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{
  "resourceType": "ConceptMap",
  "id": "R2-DocumentManifest-element-map-to-R4",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fhir"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r4"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r4"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ConceptMap/R2-DocumentManifest-element-map-to-R4",
  "version": "0.1.0",
  "name": "R2DocumentManifestElementMapToR4",
  "title": "Cross-version mapping for FHIR DSTU2 DocumentManifest to FHIR R4 DocumentManifest",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:04:02.4171421-05:00",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description": "This ConceptMap represents cross-version mappings for elements from a FHIR DSTU2 DocumentManifest to FHIR R4.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "sourceCanonical": "http://hl7.org/fhir/1.0",
  "targetUri": "http://hl7.org/fhir/4.0",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DocumentManifest",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/StructureDefinition/DocumentManifest",
      "targetVersion": "4.0.1",
      "element": [
        {
          "code": "DocumentManifest.meta",
          "display": "meta",
          "target": [
            {
              "code": "DocumentManifest.meta",
              "display": "DocumentManifest.meta",
              "equivalence": "wider",
              "comment": "Element `DocumentManifest.meta` is mapped to FHIR R4 element `DocumentManifest.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `DocumentManifest.meta` do not cover the following types: Meta.\nThe mappings for `DocumentManifest.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        },
        {
          "code": "DocumentManifest.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "code": "DocumentManifest.implicitRules",
              "display": "DocumentManifest.implicitRules",
              "equivalence": "equivalent",
              "comment": "Element `DocumentManifest.implicitRules` is mapped to FHIR R4 element `DocumentManifest.implicitRules` as `Equivalent`.\nAsserting 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."
            }
          ]
        },
        {
          "code": "DocumentManifest.language",
          "display": "language",
          "target": [
            {
              "code": "DocumentManifest.language",
              "display": "DocumentManifest.language",
              "equivalence": "equivalent",
              "comment": "Element `DocumentManifest.language` is mapped to FHIR R4 element `DocumentManifest.language` as `Equivalent`.\nLanguage 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)."
            }
          ]
        },
        {
          "code": "DocumentManifest.text",
          "display": "text",
          "target": [
            {
              "code": "DocumentManifest.text",
              "display": "DocumentManifest.text",
              "equivalence": "wider",
              "comment": "Element `DocumentManifest.text` is mapped to FHIR R4 element `DocumentManifest.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `DocumentManifest.text` do not cover the following types: Narrative.\nThe mappings for `DocumentManifest.text` do not cover the following types based on type expansion: div, status.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative."
            }
          ]
        },
        {
          "code": "DocumentManifest.contained",
          "display": "contained",
          "target": [
            {
              "code": "DocumentManifest.contained",
              "display": "DocumentManifest.contained",
              "equivalence": "equivalent",
              "comment": "Element `DocumentManifest.contained` is mapped to FHIR R4 element `DocumentManifest.contained` as `SourceIsBroaderThanTarget`.\nThis 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."
            }
          ]
        },
        {
          "code": "DocumentManifest.masterIdentifier",
          "display": "masterIdentifier",
          "target": [
            {
              "code": "DocumentManifest.masterIdentifier",
              "display": "DocumentManifest.masterIdentifier",
              "equivalence": "wider",
              "comment": "Element `DocumentManifest.masterIdentifier` is mapped to FHIR R4 element `DocumentManifest.masterIdentifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `DocumentManifest.masterIdentifier` do not cover the following types: Identifier.\nThe mappings for `DocumentManifest.masterIdentifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        },
        {
          "code": "DocumentManifest.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "DocumentManifest.identifier",
              "display": "DocumentManifest.identifier",
              "equivalence": "wider",
              "comment": "Element `DocumentManifest.identifier` is mapped to FHIR R4 element `DocumentManifest.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `DocumentManifest.identifier` do not cover the following types: Identifier.\nThe mappings for `DocumentManifest.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        },
        {
          "code": "DocumentManifest.subject",
          "display": "subject",
          "target": [
            {
              "code": "DocumentManifest.subject",
              "display": "DocumentManifest.subject",
              "equivalence": "wider",
              "comment": "Element `DocumentManifest.subject` is mapped to FHIR R4 element `DocumentManifest.subject` as `RelatedTo`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `DocumentManifest.subject` with unmapped reference targets: Device, Group, Patient, Practitioner."
            }
          ]
        },
        {
          "code": "DocumentManifest.recipient",
          "display": "recipient",
          "target": [
            {
              "code": "DocumentManifest.recipient",
              "display": "DocumentManifest.recipient",
              "equivalence": "wider",
              "comment": "Element `DocumentManifest.recipient` is mapped to FHIR R4 element `DocumentManifest.recipient` as `RelatedTo`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `DocumentManifest.recipient` with unmapped reference targets: Organization, Patient, Practitioner, RelatedPerson.\nHow the recipient receives the document set or is notified of it is up to the implementation. This element is just a statement of intent. If the recipient is a person, and it is not known whether the person is a patient or a practitioner, RelatedPerson would be the default choice."
