' (new))Element `ClinicalUseDefinition.warning` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.warning` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.warning.description (description)maps to wider conceptExtension.extension:description (R5: A textual definition of this warning, with formatting (new))Element `ClinicalUseDefinition.warning.description` is part of an existing definition because parent element `ClinicalUseDefinition.warning` requires a cross-version extension. Element `ClinicalUseDefinition.warning.description` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.warning.description` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ClinicalUseDefinition.warning.code (code)maps to wider conceptExtension.extension:code (R5: A coded or unformatted textual definition of this warning (new))Element `ClinicalUseDefinition.warning.code` is part of an existing definition because parent element `ClinicalUseDefinition.warning` requires a cross-version extension. Element `ClinicalUseDefinition.warning.code` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped. Element `ClinicalUseDefinition.warning.code` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Source1

{
  "resourceType": "ConceptMap",
  "id": "R5-ClinicalUseDefinition-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-ClinicalUseDefinition-element-map-to-R4",
  "version": "0.1.0",
  "name": "R5ClinicalUseDefinitionElementMapToR4",
  "title": "Cross-version mapping for FHIR R5 ClinicalUseDefinition to FHIR R4 Basic",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:04:44.485545-05:00",
  "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 ClinicalUseDefinition 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/ClinicalUseDefinition",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/StructureDefinition/Basic",
      "targetVersion": "4.0.1",
      "element": [
        {
          "code": "ClinicalUseDefinition.meta",
          "display": "meta",
          "target": [
            {
              "code": "Basic.meta",
              "display": "Basic.meta",
              "equivalence": "equivalent",
              "comment": "Element matches Basic element path `Basic.meta` (`Resource.meta`), use that element instead.\nElement `ClinicalUseDefinition.meta` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.meta` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "code": "Basic.implicitRules",
              "display": "Basic.implicitRules",
              "equivalence": "equivalent",
              "comment": "Element matches Basic element path `Basic.implicitRules` (`Resource.implicitRules`), use that element instead.\nElement `ClinicalUseDefinition.implicitRules` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.implicitRules` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\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": "ClinicalUseDefinition.language",
          "display": "language",
          "target": [
            {
              "code": "Basic.language",
              "display": "Basic.language",
              "equivalence": "equivalent",
              "comment": "Element matches Basic element path `Basic.language` (`Resource.language`), use that element instead.\nElement `ClinicalUseDefinition.language` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.language` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\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": "ClinicalUseDefinition.text",
          "display": "text",
          "target": [
            {
              "code": "Basic.text",
              "display": "Basic.text",
              "equivalence": "equivalent",
              "comment": "Element matches Basic element path `Basic.text` (`DomainResource.text`), use that element instead.\nElement `ClinicalUseDefinition.text` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.text` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\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": "ClinicalUseDefinition.contained",
          "display": "contained",
          "target": [
            {
              "code": "Basic.contained",
              "display": "Basic.contained",
              "equivalence": "equivalent",
              "comment": "Element matches Basic element path `Basic.contained` (`DomainResource.contained`), use that element instead.\nElement `ClinicalUseDefinition.contained` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.contained` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\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": "ClinicalUseDefinition.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "Basic.identifier",
              "display": "Basic.identifier",
              "equivalence": "equivalent",
              "comment": "Element matches Basic element path `Basic.identifier` (`Basic.identifier`), use that element instead.\nElement `ClinicalUseDefinition.identifier` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.identifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ClinicalUseDefinition.identifier`: `http://hl7.org/fhir/StructureDefinition/artifact-identifier`."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.subject",
          "display": "subject",
          "target": [
            {
              "code": "Basic.subject",
              "display": "Basic.subject",
              "equivalence": "equivalent",
              "comment": "Element matches Basic element path `Basic.subject` (`Basic.subject`), use that element instead.\nElement `ClinicalUseDefinition.subject` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.subject` 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/ClinicalUseDefinition",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalUseDefinition.type",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ClinicalUseDefinition.type",
          "display": "type",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.type` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.type` 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/ClinicalUseDefinition",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalUseDefinition.category",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ClinicalUseDefinition.category",
          "display": "category",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.category` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.category` 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/ClinicalUseDefinition",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalUseDefinition.contraindication",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ClinicalUseDefinition.contraindication",
