Extensions for Using Data Elements from FHIR STU3 in FHIR R4
0.1.0 - STU
Extensions for Using Data Elements from FHIR STU3 in FHIR R4
0.1.0 - STU
Extensions for Using Data Elements from FHIR STU3 in FHIR R4 - 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="R3-Media-element-map-to-R4"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap R3-Media-element-map-to-R4</b></p><a name="R3-Media-element-map-to-R4"> </a><a name="hcR3-Media-element-map-to-R4"> </a><p>Mapping from http://hl7.org/fhir/3.0 to http://hl7.org/fhir/4.0</p><br/><p><b>Group 1 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Media|3.0.2</code> to <a href="http://hl7.org/fhir/R4/media.html">Mediaversion: 4.0.1)</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>Media.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>Media.meta</td><td>Element `Media.meta` is mapped to FHIR R4 element `Media.meta` as `Equivalent`.</td></tr><tr><td>Media.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>Media.implicitRules</td><td>Element `Media.implicitRules` is mapped to FHIR R4 element `Media.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.
This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.</td></tr><tr><td>Media.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>Media.language</td><td>Element `Media.language` is mapped to FHIR R4 element `Media.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>Media.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>Media.text</td><td>Element `Media.text` is mapped to FHIR R4 element `Media.text` as `Equivalent`.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.</td></tr><tr><td>Media.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>Media.contained</td><td>Element `Media.contained` is mapped to FHIR R4 element `Media.contained` as `Equivalent`.
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.</td></tr><tr><td>Media.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>Media.identifier</td><td>Element `Media.identifier` is mapped to FHIR R4 element `Media.identifier` as `Equivalent`.
The identifier label and use can be used to determine what kind of identifier it is.</td></tr><tr><td>Media.basedOn (basedOn)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Media.basedOn</td><td>Element `Media.basedOn` is mapped to FHIR R4 element `Media.basedOn` as `SourceIsNarrowerThanTarget`.</td></tr><tr><td>Media.type (type)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Media.type</td><td>Element `Media.type` is mapped to FHIR R4 element `Media.type` as `SourceIsNarrowerThanTarget`.</td></tr><tr><td>Media.subtype (subtype)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Media.modality</td><td>Element `Media.subtype` is mapped to FHIR R4 element `Media.modality` as `Equivalent`.</td></tr><tr><td>Media.view (view)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Media.view</td><td>Element `Media.view` is mapped to FHIR R4 element `Media.view` as `Equivalent`.</td></tr><tr><td>Media.subject (subject)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Media.subject</td><td>Element `Media.subject` is mapped to FHIR R4 element `Media.subject` as `Equivalent`.</td></tr><tr><td>Media.context (context)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Media.encounter</td><td>Element `Media.context` is mapped to FHIR R4 element `Media.encounter` as `SourceIsBroaderThanTarget`.
The mappings for `Media.context` do not cover the following types based on type expansion: display, identifier, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Media.context` with unmapped reference targets: EpisodeOfCare.
This will typically be the encounter the media occurred within.</td></tr><tr><td>Media.occurrence[x] (occurrence[x])</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Media.created[x]</td><td>Element `Media.occurrence[x]` is mapped to FHIR R4 element `Media.created[x]` as `Equivalent`.
The target context `Media.created[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Media`.</td></tr><tr><td>Media.operator (operator)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Media.operator</td><td>Element `Media.operator` is mapped to FHIR R4 element `Media.operator` as `Equivalent`.</td></tr><tr><td>Media.reasonCode (reasonCode)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Media.reasonCode</td><td>Element `Media.reasonCode` is mapped to FHIR R4 element `Media.reasonCode` as `Equivalent`.
Textual reasons can be caprued using reasonCode.text.</td></tr><tr><td>Media.bodySite (bodySite)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Media.bodySite</td><td>Element `Media.bodySite` is mapped to FHIR R4 element `Media.bodySite` as `Equivalent`.
If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use The standard extension[ body-site-instance](https://hl7.org/fhir/extension-body-site-instance.html).</td></tr><tr><td>Media.device (device)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Media.device</td><td>Element `Media.device` is mapped to FHIR R4 element `Media.device` as `Equivalent`.
An extension should be used if further typing of the device is needed. Scondary devices used to support collecting a media can be represented using either extension or through the Observation.related element.</td></tr><tr><td>Media.height (height)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Media.height</td><td>Element `Media.height` is mapped to FHIR R4 element `Media.height` as `Equivalent`.</td></tr><tr><td>Media.width (width)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Media.width</td><td>Element `Media.width` is mapped to FHIR R4 element `Media.width` as `Equivalent`.</td></tr><tr><td>Media.frames (frames)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Media.frames</td><td>Element `Media.frames` is mapped to FHIR R4 element `Media.frames` as `Equivalent`.</td></tr><tr><td>Media.duration (duration)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Media.duration</td><td>Element `Media.duration` is mapped to FHIR R4 element `Media.duration` as `SourceIsNarrowerThanTarget`.
