LOINC – IVD Test Code (LIVD) Mapping
1.0.0-ballot - ballot International flag

LOINC – IVD Test Code (LIVD) Mapping, published by HL7 International / Orders and Observations. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/livd/ and changes regularly. See the Directory of published versions

Resource Profile: LIVDTestCodeConceptMap - Detailed Descriptions

Active as of 2018-08-14

Definitions for the conceptmap-testcode-uv-livd resource profile.

Guidance on how to interpret the contents of this table can be found here

0. ConceptMap
ShortLIVDTestCodeConceptMap
Must Supportfalse
2. ConceptMap.url
Must Supporttrue
4. ConceptMap.identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..0
Must Supportfalse
6. ConceptMap.version
NoteThis is a business version Id, not a resource version Id (see discussion)
Control0..0
Must Supportfalse
8. ConceptMap.name
Control1..?
Must Supporttrue
10. ConceptMap.title
Control0..0
Must Supportfalse
12. ConceptMap.status
Comments

Only "Active" must be supported as it reflects the time of publication. Others are not valid for that.

Must Supporttrue
14. ConceptMap.experimental
Control0..0
Must Supportfalse
16. ConceptMap.date
Must Supportfalse
18. ConceptMap.publisher
Control0..0
Must Supportfalse
20. ConceptMap.contact
Control0..0
Must Supportfalse
22. ConceptMap.description
Control0..0
Must Supportfalse
24. ConceptMap.useContext
Control0..0
Must Supportfalse
26. ConceptMap.jurisdiction
Must Supportfalse
28. ConceptMap.purpose
Control0..0
Must Supportfalse
30. ConceptMap.copyright
Control0..0
Must Supportfalse
32. ConceptMap.source[x]
Comments

This points to the set of ObservationDefinition resource instances for the device for which the IVD Test Codes are mapped to the suggested LOINC codes.

Control1..?
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Must Supporttrue
34. ConceptMap.target[x]
Comments

This points to the LIVD value set that contains the target LOINC codes and their properties, used to map the IVD Test Codes.

Control1..?
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Must Supporttrue
36. ConceptMap.group
Comments

Considering the scope is only IVD Test Code to LOINC, one group is sufficient.

Control1..1
Must Supporttrue
38. ConceptMap.group.source
Control0..0
Must Supportfalse
40. ConceptMap.group.sourceVersion
Control0..0
Must Supportfalse
42. ConceptMap.group.targetVersion
Must Supporttrue
44. ConceptMap.group.element
Definition

Mappings for an individual Vendor Analyte Code in the source to one or more LOINC Codes in the target.

ShortMappings for a Vendor Analyte Code from the source set
Comments

Generally an Vendor Analyte Code points to one or more LOINC Codes, but it is possible that a LOINC Code does not exist yet.

Must Supporttrue
46. ConceptMap.group.element.code
Definition

Identity (code or path) of the Vendor Analyte Code being mapped.

ShortIdentifies the Vendor Analyte Code being mapped
Control1..?
Must Supporttrue
48. ConceptMap.group.element.display
Definition

The Vendor Analyte Name for the Vendore Analyte Code. The display is only provided to help editors when editing the concept map.

ShortThe Vendor Analyte Name
Control1..?
Must Supporttrue
50. ConceptMap.group.element.target
Definition

A reference to the LOINC code being mapped to, including mapping criteria.

ShortIdentifies the LOINC code being mapped to
Must Supporttrue
52. ConceptMap.group.element.target.code
Definition

Identity (code or path) the LOINC Code that the map refers to.

ShortCode that identifies the LOINC Code
Control1..?
Must Supporttrue
54. ConceptMap.group.element.target.display
Definition

The LOINC Long Name for the LOINC code. The display is only provided to help editors when editing the concept map.

ShortLOINC Long Name
Control1..?
Must Supporttrue
56. ConceptMap.group.element.target.equivalence
Must Supporttrue
58. ConceptMap.group.element.target.comment
ShortVendor Comment
Comments

This provides the ability for the vendor for additional human readable clarifications to the Laboratory on how to consider mapping IVD Test Codes to LOINC codes beyond the Result and Specimen descriptions in the dependsOn construct.

Must Supporttrue
60. ConceptMap.group.element.target.dependsOn
Comments

Either .code or .display must be valued. There must be both a specimen and result related description.

Control0..4
This element is affected by the following invariants: livd-1
Must Supporttrue
Invariantslivd-1: If the dependsOn is valued, either the code or display must be present ((group.element.target.dependsOn.exists() and (group.element.target.code.exists() or group.element.target.display.exists())) or group.element.target.dependsOn.empty())
SlicingThis element introduces a set of slices on ConceptMap.group.element.target.dependsOn. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ property
  • 62. ConceptMap.group.element.target.dependsOn:specimen
    Slice Namespecimen
    ShortThe property for specimen
    Control0..1
    Must Supporttrue
    64. ConceptMap.group.element.target.dependsOn:specimen.property
    Must Supporttrue
    Fixed Valuespecimen
    66. ConceptMap.group.element.target.dependsOn:specimen.system
    Control0..0
    Must Supportfalse
    68. ConceptMap.group.element.target.dependsOn:specimen.value
    Definition

    This provides the coded representation of the description for the Specimen description.

    ShortValue of the specimen property
    Comments

    This human readable description provides further information for use by the Lab staff to finalize the appropriate mapping of the analyte test code to the LOINC code for the specific device and purpose within that Lab.

    Must Supporttrue
    70. ConceptMap.group.element.target.dependsOn:specimen.display
    Control0..0
    Must Supportfalse
    72. ConceptMap.group.element.target.dependsOn:result
    Slice Nameresult
    ShortThe property for result
    Control0..1
    Must Supporttrue
    74. ConceptMap.group.element.target.dependsOn:result.property
    Must Supporttrue
    Fixed Valueresult
    76. ConceptMap.group.element.target.dependsOn:result.system
    Control0..0
    Must Supportfalse
    78. ConceptMap.group.element.target.dependsOn:result.value
    Definition

    This provides the coded representation of the description for the Result description.

    ShortValue of the result property
    Comments

    This human readable description provides further information for use by the Lab staff to finalize the appropriate mapping of the analyte test code to the LOINC code for the specific device and purpose within that Lab.

    Must Supporttrue
    80. ConceptMap.group.element.target.dependsOn:result.display
    Control0..0
    Must Supportfalse
    82. ConceptMap.group.element.target.dependsOn:device
    Slice Namedevice
    ShortThe property for device
    Control0..1
    Must Supporttrue
    84. ConceptMap.group.element.target.dependsOn:device.property
    Must Supporttrue
    Fixed Valuedevice
    86. ConceptMap.group.element.target.dependsOn:device.system
    Control0..0
    Must Supportfalse
    88. ConceptMap.group.element.target.dependsOn:device.value
    Definition

    This provides the coded representation of the description for the Device description.

