Extensions for Using Data Elements from FHIR DSTU2 in FHIR R5
0.1.0 - STU
Extensions for Using Data Elements from FHIR DSTU2 in FHIR R5
0.1.0 - STU
Extensions for Using Data Elements from FHIR DSTU2 in FHIR R5 - Downloaded Version null See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 0 |
<ConceptMap xmlns="http://hl7.org/fhir">
<id value="R2-DocumentReference-element-map-to-R5"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap R2-DocumentReference-element-map-to-R5</b></p><a name="R2-DocumentReference-element-map-to-R5"> </a><a name="hcR2-DocumentReference-element-map-to-R5"> </a><p>Mapping from http://hl7.org/fhir/1.0 to http://hl7.org/fhir/5.0</p><br/><p><b>Group 1 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2</code> to <a href="http://hl7.org/fhir/R5/documentreference.html">DocumentReferenceversion: 5.0.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>DocumentReference.meta (meta)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>DocumentReference.meta</td><td>Element `DocumentReference.meta` is mapped to FHIR R5 element `DocumentReference.meta` as `SourceIsBroaderThanTarget`.
The mappings for `DocumentReference.meta` do not cover the following types: Meta.
The mappings for `DocumentReference.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.</td></tr><tr><td>DocumentReference.implicitRules (implicitRules)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>DocumentReference.implicitRules</td><td>Element `DocumentReference.implicitRules` is mapped to FHIR R5 element `DocumentReference.implicitRules` as `Equivalent`.
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible.</td></tr><tr><td>DocumentReference.language (language)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>DocumentReference.language</td><td>Element `DocumentReference.language` is mapped to FHIR R5 element `DocumentReference.language` as `Equivalent`.
Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).</td></tr><tr><td>DocumentReference.text (text)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>DocumentReference.text</td><td>Element `DocumentReference.text` is mapped to FHIR R5 element `DocumentReference.text` as `SourceIsBroaderThanTarget`.
The mappings for `DocumentReference.text` do not cover the following types: Narrative.
The mappings for `DocumentReference.text` do not cover the following types based on type expansion: div, status.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.</td></tr><tr><td>DocumentReference.contained (contained)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>DocumentReference.contained</td><td>Element `DocumentReference.contained` is mapped to FHIR R5 element `DocumentReference.contained` as `SourceIsBroaderThanTarget`.
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.</td></tr><tr><td>DocumentReference.masterIdentifier (masterIdentifier)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>DocumentReference.identifier</td><td>Element `DocumentReference.masterIdentifier` is mapped to FHIR R5 element `DocumentReference.identifier` as `RelatedTo`.
The mappings for `DocumentReference.masterIdentifier` do not cover the following types: Identifier.
The mappings for `DocumentReference.masterIdentifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.
CDA Document Id extension and root.</td></tr><tr><td>DocumentReference.identifier (identifier)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>DocumentReference.identifier</td><td>Element `DocumentReference.identifier` is mapped to FHIR R5 element `DocumentReference.identifier` as `SourceIsBroaderThanTarget`.
The mappings for `DocumentReference.identifier` do not cover the following types: Identifier.
The mappings for `DocumentReference.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.</td></tr><tr><td>DocumentReference.subject (subject)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>DocumentReference.subject</td><td>Element `DocumentReference.subject` is mapped to FHIR R5 element `DocumentReference.subject` as `RelatedTo`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `DocumentReference.subject` with unmapped reference targets: Device, Group, Patient, Practitioner.</td></tr><tr><td>DocumentReference.type (type)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>DocumentReference.type</td><td>Element `DocumentReference.type` is mapped to FHIR R5 element `DocumentReference.type` as `Equivalent`.
Key metadata element describing the document, used in searching/filtering.</td></tr><tr><td>DocumentReference.class (class)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-narrower-than-target" title="source-is-narrower-than-target">is narrower than</a></td><td>DocumentReference.category</td><td>Element `DocumentReference.class` is mapped to FHIR R5 element `DocumentReference.category` as `SourceIsNarrowerThanTarget`.
This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD)).</td></tr><tr><td>DocumentReference.author (author)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>DocumentReference.author</td><td>Element `DocumentReference.author` is mapped to FHIR R5 element `DocumentReference.author` as `RelatedTo`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `DocumentReference.author` with unmapped reference targets: Device, Organization, Patient, Practitioner, RelatedPerson.
Not necessarily who did the actual data entry (i.e. typist) it in or who was the source (informant).</td></tr><tr><td>DocumentReference.custodian (custodian)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>DocumentReference.custodian</td><td>Element `DocumentReference.custodian` is mapped to FHIR R5 element `DocumentReference.custodian` as `SourceIsBroaderThanTarget`.
The mappings for `DocumentReference.custodian` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `DocumentReference.custodian` with unmapped reference targets: Organization.
Identifies the logical organization to go to find the current version, where to report issues, etc. This is different from the physical location of the document, which is the technical location of the document, which host may be delegated to the management of some other organization.</td></tr><tr><td>DocumentReference.authenticator (authenticator)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>DocumentReference.attester.mode</td><td>Element `DocumentReference.authenticator` is mapped to FHIR R5 element `DocumentReference.attester.mode` as `RelatedTo`.
The mappings for `DocumentReference.authenticator` do not cover the following types: Reference.
The mappings for `DocumentReference.authenticator` do not cover the following types based on type expansion: display, reference.
Represents a participant within the author institution who has legally authenticated or attested the document. Legal authentication implies that a document has been signed manually or electronically by the legal Authenticator.</td></tr><tr><td>DocumentReference.status (status)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>DocumentReference.status</td><td>Element `DocumentReference.status` is mapped to FHIR R5 element `DocumentReference.status` as `Equivalent`.
