Extensions for Using Data Elements from FHIR R4 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR R4 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR R4 in FHIR R4B - 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="R4-DocumentReference-element-map-to-R4B"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap R4-DocumentReference-element-map-to-R4B</b></p><a name="R4-DocumentReference-element-map-to-R4B"> </a><a name="hcR4-DocumentReference-element-map-to-R4B"> </a><p>Mapping from http://hl7.org/fhir/4.0 to http://hl7.org/fhir/4.3</p><br/><p><b>Group 1 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1</code> to <a href="http://hl7.org/fhir/R4B/documentreference.html">DocumentReferenceversion: 4.3.0)</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>DocumentReference.meta</td><td>Element `DocumentReference.meta` is mapped to FHIR R4B element `DocumentReference.meta` as `Equivalent`.</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 R4B 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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.</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 R4B 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#equivalent" title="equivalent">is equivalent to</a></td><td>DocumentReference.text</td><td>Element `DocumentReference.text` is mapped to FHIR R4B element `DocumentReference.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 information is added later.</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 R4B element `DocumentReference.contained` as `Equivalent`.
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.</td></tr><tr><td>DocumentReference.masterIdentifier (masterIdentifier)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>DocumentReference.masterIdentifier</td><td>Element `DocumentReference.masterIdentifier` is mapped to FHIR R4B element `DocumentReference.masterIdentifier` as `Equivalent`.
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#equivalent" title="equivalent">is equivalent to</a></td><td>DocumentReference.identifier</td><td>Element `DocumentReference.identifier` is mapped to FHIR R4B element `DocumentReference.identifier` as `Equivalent`.</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 R4B element `DocumentReference.status` as `Equivalent`.
This is the status of the DocumentReference object, which might be independent from the docStatus element.
This element is labeled as a modifier because the status contains the codes that mark the document or reference as not currently valid.</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>DocumentReference.docStatus</td><td>Element `DocumentReference.docStatus` is mapped to FHIR R4B element `DocumentReference.docStatus` as `Equivalent`.
The document that is pointed to might be in various lifecycle states.</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 R4B element `DocumentReference.type` as `Equivalent`.
Key metadata element describing the document that describes he exact type of document. Helps humans to assess whether the document is of interest when viewing a list of documents.</td></tr><tr><td>DocumentReference.category (category)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>DocumentReference.category</td><td>Element `DocumentReference.category` is mapped to FHIR R4B element `DocumentReference.category` as `Equivalent`.
Key metadata element describing the the category or classification of the document. This is a broader perspective that groups similar documents based on how they would be used. This is a primary key used in searching.</td></tr><tr><td>DocumentReference.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>DocumentReference.subject</td><td>Element `DocumentReference.subject` is mapped to FHIR R4B element `DocumentReference.subject` as `Equivalent`.</td></tr><tr><td>DocumentReference.date (date)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>DocumentReference.date</td><td>Element `DocumentReference.date` is mapped to FHIR R4B element `DocumentReference.date` as `Equivalent`.
Referencing/indexing time is used for tracking, organizing versions and searching.</td></tr><tr><td>DocumentReference.author (author)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>DocumentReference.author</td><td>Element `DocumentReference.author` is mapped to FHIR R4B element `DocumentReference.author` as `Equivalent`.
Not necessarily who did the actual data entry (i.e. typist) or who was the source (informant).</td></tr><tr><td>DocumentReference.authenticator (authenticator)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>DocumentReference.authenticator</td><td>Element `DocumentReference.authenticator` is mapped to FHIR R4B element `DocumentReference.authenticator` as `Equivalent`.
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.custodian (custodian)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>DocumentReference.custodian</td><td>Element `DocumentReference.custodian` is mapped to FHIR R4B element `DocumentReference.custodian` as `Equivalent`.
Identifies the logical organization (software system, vendor, or department) to go to find the current version, where to report issues, etc. This is different from the physical location (URL, disk drive, or server) 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.relatesTo (relatesTo)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>DocumentReference.relatesTo</td><td>Element `DocumentReference.relatesTo` is mapped to FHIR R4B element `DocumentReference.relatesTo` as `Equivalent`.
This element is labeled as a modifier because documents that append to other documents are incomplete on their own.</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>DocumentReference.relatesTo.code</td><td>Element `DocumentReference.relatesTo.code` is mapped to FHIR R4B element `DocumentReference.relatesTo.code` as `Equivalent`.
