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Packagehl7.fhir.uv.xver-r5.r4b
Resource TypeConceptMap
IdConceptMap-R5-ResearchStudy-element-map-to-R4B.json
FHIR VersionR4B
Sourcehttp://hl7.org/fhir/uv/xver-r5.r4b/0.1.0/ConceptMap-R5-ResearchStudy-element-map-to-R4B.html
URLhttp://hl7.org/fhir/uv/xver/ConceptMap/R5-ResearchStudy-element-map-to-R4B
Version0.1.0
Statusactive
Date2026-03-17T16:03:58.4370869-05:00
NameR5ResearchStudyElementMapToR4B
TitleCross-version mapping for FHIR R5 ResearchStudy to FHIR R4B ResearchStudy
Realmuv
Authorityhl7
DescriptionThis ConceptMap represents cross-version mappings for elements from a FHIR R5 ResearchStudy to FHIR R4B.

Resources that use this resource

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Resources that this resource uses

StructureDefinition
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ResearchStudy.associatedPartyCross-version Extension for R5.ResearchStudy.associatedParty for use in FHIR R4
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ResearchStudy.classifierCross-version Extension for R5.ResearchStudy.classifier for use in FHIR R4
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ResearchStudy.comparisonGroup.intendedExposureR5: Interventions or exposures in this comparisonGroup or cohort (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ResearchStudy.comparisonGroup.linkIdR5: Allows the comparisonGroup for the study and the comparisonGroup for the subject to be linked easily (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ResearchStudy.comparisonGroup.observedGroupR5: Group of participants who were enrolled in study comparisonGroup (new)
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ResearchStudy.dateCross-version Extension for R5.ResearchStudy.date for use in FHIR R4
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ResearchStudy.descriptionSummaryCross-version Extension for R5.ResearchStudy.descriptionSummary for use in FHIR R4
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ResearchStudy.focusCross-version Extension for R5.ResearchStudy.focus for use in FHIR R4
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ResearchStudy.labelCross-version Extension for R5.ResearchStudy.label for use in FHIR R4
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ResearchStudy.nameCross-version Extension for R5.ResearchStudy.name for use in FHIR R4
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ResearchStudy.objective.descriptionCross-version Extension for R5.ResearchStudy.objective.description for use in FHIR R4
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ResearchStudy.outcomeMeasureCross-version Extension for R5.ResearchStudy.outcomeMeasure for use in FHIR R4
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ResearchStudy.progressStatusCross-version Extension for R5.ResearchStudy.progressStatus for use in FHIR R4
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ResearchStudy.recruitment.actualGroupR5: Group of participants who were enrolled in study (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ResearchStudy.recruitment.actualNumberR5: Actual total number of participants enrolled in study (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ResearchStudy.recruitment.targetNumberR5: Estimated total number of participants to be enrolled (new)
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ResearchStudy.resultCross-version Extension for R5.ResearchStudy.result for use in FHIR R4
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ResearchStudy.statusCross-version Extension for R5.ResearchStudy.status for use in FHIR R4
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ResearchStudy.studyDesignCross-version Extension for R5.ResearchStudy.studyDesign for use in FHIR R4
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ResearchStudy.urlCross-version Extension for R5.ResearchStudy.url for use in FHIR R4
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ResearchStudy.versionCross-version Extension for R5.ResearchStudy.version for use in FHIR R4

