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{
  "resourceType": "ConceptMap",
  "id": "R3-Consent-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-r3.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-r3.r4"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ConceptMap/R3-Consent-element-map-to-R4",
  "version": "0.1.0",
  "name": "R3ConsentElementMapToR4",
  "title": "Cross-version mapping for FHIR STU3 Consent to FHIR R4 Consent",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:03:23.3294446-05:00",
  "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 STU3 Consent to FHIR R4.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "sourceCanonical": "http://hl7.org/fhir/3.0",
  "targetUri": "http://hl7.org/fhir/4.0",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Consent",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/StructureDefinition/Consent",
      "targetVersion": "4.0.1",
      "element": [
        {
          "code": "Consent.meta",
          "display": "meta",
          "target": [
            {
              "code": "Consent.meta",
              "display": "Consent.meta",
              "equivalence": "equivalent",
              "comment": "Element `Consent.meta` is mapped to FHIR R4 element `Consent.meta` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "code": "Consent.implicitRules",
              "display": "Consent.implicitRules",
              "equivalence": "equivalent",
              "comment": "Element `Consent.implicitRules` is mapped to FHIR R4 element `Consent.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. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation."
            }
          ]
        },
        {
          "code": "Consent.language",
          "display": "language",
          "target": [
            {
              "code": "Consent.language",
              "display": "Consent.language",
              "equivalence": "equivalent",
              "comment": "Element `Consent.language` is mapped to FHIR R4 element `Consent.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": "Consent.text",
          "display": "text",
          "target": [
            {
              "code": "Consent.text",
              "display": "Consent.text",
              "equivalence": "equivalent",
              "comment": "Element `Consent.text` is mapped to FHIR R4 element `Consent.text` as `Equivalent`.\nContained 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."
            }
          ]
        },
        {
          "code": "Consent.contained",
          "display": "contained",
          "target": [
            {
              "code": "Consent.contained",
              "display": "Consent.contained",
              "equivalence": "equivalent",
              "comment": "Element `Consent.contained` is mapped to FHIR R4 element `Consent.contained` as `Equivalent`.\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": "Consent.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "Consent.identifier",
              "display": "Consent.identifier",
              "equivalence": "equivalent",
              "comment": "Element `Consent.identifier` is mapped to FHIR R4 element `Consent.identifier` as `SourceIsNarrowerThanTarget`.\nThis identifier is identifies this copy of the consent. Where this identifier is also used elsewhere as the identifier for a consent record (e.g. a CDA consent document) then the consent details are expected to be the same."
            }
          ]
        },
        {
          "code": "Consent.status",
          "display": "status",
          "target": [
            {
              "code": "Consent.status",
              "display": "Consent.status",
              "equivalence": "equivalent",
              "comment": "Element `Consent.status` is mapped to FHIR R4 element `Consent.status` as `Equivalent`.\nThis element is labeled as a modifier because the status contains the codes rejected and entered-in-error that mark the Consent as not currently valid."
            }
          ]
        },
        {
          "code": "Consent.category",
          "display": "category",
          "target": [
            {
              "code": "Consent.category",
              "display": "Consent.category",
              "equivalence": "equivalent",
              "comment": "Element `Consent.category` is mapped to FHIR R4 element `Consent.category` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.patient",
          "display": "patient",
          "target": [
            {
              "code": "Consent.patient",
              "display": "Consent.patient",
              "equivalence": "equivalent",
              "comment": "Element `Consent.patient` is mapped to FHIR R4 element `Consent.patient` as `Equivalent`.\nCommonly, the patient the consent pertains to is the author, but for young and old people, it may be some other person."
            }
          ]
        },
        {
          "code": "Consent.dateTime",
          "display": "dateTime",
          "target": [
            {
              "code": "Consent.dateTime",
              "display": "Consent.dateTime",
              "equivalence": "equivalent",
              "comment": "Element `Consent.dateTime` is mapped to FHIR R4 element `Consent.dateTime` as `Equivalent`.\nThis is not the time of the original consent, but the time that this statement was made or derived."
            }
          ]
        },
        {
          "code": "Consent.consentingParty",
          "display": "consentingParty",
          "target": [
            {
              "code": "Consent.performer",
              "display": "Consent.performer",
              "equivalence": "equivalent",
              "comment": "Element `Consent.consentingParty` is mapped to FHIR R4 element `Consent.performer` as `Equivalent`.\nCommonly, the patient the consent pertains to is the consentor, but particularly for young and old people, it may be some other person - e.g. a legal guardian."
