WHO Immunization Implementation Guide
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WHO Immunization Implementation Guide, published by World Health Organization (WHO). This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-immunizations and changes regularly. See the Directory of published versions

: ConceptMap to and from IMMZ.C DataElements - JSON Representation

Active as of 2023-08-04

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{
  "resourceType" : "ConceptMap",
  "id" : "IMMZ.C.ConceptMap",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Mapping from (not specified) to (not specified)</p><p>ACTIVE. Published on 2023-08-04 by World Health Organization (WHO)  (World Health Organization (WHO): <a href=\"https://www.who.int\">https://www.who.int</a>). </p><div><p>Mapping to and from IMMZ.C Data Dictionary to other codesystems.</p>\n</div><br/><p><b>Group 1 </b>Mapping from <a href=\"CodeSystem-IMMZ.C.html\">IMMZ.C CodeSystem for Data Elements</a> to <code>http://hl7.org/fhir/sid/icd-11</code></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>DE6 (Male)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>XX2UQ8</td></tr><tr><td>DE7 (Female)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>XX2V25</td></tr><tr><td>DE8 (Biological sex not specified)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>XX2PX3</td></tr><tr><td>DE9 (Intersex)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>XX45B7</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <code>http://hl7.org/fhir/sid/icd-11</code> to <a href=\"CodeSystem-IMMZ.C.html\">IMMZ.C CodeSystem for Data Elements</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>XX2UQ8</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>DE6 (Male)</td></tr><tr><td>XX2V25</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>DE7 (Female)</td></tr><tr><td>XX2PX3</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>DE8 (Biological sex not specified)</td></tr><tr><td>XX45B7</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>DE9 (Intersex)</td></tr></table><hr/><p><b>Group 3 </b>Mapping from <a href=\"CodeSystem-IMMZ.C.html\">IMMZ.C CodeSystem for Data Elements</a> to <a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-v3-loinc.html\">Logical Observation Identifiers, Names and Codes (LOINC)</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>DE2 (Name)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>54125-0 (Patient name)</td></tr><tr><td>DE3 (First name)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#relatedto\" title=\"relatedto\">is related to</a></td><td>45392-8 (Patient First (Given) name)</td></tr><tr><td>DE4 (Family name)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#relatedto\" title=\"relatedto\">is related to</a></td><td>45394-4 (Patient Last (Family) name)</td></tr><tr><td>DE5 (Sex)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>46098-0 (Sex)</td></tr><tr><td>DE10 (Date of birth)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>21112-8 (Birth date)</td></tr><tr><td>DE13 (Age)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>63900-5 (Current age or age at death)</td></tr><tr><td>DE18 (Contact phone number)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>42077-8 (Patient phone number)</td></tr><tr><td>DE19 (Administrative area)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#narrower\" title=\"narrower\">narrower</a></td><td>56799-0 (Address)</td></tr></table><hr/><p><b>Group 4 </b>Mapping from <a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-v3-loinc.html\">Logical Observation Identifiers, Names and Codes (LOINC)</a> to <a href=\"CodeSystem-IMMZ.C.html\">IMMZ.C CodeSystem for Data Elements</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>54125-0 (Patient name)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>DE2 (Name)</td></tr><tr><td>45392-8 (Patient First (Given) name)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#relatedto\" title=\"relatedto\">is related to</a></td><td>DE3 (First name)</td></tr><tr><td>45394-4 (Patient Last (Family) name)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#relatedto\" title=\"relatedto\">is related to</a></td><td>DE4 (Family name)</td></tr><tr><td>46098-0 (Sex)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>DE5 (Sex)</td></tr><tr><td>21112-8 (Birth date)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>DE10 (Date of birth)</td></tr><tr><td>63900-5 (Current age or age at death)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#narrower\" title=\"narrower\">narrower</a></td><td>DE13 (Age)</td></tr><tr><td>42077-8 (Patient phone number)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>DE18 (Contact phone number)</td></tr><tr><td>56799-0 (Address)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>DE19 (Administrative area)</td></tr></table><hr/><p><b>Group 5 </b>Mapping from <a href=\"CodeSystem-IMMZ.C.html\">IMMZ.C CodeSystem for Data Elements</a> to <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>DE2 (Name)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>371484003 (Patient name (observable entity))</td></tr><tr><td>DE3 (First name)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#relatedto\" title=\"relatedto\">is related to</a></td><td>184095009 (Patient forename)</td></tr><tr><td>DE4 (Family name)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#relatedto\" title=\"relatedto\">is related to</a></td><td>184096005 (Patient surname)</td></tr><tr><td>DE5 (Sex)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>184100006 (Patient sex)</td></tr><tr><td>DE6 (Male)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>248153007 (Male)</td></tr><tr><td>DE7 (Female)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>248152002 (Female)</td></tr><tr><td>DE8 (Biological sex not specified)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#relatedto\" title=\"relatedto\">is related to</a></td><td>772004004 (Non-binary gender (finding))</td></tr><tr><td>DE9 (Intersex)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>15867007 (Intersexuality)</td></tr><tr><td>DE10 (Date of birth)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>184099003 (Date of birth)</td></tr><tr><td>DE14 (Caregivers (multiple))</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>184140000 (Carer's details)</td></tr><tr><td>DE15 (Caregiver's full name)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>184140000 (Carer's details)</td></tr><tr><td>DE18 (Contact phone number)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>184103008 (Patient telephone number)</td></tr><tr><td>DE19 (Administrative area)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#narrower\" title=\"narrower\">narrower</a></td><td>184097001 (Patient address)</td></tr></table><hr/><p><b>Group 6 </b>Mapping from <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a> to <a href=\"CodeSystem-IMMZ.C.html\">IMMZ.C CodeSystem for Data Elements</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>371484003 (Patient name (observable entity))</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>DE2 (Name)</td></tr><tr><td>184095009 (Patient forename)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#relatedto\" title=\"relatedto\">is related to</a></td><td>DE3 (First name)</td></tr><tr><td>184096005 (Patient surname)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#relatedto\" title=\"relatedto\">is related to</a></td><td>DE4 (Family name)</td></tr><tr><td>184100006 (Patient sex)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>DE5 (Sex)</td></tr><tr><td>248153007 (Male)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>DE6 (Male)</td></tr><tr><td>248152002 (Female)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>DE7 (Female)</td></tr><tr><td>772004004 (Non-binary gender (finding))</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#relatedto\" title=\"relatedto\">is related to</a></td><td>DE8 (Biological sex not specified)</td></tr><tr><td>15867007 (Intersexuality)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>DE9 (Intersex)</td></tr><tr><td>184099003 (Date of birth)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>DE10 (Date of birth)</td></tr><tr><td>184140000 (Carer's details)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#narrower\" title=\"narrower\">narrower</a></td><td>DE14 (Caregivers (multiple))</td></tr><tr><td>184140000 (Carer's details)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#narrower\" title=\"narrower\">narrower</a></td><td>DE15 (Caregiver's full name)</td></tr><tr><td>184103008 (Patient telephone number)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>DE18 (Contact phone number)</td></tr><tr><td>184097001 (Patient address)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>DE19 (Administrative area)</td></tr></table></div>"
  },
  "url" : "http://smart.who.int/ig/smart-immunizations/ConceptMap/IMMZ.C.ConceptMap",
  "version" : "0.1.0",
  "name" : "IMMZ_C_ConceptMap",
  "title" : "ConceptMap to and from IMMZ.C DataElements",
  "status" : "active",
  "experimental" : false,
  "date" : "2023-08-04",
  "publisher" : "World Health Organization (WHO)",
  "contact" : [
    {
      "name" : "World Health Organization (WHO)",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.who.int"
        }
      ]
    }
  ],
  "description" : "Mapping to and from IMMZ.C Data Dictionary to other codesystems.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "group" : [
    {
      "source" : "http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.C",
      "target" : "http://hl7.org/fhir/sid/icd-11",
      "element" : [
        {
          "code" : "DE6",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "XX2UQ8",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "DE7",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "XX2V25",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "DE8",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "XX2PX3",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "DE9",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "XX45B7",
              "equivalence" : "equivalent"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://hl7.org/fhir/sid/icd-11",
      "target" : "http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.C",
      "element" : [
        {
          "code" : "XX2UQ8",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "DE6",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "XX2V25",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "DE7",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "XX2PX3",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "DE8",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "XX45B7",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "DE9",
              "equivalence" : "equivalent"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.C",
      "target" : "http://loinc.org",
      "element" : [
        {
          "code" : "DE2",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "54125-0",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "DE3",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "relatedto"
                }
              ],
              "code" : "45392-8",
              "equivalence" : "relatedto"
            }
          ]
        },
        {
          "code" : "DE4",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "relatedto"
                }
              ],
              "code" : "45394-4",
              "equivalence" : "relatedto"
            }
          ]
        },
        {
          "code" : "DE5",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "46098-0",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "DE10",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "21112-8",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "DE13",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "wider"
                }
              ],
              "code" : "63900-5",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "DE18",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "42077-8",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "DE19",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "narrower"
                }
              ],
              "code" : "56799-0",
              "equivalence" : "narrower"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://loinc.org",
      "target" : "http://smart.who.int/ig/smart-immunizations/CodeSystem/IMMZ.C",
      "element" : [
        {
          "code" : "54125-0",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "DE2",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "45392-8",
          "target" : [
            {
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                {
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