Narrative

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

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

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


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

Source CodeRelationshipTarget CodeComment
ResearchStudy.meta (meta)is equivalent toResearchStudy.metaElement `ResearchStudy.meta` is mapped to FHIR R4B element `ResearchStudy.meta` as `Equivalent`.
ResearchStudy.implicitRules (implicitRules)is equivalent toResearchStudy.implicitRulesElement `ResearchStudy.implicitRules` is mapped to FHIR R4B element `ResearchStudy.implicitRules` as `Equivalent`. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.
ResearchStudy.language (language)is equivalent toResearchStudy.languageElement `ResearchStudy.language` is mapped to FHIR R4B element `ResearchStudy.language` as `Equivalent`. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
ResearchStudy.text (text)is equivalent toResearchStudy.textElement `ResearchStudy.text` is mapped to FHIR R4B element `ResearchStudy.text` as `Equivalent`. 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.
ResearchStudy.contained (contained)is equivalent toResearchStudy.containedElement `ResearchStudy.contained` is mapped to FHIR R4B element `ResearchStudy.contained` as `Equivalent`. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.
ResearchStudy.identifier (identifier)is equivalent toResearchStudy.identifierElement `ResearchStudy.identifier` is mapped to FHIR R4B element `ResearchStudy.identifier` as `Equivalent`.
ResearchStudy.title (title)is equivalent toResearchStudy.titleElement `ResearchStudy.title` is mapped to FHIR R4B element `ResearchStudy.title` as `Equivalent`.
ResearchStudy.protocol (protocol)is equivalent toResearchStudy.protocolElement `ResearchStudy.protocol` is mapped to FHIR R4B element `ResearchStudy.protocol` as `Equivalent`.
ResearchStudy.partOf (partOf)is equivalent toResearchStudy.partOfElement `ResearchStudy.partOf` is mapped to FHIR R4B element `ResearchStudy.partOf` as `Equivalent`.
ResearchStudy.relatedArtifact (relatedArtifact)is equivalent toResearchStudy.relatedArtifactElement `ResearchStudy.relatedArtifact` is mapped to FHIR R4B element `ResearchStudy.relatedArtifact` as `Equivalent`.
ResearchStudy.status (status)maps to wider conceptResearchStudy.statusElement `ResearchStudy.status` is mapped to FHIR R4B element `ResearchStudy.status` as `RelatedTo`. The mappings for `ResearchStudy.status` do not allow expression of the necessary codes, per the bindings on the source and target. The target context `ResearchStudy.status` is a modifier element, so this extension does not need to be defined as a modifier.
ResearchStudy.primaryPurposeType (primaryPurposeType)is equivalent toResearchStudy.primaryPurposeTypeElement `ResearchStudy.primaryPurposeType` is mapped to FHIR R4B element `ResearchStudy.primaryPurposeType` as `Equivalent`.
ResearchStudy.phase (phase)is equivalent toResearchStudy.phaseElement `ResearchStudy.phase` is mapped to FHIR R4B element `ResearchStudy.phase` as `Equivalent`.
ResearchStudy.focus (focus)maps to wider conceptResearchStudy.focusElement `ResearchStudy.focus` is mapped to FHIR R4B element `ResearchStudy.focus` as `SourceIsBroaderThanTarget`. The mappings for `ResearchStudy.focus` do not cover the following types: CodeableReference.
ResearchStudy.condition (condition)is equivalent toResearchStudy.conditionElement `ResearchStudy.condition` is mapped to FHIR R4B element `ResearchStudy.condition` as `Equivalent`.