            }
          ]
        },
        {
          "code": "Consent.actor",
          "display": "actor",
          "target": [
            {
              "code": "Consent.provision.actor",
              "display": "Consent.provision.actor",
              "equivalence": "wider",
              "comment": "Element `Consent.actor` is mapped to FHIR R4 element `Consent.provision.actor` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.actor.role",
          "display": "role",
          "target": [
            {
              "code": "Consent.provision.actor.role",
              "display": "Consent.provision.actor.role",
              "equivalence": "equivalent",
              "comment": "Element `Consent.actor.role` is mapped to FHIR R4 element `Consent.provision.actor.role` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.actor.reference",
          "display": "reference",
          "target": [
            {
              "code": "Consent.provision.actor.reference",
              "display": "Consent.provision.actor.reference",
              "equivalence": "equivalent",
              "comment": "Element `Consent.actor.reference` is mapped to FHIR R4 element `Consent.provision.actor.reference` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.action",
          "display": "action",
          "target": [
            {
              "code": "Consent.provision.action",
              "display": "Consent.provision.action",
              "equivalence": "equivalent",
              "comment": "Element `Consent.action` is mapped to FHIR R4 element `Consent.provision.action` as `Equivalent`.\nNote that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'."
            }
          ]
        },
        {
          "code": "Consent.organization",
          "display": "organization",
          "target": [
            {
              "code": "Consent.organization",
              "display": "Consent.organization",
              "equivalence": "equivalent",
              "comment": "Element `Consent.organization` is mapped to FHIR R4 element `Consent.organization` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.source[x]",
          "display": "source[x]",
          "target": [
            {
              "code": "Consent.source[x]",
              "display": "Consent.source[x]",
              "equivalence": "wider",
              "comment": "Element `Consent.source[x]` is mapped to FHIR R4 element `Consent.source[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `Consent.source[x]` do not cover the following types: Identifier.\nThe target context `Consent.source[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Consent`.\nThe source can be contained inline (Attachment), referenced directly (Consent), referenced in a consent repository (DocumentReference), or simply by an identifier (Identifier), e.g. a CDA document id."
            }
          ]
        },
        {
          "code": "Consent.policy",
          "display": "policy",
          "target": [
            {
              "code": "Consent.policy",
              "display": "Consent.policy",
              "equivalence": "wider",
              "comment": "Element `Consent.policy` is mapped to FHIR R4 element `Consent.policy` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.policy.authority",
          "display": "authority",
          "target": [
            {
              "code": "Consent.policy.authority",
              "display": "Consent.policy.authority",
              "equivalence": "equivalent",
              "comment": "Element `Consent.policy.authority` is mapped to FHIR R4 element `Consent.policy.authority` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.policy.uri",
          "display": "uri",
          "target": [
            {
              "code": "Consent.policy.uri",
              "display": "Consent.policy.uri",
              "equivalence": "equivalent",
              "comment": "Element `Consent.policy.uri` is mapped to FHIR R4 element `Consent.policy.uri` as `Equivalent`.\nThis element is for discoverability / documentation, and does not modify or qualify the policy rules."
            }
          ]
        },
        {
          "code": "Consent.policyRule",
          "display": "policyRule",
          "target": [
            {
              "code": "Consent.policyRule",
              "display": "Consent.policyRule",
              "equivalence": "wider",
              "comment": "Element `Consent.policyRule` is mapped to FHIR R4 element `Consent.policyRule` as `SourceIsBroaderThanTarget`.\nThe mappings for `Consent.policyRule` do not cover the following types: uri.\nThe mappings for `Consent.policyRule` do not cover the following types based on type expansion: value.\nIf the policy reference is not known, the resource cannot be processed. Where the reference is absent, there is no particular policy other than what is expressed directly in the consent resource."
            }
          ]
        },
        {
          "code": "Consent.securityLabel",
          "display": "securityLabel",
          "target": [
            {
              "code": "Consent.provision.securityLabel",
              "display": "Consent.provision.securityLabel",
              "equivalence": "equivalent",
              "comment": "Element `Consent.securityLabel` is mapped to FHIR R4 element `Consent.provision.securityLabel` as `Equivalent`.\nIf the consent specifies a security label of \"R\" then it applies to all resources that are labeled \"R\" or lower. E.g. for Confidentiality, it's a high water mark. For other kinds of security labels, subsumption logic applies. Not all of the security labels make sense for use in this element (may define a narrower value set?)."