            }
          ]
        },
        {
          "code": "DocumentManifest.type",
          "display": "type",
          "target": [
            {
              "code": "DocumentManifest.type",
              "display": "DocumentManifest.type",
              "equivalence": "equivalent",
              "comment": "Element `DocumentManifest.type` is mapped to FHIR R4 element `DocumentManifest.type` as `Equivalent`."
            }
          ]
        },
        {
          "code": "DocumentManifest.author",
          "display": "author",
          "target": [
            {
              "code": "DocumentManifest.author",
              "display": "DocumentManifest.author",
              "equivalence": "wider",
              "comment": "Element `DocumentManifest.author` is mapped to FHIR R4 element `DocumentManifest.author` as `RelatedTo`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `DocumentManifest.author` with unmapped reference targets: Device, Organization, Patient, Practitioner, RelatedPerson.\nNot necessarily who did the actual data entry (i.e. typist) or who was the source (informant)."
            }
          ]
        },
        {
          "code": "DocumentManifest.created",
          "display": "created",
          "target": [
            {
              "code": "DocumentManifest.created",
              "display": "DocumentManifest.created",
              "equivalence": "equivalent",
              "comment": "Element `DocumentManifest.created` is mapped to FHIR R4 element `DocumentManifest.created` as `Equivalent`.\nCreation time is used for tracking, organizing versions and searching. This is the creation time of the document set, not the documents on which it is based."
            }
          ]
        },
        {
          "code": "DocumentManifest.source",
          "display": "source",
          "target": [
            {
              "code": "DocumentManifest.source",
              "display": "DocumentManifest.source",
              "equivalence": "equivalent",
              "comment": "Element `DocumentManifest.source` is mapped to FHIR R4 element `DocumentManifest.source` as `Equivalent`."
            }
          ]
        },
        {
          "code": "DocumentManifest.status",
          "display": "status",
          "target": [
            {
              "code": "DocumentManifest.status",
              "display": "DocumentManifest.status",
              "equivalence": "equivalent",
              "comment": "Element `DocumentManifest.status` is mapped to FHIR R4 element `DocumentManifest.status` as `Equivalent`."
            }
          ]
        },
        {
          "code": "DocumentManifest.description",
          "display": "description",
          "target": [
            {
              "code": "DocumentManifest.description",
              "display": "DocumentManifest.description",
              "equivalence": "equivalent",
              "comment": "Element `DocumentManifest.description` is mapped to FHIR R4 element `DocumentManifest.description` as `Equivalent`.\nWhat 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\")."
            }
          ]
        },
        {
          "code": "DocumentManifest.content",
          "display": "content",
          "target": [
            {
              "code": "DocumentManifest.content",
              "display": "DocumentManifest.content",
              "equivalence": "wider",
              "comment": "Element `DocumentManifest.content` is mapped to FHIR R4 element `DocumentManifest.content` as `Equivalent`."
            }
          ]
        },
        {
          "code": "DocumentManifest.content.p[x]",
          "display": "p[x]",
          "target": [
            {
              "code": "DocumentManifest.content",
              "display": "DocumentManifest.content",
              "equivalence": "relatedto",
              "comment": "Element `DocumentManifest.content.p[x]` is mapped to FHIR R4 element `DocumentManifest.content` as `RelatedTo`.\nThe mappings for `DocumentManifest.content.p[x]` do not cover the following types: Attachment.\nThe mappings for `DocumentManifest.content.p[x]` do not cover the following types based on type expansion: contentType, creation, data, display, hash, language, reference, size, title, url.\nThe standard extension `alternate-reference` has been mapped as PART of the representation of FHIR DSTU2 element `DocumentManifest.content.p[x]` with unmapped reference targets: Resource.\nThe intended focus of the DocumentManifest is for the reference to target either DocumentReference or Media Resources, and most implementation guides will restrict to these resources. The reference is to \"Any\" to support EN 13606 usage, where an extract is DocumentManifest that references  List and Composition resources."
            }
          ]
        },
        {
          "code": "DocumentManifest.related",
          "display": "related",
          "target": [
            {
              "code": "DocumentManifest.related",
              "display": "DocumentManifest.related",
              "equivalence": "wider",
              "comment": "Element `DocumentManifest.related` is mapped to FHIR R4 element `DocumentManifest.related` as `Equivalent`.\nMay be identifiers or resources that caused the DocumentManifest to be created."