    ShortValue of the device property
    Comments

    This human readable description provides further information for use by the Lab staff to finalize the appropriate mapping of the analyte test code to the LOINC code for the specific device and purpose within that Lab.

    Must Supporttrue
    90. ConceptMap.group.element.target.dependsOn:device.display
    Control0..0
    Must Supportfalse
    92. ConceptMap.group.element.target.dependsOn:other
    Slice Nameother
    ShortThe property for other
    Control0..1
    Must Supporttrue
    94. ConceptMap.group.element.target.dependsOn:other.property
    Must Supporttrue
    Fixed Valueother
    96. ConceptMap.group.element.target.dependsOn:other.system
    Control0..0
    Must Supportfalse
    98. ConceptMap.group.element.target.dependsOn:other.value
    Definition

    This provides the coded representation of the description for an additional dependency (not Specimen or Result) description.

    ShortValue of the other value property
    Comments

    This human readable description provides further information for use by the Lab staff to finalize the appropriate mapping of the analyte test code to the LOINC code for the specific device and purpose within that Lab.

    Must Supporttrue
    100. ConceptMap.group.element.target.dependsOn:other.display
    Control0..0
    Must Supportfalse
    102. ConceptMap.group.element.target.product
    Control0..0
    Must Supportfalse
    104. ConceptMap.group.unmapped
    Control0..0
    Must Supportfalse

    Guidance on how to interpret the contents of this table can be found here

    0. ConceptMap
    Definition

    A statement of relationships from one set of concepts to one or more other concepts - either concepts in code systems, or data element/data element concepts, or classes in class models.

    ShortLIVDTestCodeConceptMapA map from one set of concepts to one or more other concepts
    Control0..*
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantscmd-0: Name should be usable as an identifier for the module by machine processing applications such as code generation (name.matches('[A-Z]([A-Za-z0-9_]){0,254}'))
    dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
    dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
    dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
    dom-6: A resource should have narrative for robust management (text.`div`.exists())
    cmd-0: Name should be usable as an identifier for the module by machine processing applications such as code generation (name.matches('[A-Z]([A-Za-z0-9_]){0,254}'))
    2. ConceptMap.implicitRules
    Definition

    A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

    ShortA set of rules under which this content was created
    Comments

    Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

    Control0..1
    Typeuri
    Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    4. ConceptMap.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Summaryfalse
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    6. ConceptMap.url
    Definition

    An absolute URI that is used to identify this concept map when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this concept map is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the concept map is stored on different servers.

    ShortCanonical identifier for this concept map, represented as a URI (globally unique)
    Comments

    Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.

    The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions.

    In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found.

    Control0..1
    Typeuri
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    Allows the concept map to be referenced by a single globally unique identifier.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    8. ConceptMap.identifier
    Definition

    A formal identifier that is used to identify this concept map when it is represented in other formats, or referenced in a specification, model, design or an instance.

    ShortAdditional identifier for the concept map
    Comments

    Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this concept map outside of FHIR, where it is not possible to use the logical URI.

    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..01
    TypeIdentifier
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    Allows externally provided and/or usable business identifiers to be easily associated with the module.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    10. ConceptMap.version
    Definition

    The identifier that is used to identify this version of the concept map when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the concept map author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.

    ShortBusiness version of the concept map
    Comments

    There may be different concept map instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the concept map with the format [url]|[version].

    NoteThis is a business version Id, not a resource version Id (see discussion)
    Control0..01
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    12. ConceptMap.name
    Definition

    A natural language name identifying the concept map. This name should be usable as an identifier for the module by machine processing applications such as code generation.

    ShortName for this concept map (computer friendly)
    Comments

    The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.

    Control10..1
    This element is affected by the following invariants: inv-0
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    Support human navigation and code generation.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    14. ConceptMap.title
    Definition

    A short, descriptive, user-friendly title for the concept map.

    ShortName for this concept map (human friendly)
    Comments

    This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.

    Control0..01
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. ConceptMap.status
    Definition

    The status of this concept map. Enables tracking the life-cycle of the content.

    Shortdraft | active | retired | unknown
    Comments

    Only "Active" must be supported as it reflects the time of publication. Others are not valid for that.


    Allows filtering of concept maps that are appropriate for use versus not.

    Control1..1
    BindingThe codes SHALL be taken from PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1
    (required to http://hl7.org/fhir/ValueSet/publication-status|4.0.1)

    The lifecycle status of an artifact.

    Typecode
    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    18. ConceptMap.experimental
    Definition

    A Boolean value to indicate that this concept map is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.

    ShortFor testing purposes, not real usage
    Comments

    Allows filtering of concept maps that are appropriate for use versus not.

    Control0..01
    Typeboolean
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Requirements

    Enables experimental content to be developed following the same lifecycle that would be used for a production-level concept map.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. ConceptMap.date
    Definition

    The date (and optionally time) when the concept map was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the concept map changes.

    ShortDate last changed
    Comments

    Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the concept map. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

    Control0..1
    TypedateTime
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Alternate NamesRevision Date
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. ConceptMap.publisher
    Definition

    The name of the organization or individual that published the concept map.

    ShortName of the publisher (organization or individual)
    Comments

    Usually an organization but may be an individual. The publisher (or steward) of the concept map is the organization or individual primarily responsible for the maintenance and upkeep of the concept map. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the concept map. This item SHOULD be populated unless the information is available from context.

    Control0..01
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Requirements

    Helps establish the "authority/credibility" of the concept map. May also allow for contact.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. ConceptMap.contact
    Definition

    Contact details to assist a user in finding and communicating with the publisher.

    ShortContact details for the publisher
    Comments

    May be a web site, an email address, a telephone number, etc.

    Control0..0*
    TypeContactDetail
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    26. ConceptMap.description
    Definition

    A free text natural language description of the concept map from a consumer's perspective.

    ShortNatural language description of the concept map
    Comments

    The description is not intended to describe the semantics of the concept map. The description should capture its intended use, which is needed for ensuring integrity for its use in models across future changes.

    Control0..01
    Typemarkdown
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. ConceptMap.useContext
    Definition

    The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate concept map instances.

    ShortThe context that the content is intended to support
    Comments

    When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

    Control0..0*
    TypeUsageContext
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    Assist in searching for appropriate content.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    30. ConceptMap.jurisdiction
    Definition

    A legal or geographic region in which the concept map is intended to be used.

    ShortIntended jurisdiction for concept map (if applicable)
    Comments

    It may be possible for the concept map to be used in jurisdictions other than those for which it was originally designed or intended.

