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Packagehl7.fhir.uv.xver-r3.r4
Resource TypeConceptMap
IdConceptMap-R3-Media-element-map-to-R4.json
FHIR VersionR4
Sourcehttp://hl7.org/fhir/uv/xver-r3.r4/0.1.0/ConceptMap-R3-Media-element-map-to-R4.html
URLhttp://hl7.org/fhir/uv/xver/ConceptMap/R3-Media-element-map-to-R4
Version0.1.0
Statusactive
Date2026-03-17T16:03:24.0317441-05:00
NameR3MediaElementMapToR4
TitleCross-version mapping for FHIR STU3 Media to FHIR R4 Media
Realmuv
Authorityhl7
DescriptionThis ConceptMap represents cross-version mappings for elements from a FHIR STU3 Media to FHIR R4.

Resources that use this resource

No resources found


Resources that this resource uses

StructureDefinition
hl7.fhir.uv.xver-r3.r4b.r4#0.0.1-snapshot-2extension-Media.typeCross-version Extension for R3.Media.type for use in FHIR R4B

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ConceptMap R3-Media-element-map-to-R4

Mapping from http://hl7.org/fhir/3.0 to http://hl7.org/fhir/4.0


Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/Media|3.0.2 to Mediaversion: 4.0.1)

Source CodeRelationshipTarget CodeComment
Media.meta (meta)is equivalent toMedia.metaElement `Media.meta` is mapped to FHIR R4 element `Media.meta` as `Equivalent`.
Media.implicitRules (implicitRules)is equivalent toMedia.implicitRulesElement `Media.implicitRules` is mapped to FHIR R4 element `Media.implicitRules` as `Equivalent`. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
Media.language (language)is equivalent toMedia.languageElement `Media.language` is mapped to FHIR R4 element `Media.language` as `Equivalent`. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Media.text (text)is equivalent toMedia.textElement `Media.text` is mapped to FHIR R4 element `Media.text` as `Equivalent`. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.
Media.contained (contained)is equivalent toMedia.containedElement `Media.contained` is mapped to FHIR R4 element `Media.contained` as `Equivalent`. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.
Media.identifier (identifier)is equivalent toMedia.identifierElement `Media.identifier` is mapped to FHIR R4 element `Media.identifier` as `Equivalent`. The identifier label and use can be used to determine what kind of identifier it is.
Media.basedOn (basedOn)is equivalent toMedia.basedOnElement `Media.basedOn` is mapped to FHIR R4 element `Media.basedOn` as `SourceIsNarrowerThanTarget`.
Media.type (type)maps to wider conceptMedia.typeElement `Media.type` is mapped to FHIR R4 element `Media.type` as `SourceIsNarrowerThanTarget`.
Media.subtype (subtype)is equivalent toMedia.modalityElement `Media.subtype` is mapped to FHIR R4 element `Media.modality` as `Equivalent`.
Media.view (view)is equivalent toMedia.viewElement `Media.view` is mapped to FHIR R4 element `Media.view` as `Equivalent`.
Media.subject (subject)is equivalent toMedia.subjectElement `Media.subject` is mapped to FHIR R4 element `Media.subject` as `Equivalent`.
Media.context (context)maps to wider conceptMedia.encounterElement `Media.context` is mapped to FHIR R4 element `Media.encounter` as `SourceIsBroaderThanTarget`. The mappings for `Media.context` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Media.context` with unmapped reference targets: EpisodeOfCare. This will typically be the encounter the media occurred within.
Media.occurrence[x] (occurrence[x])is equivalent toMedia.created[x]Element `Media.occurrence[x]` is mapped to FHIR R4 element `Media.created[x]` as `Equivalent`. The target context `Media.created[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Media`.
Media.operator (operator)is equivalent toMedia.operatorElement `Media.operator` is mapped to FHIR R4 element `Media.operator` as `Equivalent`.
Media.reasonCode (reasonCode)is equivalent toMedia.reasonCodeElement `Media.reasonCode` is mapped to FHIR R4 element `Media.reasonCode` as `Equivalent`. Textual reasons can be caprued using reasonCode.text.
Media.bodySite (bodySite)is equivalent toMedia.bodySiteElement `Media.bodySite` is mapped to FHIR R4 element `Media.bodySite` as `Equivalent`. If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use The standard extension[ body-site-instance](https://hl7.org/fhir/extension-body-site-instance.html).
Media.device (device)is equivalent toMedia.deviceElement `Media.device` is mapped to FHIR R4 element `Media.device` as `Equivalent`. An extension should be used if further typing of the device is needed. Scondary devices used to support collecting a media can be represented using either extension or through the Observation.related element.
Media.height (height)is equivalent toMedia.heightElement `Media.height` is mapped to FHIR R4 element `Media.height` as `Equivalent`.
Media.width (width)is equivalent toMedia.widthElement `Media.width` is mapped to FHIR R4 element `Media.width` as `Equivalent`.
Media.frames (frames)is equivalent toMedia.framesElement `Media.frames` is mapped to FHIR R4 element `Media.frames` as `Equivalent`.
Media.duration (duration)is equivalent toMedia.durationElement `Media.duration` is mapped to FHIR R4 element `Media.duration` as `SourceIsNarrowerThanTarget`. The duration might differ from occurrencePeriod if recording was paused.
Media.content (content)is equivalent toMedia.contentElement `Media.content` is mapped to FHIR R4 element `Media.content` as `Equivalent`. Recommended content types: image/jpeg, image/png, image/tiff, video/mpeg, audio/mp4, application/dicom. Application/dicom can contain the transfer syntax as a parameter. For an media that covers a period of time (video/sound), the content.creationTime is the end time. Creation time is used for tracking, organizing versions and searching.
Media.note (note)is equivalent toMedia.noteElement `Media.note` is mapped to FHIR R4 element `Media.note` as `Equivalent`.

Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/Media|3.0.2 to STU3: photo | video | audioversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
Media.type (type)is equivalent toExtension (STU3: photo | video | audio)Element `Media.type` is mapped to FHIR R4 element `Media.type` as `SourceIsNarrowerThanTarget`.

Source1

{
  "resourceType": "ConceptMap",
  "id": "R3-Media-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-Media-element-map-to-R4",
  "version": "0.1.0",
  "name": "R3MediaElementMapToR4",
  "title": "Cross-version mapping for FHIR STU3 Media to FHIR R4 Media",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:03:24.0317441-05:00",
  "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 Media 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/Media",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/StructureDefinition/Media",
      "targetVersion": "4.0.1",
      "element": [
        {
          "code": "Media.meta",
          "display": "meta",
          "target": [
            {
              "code": "Media.meta",
              "display": "Media.meta",
              "equivalence": "equivalent",
              "comment": "Element `Media.meta` is mapped to FHIR R4 element `Media.meta` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Media.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "code": "Media.implicitRules",
              "display": "Media.implicitRules",
              "equivalence": "equivalent",
              "comment": "Element `Media.implicitRules` is mapped to FHIR R4 element `Media.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": "Media.language",
          "display": "language",
          "target": [
            {
              "code": "Media.language",
              "display": "Media.language",
              "equivalence": "equivalent",
              "comment": "Element `Media.language` is mapped to FHIR R4 element `Media.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": "Media.text",
          "display": "text",
          "target": [
            {
              "code": "Media.text",
              "display": "Media.text",
              "equivalence": "equivalent",
              "comment": "Element `Media.text` is mapped to FHIR R4 element `Media.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": "Media.contained",
          "display": "contained",
          "target": [
            {
              "code": "Media.contained",
              "display": "Media.contained",
              "equivalence": "equivalent",
              "comment": "Element `Media.contained` is mapped to FHIR R4 element `Media.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": "Media.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "Media.identifier",
              "display": "Media.identifier",
              "equivalence": "equivalent",
              "comment": "Element `Media.identifier` is mapped to FHIR R4 element `Media.identifier` as `Equivalent`.\nThe identifier label and use can be used to determine what kind of identifier it is."
            }
          ]
        },
        {
          "code": "Media.basedOn",
          "display": "basedOn",
          "target": [
            {
              "code": "Media.basedOn",
              "display": "Media.basedOn",
              "equivalence": "equivalent",
              "comment": "Element `Media.basedOn` is mapped to FHIR R4 element `Media.basedOn` as `SourceIsNarrowerThanTarget`."
            }
          ]
        },
        {
          "code": "Media.type",
          "display": "type",
          "target": [
            {
              "code": "Media.type",
              "display": "Media.type",
              "equivalence": "wider",
              "comment": "Element `Media.type` is mapped to FHIR R4 element `Media.type` as `SourceIsNarrowerThanTarget`."
            }
          ]
        },
        {
          "code": "Media.subtype",
          "display": "subtype",
          "target": [
            {
              "code": "Media.modality",
              "display": "Media.modality",
              "equivalence": "equivalent",
              "comment": "Element `Media.subtype` is mapped to FHIR R4 element `Media.modality` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Media.view",
          "display": "view",
          "target": [
            {
              "code": "Media.view",
              "display": "Media.view",
              "equivalence": "equivalent",
              "comment": "Element `Media.view` is mapped to FHIR R4 element `Media.view` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Media.subject",
          "display": "subject",
          "target": [
            {
              "code": "Media.subject",
              "display": "Media.subject",
              "equivalence": "equivalent",
              "comment": "Element `Media.subject` is mapped to FHIR R4 element `Media.subject` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Media.context",
          "display": "context",
          "target": [
            {
              "code": "Media.encounter",
              "display": "Media.encounter",
              "equivalence": "wider",
              "comment": "Element `Media.context` is mapped to FHIR R4 element `Media.encounter` as `SourceIsBroaderThanTarget`.\nThe mappings for `Media.context` do not cover the following types based on type expansion: display, identifier, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Media.context` with unmapped reference targets: EpisodeOfCare.\nThis will typically be the encounter the media occurred within."