            }
          ]
        },
        {
          "code": "Consent.purpose",
          "display": "purpose",
          "target": [
            {
              "code": "Consent.provision.purpose",
              "display": "Consent.provision.purpose",
              "equivalence": "equivalent",
              "comment": "Element `Consent.purpose` is mapped to FHIR R4 element `Consent.provision.purpose` as `Equivalent`.\nThis element is for discoverability / documentation, and does not modify or qualify the policy (e.g. the policy itself describes the purposes for which it applies)."
            }
          ]
        },
        {
          "code": "Consent.dataPeriod",
          "display": "dataPeriod",
          "target": [
            {
              "code": "Consent.provision.dataPeriod",
              "display": "Consent.provision.dataPeriod",
              "equivalence": "equivalent",
              "comment": "Element `Consent.dataPeriod` is mapped to FHIR R4 element `Consent.provision.dataPeriod` as `Equivalent`.\nThis has a different sense to the Consent.period - that is when the consent agreement holds. This is the time period of the data that is controlled by the agreement."
            }
          ]
        },
        {
          "code": "Consent.data",
          "display": "data",
          "target": [
            {
              "code": "Consent.provision.data",
              "display": "Consent.provision.data",
              "equivalence": "wider",
              "comment": "Element `Consent.data` is mapped to FHIR R4 element `Consent.provision.data` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.data.meaning",
          "display": "meaning",
          "target": [
            {
              "code": "Consent.provision.data.meaning",
              "display": "Consent.provision.data.meaning",
              "equivalence": "equivalent",
              "comment": "Element `Consent.data.meaning` is mapped to FHIR R4 element `Consent.provision.data.meaning` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.data.reference",
          "display": "reference",
          "target": [
            {
              "code": "Consent.provision.data.reference",
              "display": "Consent.provision.data.reference",
              "equivalence": "equivalent",
              "comment": "Element `Consent.data.reference` is mapped to FHIR R4 element `Consent.provision.data.reference` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.except",
          "display": "except",
          "target": [
            {
              "code": "Consent.provision",
              "display": "Consent.provision",
              "equivalence": "wider",
              "comment": "Element `Consent.except` is mapped to FHIR R4 element `Consent.provision` as `SourceIsBroaderThanTarget`."
            }
          ]
        },
        {
          "code": "Consent.except.type",
          "display": "type",
          "target": [
            {
              "code": "Consent.provision.type",
              "display": "Consent.provision.type",
              "equivalence": "equivalent",
              "comment": "Element `Consent.except.type` is mapped to FHIR R4 element `Consent.provision.type` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.except.period",
          "display": "period",
          "target": [
            {
              "code": "Consent.provision.period",
              "display": "Consent.provision.period",
              "equivalence": "equivalent",
              "comment": "Element `Consent.except.period` is mapped to FHIR R4 element `Consent.provision.period` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.except.actor",
          "display": "actor",
          "target": [
            {
              "code": "Consent.provision.actor",
              "display": "Consent.provision.actor",
              "equivalence": "wider",
              "comment": "Element `Consent.except.actor` is mapped to FHIR R4 element `Consent.provision.actor` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.except.actor.role",
          "display": "role",
          "target": [
            {
              "code": "Consent.provision.actor.role",
              "display": "Consent.provision.actor.role",
              "equivalence": "equivalent",
              "comment": "Element `Consent.except.actor.role` is mapped to FHIR R4 element `Consent.provision.actor.role` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.except.actor.reference",
          "display": "reference",
          "target": [
            {
              "code": "Consent.provision.actor.reference",
              "display": "Consent.provision.actor.reference",
              "equivalence": "equivalent",
              "comment": "Element `Consent.except.actor.reference` is mapped to FHIR R4 element `Consent.provision.actor.reference` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.except.action",
          "display": "action",
          "target": [
            {
              "code": "Consent.provision.action",
              "display": "Consent.provision.action",
              "equivalence": "equivalent",
              "comment": "Element `Consent.except.action` is mapped to FHIR R4 element `Consent.provision.action` as `Equivalent`.\nNote that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'."
            }
          ]
        },
        {
          "code": "Consent.except.securityLabel",
          "display": "securityLabel",
          "target": [
            {
              "code": "Consent.provision.securityLabel",
              "display": "Consent.provision.securityLabel",
              "equivalence": "equivalent",
              "comment": "Element `Consent.except.securityLabel` is mapped to FHIR R4 element `Consent.provision.securityLabel` as `Equivalent`.\nIf the consent specifies a security label of \"R\" then it applies to all resources that are labeled \"R\" or lower. E.g. for Confidentiality, it's a high water mark. For other kinds of security labels, subsumption logic applies. Not all of the security labels make sense for use in this element (may define a narrower value set?)."