    Control0..*
    BindingUnless not suitable, these codes SHALL be taken from Jurisdiction ValueSethttp://hl7.org/fhir/ValueSet/jurisdiction
    (extensible to http://hl7.org/fhir/ValueSet/jurisdiction)

    Countries and regions within which this artifact is targeted for use.

    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    32. ConceptMap.purpose
    Definition

    Explanation of why this concept map is needed and why it has been designed as it has.

    ShortWhy this concept map is defined
    Comments

    This element does not describe the usage of the concept map. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this concept map.

    Control0..01
    Typemarkdown
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    34. ConceptMap.copyright
    Definition

    A copyright statement relating to the concept map and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the concept map.

    ShortUse and/or publishing restrictions
    Comments

    Frequently the copyright differs between the concept map and codes that are included. The copyright statement should clearly differentiate between these when required.

    Control0..01
    Typemarkdown
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summaryfalse
    Requirements

    Consumers must be able to determine any legal restrictions on the use of the concept map and/or its content.

    Alternate NamesLicense, Restrictions
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    36. ConceptMap.source[x]
    Definition

    Identifier for the source value set that contains the concepts that are being mapped and provides context for the mappings.

    ShortThe source value set that contains the concepts that are being mapped
    Comments

    This points to the set of ObservationDefinition resource instances for the device for which the IVD Test Codes are mapped to the suggested LOINC codes.


    Should be a version specific reference. URIs SHOULD be absolute. If there is no source or target value set, there is no specified context for the map (not recommended). The source value set may select codes from either an explicit (standard or local) or implicit code system.

    Control10..1
    TypeChoice of: uri, canonical(ValueSet)
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Must Support TypesNo must-support rules about the choice of types/profiles
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    38. ConceptMap.target[x]
    Definition

    The target value set provides context for the mappings. Note that the mapping is made between concepts, not between value sets, but the value set provides important context about how the concept mapping choices are made.

    ShortThe target value set which provides context for the mappings
    Comments

    This points to the LIVD value set that contains the target LOINC codes and their properties, used to map the IVD Test Codes.


    Should be a version specific reference. URIs SHOULD be absolute. If there is no source or target value set, the is no specified context for the map.

    Control10..1
    TypeChoice of: uri, canonical(ValueSet)
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Must Support TypesNo must-support rules about the choice of types/profiles
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    40. ConceptMap.group
    Definition

    A group of mappings that all have the same source and target system.

    ShortSame source and target systems
    Comments

    Considering the scope is only IVD Test Code to LOINC, one group is sufficient.

    Control10..1*
    TypeBackboneElement
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    42. ConceptMap.group.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    44. ConceptMap.group.source
    Definition

    An absolute URI that identifies the source system where the concepts to be mapped are defined.

    ShortSource system where concepts to be mapped are defined
    Comments

    This is not needed if the source value set is specified and it contains concepts from only a single system.

    Control0..01
    Typeuri
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    46. ConceptMap.group.sourceVersion
    Definition

    The specific version of the code system, as determined by the code system authority.

    ShortSpecific version of the code system
    Comments

    The specification of a particular code system version may be required for code systems which lack concept permanence.

    Control0..01
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    48. ConceptMap.group.targetVersion
    Definition

    The specific version of the code system, as determined by the code system authority.

    ShortSpecific version of the code system
    Comments

    The specification of a particular code system version may be required for code systems which lack concept permanence.

    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    50. ConceptMap.group.element
    Definition

    Mappings for an individual Vendor Analyte Code in the source to one or more LOINC Codes in the target.


    Mappings for an individual concept in the source to one or more concepts in the target.

    ShortMappings for a Vendor Analyte Code from the source setMappings for a concept from the source set
    Comments

    Generally an Vendor Analyte Code points to one or more LOINC Codes, but it is possible that a LOINC Code does not exist yet.


    Generally, the ideal is that there would only be one mapping for each concept in the source value set, but a given concept may be mapped multiple times with different comments or dependencies.

    Control1..*
    TypeBackboneElement
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Alternate Namescode, concept, item
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    52. ConceptMap.group.element.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    54. ConceptMap.group.element.code
    Definition

    Identity (code or path) of the Vendor Analyte Code being mapped.


    Identity (code or path) or the element/item being mapped.

    ShortIdentifies the Vendor Analyte Code being mappedIdentifies element being mapped
    Control10..1
    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    56. ConceptMap.group.element.display
    Definition

    The Vendor Analyte Name for the Vendore Analyte Code. The display is only provided to help editors when editing the concept map.


    The display for the code. The display is only provided to help editors when editing the concept map.

    ShortThe Vendor Analyte NameDisplay for the code
    Comments

    The display is ignored when processing the map.

    Control10..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    58. ConceptMap.group.element.target
    Definition

    A reference to the LOINC code being mapped to, including mapping criteria.


    A concept from the target value set that this concept maps to.

    ShortIdentifies the LOINC code being mapped toConcept in target system for element
    Comments

    Ideally there would only be one map, with equal or equivalent mapping. But multiple maps are allowed for several narrower options, or to assert that other concepts are unmatched.

    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantscmd-1: If the map is narrower or inexact, there SHALL be some comments (comment.exists() or equivalence.empty() or ((equivalence != 'narrower') and (equivalence != 'inexact')))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    cmd-1: If the map is narrower or inexact, there SHALL be some comments (comment.exists() or equivalence.empty() or ((equivalence != 'narrower') and (equivalence != 'inexact')))
    60. ConceptMap.group.element.target.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    62. ConceptMap.group.element.target.code
    Definition

    Identity (code or path) the LOINC Code that the map refers to.


    Identity (code or path) or the element/item that the map refers to.

    ShortCode that identifies the LOINC CodeCode that identifies the target element
    Control10..1
    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    64. ConceptMap.group.element.target.display
    Definition

    The LOINC Long Name for the LOINC code. The display is only provided to help editors when editing the concept map.


    The display for the code. The display is only provided to help editors when editing the concept map.

    ShortLOINC Long NameDisplay for the code
    Comments

    The display is ignored when processing the map.

    Control10..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    66. ConceptMap.group.element.target.equivalence
    Definition

    The equivalence between the source and target concepts (counting for the dependencies and products). The equivalence is read from target to source (e.g. the target is 'wider' than the source).

    Shortrelatedto | equivalent | equal | wider | subsumes | narrower | specializes | inexact | unmatched | disjoint
    Comments

    This element is labeled as a modifier because it may indicate that a target does not apply.

    Control1..1
    BindingThe codes SHALL be taken from ConceptMapEquivalencehttp://hl7.org/fhir/ValueSet/concept-map-equivalence|4.0.1
    (required to http://hl7.org/fhir/ValueSet/concept-map-equivalence|4.0.1)

    The degree of equivalence between concepts.