This is the status of the DocumentReference object, which might be independent from the docStatus element.</td></tr><tr><td>DocumentReference.docStatus (docStatus)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>DocumentReference.docStatus</td><td>Element `DocumentReference.docStatus` is mapped to FHIR R5 element `DocumentReference.docStatus` as `RelatedTo`.
The mappings for `DocumentReference.docStatus` do not cover the following types: CodeableConcept.
The mappings for `DocumentReference.docStatus` do not cover the following types based on type expansion: coding.
The mappings for `DocumentReference.docStatus` do not allow expression of the necessary codes, per the bindings on the source and target.
The document that is pointed to might be in various lifecycle states.</td></tr><tr><td>DocumentReference.relatesTo (relatesTo)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>DocumentReference.relatesTo</td><td>Element `DocumentReference.relatesTo` is mapped to FHIR R5 element `DocumentReference.relatesTo` as `Equivalent`.</td></tr><tr><td>DocumentReference.relatesTo.code (code)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>DocumentReference.relatesTo.code</td><td>Element `DocumentReference.relatesTo.code` is mapped to FHIR R5 element `DocumentReference.relatesTo.code` as `SourceIsNarrowerThanTarget`.
The mappings for `DocumentReference.relatesTo.code` do not allow expression of the necessary codes, per the bindings on the source and target.
If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.</td></tr><tr><td>DocumentReference.relatesTo.target (target)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>DocumentReference.relatesTo.target</td><td>Element `DocumentReference.relatesTo.target` is mapped to FHIR R5 element `DocumentReference.relatesTo.target` as `RelatedTo`.
The mappings for `DocumentReference.relatesTo.target` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `DocumentReference.relatesTo.target` with unmapped reference targets: DocumentReference.</td></tr><tr><td>DocumentReference.description (description)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>DocumentReference.description</td><td>Element `DocumentReference.description` is mapped to FHIR R5 element `DocumentReference.description` as `Equivalent`.
What the document is about, rather than a terse summary of the document. It is commonly the case that records do not have a title and are collectively referred to by the display name of Record code (e.g. a "consultation" or "progress note").</td></tr><tr><td>DocumentReference.securityLabel (securityLabel)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>DocumentReference.securityLabel</td><td>Element `DocumentReference.securityLabel` is mapped to FHIR R5 element `DocumentReference.securityLabel` as `Equivalent`.
The confidentiality codes can carry multiple vocabulary items. HL7 has developed an understanding of security and privacy tags that might be desirable in a Document Sharing environment, called HL7 Healthcare Privacy and Security Classification System (HCS). The following specification is recommended but not mandated, as the vocabulary bindings are an administrative domain responsibility. The use of this method is up to the policy domain such as the XDS Affinity Domain or other Trust Domain where all parties including sender and recipients are trusted to appropriately tag and enforce. In the HL7 Healthcare Privacy and Security Classification (HCS) there are code systems specific to Confidentiality, Sensitivity, Integrity, and Handling Caveats. Some values would come from a local vocabulary as they are related to workflow roles and special projects.</td></tr><tr><td>DocumentReference.content (content)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>DocumentReference.content</td><td>Element `DocumentReference.content` is mapped to FHIR R5 element `DocumentReference.content` as `Equivalent`.</td></tr><tr><td>DocumentReference.content.attachment (attachment)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>DocumentReference.content.attachment</td><td>Element `DocumentReference.content.attachment` is mapped to FHIR R5 element `DocumentReference.content.attachment` as `SourceIsBroaderThanTarget`.
The mappings for `DocumentReference.content.attachment` do not cover the following types: Attachment.
The mappings for `DocumentReference.content.attachment` do not cover the following types based on type expansion: contentType, creation, data, hash, language, size, title, url.</td></tr><tr><td>DocumentReference.context (context)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>DocumentReference.context</td><td>Element `DocumentReference.context` is mapped to FHIR R5 element `DocumentReference.context` as `SourceIsNarrowerThanTarget`.
These values are primarily added to help with searching for interesting/relevant documents.</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2</code> to <a href="StructureDefinition-ext-R2-DocumentReference.meta.html">DSTU2: meta additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>DocumentReference.meta (meta)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (DSTU2: meta additional types)</td><td>Element `DocumentReference.meta` is mapped to FHIR R5 element `DocumentReference.meta` as `SourceIsBroaderThanTarget`.
The mappings for `DocumentReference.meta` do not cover the following types: Meta.
The mappings for `DocumentReference.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.</td></tr></table><hr/><p><b>Group 3 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2</code> to <a href="StructureDefinition-ext-R2-DocumentReference.text.html">DSTU2: text additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>DocumentReference.text (text)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (DSTU2: text additional types)</td><td>Element `DocumentReference.text` is mapped to FHIR R5 element `DocumentReference.text` as `SourceIsBroaderThanTarget`.
The mappings for `DocumentReference.text` do not cover the following types: Narrative.
The mappings for `DocumentReference.text` do not cover the following types based on type expansion: div, status.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.</td></tr></table><hr/><p><b>Group 4 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2</code> to <a href="StructureDefinition-ext-R2-DocumentReference.masterIdentifier.html">DSTU2: Master Version Specific Identifier additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>DocumentReference.masterIdentifier (masterIdentifier)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>Extension (DSTU2: Master Version Specific Identifier additional types)</td><td>Element `DocumentReference.masterIdentifier` is mapped to FHIR R5 element `DocumentReference.identifier` as `RelatedTo`.