          "display": "contraindication",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.contraindication` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.contraindication` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.contraindication.diseaseSymptomProcedure",
          "display": "diseaseSymptomProcedure",
          "target": [
            {
              "code": "Extension.extension:diseaseSymptomProcedure",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension.\nElement `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.contraindication.diseaseSymptomProcedure` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.contraindication.diseaseStatus",
          "display": "diseaseStatus",
          "target": [
            {
              "code": "Extension.extension:diseaseStatus",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.contraindication.diseaseStatus` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension.\nElement `ClinicalUseDefinition.contraindication.diseaseStatus` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.contraindication.diseaseStatus` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.contraindication.comorbidity",
          "display": "comorbidity",
          "target": [
            {
              "code": "Extension.extension:comorbidity",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.contraindication.comorbidity` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension.\nElement `ClinicalUseDefinition.contraindication.comorbidity` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.contraindication.comorbidity` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.contraindication.indication",
          "display": "indication",
          "target": [
            {
              "code": "Extension.extension:indication",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.contraindication.indication` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension.\nElement `ClinicalUseDefinition.contraindication.indication` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.contraindication.indication` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.contraindication.applicability",
          "display": "applicability",
          "target": [
            {
              "code": "Extension.extension:applicability",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.contraindication.applicability` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension.\nElement `ClinicalUseDefinition.contraindication.applicability` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.contraindication.applicability` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThe expression may be inlined or may be a reference to a named expression within a logic library referenced by the library element."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.contraindication.otherTherapy",
          "display": "otherTherapy",
          "target": [
            {
              "code": "Extension.extension:otherTherapy",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.contraindication.otherTherapy` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension.\nElement `ClinicalUseDefinition.contraindication.otherTherapy` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.contraindication.otherTherapy` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.contraindication.otherTherapy.relationshipType",
          "display": "relationshipType",
          "target": [
            {
              "code": "Extension.extension:otherTherapy.extension:relationshipType",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication.otherTherapy` requires a cross-version extension.\nElement `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.contraindication.otherTherapy.treatment",
          "display": "treatment",
          "target": [
            {
              "code": "Extension.extension:otherTherapy.extension:treatment",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication.otherTherapy` requires a cross-version extension.\nElement `ClinicalUseDefinition.contraindication.otherTherapy.treatment` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.contraindication.otherTherapy.treatment` 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/ClinicalUseDefinition",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalUseDefinition.contraindication.otherTherapy",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ClinicalUseDefinition.contraindication.otherTherapy",
          "display": "otherTherapy",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.contraindication.otherTherapy` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication` requires a cross-version extension.\nElement `ClinicalUseDefinition.contraindication.otherTherapy` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.contraindication.otherTherapy` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.contraindication.otherTherapy.relationshipType",
          "display": "relationshipType",
          "target": [
            {
              "code": "Extension.extension:relationshipType",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication.otherTherapy` requires a cross-version extension.\nElement `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.contraindication.otherTherapy.relationshipType` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.contraindication.otherTherapy.treatment",
          "display": "treatment",
          "target": [
            {
              "code": "Extension.extension:treatment",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.contraindication.otherTherapy.treatment` is part of an existing definition because parent element `ClinicalUseDefinition.contraindication.otherTherapy` requires a cross-version extension.\nElement `ClinicalUseDefinition.contraindication.otherTherapy.treatment` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.contraindication.otherTherapy.treatment` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.indication.otherTherapy",
          "display": "otherTherapy",
          "target": [
            {
              "code": "Extension.extension:otherTherapy",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.indication.otherTherapy` is part of an existing definition because parent element `ClinicalUseDefinition.indication` requires a cross-version extension.\nElement `ClinicalUseDefinition.indication.otherTherapy` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.indication.otherTherapy` 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/ClinicalUseDefinition",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalUseDefinition.indication",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ClinicalUseDefinition.indication",