    Typecode
    Is Modifiertrue because Some of the values mean that there is no mapping from the source to the target, particularly 'disjoint', and the mapping cannot be interpreted without knowing this value as it could mean the elements are equivalent, totally mismatched or anything in between
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    68. ConceptMap.group.element.target.comment
    Definition

    A description of status/issues in mapping that conveys additional information not represented in the structured data.

    ShortVendor CommentDescription of status/issues in mapping
    Comments

    This provides the ability for the vendor for additional human readable clarifications to the Laboratory on how to consider mapping IVD Test Codes to LOINC codes beyond the Result and Specimen descriptions in the dependsOn construct.

    Control0..1
    This element is affected by the following invariants: cmd-1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    70. ConceptMap.group.element.target.dependsOn
    Definition

    A set of additional dependencies for this mapping to hold. This mapping is only applicable if the specified element can be resolved, and it has the specified value.

    ShortOther elements required for this mapping (from context)
    Comments

    Either .code or .display must be valued. There must be both a specimen and result related description.

    Control0..4*
    This element is affected by the following invariants: livd-1
    TypeBackboneElement
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    livd-1: If the dependsOn is valued, either the code or display must be present ((group.element.target.dependsOn.exists() and (group.element.target.code.exists() or group.element.target.display.exists())) or group.element.target.dependsOn.empty())
    SlicingThis element introduces a set of slices on ConceptMap.group.element.target.dependsOn. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ property
    • 72. ConceptMap.group.element.target.dependsOn.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      74. ConceptMap.group.element.target.dependsOn.property
      Definition

      A reference to an element that holds a coded value that corresponds to a code system property. The idea is that the information model carries an element somewhere that is labeled to correspond with a code system property.

      ShortReference to property mapping depends on
      Control1..1
      Typeuri
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      76. ConceptMap.group.element.target.dependsOn.value
      Definition

      Identity (code or path) or the element/item/ValueSet/text that the map depends on / refers to.

      ShortValue of the referenced element
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      78. ConceptMap.group.element.target.dependsOn:specimen
      Slice Namespecimen
      Definition

      A set of additional dependencies for this mapping to hold. This mapping is only applicable if the specified element can be resolved, and it has the specified value.

      ShortThe property for specimenOther elements required for this mapping (from context)
      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      80. ConceptMap.group.element.target.dependsOn:specimen.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      82. ConceptMap.group.element.target.dependsOn:specimen.property
      Definition

      A reference to an element that holds a coded value that corresponds to a code system property. The idea is that the information model carries an element somewhere that is labeled to correspond with a code system property.

      ShortReference to property mapping depends on
      Control1..1
      Typeuri
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Fixed Valuespecimen
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      84. ConceptMap.group.element.target.dependsOn:specimen.system
      Definition

      An absolute URI that identifies the code system of the dependency code (if the source/dependency is a value set that crosses code systems).

      ShortCode System (if necessary)
      Control0..01
      Typecanonical(CodeSystem)
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summaryfalse
      Meaning if MissingThe code is in the source (dependsOn) or target (product) system
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      86. ConceptMap.group.element.target.dependsOn:specimen.value
      Definition

      This provides the coded representation of the description for the Specimen description.


      Identity (code or path) or the element/item/ValueSet/text that the map depends on / refers to.

      ShortValue of the specimen propertyValue of the referenced element
      Comments

      This human readable description provides further information for use by the Lab staff to finalize the appropriate mapping of the analyte test code to the LOINC code for the specific device and purpose within that Lab.

      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      88. ConceptMap.group.element.target.dependsOn:specimen.display
      Definition

      The display for the code. The display is only provided to help editors when editing the concept map.

      ShortDisplay for the code (if value is a code)
      Comments

      The display is ignored when processing the map.

      Control0..01
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      90. ConceptMap.group.element.target.dependsOn:result
      Slice Nameresult
      Definition

      A set of additional dependencies for this mapping to hold. This mapping is only applicable if the specified element can be resolved, and it has the specified value.

      ShortThe property for resultOther elements required for this mapping (from context)
      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      92. ConceptMap.group.element.target.dependsOn:result.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      94. ConceptMap.group.element.target.dependsOn:result.property
      Definition

      A reference to an element that holds a coded value that corresponds to a code system property. The idea is that the information model carries an element somewhere that is labeled to correspond with a code system property.

      ShortReference to property mapping depends on
      Control1..1
      Typeuri
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Fixed Valueresult
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      96. ConceptMap.group.element.target.dependsOn:result.system
      Definition

      An absolute URI that identifies the code system of the dependency code (if the source/dependency is a value set that crosses code systems).

      ShortCode System (if necessary)
      Control0..01
      Typecanonical(CodeSystem)
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summaryfalse
      Meaning if MissingThe code is in the source (dependsOn) or target (product) system
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      98. ConceptMap.group.element.target.dependsOn:result.value
      Definition

      This provides the coded representation of the description for the Result description.


      Identity (code or path) or the element/item/ValueSet/text that the map depends on / refers to.

      ShortValue of the result propertyValue of the referenced element
      Comments

      This human readable description provides further information for use by the Lab staff to finalize the appropriate mapping of the analyte test code to the LOINC code for the specific device and purpose within that Lab.

      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      100. ConceptMap.group.element.target.dependsOn:result.display
      Definition

      The display for the code. The display is only provided to help editors when editing the concept map.

      ShortDisplay for the code (if value is a code)
      Comments

      The display is ignored when processing the map.

      Control0..01
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      102. ConceptMap.group.element.target.dependsOn:device
      Slice Namedevice
      Definition

      A set of additional dependencies for this mapping to hold. This mapping is only applicable if the specified element can be resolved, and it has the specified value.

      ShortThe property for deviceOther elements required for this mapping (from context)
      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      104. ConceptMap.group.element.target.dependsOn:device.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      106. ConceptMap.group.element.target.dependsOn:device.property
      Definition

      A reference to an element that holds a coded value that corresponds to a code system property. The idea is that the information model carries an element somewhere that is labeled to correspond with a code system property.

      ShortReference to property mapping depends on
      Control1..1
      Typeuri
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Fixed Valuedevice
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      108. ConceptMap.group.element.target.dependsOn:device.system
      Definition

      An absolute URI that identifies the code system of the dependency code (if the source/dependency is a value set that crosses code systems).

      ShortCode System (if necessary)
      Control0..01
      Typecanonical(CodeSystem)
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summaryfalse
      Meaning if MissingThe code is in the source (dependsOn) or target (product) system
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      110. ConceptMap.group.element.target.dependsOn:device.value
      Definition

      This provides the coded representation of the description for the Device description.