The mappings for `DocumentReference.masterIdentifier` do not cover the following types: Identifier.
The mappings for `DocumentReference.masterIdentifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.
CDA Document Id extension and root.</td></tr></table><hr/><p><b>Group 5 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2</code> to <a href="StructureDefinition-ext-R2-DocumentReference.identifier.html">DSTU2: Other identifiers for the document additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>DocumentReference.identifier (identifier)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (DSTU2: Other identifiers for the document additional types)</td><td>Element `DocumentReference.identifier` is mapped to FHIR R5 element `DocumentReference.identifier` as `SourceIsBroaderThanTarget`.
The mappings for `DocumentReference.identifier` do not cover the following types: Identifier.
The mappings for `DocumentReference.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.</td></tr></table><hr/><p><b>Group 6 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2</code> to <a href="StructureDefinition-ext-R2-DocumentReference.authenticator.html">DSTU2: Who/what authenticated the document additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>DocumentReference.authenticator (authenticator)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>Extension (DSTU2: Who/what authenticated the document additional types)</td><td>Element `DocumentReference.authenticator` is mapped to FHIR R5 element `DocumentReference.attester.mode` as `RelatedTo`.
The mappings for `DocumentReference.authenticator` do not cover the following types: Reference.
The mappings for `DocumentReference.authenticator` do not cover the following types based on type expansion: display, reference.
Represents a participant within the author institution who has legally authenticated or attested the document. Legal authentication implies that a document has been signed manually or electronically by the legal Authenticator.</td></tr></table><hr/><p><b>Group 7 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2</code> to <a href="StructureDefinition-ext-R2-DocumentReference.created.html">DSTU2: Document creation time (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>DocumentReference.created (created)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (DSTU2: Document creation time (new))</td><td>Element `DocumentReference.created` has a context of DocumentReference based on following the parent source element upwards and mapping to `DocumentReference`.
Element `DocumentReference.created` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Creation time is used for tracking, organizing versions and searching. This is the creation time of the document, not the source material on which it is based.</td></tr></table><hr/><p><b>Group 8 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2</code> to <a href="StructureDefinition-ext-R2-DocumentReference.indexed.html">DSTU2: When this document reference created (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>DocumentReference.indexed (indexed)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (DSTU2: When this document reference created (new))</td><td>Element `DocumentReference.indexed` has a context of DocumentReference based on following the parent source element upwards and mapping to `DocumentReference`.
Element `DocumentReference.indexed` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Referencing/indexing time is used for tracking, organizing versions and searching.</td></tr></table><hr/><p><b>Group 9 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2</code> to <a href="StructureDefinition-ext-R2-DocumentReference.docStatus.html">DSTU2: preliminary | final | appended | amended | entered-in-error additional types additional codesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>DocumentReference.docStatus (docStatus)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (DSTU2: preliminary | final | appended | amended | entered-in-error additional types additional codes)</td><td>Element `DocumentReference.docStatus` is mapped to FHIR R5 element `DocumentReference.docStatus` as `RelatedTo`.
The mappings for `DocumentReference.docStatus` do not cover the following types: CodeableConcept.
The mappings for `DocumentReference.docStatus` do not cover the following types based on type expansion: coding.
The mappings for `DocumentReference.docStatus` do not allow expression of the necessary codes, per the bindings on the source and target.
The document that is pointed to might be in various lifecycle states.</td></tr></table><hr/><p><b>Group 10 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2</code> to <a href="StructureDefinition-ext-R2-DocumentReference.rel.code.html">DSTU2: replaces | transforms | signs | appends additional codesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>DocumentReference.relatesTo.code (code)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (DSTU2: replaces | transforms | signs | appends additional codes)</td><td>Element `DocumentReference.relatesTo.code` is mapped to FHIR R5 element `DocumentReference.relatesTo.code` as `SourceIsNarrowerThanTarget`.
The mappings for `DocumentReference.relatesTo.code` do not allow expression of the necessary codes, per the bindings on the source and target.
If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.</td></tr></table><hr/><p><b>Group 11 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2</code> to <a href="StructureDefinition-ext-R2-DocumentReference.con.attachment.html">DSTU2: attachment additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>DocumentReference.content.attachment (attachment)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (DSTU2: attachment additional types)</td><td>Element `DocumentReference.content.attachment` is mapped to FHIR R5 element `DocumentReference.content.attachment` as `SourceIsBroaderThanTarget`.
The mappings for `DocumentReference.content.attachment` do not cover the following types: Attachment.
The mappings for `DocumentReference.content.attachment` do not cover the following types based on type expansion: contentType, creation, data, hash, language, size, title, url.</td></tr></table><hr/><p><b>Group 12 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2</code> to <a href="StructureDefinition-ext-R2-DocumentReference.con.format.html">DSTU2: Format/content rules for the document (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>DocumentReference.content.format (format)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>Extension (DSTU2: Format/content rules for the document (new))</td><td>Element `DocumentReference.content.format` has a context of DocumentReference.content based on following the parent source element upwards and mapping to `DocumentReference`.
Element `DocumentReference.content.format` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Note that while IHE mostly issues URNs for format types, not all documents can be identified by a URI.</td></tr></table><hr/><p><b>Group 13 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2</code> to <a href="StructureDefinition-ext-R2-DocumentReference.con.encounter.html">DSTU2: Context of the document content (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>DocumentReference.context.encounter (encounter)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>Extension (DSTU2: Context of the document content (new))</td><td>Element `DocumentReference.context.encounter` has a context of DocumentReference.context based on following the parent source element upwards and mapping to `DocumentReference`.