ResearchStudy.keyword (keyword)is equivalent toResearchStudy.keywordElement `ResearchStudy.keyword` is mapped to FHIR R4B element `ResearchStudy.keyword` as `Equivalent`.
ResearchStudy.region (region)is equivalent toResearchStudy.locationElement `ResearchStudy.region` is mapped to FHIR R4B element `ResearchStudy.location` as `Equivalent`.
ResearchStudy.description (description)is equivalent toResearchStudy.descriptionElement `ResearchStudy.description` is mapped to FHIR R4B element `ResearchStudy.description` as `Equivalent`.
ResearchStudy.period (period)is equivalent toResearchStudy.periodElement `ResearchStudy.period` is mapped to FHIR R4B element `ResearchStudy.period` as `Equivalent`.
ResearchStudy.site (site)maps to wider conceptResearchStudy.siteElement `ResearchStudy.site` is mapped to FHIR R4B element `ResearchStudy.site` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `ResearchStudy.site` with unmapped reference targets: Organization, ResearchStudy.
ResearchStudy.note (note)is equivalent toResearchStudy.noteElement `ResearchStudy.note` is mapped to FHIR R4B element `ResearchStudy.note` as `Equivalent`.
ResearchStudy.whyStopped (whyStopped)is equivalent toResearchStudy.reasonStoppedElement `ResearchStudy.whyStopped` is mapped to FHIR R4B element `ResearchStudy.reasonStopped` as `Equivalent`.
ResearchStudy.recruitment (recruitment)is related toResearchStudyElement `ResearchStudy.recruitment` is mapped to FHIR R4B element `ResearchStudy` as `SourceIsNarrowerThanTarget`.
ResearchStudy.recruitment.eligibility (eligibility)is related toResearchStudy.enrollmentElement `ResearchStudy.recruitment.eligibility` is mapped to FHIR R4B element `ResearchStudy.enrollment` as `RelatedTo`. The mappings for `ResearchStudy.recruitment.eligibility` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `ResearchStudy.recruitment.eligibility` with unmapped reference targets: EvidenceVariable.
ResearchStudy.comparisonGroup (comparisonGroup)maps to wider conceptResearchStudy.armElement `ResearchStudy.comparisonGroup` is mapped to FHIR R4B element `ResearchStudy.arm` as `Equivalent`. In many clinical trials this is refered to as the ARM of the study, but such a term is not used in other sorts of trials even when there is a comparison between two or more groups.
ResearchStudy.comparisonGroup.name (name)is equivalent toResearchStudy.arm.nameElement `ResearchStudy.comparisonGroup.name` is mapped to FHIR R4B element `ResearchStudy.arm.name` as `Equivalent`.
ResearchStudy.comparisonGroup.type (type)is equivalent toResearchStudy.arm.typeElement `ResearchStudy.comparisonGroup.type` is mapped to FHIR R4B element `ResearchStudy.arm.type` as `Equivalent`.
ResearchStudy.comparisonGroup.description (description)is equivalent toResearchStudy.arm.descriptionElement `ResearchStudy.comparisonGroup.description` is mapped to FHIR R4B element `ResearchStudy.arm.description` as `Equivalent`.
ResearchStudy.objective (objective)maps to wider conceptResearchStudy.objectiveElement `ResearchStudy.objective` is mapped to FHIR R4B element `ResearchStudy.objective` as `Equivalent`.
ResearchStudy.objective.name (name)is equivalent toResearchStudy.objective.nameElement `ResearchStudy.objective.name` is mapped to FHIR R4B element `ResearchStudy.objective.name` as `Equivalent`.
ResearchStudy.objective.type (type)is equivalent toResearchStudy.objective.typeElement `ResearchStudy.objective.type` is mapped to FHIR R4B element `ResearchStudy.objective.type` as `Equivalent`.

Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/ResearchStudy|5.0.0 to R5: Canonical identifier for this study resource (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ResearchStudy.url (url)maps to wider conceptExtension (R5: Canonical identifier for this study resource (new))Element `ResearchStudy.url` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.url` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/ResearchStudy|5.0.0 to R5: The business version for the study record (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ResearchStudy.version (version)maps to wider conceptExtension (R5: The business version for the study record (new))Element `ResearchStudy.version` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.version` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/ResearchStudy|5.0.0 to R5: Name for this study (computer friendly) (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ResearchStudy.name (name)maps to wider conceptExtension (R5: Name for this study (computer friendly) (new))Element `ResearchStudy.name` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.name` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/ResearchStudy|5.0.0 to R5: Additional names for the study (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ResearchStudy.label (label)maps to wider conceptExtension (R5: Additional names for the study (new))Element `ResearchStudy.label` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.label` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).
ResearchStudy.label.type (type)maps to wider conceptExtension.extension:type (R5: primary | official | scientific | plain-language | subtitle | short-title | acronym | earlier-title | language | auto-translated | human-use | machine-use | duplicate-uid (new))Element `ResearchStudy.label.type` is part of an existing definition because parent element `ResearchStudy.label` requires a cross-version extension. Element `ResearchStudy.label.type` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.label.type` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).
ResearchStudy.label.value (value)maps to wider conceptExtension.extension:value (R5: The name (new))Element `ResearchStudy.label.value` is part of an existing definition because parent element `ResearchStudy.label` requires a cross-version extension. Element `ResearchStudy.label.value` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.label.value` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/ResearchStudy|5.0.0 to R5: Date the resource last changed (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ResearchStudy.date (date)maps to wider conceptExtension (R5: Date the resource last changed (new))Element `ResearchStudy.date` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.date` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/ResearchStudy|5.0.0 to R5: draft | active | retired | unknown additional codesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
ResearchStudy.status (status)is equivalent toExtension (R5: draft | active | retired | unknown additional codes)Element `ResearchStudy.status` is mapped to FHIR R4B element `ResearchStudy.status` as `RelatedTo`. The mappings for `ResearchStudy.status` do not allow expression of the necessary codes, per the bindings on the source and target. The target context `ResearchStudy.status` is a modifier element, so this extension does not need to be defined as a modifier.

Group 8 Mapping from http://hl7.org/fhir/StructureDefinition/ResearchStudy|5.0.0 to R5: Classifications of the study design characteristics (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ResearchStudy.studyDesign (studyDesign)maps to wider conceptExtension (R5: Classifications of the study design characteristics (new))Element `ResearchStudy.studyDesign` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.studyDesign` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Group 9 Mapping from http://hl7.org/fhir/StructureDefinition/ResearchStudy|5.0.0 to R5: focus additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
ResearchStudy.focus (focus)is equivalent toExtension (R5: focus additional types)Element `ResearchStudy.focus` is mapped to FHIR R4B element `ResearchStudy.focus` as `SourceIsBroaderThanTarget`. The mappings for `ResearchStudy.focus` do not cover the following types: CodeableReference.

Group 10 Mapping from http://hl7.org/fhir/StructureDefinition/ResearchStudy|5.0.0 to R5: Brief text explaining the study (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ResearchStudy.descriptionSummary (descriptionSummary)maps to wider conceptExtension (R5: Brief text explaining the study (new))Element `ResearchStudy.descriptionSummary` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.descriptionSummary` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Group 11 Mapping from http://hl7.org/fhir/StructureDefinition/ResearchStudy|5.0.0 to R5: Classification for the study (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ResearchStudy.classifier (classifier)maps to wider conceptExtension (R5: Classification for the study (new))Element `ResearchStudy.classifier` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.classifier` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Group 12 Mapping from http://hl7.org/fhir/StructureDefinition/ResearchStudy|5.0.0 to R5: Sponsors, collaborators, and other parties (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ResearchStudy.associatedParty (associatedParty)maps to wider conceptExtension (R5: Sponsors, collaborators, and other parties (new))Element `ResearchStudy.associatedParty` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.associatedParty` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). For a Sponsor or a PrincipalInvestigator use the dedicated attributes provided.
ResearchStudy.associatedParty.name (name)maps to wider conceptExtension.extension:name (R5: Name of associated party (new))Element `ResearchStudy.associatedParty.name` is part of an existing definition because parent element `ResearchStudy.associatedParty` requires a cross-version extension. Element `ResearchStudy.associatedParty.name` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.associatedParty.name` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).
ResearchStudy.associatedParty.role (role)maps to wider conceptExtension.extension:role (R5: sponsor | lead-sponsor | sponsor-investigator | primary-investigator | collaborator | funding-source | general-contact | recruitment-contact | sub-investigator | study-director | study-chair (new))Element `ResearchStudy.associatedParty.role` is part of an existing definition because parent element `ResearchStudy.associatedParty` requires a cross-version extension. Element `ResearchStudy.associatedParty.role` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.associatedParty.role` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).
ResearchStudy.associatedParty.period (period)maps to wider conceptExtension.extension:period (R5: When active in the role (new))Element `ResearchStudy.associatedParty.period` is part of an existing definition because parent element `ResearchStudy.associatedParty` requires a cross-version extension. Element `ResearchStudy.associatedParty.period` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.associatedParty.period` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). The cardinality is 0..* due to the fact that an associated party may be intermittently active in a given role over multiple time periods.
ResearchStudy.associatedParty.classifier (classifier)maps to wider conceptExtension.extension:classifier (R5: nih | fda | government | nonprofit | academic | industry (new))Element `ResearchStudy.associatedParty.classifier` is part of an existing definition because parent element `ResearchStudy.associatedParty` requires a cross-version extension. Element `ResearchStudy.associatedParty.classifier` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.associatedParty.classifier` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).
ResearchStudy.associatedParty.party (party)maps to wider conceptExtension.extension:party (R5: Individual or organization associated with study (use practitionerRole to specify their organisation) (new))Element `ResearchStudy.associatedParty.party` is part of an existing definition because parent element `ResearchStudy.associatedParty` requires a cross-version extension. Element `ResearchStudy.associatedParty.party` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.associatedParty.party` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). Suggestions of a better attribute name are appreciated