      Identity (code or path) or the element/item/ValueSet/text that the map depends on / refers to.

      ShortValue of the device propertyValue of the referenced element
      Comments

      This human readable description provides further information for use by the Lab staff to finalize the appropriate mapping of the analyte test code to the LOINC code for the specific device and purpose within that Lab.

      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      112. ConceptMap.group.element.target.dependsOn:device.display
      Definition

      The display for the code. The display is only provided to help editors when editing the concept map.

      ShortDisplay for the code (if value is a code)
      Comments

      The display is ignored when processing the map.

      Control0..01
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      114. ConceptMap.group.element.target.dependsOn:other
      Slice Nameother
      Definition

      A set of additional dependencies for this mapping to hold. This mapping is only applicable if the specified element can be resolved, and it has the specified value.

      ShortThe property for otherOther elements required for this mapping (from context)
      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      116. ConceptMap.group.element.target.dependsOn:other.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      118. ConceptMap.group.element.target.dependsOn:other.property
      Definition

      A reference to an element that holds a coded value that corresponds to a code system property. The idea is that the information model carries an element somewhere that is labeled to correspond with a code system property.

      ShortReference to property mapping depends on
      Control1..1
      Typeuri
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Fixed Valueother
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      120. ConceptMap.group.element.target.dependsOn:other.system
      Definition

      An absolute URI that identifies the code system of the dependency code (if the source/dependency is a value set that crosses code systems).

      ShortCode System (if necessary)
      Control0..01
      Typecanonical(CodeSystem)
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summaryfalse
      Meaning if MissingThe code is in the source (dependsOn) or target (product) system
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      122. ConceptMap.group.element.target.dependsOn:other.value
      Definition

      This provides the coded representation of the description for an additional dependency (not Specimen or Result) description.


      Identity (code or path) or the element/item/ValueSet/text that the map depends on / refers to.

      ShortValue of the other value propertyValue of the referenced element
      Comments

      This human readable description provides further information for use by the Lab staff to finalize the appropriate mapping of the analyte test code to the LOINC code for the specific device and purpose within that Lab.

      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      124. ConceptMap.group.element.target.dependsOn:other.display
      Definition

      The display for the code. The display is only provided to help editors when editing the concept map.

      ShortDisplay for the code (if value is a code)
      Comments

      The display is ignored when processing the map.

      Control0..01
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      126. ConceptMap.group.element.target.product
      Definition

      A set of additional outcomes from this mapping to other elements. To properly execute this mapping, the specified element must be mapped to some data element or source that is in context. The mapping may still be useful without a place for the additional data elements, but the equivalence cannot be relied on.

      ShortOther concepts that this mapping also produces
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/ConceptMap#ConceptMap.group.element.target.dependsOn
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      128. ConceptMap.group.unmapped
      Definition

      What to do when there is no mapping for the source concept. "Unmapped" does not include codes that are unmatched, and the unmapped element is ignored in a code is specified to have equivalence = unmatched.

      ShortWhat to do when there is no mapping for the source concept
      Comments

      This only applies if the source code has a system value that matches the system defined for the group.

      Control0..01
      TypeBackboneElement
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantscmd-2: If the mode is 'fixed', a code must be provided ((mode = 'fixed') implies code.exists())
      cmd-3: If the mode is 'other-map', a url must be provided ((mode = 'other-map') implies url.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      cmd-2: If the mode is 'fixed', a code must be provided ((mode = 'fixed') implies code.exists())
      cmd-3: If the mode is 'other-map', a url must be provided ((mode = 'other-map') implies url.exists())

      Guidance on how to interpret the contents of this table can be found here

      0. ConceptMap
      Definition

      A statement of relationships from one set of concepts to one or more other concepts - either concepts in code systems, or data element/data element concepts, or classes in class models.

      ShortLIVDTestCodeConceptMap
      Control0..*
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantscmd-0: Name should be usable as an identifier for the module by machine processing applications such as code generation (name.matches('[A-Z]([A-Za-z0-9_]){0,254}'))
      dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
      dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
      dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
      dom-6: A resource should have narrative for robust management (text.`div`.exists())
      2. ConceptMap.id
      Definition

      The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

      ShortLogical id of this artifact
      Comments

      The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

      Control0..1
      Typeid
      Is Modifierfalse
      Summarytrue
      4. ConceptMap.meta
      Definition

      The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

      ShortMetadata about the resource
      Control0..1
      TypeMeta
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      6. ConceptMap.implicitRules
      Definition

      A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

      ShortA set of rules under which this content was created
      Comments

      Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

      Control0..1
      Typeuri
      Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      8. ConceptMap.language
      Definition

      The base language in which the resource is written.

      ShortLanguage of the resource content
      Comments

      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).

      Control0..1
      BindingThe codes SHOULD be taken from CommonLanguages
      (preferred to http://hl7.org/fhir/ValueSet/languages)

      A human language.

      Additional BindingsPurpose
      AllLanguagesMax Binding
      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. ConceptMap.text
      Definition

      A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

      ShortText summary of the resource, for human interpretation
      Comments

      Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

      Control0..1
      TypeNarrative
      Is Modifierfalse
      Summaryfalse
      Alternate Namesnarrative, html, xhtml, display
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      12. ConceptMap.contained
      Definition

      These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

      ShortContained, inline Resources
      Comments

      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.

      Control0..*
      TypeResource
      Is Modifierfalse
      Summaryfalse
      Alternate Namesinline resources, anonymous resources, contained resources
      14. ConceptMap.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      16. ConceptMap.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
      Summaryfalse
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      18. ConceptMap.url
      Definition

      An absolute URI that is used to identify this concept map when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this concept map is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the concept map is stored on different servers.

      ShortCanonical identifier for this concept map, represented as a URI (globally unique)
      Comments

      Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.

      The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions.

      In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found.

      Control0..1
      Typeuri
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Requirements

      Allows the concept map to be referenced by a single globally unique identifier.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      20. ConceptMap.identifier
      Definition

      A formal identifier that is used to identify this concept map when it is represented in other formats, or referenced in a specification, model, design or an instance.

      ShortAdditional identifier for the concept map
      Comments

      Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this concept map outside of FHIR, where it is not possible to use the logical URI.

      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..0
      TypeIdentifier
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      Requirements

      Allows externally provided and/or usable business identifiers to be easily associated with the module.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      22. ConceptMap.version
      Definition

      The identifier that is used to identify this version of the concept map when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the concept map author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.

      ShortBusiness version of the concept map
      Comments

      There may be different concept map instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the concept map with the format [url]|[version].