Element `DocumentReference.context.encounter` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 14 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2</code> to <a href="StructureDefinition-ext-R2-DocumentReference.con.event.html">DSTU2: Main Clinical Acts Documented (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>DocumentReference.context.event (event)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (DSTU2: Main Clinical Acts Documented (new))</td><td>Element `DocumentReference.context.event` has a context of DocumentReference.context based on following the parent source element upwards and mapping to `DocumentReference`.
Element `DocumentReference.context.event` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
An event can further specialize the act inherent in the type, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more event codes are included, they shall not conflict with the values inherent in the class or type elements as such a conflict would create an ambiguous situation.</td></tr></table><hr/><p><b>Group 15 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2</code> to <a href="StructureDefinition-ext-R2-DocumentReference.con.period.html">DSTU2: Time of service that is being documented (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>DocumentReference.context.period (period)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (DSTU2: Time of service that is being documented (new))</td><td>Element `DocumentReference.context.period` has a context of DocumentReference.context based on following the parent source element upwards and mapping to `DocumentReference`.
Element `DocumentReference.context.period` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 16 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2</code> to <a href="StructureDefinition-ext-R2-DocumentReference.con.facilityType.html">DSTU2: Kind of facility where patient was seen (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>DocumentReference.context.facilityType (facilityType)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (DSTU2: Kind of facility where patient was seen (new))</td><td>Element `DocumentReference.context.facilityType` has a context of DocumentReference.context based on following the parent source element upwards and mapping to `DocumentReference`.
Element `DocumentReference.context.facilityType` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 17 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2</code> to <a href="StructureDefinition-ext-R2-DocumentReference.con.practiceSetting.html">DSTU2: Additional details about where the content was created (e.g. clinical specialty) (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>DocumentReference.context.practiceSetting (practiceSetting)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (DSTU2: Additional details about where the content was created (e.g. clinical specialty) (new))</td><td>Element `DocumentReference.context.practiceSetting` has a context of DocumentReference.context based on following the parent source element upwards and mapping to `DocumentReference`.
Element `DocumentReference.context.practiceSetting` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
The value set for this content has an example binding because it is a value set decided by community policy. Other examples exist for consideration: * HITSP created the table HITSP/C80 Table 2-148 Clinical Specialty Value Set (a value set based upon SNOMED CT which is referenced by Direct (XDR and XDM for Direct Messaging Specification, Version 1), as well as Nationwide Health Information Network (NHIN). Query for Documents, Web Service Interface Specification, V 3.0, 07/27/2011 * ELGA (Austria) (ELGA CDA Implementie-rungsleitfäden Registrierung von CDA Dokumenten für ELGA mit IHE Cross-Enterprise Document Sharing: XDS Metadaten (XDSDocumentEntry), [1.2.40.0.34.7.6.3] * XDS Connect-a-thon practiceSettingCode.</td></tr></table><hr/><p><b>Group 18 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2</code> to <a href="StructureDefinition-ext-R2-DocumentReference.con.sourcePatientInfo.html">DSTU2: Patient demographics from source (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>DocumentReference.context.sourcePatientInfo (sourcePatientInfo)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (DSTU2: Patient demographics from source (new))</td><td>Element `DocumentReference.context.sourcePatientInfo` has a context of DocumentReference.context based on following the parent source element upwards and mapping to `DocumentReference`.
Element `DocumentReference.context.sourcePatientInfo` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 19 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2</code> to <a href="StructureDefinition-ext-R2-DocumentReference.con.related.html">DSTU2: Related identifiers or resources (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>DocumentReference.context.related (related)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (DSTU2: Related identifiers or resources (new))</td><td>Element `DocumentReference.context.related` has a context of DocumentReference.context based on following the parent source element upwards and mapping to `DocumentReference`.
Element `DocumentReference.context.related` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
May be identifiers or resources that caused the DocumentReference or referenced Document to be created.</td></tr><tr><td>DocumentReference.context.related.identifier (identifier)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension.extension:identifier (DSTU2: Identifier of related objects or events (new))</td><td>Element `DocumentReference.context.related.identifier` is part of an existing definition because parent element `DocumentReference.context.related` requires a cross-version extension.
Element `DocumentReference.context.related.identifier` has a context of DocumentReference.context based on following the parent source element upwards and mapping to `DocumentReference`.
Element `DocumentReference.context.related.identifier` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Order numbers, accession numbers, XDW workflow numbers.</td></tr><tr><td>DocumentReference.context.related.ref (ref)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>Extension.extension:ref (DSTU2: Related Resource (new))</td><td>Element `DocumentReference.context.related.ref` is part of an existing definition because parent element `DocumentReference.context.related` requires a cross-version extension.
Element `DocumentReference.context.related.ref` has a context of DocumentReference.context based on following the parent source element upwards and mapping to `DocumentReference`.