The duration might differ from occurrencePeriod if recording was paused.</td></tr><tr><td>Media.content (content)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Media.content</td><td>Element `Media.content` is mapped to FHIR R4 element `Media.content` as `Equivalent`.
Recommended content types: image/jpeg, image/png, image/tiff, video/mpeg, audio/mp4, application/dicom. Application/dicom can contain the transfer syntax as a parameter. For an media that covers a period of time (video/sound), the content.creationTime is the end time. Creation time is used for tracking, organizing versions and searching.</td></tr><tr><td>Media.note (note)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Media.note</td><td>Element `Media.note` is mapped to FHIR R4 element `Media.note` as `Equivalent`.</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Media|3.0.2</code> to <a href="StructureDefinition-ext-R3-Media.type.html">STU3: photo | video | audioversion: 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>Media.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>Extension (STU3: photo | video | audio)</td><td>Element `Media.type` is mapped to FHIR R4 element `Media.type` as `SourceIsNarrowerThanTarget`.</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-r3.r4"/>
</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-r3.r4"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/uv/xver/ConceptMap/R3-Media-element-map-to-R4"/>
<version value="0.1.0"/>
<name value="R3MediaElementMapToR4"/>
<title value="Cross-version mapping for FHIR STU3 Media to FHIR R4 Media"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-03-17T16:03:24.0317441-05:00"/>
<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 STU3 Media to FHIR R4."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<sourceCanonical value="http://hl7.org/fhir/3.0"/>
<targetUri value="http://hl7.org/fhir/4.0"/>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Media"/>
<sourceVersion value="3.0.2"/>
<target value="http://hl7.org/fhir/StructureDefinition/Media"/>
<targetVersion value="4.0.1"/>
<element>
<code value="Media.meta"/>
<display value="meta"/>
<target>
<code value="Media.meta"/>
<display value="Media.meta"/>
<equivalence value="equivalent"/>
<comment
value="Element `Media.meta` is mapped to FHIR R4 element `Media.meta` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Media.implicitRules"/>
<display value="implicitRules"/>
<target>
<code value="Media.implicitRules"/>
<display value="Media.implicitRules"/>
<equivalence value="equivalent"/>
<comment
value="Element `Media.implicitRules` is mapped to FHIR R4 element `Media.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.
This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation."/>
</target>
</element>
<element>
<code value="Media.language"/>
<display value="language"/>
<target>
<code value="Media.language"/>
<display value="Media.language"/>
<equivalence value="equivalent"/>
<comment
value="Element `Media.language` is mapped to FHIR R4 element `Media.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="Media.text"/>
<display value="text"/>
<target>
<code value="Media.text"/>
<display value="Media.text"/>
<equivalence value="equivalent"/>
<comment
value="Element `Media.text` is mapped to FHIR R4 element `Media.text` as `Equivalent`.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later."/>
</target>
</element>
<element>
<code value="Media.contained"/>
<display value="contained"/>
<target>
<code value="Media.contained"/>
<display value="Media.contained"/>
<equivalence value="equivalent"/>
<comment
value="Element `Media.contained` is mapped to FHIR R4 element `Media.contained` as `Equivalent`.
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/>
</target>
</element>
<element>
<code value="Media.identifier"/>
<display value="identifier"/>
<target>
<code value="Media.identifier"/>
<display value="Media.identifier"/>
<equivalence value="equivalent"/>
<comment
value="Element `Media.identifier` is mapped to FHIR R4 element `Media.identifier` as `Equivalent`.
The identifier label and use can be used to determine what kind of identifier it is."/>
</target>
</element>
<element>
<code value="Media.basedOn"/>
<display value="basedOn"/>
<target>
<code value="Media.basedOn"/>
<display value="Media.basedOn"/>
<equivalence value="equivalent"/>
<comment
value="Element `Media.basedOn` is mapped to FHIR R4 element `Media.basedOn` as `SourceIsNarrowerThanTarget`."/>
</target>
</element>
<element>
<code value="Media.type"/>
<display value="type"/>
<target>
<code value="Media.type"/>
<display value="Media.type"/>
<equivalence value="wider"/>
<comment
value="Element `Media.type` is mapped to FHIR R4 element `Media.type` as `SourceIsNarrowerThanTarget`."/>
</target>
</element>
<element>
<code value="Media.subtype"/>
<display value="subtype"/>
<target>
<code value="Media.modality"/>
<display value="Media.modality"/>
<equivalence value="equivalent"/>
<comment
value="Element `Media.subtype` is mapped to FHIR R4 element `Media.modality` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Media.view"/>
<display value="view"/>
<target>
<code value="Media.view"/>
<display value="Media.view"/>
<equivalence value="equivalent"/>
<comment
value="Element `Media.view` is mapped to FHIR R4 element `Media.view` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Media.subject"/>
<display value="subject"/>
<target>
<code value="Media.subject"/>
<display value="Media.subject"/>
<equivalence value="equivalent"/>
<comment
value="Element `Media.subject` is mapped to FHIR R4 element `Media.subject` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Media.context"/>
<display value="context"/>
<target>
<code value="Media.encounter"/>
<display value="Media.encounter"/>
<equivalence value="wider"/>
<comment
value="Element `Media.context` is mapped to FHIR R4 element `Media.encounter` as `SourceIsBroaderThanTarget`.