      NoteThis is a business version Id, not a resource version Id (see discussion)
      Control0..0
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      24. ConceptMap.name
      Definition

      A natural language name identifying the concept map. This name should be usable as an identifier for the module by machine processing applications such as code generation.

      ShortName for this concept map (computer friendly)
      Comments

      The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.

      Control1..1
      This element is affected by the following invariants: inv-0
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Requirements

      Support human navigation and code generation.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      26. ConceptMap.title
      Definition

      A short, descriptive, user-friendly title for the concept map.

      ShortName for this concept map (human friendly)
      Comments

      This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.

      Control0..0
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      28. ConceptMap.status
      Definition

      The status of this concept map. Enables tracking the life-cycle of the content.

      Shortdraft | active | retired | unknown
      Comments

      Only "Active" must be supported as it reflects the time of publication. Others are not valid for that.

      Control1..1
      BindingThe codes SHALL be taken from PublicationStatus
      (required to http://hl7.org/fhir/ValueSet/publication-status|4.0.1)

      The lifecycle status of an artifact.

      Typecode
      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      30. ConceptMap.experimental
      Definition

      A Boolean value to indicate that this concept map is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.

      ShortFor testing purposes, not real usage
      Comments

      Allows filtering of concept maps that are appropriate for use versus not.

      Control0..0
      Typeboolean
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summarytrue
      Requirements

      Enables experimental content to be developed following the same lifecycle that would be used for a production-level concept map.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      32. ConceptMap.date
      Definition

      The date (and optionally time) when the concept map was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the concept map changes.

      ShortDate last changed
      Comments

      Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the concept map. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

      Control0..1
      TypedateTime
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summarytrue
      Alternate NamesRevision Date
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      34. ConceptMap.publisher
      Definition

      The name of the organization or individual that published the concept map.

      ShortName of the publisher (organization or individual)
      Comments

      Usually an organization but may be an individual. The publisher (or steward) of the concept map is the organization or individual primarily responsible for the maintenance and upkeep of the concept map. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the concept map. This item SHOULD be populated unless the information is available from context.

      Control0..0
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summarytrue
      Requirements

      Helps establish the "authority/credibility" of the concept map. May also allow for contact.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      36. ConceptMap.contact
      Definition

      Contact details to assist a user in finding and communicating with the publisher.

      ShortContact details for the publisher
      Comments

      May be a web site, an email address, a telephone number, etc.

      Control0..0
      TypeContactDetail
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      38. ConceptMap.description
      Definition

      A free text natural language description of the concept map from a consumer's perspective.

      ShortNatural language description of the concept map
      Comments

      The description is not intended to describe the semantics of the concept map. The description should capture its intended use, which is needed for ensuring integrity for its use in models across future changes.

      Control0..0
      Typemarkdown
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      40. ConceptMap.useContext
      Definition

      The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate concept map instances.

      ShortThe context that the content is intended to support
      Comments

      When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

      Control0..0
      TypeUsageContext
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      Requirements

      Assist in searching for appropriate content.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      42. ConceptMap.jurisdiction
      Definition

      A legal or geographic region in which the concept map is intended to be used.

      ShortIntended jurisdiction for concept map (if applicable)
      Comments

      It may be possible for the concept map to be used in jurisdictions other than those for which it was originally designed or intended.

      Control0..*
      BindingUnless not suitable, these codes SHALL be taken from Jurisdiction ValueSet
      (extensible to http://hl7.org/fhir/ValueSet/jurisdiction)

      Countries and regions within which this artifact is targeted for use.

      TypeCodeableConcept
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      44. ConceptMap.purpose
      Definition

      Explanation of why this concept map is needed and why it has been designed as it has.

      ShortWhy this concept map is defined
      Comments

      This element does not describe the usage of the concept map. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this concept map.

      Control0..0
      Typemarkdown
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      46. ConceptMap.copyright
      Definition

      A copyright statement relating to the concept map and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the concept map.

      ShortUse and/or publishing restrictions
      Comments

      Frequently the copyright differs between the concept map and codes that are included. The copyright statement should clearly differentiate between these when required.

      Control0..0
      Typemarkdown
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summaryfalse
      Requirements

      Consumers must be able to determine any legal restrictions on the use of the concept map and/or its content.

      Alternate NamesLicense, Restrictions
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      48. ConceptMap.source[x]
      Definition

      Identifier for the source value set that contains the concepts that are being mapped and provides context for the mappings.

      ShortThe source value set that contains the concepts that are being mapped
      Comments

      This points to the set of ObservationDefinition resource instances for the device for which the IVD Test Codes are mapped to the suggested LOINC codes.

      Control1..1
      TypeChoice of: uri, canonical(ValueSet)
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Must Support TypesNo must-support rules about the choice of types/profiles
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      50. ConceptMap.target[x]
      Definition

      The target value set provides context for the mappings. Note that the mapping is made between concepts, not between value sets, but the value set provides important context about how the concept mapping choices are made.

      ShortThe target value set which provides context for the mappings
      Comments

      This points to the LIVD value set that contains the target LOINC codes and their properties, used to map the IVD Test Codes.

      Control1..1
      TypeChoice of: uri, canonical(ValueSet)
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Must Support TypesNo must-support rules about the choice of types/profiles
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      52. ConceptMap.group
      Definition

      A group of mappings that all have the same source and target system.

      ShortSame source and target systems
      Comments

      Considering the scope is only IVD Test Code to LOINC, one group is sufficient.

      Control1..1
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      54. ConceptMap.group.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      56. ConceptMap.group.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      58. ConceptMap.group.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      60. ConceptMap.group.source
      Definition

      An absolute URI that identifies the source system where the concepts to be mapped are defined.

      ShortSource system where concepts to be mapped are defined
      Comments

      This is not needed if the source value set is specified and it contains concepts from only a single system.

      Control0..0
      Typeuri
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      62. ConceptMap.group.sourceVersion
      Definition

      The specific version of the code system, as determined by the code system authority.

      ShortSpecific version of the code system
      Comments

      The specification of a particular code system version may be required for code systems which lack concept permanence.

      Control0..0
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      64. ConceptMap.group.target
      Definition

      An absolute URI that identifies the target system that the concepts will be mapped to.

      ShortTarget system that the concepts are to be mapped to
      Comments

      This is not needed if the target value set is specified and it contains concepts from only a single system. The group target may also be omitted if all of the target element equivalence values are 'unmatched'.

      Control0..1
      Typeuri
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      66. ConceptMap.group.targetVersion
      Definition

      The specific version of the code system, as determined by the code system authority.

      ShortSpecific version of the code system
      Comments

      The specification of a particular code system version may be required for code systems which lack concept permanence.

      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      68. ConceptMap.group.element
      Definition

      Mappings for an individual Vendor Analyte Code in the source to one or more LOINC Codes in the target.