          "display": "indication",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.indication` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.indication` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.indication.diseaseSymptomProcedure",
          "display": "diseaseSymptomProcedure",
          "target": [
            {
              "code": "Extension.extension:diseaseSymptomProcedure",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.indication.diseaseSymptomProcedure` is part of an existing definition because parent element `ClinicalUseDefinition.indication` requires a cross-version extension.\nElement `ClinicalUseDefinition.indication.diseaseSymptomProcedure` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.indication.diseaseSymptomProcedure` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.indication.diseaseStatus",
          "display": "diseaseStatus",
          "target": [
            {
              "code": "Extension.extension:diseaseStatus",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.indication.diseaseStatus` is part of an existing definition because parent element `ClinicalUseDefinition.indication` requires a cross-version extension.\nElement `ClinicalUseDefinition.indication.diseaseStatus` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.indication.diseaseStatus` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.indication.comorbidity",
          "display": "comorbidity",
          "target": [
            {
              "code": "Extension.extension:comorbidity",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.indication.comorbidity` is part of an existing definition because parent element `ClinicalUseDefinition.indication` requires a cross-version extension.\nElement `ClinicalUseDefinition.indication.comorbidity` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.indication.comorbidity` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.indication.intendedEffect",
          "display": "intendedEffect",
          "target": [
            {
              "code": "Extension.extension:intendedEffect",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.indication.intendedEffect` is part of an existing definition because parent element `ClinicalUseDefinition.indication` requires a cross-version extension.\nElement `ClinicalUseDefinition.indication.intendedEffect` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.indication.intendedEffect` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.indication.duration[x]",
          "display": "duration[x]",
          "target": [
            {
              "code": "Extension.extension:duration",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.indication.duration[x]` is part of an existing definition because parent element `ClinicalUseDefinition.indication` requires a cross-version extension.\nElement `ClinicalUseDefinition.indication.duration[x]` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.indication.duration[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.indication.undesirableEffect",
          "display": "undesirableEffect",
          "target": [
            {
              "code": "Extension.extension:undesirableEffect",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.indication.undesirableEffect` is part of an existing definition because parent element `ClinicalUseDefinition.indication` requires a cross-version extension.\nElement `ClinicalUseDefinition.indication.undesirableEffect` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.indication.undesirableEffect` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.indication.applicability",
          "display": "applicability",
          "target": [
            {
              "code": "Extension.extension:applicability",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.indication.applicability` is part of an existing definition because parent element `ClinicalUseDefinition.indication` requires a cross-version extension.\nElement `ClinicalUseDefinition.indication.applicability` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.indication.applicability` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThe expression may be inlined or may be a reference to a named expression within a logic library referenced by the library element."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.indication.otherTherapy",
          "display": "otherTherapy",
          "target": [
            {
              "code": "Extension.extension:otherTherapy",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.indication.otherTherapy` is part of an existing definition because parent element `ClinicalUseDefinition.indication` requires a cross-version extension.\nElement `ClinicalUseDefinition.indication.otherTherapy` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.indication.otherTherapy` 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/ClinicalUseDefinition",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalUseDefinition.interaction",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ClinicalUseDefinition.interaction",
          "display": "interaction",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.interaction` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.interaction` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.interaction.interactant",
          "display": "interactant",
          "target": [
            {
              "code": "Extension.extension:interactant",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.interaction.interactant` is part of an existing definition because parent element `ClinicalUseDefinition.interaction` requires a cross-version extension.\nElement `ClinicalUseDefinition.interaction.interactant` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.interaction.interactant` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.interaction.interactant.item[x]",
          "display": "item[x]",
          "target": [
            {
              "code": "Extension.extension:interactant.extension:item",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.interaction.interactant.item[x]` is part of an existing definition because parent element `ClinicalUseDefinition.interaction.interactant` requires a cross-version extension.\nElement `ClinicalUseDefinition.interaction.interactant.item[x]` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.interaction.interactant.item[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.interaction.type",
          "display": "type",
          "target": [
            {