Group 13 Mapping from http://hl7.org/fhir/StructureDefinition/ResearchStudy|5.0.0 to R5: Status of study with time for that status (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ResearchStudy.progressStatus (progressStatus)maps to wider conceptExtension (R5: Status of study with time for that status (new))Element `ResearchStudy.progressStatus` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.progressStatus` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).
ResearchStudy.progressStatus.state (state)maps to wider conceptExtension.extension:state (R5: Label for status or state (e.g. recruitment status) (new))Element `ResearchStudy.progressStatus.state` is part of an existing definition because parent element `ResearchStudy.progressStatus` requires a cross-version extension. Element `ResearchStudy.progressStatus.state` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.progressStatus.state` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).
ResearchStudy.progressStatus.actual (actual)maps to wider conceptExtension.extension:actual (R5: Actual if true else anticipated (new))Element `ResearchStudy.progressStatus.actual` is part of an existing definition because parent element `ResearchStudy.progressStatus` requires a cross-version extension. Element `ResearchStudy.progressStatus.actual` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.progressStatus.actual` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).
ResearchStudy.progressStatus.period (period)maps to wider conceptExtension.extension:period (R5: Date range (new))Element `ResearchStudy.progressStatus.period` is part of an existing definition because parent element `ResearchStudy.progressStatus` requires a cross-version extension. Element `ResearchStudy.progressStatus.period` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.progressStatus.period` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Group 14 Mapping from http://hl7.org/fhir/StructureDefinition/ResearchStudy|5.0.0 to R5: Estimated total number of participants to be enrolled (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ResearchStudy.recruitment.targetNumber (targetNumber)maps to wider conceptExtension (R5: Estimated total number of participants to be enrolled (new))Element `ResearchStudy.recruitment.targetNumber` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.recruitment.targetNumber` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Group 15 Mapping from http://hl7.org/fhir/StructureDefinition/ResearchStudy|5.0.0 to R5: Actual total number of participants enrolled in study (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ResearchStudy.recruitment.actualNumber (actualNumber)maps to wider conceptExtension (R5: Actual total number of participants enrolled in study (new))Element `ResearchStudy.recruitment.actualNumber` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.recruitment.actualNumber` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Group 16 Mapping from http://hl7.org/fhir/StructureDefinition/ResearchStudy|5.0.0 to R5: Group of participants who were enrolled in study (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ResearchStudy.recruitment.actualGroup (actualGroup)maps to wider conceptExtension (R5: Group of participants who were enrolled in study (new))Element `ResearchStudy.recruitment.actualGroup` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.recruitment.actualGroup` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Group 17 Mapping from http://hl7.org/fhir/StructureDefinition/ResearchStudy|5.0.0 to R5: Allows the comparisonGroup for the study and the comparisonGroup for the subject to be linked easily (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ResearchStudy.comparisonGroup.linkId (linkId)maps to wider conceptExtension (R5: Allows the comparisonGroup for the study and the comparisonGroup for the subject to be linked easily (new))Element `ResearchStudy.comparisonGroup.linkId` has a context of ResearchStudy.arm based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.comparisonGroup.linkId` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Group 18 Mapping from http://hl7.org/fhir/StructureDefinition/ResearchStudy|5.0.0 to R5: Interventions or exposures in this comparisonGroup or cohort (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ResearchStudy.comparisonGroup.intendedExposure (intendedExposure)maps to wider conceptExtension (R5: Interventions or exposures in this comparisonGroup or cohort (new))Element `ResearchStudy.comparisonGroup.intendedExposure` has a context of ResearchStudy.arm based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.comparisonGroup.intendedExposure` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Group 19 Mapping from http://hl7.org/fhir/StructureDefinition/ResearchStudy|5.0.0 to R5: Group of participants who were enrolled in study comparisonGroup (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ResearchStudy.comparisonGroup.observedGroup (observedGroup)maps to wider conceptExtension (R5: Group of participants who were enrolled in study comparisonGroup (new))Element `ResearchStudy.comparisonGroup.observedGroup` has a context of ResearchStudy.arm based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.comparisonGroup.observedGroup` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Group 20 Mapping from http://hl7.org/fhir/StructureDefinition/ResearchStudy|5.0.0 to R5: Description of the objective (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ResearchStudy.objective.description (description)maps to wider conceptExtension (R5: Description of the objective (new))Element `ResearchStudy.objective.description` has a context of ResearchStudy.objective based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.objective.description` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Group 21 Mapping from http://hl7.org/fhir/StructureDefinition/ResearchStudy|5.0.0 to R5: A variable measured during the study (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ResearchStudy.outcomeMeasure (outcomeMeasure)maps to wider conceptExtension (R5: A variable measured during the study (new))Element `ResearchStudy.outcomeMeasure` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.outcomeMeasure` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). A study may have multiple distinct outcome measures that can be used to assess the overall goal for a study. The goal of a study is in the objective whereas the metric by which the goal is assessed is the outcomeMeasure. Examples: Time to Local Recurrence (TLR), Disease-free Survival (DFS), 30 Day Mortality, Systolic BP
ResearchStudy.outcomeMeasure.name (name)maps to wider conceptExtension.extension:name (R5: Label for the outcome (new))Element `ResearchStudy.outcomeMeasure.name` is part of an existing definition because parent element `ResearchStudy.outcomeMeasure` requires a cross-version extension. Element `ResearchStudy.outcomeMeasure.name` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.outcomeMeasure.name` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).
ResearchStudy.outcomeMeasure.type (type)maps to wider conceptExtension.extension:type (R5: primary | secondary | exploratory (new))Element `ResearchStudy.outcomeMeasure.type` is part of an existing definition because parent element `ResearchStudy.outcomeMeasure` requires a cross-version extension. Element `ResearchStudy.outcomeMeasure.type` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.outcomeMeasure.type` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).
ResearchStudy.outcomeMeasure.description (description)maps to wider conceptExtension.extension:description (R5: Description of the outcome (new))Element `ResearchStudy.outcomeMeasure.description` is part of an existing definition because parent element `ResearchStudy.outcomeMeasure` requires a cross-version extension. Element `ResearchStudy.outcomeMeasure.description` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.outcomeMeasure.description` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).
ResearchStudy.outcomeMeasure.reference (reference)maps to wider conceptExtension.extension:reference (R5: Structured outcome definition (new))Element `ResearchStudy.outcomeMeasure.reference` is part of an existing definition because parent element `ResearchStudy.outcomeMeasure` requires a cross-version extension. Element `ResearchStudy.outcomeMeasure.reference` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.outcomeMeasure.reference` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Group 22 Mapping from http://hl7.org/fhir/StructureDefinition/ResearchStudy|5.0.0 to R5: Link to results generated during the study (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ResearchStudy.result (result)maps to wider conceptExtension (R5: Link to results generated during the study (new))Element `ResearchStudy.result` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`. Element `ResearchStudy.result` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