            }
          ]
        },
        {
          "code": "DocumentManifest.related.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "DocumentManifest.related.identifier",
              "display": "DocumentManifest.related.identifier",
              "equivalence": "wider",
              "comment": "Element `DocumentManifest.related.identifier` is mapped to FHIR R4 element `DocumentManifest.related.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `DocumentManifest.related.identifier` do not cover the following types: Identifier.\nThe mappings for `DocumentManifest.related.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.\nIf both identifier and ref elements are present they shall refer to the same thing."
            }
          ]
        },
        {
          "code": "DocumentManifest.related.ref",
          "display": "ref",
          "target": [
            {
              "code": "DocumentManifest.related.ref",
              "display": "DocumentManifest.related.ref",
              "equivalence": "wider",
              "comment": "Element `DocumentManifest.related.ref` is mapped to FHIR R4 element `DocumentManifest.related.ref` as `SourceIsBroaderThanTarget`.\nThe mappings for `DocumentManifest.related.ref` do not cover the following types based on type expansion: display, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `DocumentManifest.related.ref` with unmapped reference targets: Resource.\nIf both identifier and ref elements are present they shall refer to the same thing."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DocumentManifest",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-DocumentManifest.meta",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "DocumentManifest.meta",
          "display": "meta",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `DocumentManifest.meta` is mapped to FHIR R4 element `DocumentManifest.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `DocumentManifest.meta` do not cover the following types: Meta.\nThe mappings for `DocumentManifest.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DocumentManifest",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-DocumentManifest.text",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "DocumentManifest.text",
          "display": "text",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `DocumentManifest.text` is mapped to FHIR R4 element `DocumentManifest.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `DocumentManifest.text` do not cover the following types: Narrative.\nThe mappings for `DocumentManifest.text` do not cover the following types based on type expansion: div, status.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DocumentManifest",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-DocumentManifest.masterIdentifier",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "DocumentManifest.masterIdentifier",
          "display": "masterIdentifier",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `DocumentManifest.masterIdentifier` is mapped to FHIR R4 element `DocumentManifest.masterIdentifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `DocumentManifest.masterIdentifier` do not cover the following types: Identifier.\nThe mappings for `DocumentManifest.masterIdentifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DocumentManifest",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-DocumentManifest.identifier",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "DocumentManifest.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `DocumentManifest.identifier` is mapped to FHIR R4 element `DocumentManifest.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `DocumentManifest.identifier` do not cover the following types: Identifier.\nThe mappings for `DocumentManifest.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DocumentManifest",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-DocumentManifest.content.p",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "DocumentManifest.content.p[x]",
          "display": "p[x]",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `DocumentManifest.content.p[x]` is mapped to FHIR R4 element `DocumentManifest.content` as `RelatedTo`.\nThe mappings for `DocumentManifest.content.p[x]` do not cover the following types: Attachment.\nThe mappings for `DocumentManifest.content.p[x]` do not cover the following types based on type expansion: contentType, creation, data, display, hash, language, reference, size, title, url.\nThe standard extension `alternate-reference` has been mapped as PART of the representation of FHIR DSTU2 element `DocumentManifest.content.p[x]` with unmapped reference targets: Resource.\nThe intended focus of the DocumentManifest is for the reference to target either DocumentReference or Media Resources, and most implementation guides will restrict to these resources. The reference is to \"Any\" to support EN 13606 usage, where an extract is DocumentManifest that references  List and Composition resources."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DocumentManifest",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/StructureDefinition/alternate-reference",
      "targetVersion": "5.2.0",
      "element": [
        {
          "code": "DocumentManifest.content.p[x]",
          "display": "p[x]",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `DocumentManifest.content.p[x]` is mapped to FHIR R4 element `DocumentManifest.content` as `RelatedTo`.\nThe mappings for `DocumentManifest.content.p[x]` do not cover the following types: Attachment.\nThe mappings for `DocumentManifest.content.p[x]` do not cover the following types based on type expansion: contentType, creation, data, display, hash, language, reference, size, title, url.\nThe standard extension `alternate-reference` has been mapped as PART of the representation of FHIR DSTU2 element `DocumentManifest.content.p[x]` with unmapped reference targets: Resource.\nThe intended focus of the DocumentManifest is for the reference to target either DocumentReference or Media Resources, and most implementation guides will restrict to these resources. The reference is to \"Any\" to support EN 13606 usage, where an extract is DocumentManifest that references  List and Composition resources."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/DocumentManifest",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-DocumentManifest.related.identifier",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "DocumentManifest.related.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `DocumentManifest.related.identifier` is mapped to FHIR R4 element `DocumentManifest.related.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `DocumentManifest.related.identifier` do not cover the following types: Identifier.\nThe mappings for `DocumentManifest.related.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.\nIf both identifier and ref elements are present they shall refer to the same thing."
            }
          ]
        }
      ]
    }
  ]
}