Element `DocumentReference.context.related.ref` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Order, DiagnosticOrder, Procedure, EligibilityRequest, etc.</td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fhir"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="0">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r5"/>
</extension>
</valueInteger>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="trial-use">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r5"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/uv/xver/ConceptMap/R2-DocumentReference-element-map-to-R5"/>
<version value="0.1.0"/>
<name value="R2DocumentReferenceElementMapToR5"/>
<title
value="Cross-version mapping for FHIR DSTU2 DocumentReference to FHIR R5 DocumentReference"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-03-17T16:05:26.1098386-05:00"/>
<contact>
<name value="FHIR Infrastructure"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/fiwg"/>
</telecom>
</contact>
<description
value="This ConceptMap represents cross-version mappings for elements from a FHIR DSTU2 DocumentReference to FHIR R5."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<sourceScopeCanonical value="http://hl7.org/fhir/1.0"/>
<targetScopeUri value="http://hl7.org/fhir/5.0"/>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2"/>
<target
value="http://hl7.org/fhir/StructureDefinition/DocumentReference|5.0.0"/>
<element>
<code value="DocumentReference.meta"/>
<display value="meta"/>
<target>
<code value="DocumentReference.meta"/>
<display value="DocumentReference.meta"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `DocumentReference.meta` is mapped to FHIR R5 element `DocumentReference.meta` as `SourceIsBroaderThanTarget`.
The mappings for `DocumentReference.meta` do not cover the following types: Meta.
The mappings for `DocumentReference.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."/>
</target>
</element>
<element>
<code value="DocumentReference.implicitRules"/>
<display value="implicitRules"/>
<target>
<code value="DocumentReference.implicitRules"/>
<display value="DocumentReference.implicitRules"/>
<relationship value="equivalent"/>
<comment
value="Element `DocumentReference.implicitRules` is mapped to FHIR R5 element `DocumentReference.implicitRules` as `Equivalent`.
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible."/>
</target>
</element>
<element>
<code value="DocumentReference.language"/>
<display value="language"/>
<target>
<code value="DocumentReference.language"/>
<display value="DocumentReference.language"/>
<relationship value="equivalent"/>
<comment
value="Element `DocumentReference.language` is mapped to FHIR R5 element `DocumentReference.language` as `Equivalent`.
Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
</target>
</element>
<element>
<code value="DocumentReference.text"/>
<display value="text"/>
<target>
<code value="DocumentReference.text"/>
<display value="DocumentReference.text"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `DocumentReference.text` is mapped to FHIR R5 element `DocumentReference.text` as `SourceIsBroaderThanTarget`.
The mappings for `DocumentReference.text` do not cover the following types: Narrative.
The mappings for `DocumentReference.text` do not cover the following types based on type expansion: div, status.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative."/>
</target>
</element>
<element>
<code value="DocumentReference.contained"/>
<display value="contained"/>
<target>
<code value="DocumentReference.contained"/>
<display value="DocumentReference.contained"/>
<relationship value="equivalent"/>
<comment
value="Element `DocumentReference.contained` is mapped to FHIR R5 element `DocumentReference.contained` as `SourceIsBroaderThanTarget`.
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."/>
</target>
</element>
<element>
<code value="DocumentReference.masterIdentifier"/>
<display value="masterIdentifier"/>
<target>
<code value="DocumentReference.identifier"/>
<display value="DocumentReference.identifier"/>
<relationship value="related-to"/>
<comment
value="Element `DocumentReference.masterIdentifier` is mapped to FHIR R5 element `DocumentReference.identifier` as `RelatedTo`.
The mappings for `DocumentReference.masterIdentifier` do not cover the following types: Identifier.
The mappings for `DocumentReference.masterIdentifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.
CDA Document Id extension and root."/>
</target>
</element>
<element>
<code value="DocumentReference.identifier"/>
<display value="identifier"/>
<target>
<code value="DocumentReference.identifier"/>
<display value="DocumentReference.identifier"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `DocumentReference.identifier` is mapped to FHIR R5 element `DocumentReference.identifier` as `SourceIsBroaderThanTarget`.
The mappings for `DocumentReference.identifier` do not cover the following types: Identifier.
The mappings for `DocumentReference.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."/>
</target>
</element>
<element>
<code value="DocumentReference.subject"/>
<display value="subject"/>
<target>
<code value="DocumentReference.subject"/>
<display value="DocumentReference.subject"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `DocumentReference.subject` is mapped to FHIR R5 element `DocumentReference.subject` as `RelatedTo`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `DocumentReference.subject` with unmapped reference targets: Device, Group, Patient, Practitioner."/>
</target>
</element>
<element>
<code value="DocumentReference.type"/>
<display value="type"/>
<target>
<code value="DocumentReference.type"/>
<display value="DocumentReference.type"/>
<relationship value="equivalent"/>
<comment
value="Element `DocumentReference.type` is mapped to FHIR R5 element `DocumentReference.type` as `Equivalent`.
Key metadata element describing the document, used in searching/filtering."/>
</target>
</element>
<element>
<code value="DocumentReference.class"/>
<display value="class"/>
<target>
<code value="DocumentReference.category"/>
<display value="DocumentReference.category"/>
<relationship value="source-is-narrower-than-target"/>
<comment
value="Element `DocumentReference.class` is mapped to FHIR R5 element `DocumentReference.category` as `SourceIsNarrowerThanTarget`.
This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD))."/>
</target>
</element>
<element>
<code value="DocumentReference.author"/>
<display value="author"/>
<target>
<code value="DocumentReference.author"/>
<display value="DocumentReference.author"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `DocumentReference.author` is mapped to FHIR R5 element `DocumentReference.author` as `RelatedTo`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `DocumentReference.author` with unmapped reference targets: Device, Organization, Patient, Practitioner, RelatedPerson.
Not necessarily who did the actual data entry (i.e. typist) it in or who was the source (informant)."/>
</target>
</element>
<element>
<code value="DocumentReference.custodian"/>
<display value="custodian"/>
<target>
<code value="DocumentReference.custodian"/>
<display value="DocumentReference.custodian"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `DocumentReference.custodian` is mapped to FHIR R5 element `DocumentReference.custodian` as `SourceIsBroaderThanTarget`.