Source1

{
  "resourceType": "ConceptMap",
  "id": "R5-ResearchStudy-element-map-to-R4B",
  "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.r4b"
          }
        ]
      }
    },
    {
      "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.r4b"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ConceptMap/R5-ResearchStudy-element-map-to-R4B",
  "version": "0.1.0",
  "name": "R5ResearchStudyElementMapToR4B",
  "title": "Cross-version mapping for FHIR R5 ResearchStudy to FHIR R4B ResearchStudy",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:03:58.4370869-05:00",
  "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 ResearchStudy to FHIR R4B.",
  "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/4.3",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ResearchStudy",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/StructureDefinition/ResearchStudy",
      "targetVersion": "4.3.0",
      "element": [
        {
          "code": "ResearchStudy.meta",
          "display": "meta",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "ResearchStudy.meta",
              "display": "ResearchStudy.meta",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.meta` is mapped to FHIR R4B element `ResearchStudy.meta` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ResearchStudy.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "ResearchStudy.implicitRules",
              "display": "ResearchStudy.implicitRules",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.implicitRules` is mapped to FHIR R4B element `ResearchStudy.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": "ResearchStudy.language",
          "display": "language",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "ResearchStudy.language",
              "display": "ResearchStudy.language",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.language` is mapped to FHIR R4B element `ResearchStudy.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": "ResearchStudy.text",
          "display": "text",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "ResearchStudy.text",
              "display": "ResearchStudy.text",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.text` is mapped to FHIR R4B element `ResearchStudy.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": "ResearchStudy.contained",
          "display": "contained",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "ResearchStudy.contained",
              "display": "ResearchStudy.contained",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.contained` is mapped to FHIR R4B element `ResearchStudy.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": "ResearchStudy.identifier",
          "display": "identifier",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "ResearchStudy.identifier",
              "display": "ResearchStudy.identifier",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.identifier` is mapped to FHIR R4B element `ResearchStudy.identifier` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ResearchStudy.title",
          "display": "title",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "ResearchStudy.title",
              "display": "ResearchStudy.title",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.title` is mapped to FHIR R4B element `ResearchStudy.title` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ResearchStudy.protocol",
          "display": "protocol",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "ResearchStudy.protocol",
              "display": "ResearchStudy.protocol",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.protocol` is mapped to FHIR R4B element `ResearchStudy.protocol` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ResearchStudy.partOf",
          "display": "partOf",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "ResearchStudy.partOf",
              "display": "ResearchStudy.partOf",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.partOf` is mapped to FHIR R4B element `ResearchStudy.partOf` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ResearchStudy.relatedArtifact",
          "display": "relatedArtifact",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "ResearchStudy.relatedArtifact",
              "display": "ResearchStudy.relatedArtifact",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.relatedArtifact` is mapped to FHIR R4B element `ResearchStudy.relatedArtifact` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ResearchStudy.status",
          "display": "status",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "ResearchStudy.status",
              "display": "ResearchStudy.status",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.status` is mapped to FHIR R4B element `ResearchStudy.status` as `RelatedTo`.\nThe mappings for `ResearchStudy.status` do not allow expression of the necessary codes, per the bindings on the source and target.\nThe target context `ResearchStudy.status` is a modifier element, so this extension does not need to be defined as a modifier."
            }
          ]
        },
        {
          "code": "ResearchStudy.primaryPurposeType",
          "display": "primaryPurposeType",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "ResearchStudy.primaryPurposeType",
              "display": "ResearchStudy.primaryPurposeType",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.primaryPurposeType` is mapped to FHIR R4B element `ResearchStudy.primaryPurposeType` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ResearchStudy.phase",
          "display": "phase",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "ResearchStudy.phase",
              "display": "ResearchStudy.phase",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.phase` is mapped to FHIR R4B element `ResearchStudy.phase` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ResearchStudy.focus",
          "display": "focus",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "ResearchStudy.focus",
              "display": "ResearchStudy.focus",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.focus` is mapped to FHIR R4B element `ResearchStudy.focus` as `SourceIsBroaderThanTarget`.\nThe mappings for `ResearchStudy.focus` do not cover the following types: CodeableReference."
            }
          ]
        },
        {
          "code": "ResearchStudy.condition",
          "display": "condition",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "ResearchStudy.condition",
              "display": "ResearchStudy.condition",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.condition` is mapped to FHIR R4B element `ResearchStudy.condition` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ResearchStudy.keyword",
          "display": "keyword",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "ResearchStudy.keyword",
              "display": "ResearchStudy.keyword",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.keyword` is mapped to FHIR R4B element `ResearchStudy.keyword` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ResearchStudy.region",
          "display": "region",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "ResearchStudy.location",
              "display": "ResearchStudy.location",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.region` is mapped to FHIR R4B element `ResearchStudy.location` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ResearchStudy.description",
          "display": "description",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "ResearchStudy.description",
              "display": "ResearchStudy.description",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.description` is mapped to FHIR R4B element `ResearchStudy.description` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ResearchStudy.period",
          "display": "period",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "ResearchStudy.period",
              "display": "ResearchStudy.period",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.period` is mapped to FHIR R4B element `ResearchStudy.period` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ResearchStudy.site",
          "display": "site",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "ResearchStudy.site",
              "display": "ResearchStudy.site",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.site` is mapped to FHIR R4B element `ResearchStudy.site` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `ResearchStudy.site` with unmapped reference targets: Organization, ResearchStudy."
            }
          ]
        },
        {
          "code": "ResearchStudy.note",
          "display": "note",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "ResearchStudy.note",
              "display": "ResearchStudy.note",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.note` is mapped to FHIR R4B element `ResearchStudy.note` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ResearchStudy.whyStopped",
          "display": "whyStopped",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "ResearchStudy.reasonStopped",
              "display": "ResearchStudy.reasonStopped",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.whyStopped` is mapped to FHIR R4B element `ResearchStudy.reasonStopped` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ResearchStudy.recruitment",
          "display": "recruitment",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "ResearchStudy",
              "display": "ResearchStudy",
              "equivalence": "relatedto",
              "comment": "Element `ResearchStudy.recruitment` is mapped to FHIR R4B element `ResearchStudy` as `SourceIsNarrowerThanTarget`."
            }
          ]
        },
        {
          "code": "ResearchStudy.recruitment.eligibility",
          "display": "eligibility",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "ResearchStudy.enrollment",
              "display": "ResearchStudy.enrollment",
              "equivalence": "relatedto",