              "code": "Extension.extension:type",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.interaction.type` is part of an existing definition because parent element `ClinicalUseDefinition.interaction` requires a cross-version extension.\nElement `ClinicalUseDefinition.interaction.type` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.interaction.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.interaction.effect",
          "display": "effect",
          "target": [
            {
              "code": "Extension.extension:effect",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.interaction.effect` is part of an existing definition because parent element `ClinicalUseDefinition.interaction` requires a cross-version extension.\nElement `ClinicalUseDefinition.interaction.effect` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.interaction.effect` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.interaction.incidence",
          "display": "incidence",
          "target": [
            {
              "code": "Extension.extension:incidence",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.interaction.incidence` is part of an existing definition because parent element `ClinicalUseDefinition.interaction` requires a cross-version extension.\nElement `ClinicalUseDefinition.interaction.incidence` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.interaction.incidence` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.interaction.management",
          "display": "management",
          "target": [
            {
              "code": "Extension.extension:management",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.interaction.management` is part of an existing definition because parent element `ClinicalUseDefinition.interaction` requires a cross-version extension.\nElement `ClinicalUseDefinition.interaction.management` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.interaction.management` 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/ClinicalUseDefinition",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalUseDefinition.population",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ClinicalUseDefinition.population",
          "display": "population",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.population` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.population` 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/ClinicalUseDefinition",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalUseDefinition.library",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ClinicalUseDefinition.library",
          "display": "library",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.library` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.library` 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/ClinicalUseDefinition",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalUseDefinition.undesirableEffect",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ClinicalUseDefinition.undesirableEffect",
          "display": "undesirableEffect",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.undesirableEffect` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.undesirableEffect` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.undesirableEffect.symptomConditionEffect",
          "display": "symptomConditionEffect",
          "target": [
            {
              "code": "Extension.extension:symptomConditionEffect",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.undesirableEffect.symptomConditionEffect` is part of an existing definition because parent element `ClinicalUseDefinition.undesirableEffect` requires a cross-version extension.\nElement `ClinicalUseDefinition.undesirableEffect.symptomConditionEffect` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.undesirableEffect.symptomConditionEffect` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.undesirableEffect.classification",
          "display": "classification",
          "target": [
            {
              "code": "Extension.extension:classification",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.undesirableEffect.classification` is part of an existing definition because parent element `ClinicalUseDefinition.undesirableEffect` requires a cross-version extension.\nElement `ClinicalUseDefinition.undesirableEffect.classification` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.undesirableEffect.classification` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.undesirableEffect.frequencyOfOccurrence",
          "display": "frequencyOfOccurrence",
          "target": [
            {
              "code": "Extension.extension:frequencyOfOccurrence",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.undesirableEffect.frequencyOfOccurrence` is part of an existing definition because parent element `ClinicalUseDefinition.undesirableEffect` requires a cross-version extension.\nElement `ClinicalUseDefinition.undesirableEffect.frequencyOfOccurrence` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.undesirableEffect.frequencyOfOccurrence` 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/ClinicalUseDefinition",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClinicalUseDefinition.warning",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ClinicalUseDefinition.warning",
          "display": "warning",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.warning` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.warning` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.warning.description",
          "display": "description",
          "target": [
            {
              "code": "Extension.extension:description",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.warning.description` is part of an existing definition because parent element `ClinicalUseDefinition.warning` requires a cross-version extension.\nElement `ClinicalUseDefinition.warning.description` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.warning.description` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ClinicalUseDefinition.warning.code",
          "display": "code",
          "target": [
            {
              "code": "Extension.extension:code",
              "equivalence": "wider",
              "comment": "Element `ClinicalUseDefinition.warning.code` is part of an existing definition because parent element `ClinicalUseDefinition.warning` requires a cross-version extension.\nElement `ClinicalUseDefinition.warning.code` is not mapped to FHIR R4, since FHIR R5 `ClinicalUseDefinition` is not mapped.\nElement `ClinicalUseDefinition.warning.code` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    }
  ]
}