The mappings for `DocumentReference.custodian` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `DocumentReference.custodian` with unmapped reference targets: Organization.
Identifies the logical organization to go to find the current version, where to report issues, etc. This is different from the physical location of the document, which is the technical location of the document, which host may be delegated to the management of some other organization."/>
</target>
</element>
<element>
<code value="DocumentReference.authenticator"/>
<display value="authenticator"/>
<target>
<code value="DocumentReference.attester.mode"/>
<display value="DocumentReference.attester.mode"/>
<relationship value="related-to"/>
<comment
value="Element `DocumentReference.authenticator` is mapped to FHIR R5 element `DocumentReference.attester.mode` as `RelatedTo`.
The mappings for `DocumentReference.authenticator` do not cover the following types: Reference.
The mappings for `DocumentReference.authenticator` do not cover the following types based on type expansion: display, reference.
Represents a participant within the author institution who has legally authenticated or attested the document. Legal authentication implies that a document has been signed manually or electronically by the legal Authenticator."/>
</target>
</element>
<element>
<code value="DocumentReference.status"/>
<display value="status"/>
<target>
<code value="DocumentReference.status"/>
<display value="DocumentReference.status"/>
<relationship value="equivalent"/>
<comment
value="Element `DocumentReference.status` is mapped to FHIR R5 element `DocumentReference.status` as `Equivalent`.
This is the status of the DocumentReference object, which might be independent from the docStatus element."/>
</target>
</element>
<element>
<code value="DocumentReference.docStatus"/>
<display value="docStatus"/>
<target>
<code value="DocumentReference.docStatus"/>
<display value="DocumentReference.docStatus"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `DocumentReference.docStatus` is mapped to FHIR R5 element `DocumentReference.docStatus` as `RelatedTo`.
The mappings for `DocumentReference.docStatus` do not cover the following types: CodeableConcept.
The mappings for `DocumentReference.docStatus` do not cover the following types based on type expansion: coding.
The mappings for `DocumentReference.docStatus` do not allow expression of the necessary codes, per the bindings on the source and target.
The document that is pointed to might be in various lifecycle states."/>
</target>
</element>
<element>
<code value="DocumentReference.relatesTo"/>
<display value="relatesTo"/>
<target>
<code value="DocumentReference.relatesTo"/>
<display value="DocumentReference.relatesTo"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `DocumentReference.relatesTo` is mapped to FHIR R5 element `DocumentReference.relatesTo` as `Equivalent`."/>
</target>
</element>
<element>
<code value="DocumentReference.relatesTo.code"/>
<display value="code"/>
<target>
<code value="DocumentReference.relatesTo.code"/>
<display value="DocumentReference.relatesTo.code"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `DocumentReference.relatesTo.code` is mapped to FHIR R5 element `DocumentReference.relatesTo.code` as `SourceIsNarrowerThanTarget`.
The mappings for `DocumentReference.relatesTo.code` do not allow expression of the necessary codes, per the bindings on the source and target.
If this document appends another document, then the document cannot be fully understood without also accessing the referenced document."/>
</target>
</element>
<element>
<code value="DocumentReference.relatesTo.target"/>
<display value="target"/>
<target>
<code value="DocumentReference.relatesTo.target"/>
<display value="DocumentReference.relatesTo.target"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `DocumentReference.relatesTo.target` is mapped to FHIR R5 element `DocumentReference.relatesTo.target` as `RelatedTo`.
The mappings for `DocumentReference.relatesTo.target` do not cover the following types based on type expansion: display, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `DocumentReference.relatesTo.target` with unmapped reference targets: DocumentReference."/>
</target>
</element>
<element>
<code value="DocumentReference.description"/>
<display value="description"/>
<target>
<code value="DocumentReference.description"/>
<display value="DocumentReference.description"/>
<relationship value="equivalent"/>
<comment
value="Element `DocumentReference.description` is mapped to FHIR R5 element `DocumentReference.description` as `Equivalent`.
What the document is about, rather than a terse summary of the document. It is commonly the case that records do not have a title and are collectively referred to by the display name of Record code (e.g. a "consultation" or "progress note")."/>
</target>
</element>
<element>
<code value="DocumentReference.securityLabel"/>
<display value="securityLabel"/>
<target>
<code value="DocumentReference.securityLabel"/>
<display value="DocumentReference.securityLabel"/>
<relationship value="equivalent"/>
<comment
value="Element `DocumentReference.securityLabel` is mapped to FHIR R5 element `DocumentReference.securityLabel` as `Equivalent`.
The confidentiality codes can carry multiple vocabulary items. HL7 has developed an understanding of security and privacy tags that might be desirable in a Document Sharing environment, called HL7 Healthcare Privacy and Security Classification System (HCS). The following specification is recommended but not mandated, as the vocabulary bindings are an administrative domain responsibility. The use of this method is up to the policy domain such as the XDS Affinity Domain or other Trust Domain where all parties including sender and recipients are trusted to appropriately tag and enforce. In the HL7 Healthcare Privacy and Security Classification (HCS) there are code systems specific to Confidentiality, Sensitivity, Integrity, and Handling Caveats. Some values would come from a local vocabulary as they are related to workflow roles and special projects."/>
</target>
</element>
<element>
<code value="DocumentReference.content"/>
<display value="content"/>
<target>
<code value="DocumentReference.content"/>
<display value="DocumentReference.content"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `DocumentReference.content` is mapped to FHIR R5 element `DocumentReference.content` as `Equivalent`."/>
</target>
</element>
<element>
<code value="DocumentReference.content.attachment"/>
<display value="attachment"/>
<target>
<code value="DocumentReference.content.attachment"/>
<display value="DocumentReference.content.attachment"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `DocumentReference.content.attachment` is mapped to FHIR R5 element `DocumentReference.content.attachment` as `SourceIsBroaderThanTarget`.