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#equivalent" title="equivalent">is equivalent to</a></td><td>DocumentReference.relatesTo.target</td><td>Element `DocumentReference.relatesTo.target` is mapped to FHIR R4B element `DocumentReference.relatesTo.target` as `Equivalent`.</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 R4B element `DocumentReference.description` as `Equivalent`.
What the document is about, a terse summary of the document.</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 R4B 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#wider" title="wider">maps to wider concept</a></td><td>DocumentReference.content</td><td>Element `DocumentReference.content` is mapped to FHIR R4B 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#equivalent" title="equivalent">is equivalent to</a></td><td>DocumentReference.content.attachment</td><td>Element `DocumentReference.content.attachment` is mapped to FHIR R4B element `DocumentReference.content.attachment` as `Equivalent`.</td></tr><tr><td>DocumentReference.content.format (format)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>DocumentReference.content.format</td><td>Element `DocumentReference.content.format` is mapped to FHIR R4B element `DocumentReference.content.format` as `Equivalent`.
Note that while IHE mostly issues URNs for format types, not all documents can be identified by a URI.</td></tr><tr><td>DocumentReference.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>DocumentReference.context</td><td>Element `DocumentReference.context` is mapped to FHIR R4B element `DocumentReference.context` as `Equivalent`.
These values are primarily added to help with searching for interesting/relevant documents.</td></tr><tr><td>DocumentReference.context.encounter (encounter)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>DocumentReference.context.encounter</td><td>Element `DocumentReference.context.encounter` is mapped to FHIR R4B element `DocumentReference.context.encounter` as `Equivalent`.</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>DocumentReference.context.event</td><td>Element `DocumentReference.context.event` is mapped to FHIR R4B element `DocumentReference.context.event` as `Equivalent`.
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><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>DocumentReference.context.period</td><td>Element `DocumentReference.context.period` is mapped to FHIR R4B element `DocumentReference.context.period` as `Equivalent`.</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>DocumentReference.context.facilityType</td><td>Element `DocumentReference.context.facilityType` is mapped to FHIR R4B element `DocumentReference.context.facilityType` as `Equivalent`.</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>DocumentReference.context.practiceSetting</td><td>Element `DocumentReference.context.practiceSetting` is mapped to FHIR R4B element `DocumentReference.context.practiceSetting` as `Equivalent`.
This element should be based on a coarse classification system for the class of specialty practice. Recommend the use of the classification system for Practice Setting, such as that described by the Subject Matter Domain in LOINC.</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>DocumentReference.context.sourcePatientInfo</td><td>Element `DocumentReference.context.sourcePatientInfo` is mapped to FHIR R4B element `DocumentReference.context.sourcePatientInfo` as `Equivalent`.</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>DocumentReference.context.related</td><td>Element `DocumentReference.context.related` is mapped to FHIR R4B element `DocumentReference.context.related` as `Equivalent`.
May be identifiers or resources that caused the DocumentReference or referenced Document to be created.</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-r4.r4b"/>
</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-r4.r4b"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/uv/xver/ConceptMap/R4-DocumentReference-element-map-to-R4B"/>
<version value="0.1.0"/>
<name value="R4DocumentReferenceElementMapToR4B"/>
<title
value="Cross-version mapping for FHIR R4 DocumentReference to FHIR R4B DocumentReference"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-03-17T16:03:40.9781635-05:00"/>
<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 R4 DocumentReference to FHIR R4B."/>
<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/4.0"/>
<targetUri value="http://hl7.org/fhir/4.3"/>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/>
<sourceVersion value="4.0.1"/>
<target
value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/>
<targetVersion value="4.3.0"/>
<element>
<code value="DocumentReference.meta"/>
<display value="meta"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.meta"/>
<display value="DocumentReference.meta"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.meta` is mapped to FHIR R4B element `DocumentReference.meta` as `Equivalent`."/>
</target>
</element>
<element>
<code value="DocumentReference.implicitRules"/>
<display value="implicitRules"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.implicitRules"/>
<display value="DocumentReference.implicitRules"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.implicitRules` is mapped to FHIR R4B 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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."/>
</target>
</element>
<element>
<code value="DocumentReference.language"/>
<display value="language"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.language"/>
<display value="DocumentReference.language"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.language` is mapped to FHIR R4B 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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.text"/>
<display value="DocumentReference.text"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.text` is mapped to FHIR R4B element `DocumentReference.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 information is added later."/>
</target>
</element>
<element>
<code value="DocumentReference.contained"/>
<display value="contained"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.contained"/>
<display value="DocumentReference.contained"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.contained` is mapped to FHIR R4B element `DocumentReference.contained` as `Equivalent`.