              "comment": "Element `ResearchStudy.recruitment.eligibility` is mapped to FHIR R4B element `ResearchStudy.enrollment` as `RelatedTo`.\nThe mappings for `ResearchStudy.recruitment.eligibility` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `ResearchStudy.recruitment.eligibility` with unmapped reference targets: EvidenceVariable."
            }
          ]
        },
        {
          "code": "ResearchStudy.comparisonGroup",
          "display": "comparisonGroup",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "ResearchStudy.arm",
              "display": "ResearchStudy.arm",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.comparisonGroup` is mapped to FHIR R4B element `ResearchStudy.arm` as `Equivalent`.\nIn many clinical trials this is refered to as the ARM of the study, but such a term is not used in other sorts of trials even when there is a comparison between two or more groups."
            }
          ]
        },
        {
          "code": "ResearchStudy.comparisonGroup.name",
          "display": "name",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "ResearchStudy.arm.name",
              "display": "ResearchStudy.arm.name",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.comparisonGroup.name` is mapped to FHIR R4B element `ResearchStudy.arm.name` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ResearchStudy.comparisonGroup.type",
          "display": "type",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "ResearchStudy.arm.type",
              "display": "ResearchStudy.arm.type",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.comparisonGroup.type` is mapped to FHIR R4B element `ResearchStudy.arm.type` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ResearchStudy.comparisonGroup.description",
          "display": "description",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "ResearchStudy.arm.description",
              "display": "ResearchStudy.arm.description",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.comparisonGroup.description` is mapped to FHIR R4B element `ResearchStudy.arm.description` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ResearchStudy.objective",
          "display": "objective",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "ResearchStudy.objective",
              "display": "ResearchStudy.objective",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.objective` is mapped to FHIR R4B element `ResearchStudy.objective` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ResearchStudy.objective.name",
          "display": "name",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "ResearchStudy.objective.name",
              "display": "ResearchStudy.objective.name",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.objective.name` is mapped to FHIR R4B element `ResearchStudy.objective.name` as `Equivalent`."
            }
          ]
        },
        {
          "code": "ResearchStudy.objective.type",
          "display": "type",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "ResearchStudy.objective.type",
              "display": "ResearchStudy.objective.type",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.objective.type` is mapped to FHIR R4B element `ResearchStudy.objective.type` as `Equivalent`."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ResearchStudy",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchStudy.url",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ResearchStudy.url",
          "display": "url",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.url` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.url` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ResearchStudy",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchStudy.version",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ResearchStudy.version",
          "display": "version",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.version` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.version` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ResearchStudy",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchStudy.name",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ResearchStudy.name",
          "display": "name",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.name` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.name` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ResearchStudy",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchStudy.label",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ResearchStudy.label",
          "display": "label",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.label` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.label` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ResearchStudy.label.type",
          "display": "type",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension.extension:type",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.label.type` is part of an existing definition because parent element `ResearchStudy.label` requires a cross-version extension.\nElement `ResearchStudy.label.type` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.label.type` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ResearchStudy.label.value",
          "display": "value",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension.extension:value",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.label.value` is part of an existing definition because parent element `ResearchStudy.label` requires a cross-version extension.\nElement `ResearchStudy.label.value` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.label.value` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ResearchStudy",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchStudy.date",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ResearchStudy.date",
          "display": "date",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.date` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.date` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ResearchStudy",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchStudy.status",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ResearchStudy.status",
          "display": "status",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.status` is mapped to FHIR R4B element `ResearchStudy.status` as `RelatedTo`.\nThe mappings for `ResearchStudy.status` do not allow expression of the necessary codes, per the bindings on the source and target.\nThe target context `ResearchStudy.status` is a modifier element, so this extension does not need to be defined as a modifier."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ResearchStudy",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchStudy.studyDesign",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ResearchStudy.studyDesign",
          "display": "studyDesign",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.studyDesign` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.studyDesign` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ResearchStudy",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchStudy.focus",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ResearchStudy.focus",
          "display": "focus",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `ResearchStudy.focus` is mapped to FHIR R4B element `ResearchStudy.focus` as `SourceIsBroaderThanTarget`.\nThe mappings for `ResearchStudy.focus` do not cover the following types: CodeableReference."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ResearchStudy",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchStudy.descriptionSummary",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ResearchStudy.descriptionSummary",
          "display": "descriptionSummary",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.descriptionSummary` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.descriptionSummary` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ResearchStudy",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchStudy.classifier",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ResearchStudy.classifier",
          "display": "classifier",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.classifier` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.classifier` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ResearchStudy",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchStudy.associatedParty",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ResearchStudy.associatedParty",
          "display": "associatedParty",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.associatedParty` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.associatedParty` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).\nFor a Sponsor or a PrincipalInvestigator use the dedicated attributes provided."
            }
          ]
        },
        {
          "code": "ResearchStudy.associatedParty.name",
          "display": "name",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension.extension:name",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.associatedParty.name` is part of an existing definition because parent element `ResearchStudy.associatedParty` requires a cross-version extension.\nElement `ResearchStudy.associatedParty.name` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.associatedParty.name` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ResearchStudy.associatedParty.role",
          "display": "role",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension.extension:role",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.associatedParty.role` is part of an existing definition because parent element `ResearchStudy.associatedParty` requires a cross-version extension.\nElement `ResearchStudy.associatedParty.role` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.associatedParty.role` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ResearchStudy.associatedParty.period",