The mappings for `DocumentReference.content.attachment` do not cover the following types: Attachment.
The mappings for `DocumentReference.content.attachment` do not cover the following types based on type expansion: contentType, creation, data, hash, language, size, title, url."/>
</target>
</element>
<element>
<code value="DocumentReference.context"/>
<display value="context"/>
<target>
<code value="DocumentReference.context"/>
<display value="DocumentReference.context"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `DocumentReference.context` is mapped to FHIR R5 element `DocumentReference.context` as `SourceIsNarrowerThanTarget`.
These values are primarily added to help with searching for interesting/relevant documents."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2"/>
<target
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-DocumentReference.meta|0.1.0"/>
<element>
<code value="DocumentReference.meta"/>
<display value="meta"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="Element `DocumentReference.meta` is mapped to FHIR R5 element `DocumentReference.meta` as `SourceIsBroaderThanTarget`.
The mappings for `DocumentReference.meta` do not cover the following types: Meta.
The mappings for `DocumentReference.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2"/>
<target
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-DocumentReference.text|0.1.0"/>
<element>
<code value="DocumentReference.text"/>
<display value="text"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="Element `DocumentReference.text` is mapped to FHIR R5 element `DocumentReference.text` as `SourceIsBroaderThanTarget`.
The mappings for `DocumentReference.text` do not cover the following types: Narrative.
The mappings for `DocumentReference.text` do not cover the following types based on type expansion: div, status.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2"/>
<target
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-DocumentReference.masterIdentifier|0.1.0"/>
<element>
<code value="DocumentReference.masterIdentifier"/>
<display value="masterIdentifier"/>
<target>
<code value="Extension"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `DocumentReference.masterIdentifier` is mapped to FHIR R5 element `DocumentReference.identifier` as `RelatedTo`.
The mappings for `DocumentReference.masterIdentifier` do not cover the following types: Identifier.
The mappings for `DocumentReference.masterIdentifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.
CDA Document Id extension and root."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2"/>
<target
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-DocumentReference.identifier|0.1.0"/>
<element>
<code value="DocumentReference.identifier"/>
<display value="identifier"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="Element `DocumentReference.identifier` is mapped to FHIR R5 element `DocumentReference.identifier` as `SourceIsBroaderThanTarget`.
The mappings for `DocumentReference.identifier` do not cover the following types: Identifier.
The mappings for `DocumentReference.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2"/>
<target
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-DocumentReference.authenticator|0.1.0"/>
<element>
<code value="DocumentReference.authenticator"/>
<display value="authenticator"/>
<target>
<code value="Extension"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `DocumentReference.authenticator` is mapped to FHIR R5 element `DocumentReference.attester.mode` as `RelatedTo`.
The mappings for `DocumentReference.authenticator` do not cover the following types: Reference.
The mappings for `DocumentReference.authenticator` do not cover the following types based on type expansion: display, reference.
Represents a participant within the author institution who has legally authenticated or attested the document. Legal authentication implies that a document has been signed manually or electronically by the legal Authenticator."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2"/>
<target
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-DocumentReference.created|0.1.0"/>
<element>
<code value="DocumentReference.created"/>
<display value="created"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="Element `DocumentReference.created` has a context of DocumentReference based on following the parent source element upwards and mapping to `DocumentReference`.
Element `DocumentReference.created` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Creation time is used for tracking, organizing versions and searching. This is the creation time of the document, not the source material on which it is based."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2"/>
<target
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-DocumentReference.indexed|0.1.0"/>
<element>
<code value="DocumentReference.indexed"/>
<display value="indexed"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="Element `DocumentReference.indexed` has a context of DocumentReference based on following the parent source element upwards and mapping to `DocumentReference`.
Element `DocumentReference.indexed` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Referencing/indexing time is used for tracking, organizing versions and searching."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2"/>
<target
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-DocumentReference.docStatus|0.1.0"/>
<element>
<code value="DocumentReference.docStatus"/>
<display value="docStatus"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="Element `DocumentReference.docStatus` is mapped to FHIR R5 element `DocumentReference.docStatus` as `RelatedTo`.
The mappings for `DocumentReference.docStatus` do not cover the following types: CodeableConcept.
The mappings for `DocumentReference.docStatus` do not cover the following types based on type expansion: coding.
The mappings for `DocumentReference.docStatus` do not allow expression of the necessary codes, per the bindings on the source and target.
The document that is pointed to might be in various lifecycle states."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2"/>
<target
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-DocumentReference.relatesTo.code|0.1.0"/>
<element>
<code value="DocumentReference.relatesTo.code"/>
<display value="code"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="Element `DocumentReference.relatesTo.code` is mapped to FHIR R5 element `DocumentReference.relatesTo.code` as `SourceIsNarrowerThanTarget`.
The mappings for `DocumentReference.relatesTo.code` do not allow expression of the necessary codes, per the bindings on the source and target.
If this document appends another document, then the document cannot be fully understood without also accessing the referenced document."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2"/>
<target
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-DocumentReference.content.attachment|0.1.0"/>
<element>
<code value="DocumentReference.content.attachment"/>
<display value="attachment"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="Element `DocumentReference.content.attachment` is mapped to FHIR R5 element `DocumentReference.content.attachment` as `SourceIsBroaderThanTarget`.