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."/>
</target>
</element>
<element>
<code value="DocumentReference.masterIdentifier"/>
<display value="masterIdentifier"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.masterIdentifier"/>
<display value="DocumentReference.masterIdentifier"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.masterIdentifier` is mapped to FHIR R4B element `DocumentReference.masterIdentifier` as `Equivalent`.
CDA Document Id extension and root."/>
</target>
</element>
<element>
<code value="DocumentReference.identifier"/>
<display value="identifier"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.identifier"/>
<display value="DocumentReference.identifier"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.identifier` is mapped to FHIR R4B element `DocumentReference.identifier` as `Equivalent`."/>
</target>
</element>
<element>
<code value="DocumentReference.status"/>
<display value="status"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.status"/>
<display value="DocumentReference.status"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.status` is mapped to FHIR R4B element `DocumentReference.status` as `Equivalent`.
This is the status of the DocumentReference object, which might be independent from the docStatus element.
This element is labeled as a modifier because the status contains the codes that mark the document or reference as not currently valid."/>
</target>
</element>
<element>
<code value="DocumentReference.docStatus"/>
<display value="docStatus"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.docStatus"/>
<display value="DocumentReference.docStatus"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.docStatus` is mapped to FHIR R4B element `DocumentReference.docStatus` as `Equivalent`.
The document that is pointed to might be in various lifecycle states."/>
</target>
</element>
<element>
<code value="DocumentReference.type"/>
<display value="type"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.type"/>
<display value="DocumentReference.type"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.type` is mapped to FHIR R4B element `DocumentReference.type` as `Equivalent`.
Key metadata element describing the document that describes he exact type of document. Helps humans to assess whether the document is of interest when viewing a list of documents."/>
</target>
</element>
<element>
<code value="DocumentReference.category"/>
<display value="category"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.category"/>
<display value="DocumentReference.category"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.category` is mapped to FHIR R4B element `DocumentReference.category` as `Equivalent`.
Key metadata element describing the the category or classification of the document. This is a broader perspective that groups similar documents based on how they would be used. This is a primary key used in searching."/>
</target>
</element>
<element>
<code value="DocumentReference.subject"/>
<display value="subject"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.subject"/>
<display value="DocumentReference.subject"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.subject` is mapped to FHIR R4B element `DocumentReference.subject` as `Equivalent`."/>
</target>
</element>
<element>
<code value="DocumentReference.date"/>
<display value="date"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.date"/>
<display value="DocumentReference.date"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.date` is mapped to FHIR R4B element `DocumentReference.date` as `Equivalent`.
Referencing/indexing time is used for tracking, organizing versions and searching."/>
</target>
</element>
<element>
<code value="DocumentReference.author"/>
<display value="author"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.author"/>
<display value="DocumentReference.author"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.author` is mapped to FHIR R4B element `DocumentReference.author` as `Equivalent`.
Not necessarily who did the actual data entry (i.e. typist) or who was the source (informant)."/>
</target>
</element>
<element>
<code value="DocumentReference.authenticator"/>
<display value="authenticator"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.authenticator"/>
<display value="DocumentReference.authenticator"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.authenticator` is mapped to FHIR R4B element `DocumentReference.authenticator` as `Equivalent`.
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.custodian"/>
<display value="custodian"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.custodian"/>
<display value="DocumentReference.custodian"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.custodian` is mapped to FHIR R4B element `DocumentReference.custodian` as `Equivalent`.
Identifies the logical organization (software system, vendor, or department) to go to find the current version, where to report issues, etc. This is different from the physical location (URL, disk drive, or server) 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.relatesTo"/>
<display value="relatesTo"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="DocumentReference.relatesTo"/>
<display value="DocumentReference.relatesTo"/>
<equivalence value="wider"/>
<comment
value="Element `DocumentReference.relatesTo` is mapped to FHIR R4B element `DocumentReference.relatesTo` as `Equivalent`.
This element is labeled as a modifier because documents that append to other documents are incomplete on their own."/>
</target>
</element>
<element>
<code value="DocumentReference.relatesTo.code"/>
<display value="code"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.relatesTo.code"/>
<display value="DocumentReference.relatesTo.code"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.relatesTo.code` is mapped to FHIR R4B element `DocumentReference.relatesTo.code` as `Equivalent`.