          "display": "period",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension.extension:period",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.associatedParty.period` is part of an existing definition because parent element `ResearchStudy.associatedParty` requires a cross-version extension.\nElement `ResearchStudy.associatedParty.period` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.associatedParty.period` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).\nThe cardinality is 0..* due to the fact that an associated party may be intermittently active in a given role over multiple time periods."
            }
          ]
        },
        {
          "code": "ResearchStudy.associatedParty.classifier",
          "display": "classifier",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension.extension:classifier",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.associatedParty.classifier` is part of an existing definition because parent element `ResearchStudy.associatedParty` requires a cross-version extension.\nElement `ResearchStudy.associatedParty.classifier` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.associatedParty.classifier` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ResearchStudy.associatedParty.party",
          "display": "party",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension.extension:party",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.associatedParty.party` is part of an existing definition because parent element `ResearchStudy.associatedParty` requires a cross-version extension.\nElement `ResearchStudy.associatedParty.party` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.associatedParty.party` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).\nSuggestions of a better attribute name are appreciated"
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ResearchStudy",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchStudy.progressStatus",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ResearchStudy.progressStatus",
          "display": "progressStatus",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.progressStatus` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.progressStatus` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ResearchStudy.progressStatus.state",
          "display": "state",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension.extension:state",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.progressStatus.state` is part of an existing definition because parent element `ResearchStudy.progressStatus` requires a cross-version extension.\nElement `ResearchStudy.progressStatus.state` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.progressStatus.state` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ResearchStudy.progressStatus.actual",
          "display": "actual",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension.extension:actual",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.progressStatus.actual` is part of an existing definition because parent element `ResearchStudy.progressStatus` requires a cross-version extension.\nElement `ResearchStudy.progressStatus.actual` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.progressStatus.actual` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ResearchStudy.progressStatus.period",
          "display": "period",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension.extension:period",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.progressStatus.period` is part of an existing definition because parent element `ResearchStudy.progressStatus` requires a cross-version extension.\nElement `ResearchStudy.progressStatus.period` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.progressStatus.period` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ResearchStudy",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchStudy.recruitment.targetNumber",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ResearchStudy.recruitment.targetNumber",
          "display": "targetNumber",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.recruitment.targetNumber` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.recruitment.targetNumber` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ResearchStudy",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchStudy.recruitment.actualNumber",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ResearchStudy.recruitment.actualNumber",
          "display": "actualNumber",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.recruitment.actualNumber` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.recruitment.actualNumber` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ResearchStudy",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchStudy.recruitment.actualGroup",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ResearchStudy.recruitment.actualGroup",
          "display": "actualGroup",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.recruitment.actualGroup` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.recruitment.actualGroup` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ResearchStudy",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchStudy.comparisonGroup.linkId",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ResearchStudy.comparisonGroup.linkId",
          "display": "linkId",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.comparisonGroup.linkId` has a context of ResearchStudy.arm based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.comparisonGroup.linkId` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ResearchStudy",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchStudy.comparisonGroup.intendedExposure",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ResearchStudy.comparisonGroup.intendedExposure",
          "display": "intendedExposure",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.comparisonGroup.intendedExposure` has a context of ResearchStudy.arm based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.comparisonGroup.intendedExposure` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ResearchStudy",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchStudy.comparisonGroup.observedGroup",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ResearchStudy.comparisonGroup.observedGroup",
          "display": "observedGroup",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.comparisonGroup.observedGroup` has a context of ResearchStudy.arm based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.comparisonGroup.observedGroup` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ResearchStudy",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchStudy.objective.description",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ResearchStudy.objective.description",
          "display": "description",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.objective.description` has a context of ResearchStudy.objective based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.objective.description` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ResearchStudy",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchStudy.outcomeMeasure",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ResearchStudy.outcomeMeasure",
          "display": "outcomeMeasure",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.outcomeMeasure` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.outcomeMeasure` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).\nA study may have multiple distinct outcome measures that can be used to assess the overall goal for a study. The goal of a study is in the objective whereas the metric by which the goal is assessed is the outcomeMeasure. Examples: Time to Local Recurrence (TLR), Disease-free Survival (DFS), 30 Day Mortality, Systolic BP"
            }
          ]
        },
        {
          "code": "ResearchStudy.outcomeMeasure.name",
          "display": "name",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension.extension:name",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.outcomeMeasure.name` is part of an existing definition because parent element `ResearchStudy.outcomeMeasure` requires a cross-version extension.\nElement `ResearchStudy.outcomeMeasure.name` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.outcomeMeasure.name` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ResearchStudy.outcomeMeasure.type",
          "display": "type",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension.extension:type",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.outcomeMeasure.type` is part of an existing definition because parent element `ResearchStudy.outcomeMeasure` requires a cross-version extension.\nElement `ResearchStudy.outcomeMeasure.type` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.outcomeMeasure.type` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ResearchStudy.outcomeMeasure.description",
          "display": "description",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension.extension:description",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.outcomeMeasure.description` is part of an existing definition because parent element `ResearchStudy.outcomeMeasure` requires a cross-version extension.\nElement `ResearchStudy.outcomeMeasure.description` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.outcomeMeasure.description` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ResearchStudy.outcomeMeasure.reference",
          "display": "reference",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension.extension:reference",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.outcomeMeasure.reference` is part of an existing definition because parent element `ResearchStudy.outcomeMeasure` requires a cross-version extension.\nElement `ResearchStudy.outcomeMeasure.reference` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.outcomeMeasure.reference` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ResearchStudy",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchStudy.result",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ResearchStudy.result",
          "display": "result",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ResearchStudy.result` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.result` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    }
  ]
}