      ShortMappings for a Vendor Analyte Code from the source set
      Comments

      Generally an Vendor Analyte Code points to one or more LOINC Codes, but it is possible that a LOINC Code does not exist yet.

      Control1..*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Alternate Namescode, concept, item
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      70. ConceptMap.group.element.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      72. ConceptMap.group.element.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      74. ConceptMap.group.element.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      76. ConceptMap.group.element.code
      Definition

      Identity (code or path) of the Vendor Analyte Code being mapped.

      ShortIdentifies the Vendor Analyte Code being mapped
      Control1..1
      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      78. ConceptMap.group.element.display
      Definition

      The Vendor Analyte Name for the Vendore Analyte Code. The display is only provided to help editors when editing the concept map.

      ShortThe Vendor Analyte Name
      Comments

      The display is ignored when processing the map.

      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      80. ConceptMap.group.element.target
      Definition

      A reference to the LOINC code being mapped to, including mapping criteria.

      ShortIdentifies the LOINC code being mapped to
      Comments

      Ideally there would only be one map, with equal or equivalent mapping. But multiple maps are allowed for several narrower options, or to assert that other concepts are unmatched.

      Control0..*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantscmd-1: If the map is narrower or inexact, there SHALL be some comments (comment.exists() or equivalence.empty() or ((equivalence != 'narrower') and (equivalence != 'inexact')))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      82. ConceptMap.group.element.target.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      84. ConceptMap.group.element.target.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      86. ConceptMap.group.element.target.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      88. ConceptMap.group.element.target.code
      Definition

      Identity (code or path) the LOINC Code that the map refers to.

      ShortCode that identifies the LOINC Code
      Control1..1
      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      90. ConceptMap.group.element.target.display
      Definition

      The LOINC Long Name for the LOINC code. The display is only provided to help editors when editing the concept map.

      ShortLOINC Long Name
      Comments

      The display is ignored when processing the map.

      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      92. ConceptMap.group.element.target.equivalence
      Definition

      The equivalence between the source and target concepts (counting for the dependencies and products). The equivalence is read from target to source (e.g. the target is 'wider' than the source).

      Shortrelatedto | equivalent | equal | wider | subsumes | narrower | specializes | inexact | unmatched | disjoint
      Comments

      This element is labeled as a modifier because it may indicate that a target does not apply.

      Control1..1
      BindingThe codes SHALL be taken from ConceptMapEquivalence
      (required to http://hl7.org/fhir/ValueSet/concept-map-equivalence|4.0.1)

      The degree of equivalence between concepts.

      Typecode
      Is Modifiertrue because Some of the values mean that there is no mapping from the source to the target, particularly 'disjoint', and the mapping cannot be interpreted without knowing this value as it could mean the elements are equivalent, totally mismatched or anything in between
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      94. ConceptMap.group.element.target.comment
      Definition

      A description of status/issues in mapping that conveys additional information not represented in the structured data.

      ShortVendor Comment
      Comments

      This provides the ability for the vendor for additional human readable clarifications to the Laboratory on how to consider mapping IVD Test Codes to LOINC codes beyond the Result and Specimen descriptions in the dependsOn construct.

      Control0..1
      This element is affected by the following invariants: cmd-1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      96. ConceptMap.group.element.target.dependsOn
      Definition

      A set of additional dependencies for this mapping to hold. This mapping is only applicable if the specified element can be resolved, and it has the specified value.

      ShortOther elements required for this mapping (from context)
      Comments

      Either .code or .display must be valued. There must be both a specimen and result related description.

      Control0..4
      This element is affected by the following invariants: livd-1
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      livd-1: If the dependsOn is valued, either the code or display must be present ((group.element.target.dependsOn.exists() and (group.element.target.code.exists() or group.element.target.display.exists())) or group.element.target.dependsOn.empty())
      SlicingThis element introduces a set of slices on ConceptMap.group.element.target.dependsOn. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ property
      • 98. ConceptMap.group.element.target.dependsOn.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        100. ConceptMap.group.element.target.dependsOn.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        102. ConceptMap.group.element.target.dependsOn.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        104. ConceptMap.group.element.target.dependsOn.property
        Definition

        A reference to an element that holds a coded value that corresponds to a code system property. The idea is that the information model carries an element somewhere that is labeled to correspond with a code system property.

        ShortReference to property mapping depends on
        Control1..1
        Typeuri
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        106. ConceptMap.group.element.target.dependsOn.system
        Definition

        An absolute URI that identifies the code system of the dependency code (if the source/dependency is a value set that crosses code systems).

        ShortCode System (if necessary)
        Control0..1
        Typecanonical(CodeSystem)
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Meaning if MissingThe code is in the source (dependsOn) or target (product) system
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        108. ConceptMap.group.element.target.dependsOn.value
        Definition

        Identity (code or path) or the element/item/ValueSet/text that the map depends on / refers to.

        ShortValue of the referenced element
        Control1..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        110. ConceptMap.group.element.target.dependsOn.display
        Definition

        The display for the code. The display is only provided to help editors when editing the concept map.

        ShortDisplay for the code (if value is a code)
        Comments

        The display is ignored when processing the map.

        Control0..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        112. ConceptMap.group.element.target.dependsOn:specimen
        Slice Namespecimen
        Definition

        A set of additional dependencies for this mapping to hold. This mapping is only applicable if the specified element can be resolved, and it has the specified value.

        ShortThe property for specimen
        Control0..1
        TypeBackboneElement
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        114. ConceptMap.group.element.target.dependsOn:specimen.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        116. ConceptMap.group.element.target.dependsOn:specimen.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        118. ConceptMap.group.element.target.dependsOn:specimen.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        120. ConceptMap.group.element.target.dependsOn:specimen.property
        Definition

        A reference to an element that holds a coded value that corresponds to a code system property. The idea is that the information model carries an element somewhere that is labeled to correspond with a code system property.

        ShortReference to property mapping depends on
        Control1..1
        Typeuri
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summaryfalse
        Fixed Valuespecimen
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        122. ConceptMap.group.element.target.dependsOn:specimen.system
        Definition

        An absolute URI that identifies the code system of the dependency code (if the source/dependency is a value set that crosses code systems).

        ShortCode System (if necessary)
        Control0..0
        Typecanonical(CodeSystem)
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Meaning if MissingThe code is in the source (dependsOn) or target (product) system
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        124. ConceptMap.group.element.target.dependsOn:specimen.value
        Definition

        This provides the coded representation of the description for the Specimen description.

        ShortValue of the specimen property
        Comments

        This human readable description provides further information for use by the Lab staff to finalize the appropriate mapping of the analyte test code to the LOINC code for the specific device and purpose within that Lab.