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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.relatesTo.target"/>
<display value="DocumentReference.relatesTo.target"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.relatesTo.target` is mapped to FHIR R4B element `DocumentReference.relatesTo.target` as `Equivalent`."/>
</target>
</element>
<element>
<code value="DocumentReference.description"/>
<display value="description"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.description"/>
<display value="DocumentReference.description"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.description` is mapped to FHIR R4B element `DocumentReference.description` as `Equivalent`.
What the document is about, a terse summary of the document."/>
</target>
</element>
<element>
<code value="DocumentReference.securityLabel"/>
<display value="securityLabel"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.securityLabel"/>
<display value="DocumentReference.securityLabel"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.securityLabel` is mapped to FHIR R4B 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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="DocumentReference.content"/>
<display value="DocumentReference.content"/>
<equivalence value="wider"/>
<comment
value="Element `DocumentReference.content` is mapped to FHIR R4B element `DocumentReference.content` as `Equivalent`."/>
</target>
</element>
<element>
<code value="DocumentReference.content.attachment"/>
<display value="attachment"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.content.attachment"/>
<display value="DocumentReference.content.attachment"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.content.attachment` is mapped to FHIR R4B element `DocumentReference.content.attachment` as `Equivalent`."/>
</target>
</element>
<element>
<code value="DocumentReference.content.format"/>
<display value="format"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.content.format"/>
<display value="DocumentReference.content.format"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.content.format` is mapped to FHIR R4B element `DocumentReference.content.format` as `Equivalent`.
Note that while IHE mostly issues URNs for format types, not all documents can be identified by a URI."/>
</target>
</element>
<element>
<code value="DocumentReference.context"/>
<display value="context"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="DocumentReference.context"/>
<display value="DocumentReference.context"/>
<equivalence value="wider"/>
<comment
value="Element `DocumentReference.context` is mapped to FHIR R4B element `DocumentReference.context` as `Equivalent`.
These values are primarily added to help with searching for interesting/relevant documents."/>
</target>
</element>
<element>
<code value="DocumentReference.context.encounter"/>
<display value="encounter"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.context.encounter"/>
<display value="DocumentReference.context.encounter"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.context.encounter` is mapped to FHIR R4B element `DocumentReference.context.encounter` as `Equivalent`."/>
</target>
</element>
<element>
<code value="DocumentReference.context.event"/>
<display value="event"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.context.event"/>
<display value="DocumentReference.context.event"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.context.event` is mapped to FHIR R4B element `DocumentReference.context.event` as `Equivalent`.
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>
<element>
<code value="DocumentReference.context.period"/>
<display value="period"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.context.period"/>
<display value="DocumentReference.context.period"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.context.period` is mapped to FHIR R4B element `DocumentReference.context.period` as `Equivalent`."/>
</target>
</element>
<element>
<code value="DocumentReference.context.facilityType"/>
<display value="facilityType"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.context.facilityType"/>
<display value="DocumentReference.context.facilityType"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.context.facilityType` is mapped to FHIR R4B element `DocumentReference.context.facilityType` as `Equivalent`."/>
</target>
</element>
<element>
<code value="DocumentReference.context.practiceSetting"/>
<display value="practiceSetting"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.context.practiceSetting"/>
<display value="DocumentReference.context.practiceSetting"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.context.practiceSetting` is mapped to FHIR R4B element `DocumentReference.context.practiceSetting` as `Equivalent`.
This element should be based on a coarse classification system for the class of specialty practice. Recommend the use of the classification system for Practice Setting, such as that described by the Subject Matter Domain in LOINC."/>
</target>
</element>
<element>
<code value="DocumentReference.context.sourcePatientInfo"/>
<display value="sourcePatientInfo"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.context.sourcePatientInfo"/>
<display value="DocumentReference.context.sourcePatientInfo"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.context.sourcePatientInfo` is mapped to FHIR R4B element `DocumentReference.context.sourcePatientInfo` as `Equivalent`."/>
</target>
</element>
<element>
<code value="DocumentReference.context.related"/>
<display value="related"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="DocumentReference.context.related"/>
<display value="DocumentReference.context.related"/>
<equivalence value="equivalent"/>
<comment
value="Element `DocumentReference.context.related` is mapped to FHIR R4B element `DocumentReference.context.related` as `Equivalent`.
May be identifiers or resources that caused the DocumentReference or referenced Document to be created."/>
</target>
</element>
</group>
</ConceptMap>
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r4.r4b#0.1.0 based on FHIR 4.3.0. Generated 2026-03-20
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