            }
          ]
        },
        {
          "code": "Media.occurrence[x]",
          "display": "occurrence[x]",
          "target": [
            {
              "code": "Media.created[x]",
              "display": "Media.created[x]",
              "equivalence": "equivalent",
              "comment": "Element `Media.occurrence[x]` is mapped to FHIR R4 element `Media.created[x]` as `Equivalent`.\nThe target context `Media.created[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Media`."
            }
          ]
        },
        {
          "code": "Media.operator",
          "display": "operator",
          "target": [
            {
              "code": "Media.operator",
              "display": "Media.operator",
              "equivalence": "equivalent",
              "comment": "Element `Media.operator` is mapped to FHIR R4 element `Media.operator` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Media.reasonCode",
          "display": "reasonCode",
          "target": [
            {
              "code": "Media.reasonCode",
              "display": "Media.reasonCode",
              "equivalence": "equivalent",
              "comment": "Element `Media.reasonCode` is mapped to FHIR R4 element `Media.reasonCode` as `Equivalent`.\nTextual reasons can be caprued using reasonCode.text."
            }
          ]
        },
        {
          "code": "Media.bodySite",
          "display": "bodySite",
          "target": [
            {
              "code": "Media.bodySite",
              "display": "Media.bodySite",
              "equivalence": "equivalent",
              "comment": "Element `Media.bodySite` is mapped to FHIR R4 element `Media.bodySite` as `Equivalent`.\nIf the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use The standard extension[ body-site-instance](https://hl7.org/fhir/extension-body-site-instance.html)."
            }
          ]
        },
        {
          "code": "Media.device",
          "display": "device",
          "target": [
            {
              "code": "Media.device",
              "display": "Media.device",
              "equivalence": "equivalent",
              "comment": "Element `Media.device` is mapped to FHIR R4 element `Media.device` as `Equivalent`.\nAn extension should be used if further typing of the device is needed.  Scondary devices used to support collecting a media can be represented using either extension or through the Observation.related element."
            }
          ]
        },
        {
          "code": "Media.height",
          "display": "height",
          "target": [
            {
              "code": "Media.height",
              "display": "Media.height",
              "equivalence": "equivalent",
              "comment": "Element `Media.height` is mapped to FHIR R4 element `Media.height` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Media.width",
          "display": "width",
          "target": [
            {
              "code": "Media.width",
              "display": "Media.width",
              "equivalence": "equivalent",
              "comment": "Element `Media.width` is mapped to FHIR R4 element `Media.width` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Media.frames",
          "display": "frames",
          "target": [
            {
              "code": "Media.frames",
              "display": "Media.frames",
              "equivalence": "equivalent",
              "comment": "Element `Media.frames` is mapped to FHIR R4 element `Media.frames` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Media.duration",
          "display": "duration",
          "target": [
            {
              "code": "Media.duration",
              "display": "Media.duration",
              "equivalence": "equivalent",
              "comment": "Element `Media.duration` is mapped to FHIR R4 element `Media.duration` as `SourceIsNarrowerThanTarget`.\nThe duration might differ from occurrencePeriod if recording was paused."
            }
          ]
        },
        {
          "code": "Media.content",
          "display": "content",
          "target": [
            {
              "code": "Media.content",
              "display": "Media.content",
              "equivalence": "equivalent",
              "comment": "Element `Media.content` is mapped to FHIR R4 element `Media.content` as `Equivalent`.\nRecommended content types: image/jpeg, image/png, image/tiff, video/mpeg, audio/mp4, application/dicom. Application/dicom can contain the transfer syntax as a parameter.  For an media that covers a period of time (video/sound), the content.creationTime is the end time. Creation time is used for tracking, organizing versions and searching."
            }
          ]
        },
        {
          "code": "Media.note",
          "display": "note",
          "target": [
            {
              "code": "Media.note",
              "display": "Media.note",
              "equivalence": "equivalent",
              "comment": "Element `Media.note` is mapped to FHIR R4 element `Media.note` as `Equivalent`."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Media",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Media.type",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Media.type",
          "display": "type",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Media.type` is mapped to FHIR R4 element `Media.type` as `SourceIsNarrowerThanTarget`."
            }
          ]
        }
      ]
    }
  ]
}