        Control1..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        126. ConceptMap.group.element.target.dependsOn:specimen.display
        Definition

        The display for the code. The display is only provided to help editors when editing the concept map.

        ShortDisplay for the code (if value is a code)
        Comments

        The display is ignored when processing the map.

        Control0..0
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        128. ConceptMap.group.element.target.dependsOn:result
        Slice Nameresult
        Definition

        A set of additional dependencies for this mapping to hold. This mapping is only applicable if the specified element can be resolved, and it has the specified value.

        ShortThe property for result
        Control0..1
        TypeBackboneElement
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        130. ConceptMap.group.element.target.dependsOn:result.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        132. ConceptMap.group.element.target.dependsOn:result.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        134. ConceptMap.group.element.target.dependsOn:result.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        136. ConceptMap.group.element.target.dependsOn:result.property
        Definition

        A reference to an element that holds a coded value that corresponds to a code system property. The idea is that the information model carries an element somewhere that is labeled to correspond with a code system property.

        ShortReference to property mapping depends on
        Control1..1
        Typeuri
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summaryfalse
        Fixed Valueresult
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        138. ConceptMap.group.element.target.dependsOn:result.system
        Definition

        An absolute URI that identifies the code system of the dependency code (if the source/dependency is a value set that crosses code systems).

        ShortCode System (if necessary)
        Control0..0
        Typecanonical(CodeSystem)
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Meaning if MissingThe code is in the source (dependsOn) or target (product) system
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        140. ConceptMap.group.element.target.dependsOn:result.value
        Definition

        This provides the coded representation of the description for the Result description.

        ShortValue of the result property
        Comments

        This human readable description provides further information for use by the Lab staff to finalize the appropriate mapping of the analyte test code to the LOINC code for the specific device and purpose within that Lab.

        Control1..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        142. ConceptMap.group.element.target.dependsOn:result.display
        Definition

        The display for the code. The display is only provided to help editors when editing the concept map.

        ShortDisplay for the code (if value is a code)
        Comments

        The display is ignored when processing the map.

        Control0..0
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        144. ConceptMap.group.element.target.dependsOn:device
        Slice Namedevice
        Definition

        A set of additional dependencies for this mapping to hold. This mapping is only applicable if the specified element can be resolved, and it has the specified value.

        ShortThe property for device
        Control0..1
        TypeBackboneElement
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        146. ConceptMap.group.element.target.dependsOn:device.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        148. ConceptMap.group.element.target.dependsOn:device.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        150. ConceptMap.group.element.target.dependsOn:device.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        152. ConceptMap.group.element.target.dependsOn:device.property
        Definition

        A reference to an element that holds a coded value that corresponds to a code system property. The idea is that the information model carries an element somewhere that is labeled to correspond with a code system property.

        ShortReference to property mapping depends on
        Control1..1
        Typeuri
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summaryfalse
        Fixed Valuedevice
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        154. ConceptMap.group.element.target.dependsOn:device.system
        Definition

        An absolute URI that identifies the code system of the dependency code (if the source/dependency is a value set that crosses code systems).

        ShortCode System (if necessary)
        Control0..0
        Typecanonical(CodeSystem)
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Meaning if MissingThe code is in the source (dependsOn) or target (product) system
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        156. ConceptMap.group.element.target.dependsOn:device.value
        Definition

        This provides the coded representation of the description for the Device description.

        ShortValue of the device property
        Comments

        This human readable description provides further information for use by the Lab staff to finalize the appropriate mapping of the analyte test code to the LOINC code for the specific device and purpose within that Lab.

        Control1..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        158. ConceptMap.group.element.target.dependsOn:device.display
        Definition

        The display for the code. The display is only provided to help editors when editing the concept map.

        ShortDisplay for the code (if value is a code)
        Comments

        The display is ignored when processing the map.

        Control0..0
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        160. ConceptMap.group.element.target.dependsOn:other
        Slice Nameother
        Definition

        A set of additional dependencies for this mapping to hold. This mapping is only applicable if the specified element can be resolved, and it has the specified value.

        ShortThe property for other
        Control0..1
        TypeBackboneElement
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        162. ConceptMap.group.element.target.dependsOn:other.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        164. ConceptMap.group.element.target.dependsOn:other.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        166. ConceptMap.group.element.target.dependsOn:other.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        168. ConceptMap.group.element.target.dependsOn:other.property
        Definition

        A reference to an element that holds a coded value that corresponds to a code system property. The idea is that the information model carries an element somewhere that is labeled to correspond with a code system property.

        ShortReference to property mapping depends on
        Control1..1
        Typeuri
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summaryfalse
        Fixed Valueother
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        170. ConceptMap.group.element.target.dependsOn:other.system
        Definition

        An absolute URI that identifies the code system of the dependency code (if the source/dependency is a value set that crosses code systems).

        ShortCode System (if necessary)
        Control0..0
        Typecanonical(CodeSystem)
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Meaning if MissingThe code is in the source (dependsOn) or target (product) system
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        172. ConceptMap.group.element.target.dependsOn:other.value
        Definition

        This provides the coded representation of the description for an additional dependency (not Specimen or Result) description.

        ShortValue of the other value property
        Comments

        This human readable description provides further information for use by the Lab staff to finalize the appropriate mapping of the analyte test code to the LOINC code for the specific device and purpose within that Lab.

        Control1..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        174. ConceptMap.group.element.target.dependsOn:other.display
        Definition

        The display for the code. The display is only provided to help editors when editing the concept map.

        ShortDisplay for the code (if value is a code)
        Comments

        The display is ignored when processing the map.

        Control0..0
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        176. ConceptMap.group.element.target.product
        Definition

        A set of additional outcomes from this mapping to other elements. To properly execute this mapping, the specified element must be mapped to some data element or source that is in context. The mapping may still be useful without a place for the additional data elements, but the equivalence cannot be relied on.

        ShortOther concepts that this mapping also produces
        Control0..0
        TypeSeettp://hl7.org/fhir/StructureDefinition/ConceptMap#ConceptMap.group.element.target.dependsOn
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        178. ConceptMap.group.unmapped
        Definition

        What to do when there is no mapping for the source concept. "Unmapped" does not include codes that are unmatched, and the unmapped element is ignored in a code is specified to have equivalence = unmatched.

        ShortWhat to do when there is no mapping for the source concept
        Comments

        This only applies if the source code has a system value that matches the system defined for the group.

        Control0..0
        TypeBackboneElement
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantscmd-2: If the mode is 'fixed', a code must be provided ((mode = 'fixed') implies code.exists())
        cmd-3: If the mode is 'other-map', a url must be provided ((mode = 'other-map') implies url.exists())
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))