The mappings for `Media.context` do not cover the following types based on type expansion: display, identifier, reference.
The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Media.context` with unmapped reference targets: EpisodeOfCare.
This will typically be the encounter the media occurred within."/>
</target>
</element>
<element>
<code value="Media.occurrence[x]"/>
<display value="occurrence[x]"/>
<target>
<code value="Media.created[x]"/>
<display value="Media.created[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `Media.occurrence[x]` is mapped to FHIR R4 element `Media.created[x]` as `Equivalent`.
The target context `Media.created[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Media`."/>
</target>
</element>
<element>
<code value="Media.operator"/>
<display value="operator"/>
<target>
<code value="Media.operator"/>
<display value="Media.operator"/>
<equivalence value="equivalent"/>
<comment
value="Element `Media.operator` is mapped to FHIR R4 element `Media.operator` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Media.reasonCode"/>
<display value="reasonCode"/>
<target>
<code value="Media.reasonCode"/>
<display value="Media.reasonCode"/>
<equivalence value="equivalent"/>
<comment
value="Element `Media.reasonCode` is mapped to FHIR R4 element `Media.reasonCode` as `Equivalent`.
Textual reasons can be caprued using reasonCode.text."/>
</target>
</element>
<element>
<code value="Media.bodySite"/>
<display value="bodySite"/>
<target>
<code value="Media.bodySite"/>
<display value="Media.bodySite"/>
<equivalence value="equivalent"/>
<comment
value="Element `Media.bodySite` is mapped to FHIR R4 element `Media.bodySite` as `Equivalent`.
If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use The standard extension[ body-site-instance](https://hl7.org/fhir/extension-body-site-instance.html)."/>
</target>
</element>
<element>
<code value="Media.device"/>
<display value="device"/>
<target>
<code value="Media.device"/>
<display value="Media.device"/>
<equivalence value="equivalent"/>
<comment
value="Element `Media.device` is mapped to FHIR R4 element `Media.device` as `Equivalent`.
An extension should be used if further typing of the device is needed. Scondary devices used to support collecting a media can be represented using either extension or through the Observation.related element."/>
</target>
</element>
<element>
<code value="Media.height"/>
<display value="height"/>
<target>
<code value="Media.height"/>
<display value="Media.height"/>
<equivalence value="equivalent"/>
<comment
value="Element `Media.height` is mapped to FHIR R4 element `Media.height` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Media.width"/>
<display value="width"/>
<target>
<code value="Media.width"/>
<display value="Media.width"/>
<equivalence value="equivalent"/>
<comment
value="Element `Media.width` is mapped to FHIR R4 element `Media.width` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Media.frames"/>
<display value="frames"/>
<target>
<code value="Media.frames"/>
<display value="Media.frames"/>
<equivalence value="equivalent"/>
<comment
value="Element `Media.frames` is mapped to FHIR R4 element `Media.frames` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Media.duration"/>
<display value="duration"/>
<target>
<code value="Media.duration"/>
<display value="Media.duration"/>
<equivalence value="equivalent"/>
<comment
value="Element `Media.duration` is mapped to FHIR R4 element `Media.duration` as `SourceIsNarrowerThanTarget`.
The duration might differ from occurrencePeriod if recording was paused."/>
</target>
</element>
<element>
<code value="Media.content"/>
<display value="content"/>
<target>
<code value="Media.content"/>
<display value="Media.content"/>
<equivalence value="equivalent"/>
<comment
value="Element `Media.content` is mapped to FHIR R4 element `Media.content` as `Equivalent`.
Recommended content types: image/jpeg, image/png, image/tiff, video/mpeg, audio/mp4, application/dicom. Application/dicom can contain the transfer syntax as a parameter. For an media that covers a period of time (video/sound), the content.creationTime is the end time. Creation time is used for tracking, organizing versions and searching."/>
</target>
</element>
<element>
<code value="Media.note"/>
<display value="note"/>
<target>
<code value="Media.note"/>
<display value="Media.note"/>
<equivalence value="equivalent"/>
<comment
value="Element `Media.note` is mapped to FHIR R4 element `Media.note` as `Equivalent`."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Media"/>
<sourceVersion value="3.0.2"/>
<target
value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Media.type"/>
<targetVersion value="0.1.0"/>
<element>
<code value="Media.type"/>
<display value="type"/>
<target>
<code value="Extension"/>
<equivalence value="equivalent"/>
<comment
value="Element `Media.type` is mapped to FHIR R4 element `Media.type` as `SourceIsNarrowerThanTarget`."/>
</target>
</element>
</group>
</ConceptMap>
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r3.r4#0.1.0 based on FHIR 4.0.1. Generated 2026-03-20
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