            }
          ]
        },
        {
          "code": "Consent.except.purpose",
          "display": "purpose",
          "target": [
            {
              "code": "Consent.provision.purpose",
              "display": "Consent.provision.purpose",
              "equivalence": "equivalent",
              "comment": "Element `Consent.except.purpose` is mapped to FHIR R4 element `Consent.provision.purpose` as `Equivalent`.\nE.g. if the purpose is 'research', then the operational context must be research, in order for the consent to apply. Not all of the security labels make sense for use in this element (may define a narrower value set?)."
            }
          ]
        },
        {
          "code": "Consent.except.class",
          "display": "class",
          "target": [
            {
              "code": "Consent.provision.class",
              "display": "Consent.provision.class",
              "equivalence": "equivalent",
              "comment": "Element `Consent.except.class` is mapped to FHIR R4 element `Consent.provision.class` as `Equivalent`.\nMultiple types are or'ed together. The intention of the contentType element is that the codes refer to profiles or document types defined in a standard or an implementation guide somewhere."
            }
          ]
        },
        {
          "code": "Consent.except.code",
          "display": "code",
          "target": [
            {
              "code": "Consent.provision.code",
              "display": "Consent.provision.code",
              "equivalence": "narrower",
              "comment": "Element `Consent.except.code` is mapped to FHIR R4 element `Consent.provision.code` as `SourceIsNarrowerThanTarget`.\nTypical use of this is a Document code with class = CDA."
            }
          ]
        },
        {
          "code": "Consent.except.dataPeriod",
          "display": "dataPeriod",
          "target": [
            {
              "code": "Consent.provision.dataPeriod",
              "display": "Consent.provision.dataPeriod",
              "equivalence": "equivalent",
              "comment": "Element `Consent.except.dataPeriod` is mapped to FHIR R4 element `Consent.provision.dataPeriod` as `Equivalent`.\nThis has a different sense to the Consent.period - that is when the consent agreement holds. This is the time period of the data that is controlled by the agreement."
            }
          ]
        },
        {
          "code": "Consent.except.data",
          "display": "data",
          "target": [
            {
              "code": "Consent.provision.data",
              "display": "Consent.provision.data",
              "equivalence": "wider",
              "comment": "Element `Consent.except.data` is mapped to FHIR R4 element `Consent.provision.data` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.except.data.meaning",
          "display": "meaning",
          "target": [
            {
              "code": "Consent.provision.data.meaning",
              "display": "Consent.provision.data.meaning",
              "equivalence": "equivalent",
              "comment": "Element `Consent.except.data.meaning` is mapped to FHIR R4 element `Consent.provision.data.meaning` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.except.data.reference",
          "display": "reference",
          "target": [
            {
              "code": "Consent.provision.data.reference",
              "display": "Consent.provision.data.reference",
              "equivalence": "equivalent",
              "comment": "Element `Consent.except.data.reference` is mapped to FHIR R4 element `Consent.provision.data.reference` as `Equivalent`."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Consent",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Consent.period",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Consent.period",
          "display": "period",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Consent.period` has a context of Consent based on following the parent source element upwards and mapping to `Consent`.\nElement `Consent.period` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThis can be a subset of the period of the original statement."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Consent",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Consent.source",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Consent.source[x]",
          "display": "source[x]",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Consent.source[x]` is mapped to FHIR R4 element `Consent.source[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `Consent.source[x]` do not cover the following types: Identifier.\nThe target context `Consent.source[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Consent`.\nThe source can be contained inline (Attachment), referenced directly (Consent), referenced in a consent repository (DocumentReference), or simply by an identifier (Identifier), e.g. a CDA document id."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Consent",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Consent.policyRule",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Consent.policyRule",
          "display": "policyRule",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Consent.policyRule` is mapped to FHIR R4 element `Consent.policyRule` as `SourceIsBroaderThanTarget`.\nThe mappings for `Consent.policyRule` do not cover the following types: uri.\nThe mappings for `Consent.policyRule` do not cover the following types based on type expansion: value.\nIf the policy reference is not known, the resource cannot be processed. Where the reference is absent, there is no particular policy other than what is expressed directly in the consent resource."
            }
          ]
        }
      ]
    }
  ]
}