The mappings for `DocumentReference.content.attachment` do not cover the following types: Attachment.
The mappings for `DocumentReference.content.attachment` do not cover the following types based on type expansion: contentType, creation, data, hash, language, size, title, url."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2"/>
<target
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-DocumentReference.content.format|0.1.0"/>
<element>
<code value="DocumentReference.content.format"/>
<display value="format"/>
<target>
<code value="Extension"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `DocumentReference.content.format` has a context of DocumentReference.content based on following the parent source element upwards and mapping to `DocumentReference`.
Element `DocumentReference.content.format` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Note that while IHE mostly issues URNs for format types, not all documents can be identified by a URI."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2"/>
<target
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-DocumentReference.context.encounter|0.1.0"/>
<element>
<code value="DocumentReference.context.encounter"/>
<display value="encounter"/>
<target>
<code value="Extension"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `DocumentReference.context.encounter` has a context of DocumentReference.context based on following the parent source element upwards and mapping to `DocumentReference`.
Element `DocumentReference.context.encounter` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2"/>
<target
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-DocumentReference.context.event|0.1.0"/>
<element>
<code value="DocumentReference.context.event"/>
<display value="event"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="Element `DocumentReference.context.event` has a context of DocumentReference.context based on following the parent source element upwards and mapping to `DocumentReference`.
Element `DocumentReference.context.event` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
An event can further specialize the act inherent in the type, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more event codes are included, they shall not conflict with the values inherent in the class or type elements as such a conflict would create an ambiguous situation."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2"/>
<target
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-DocumentReference.context.period|0.1.0"/>
<element>
<code value="DocumentReference.context.period"/>
<display value="period"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="Element `DocumentReference.context.period` has a context of DocumentReference.context based on following the parent source element upwards and mapping to `DocumentReference`.
Element `DocumentReference.context.period` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2"/>
<target
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-DocumentReference.context.facilityType|0.1.0"/>
<element>
<code value="DocumentReference.context.facilityType"/>
<display value="facilityType"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="Element `DocumentReference.context.facilityType` has a context of DocumentReference.context based on following the parent source element upwards and mapping to `DocumentReference`.
Element `DocumentReference.context.facilityType` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2"/>
<target
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-DocumentReference.context.practiceSetting|0.1.0"/>
<element>
<code value="DocumentReference.context.practiceSetting"/>
<display value="practiceSetting"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="Element `DocumentReference.context.practiceSetting` has a context of DocumentReference.context based on following the parent source element upwards and mapping to `DocumentReference`.
Element `DocumentReference.context.practiceSetting` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
The value set for this content has an example binding because it is a value set decided by community policy. Other examples exist for consideration: * HITSP created the table HITSP/C80 Table 2-148 Clinical Specialty Value Set (a value set based upon SNOMED CT which is referenced by Direct (XDR and XDM for Direct Messaging Specification, Version 1), as well as Nationwide Health Information Network (NHIN). Query for Documents, Web Service Interface Specification, V 3.0, 07/27/2011 * ELGA (Austria) (ELGA CDA Implementie-rungsleitfäden Registrierung von CDA Dokumenten für ELGA mit IHE Cross-Enterprise Document Sharing: XDS Metadaten (XDSDocumentEntry), [1.2.40.0.34.7.6.3] * XDS Connect-a-thon practiceSettingCode."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2"/>
<target
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-DocumentReference.context.sourcePatientInfo|0.1.0"/>
<element>
<code value="DocumentReference.context.sourcePatientInfo"/>
<display value="sourcePatientInfo"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="Element `DocumentReference.context.sourcePatientInfo` has a context of DocumentReference.context based on following the parent source element upwards and mapping to `DocumentReference`.
Element `DocumentReference.context.sourcePatientInfo` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/DocumentReference|1.0.2"/>
<target
value="http://hl7.org/fhir/1.0/StructureDefinition/extension-DocumentReference.context.related|0.1.0"/>
<element>
<code value="DocumentReference.context.related"/>
<display value="related"/>
<target>
<code value="Extension"/>
<relationship value="equivalent"/>
<comment
value="Element `DocumentReference.context.related` has a context of DocumentReference.context based on following the parent source element upwards and mapping to `DocumentReference`.
Element `DocumentReference.context.related` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
May be identifiers or resources that caused the DocumentReference or referenced Document to be created."/>
</target>
</element>
<element>
<code value="DocumentReference.context.related.identifier"/>
<display value="identifier"/>
<target>
<code value="Extension.extension:identifier"/>
<relationship value="equivalent"/>
<comment
value="Element `DocumentReference.context.related.identifier` is part of an existing definition because parent element `DocumentReference.context.related` requires a cross-version extension.
Element `DocumentReference.context.related.identifier` has a context of DocumentReference.context based on following the parent source element upwards and mapping to `DocumentReference`.
Element `DocumentReference.context.related.identifier` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Order numbers, accession numbers, XDW workflow numbers."/>
</target>
</element>
<element>
<code value="DocumentReference.context.related.ref"/>
<display value="ref"/>
<target>
<code value="Extension.extension:ref"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `DocumentReference.context.related.ref` is part of an existing definition because parent element `DocumentReference.context.related` requires a cross-version extension.
Element `DocumentReference.context.related.ref` has a context of DocumentReference.context based on following the parent source element upwards and mapping to `DocumentReference`.
Element `DocumentReference.context.related.ref` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Order, DiagnosticOrder, Procedure, EligibilityRequest, etc."/>
</target>
</element>
</group>
</ConceptMap>
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r2.r5#0.1.0 based on FHIR 5.0.0. Generated 2026-03-20
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