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Source1

{
  "resourceType": "ConceptMap",
  "id": "R3-Procedure-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-Procedure-element-map-to-R4",
  "version": "0.1.0",
  "name": "R3ProcedureElementMapToR4",
  "title": "Cross-version mapping for FHIR STU3 Procedure to FHIR R4 Procedure",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:03:24.1109349-05:00",
  "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 Procedure 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/Procedure",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/StructureDefinition/Procedure",
      "targetVersion": "4.0.1",
      "element": [
        {
          "code": "Procedure.meta",
          "display": "meta",
          "target": [
            {
              "code": "Procedure.meta",
              "display": "Procedure.meta",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.meta` is mapped to FHIR R4 element `Procedure.meta` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Procedure.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "code": "Procedure.implicitRules",
              "display": "Procedure.implicitRules",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.implicitRules` is mapped to FHIR R4 element `Procedure.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": "Procedure.language",
          "display": "language",
          "target": [
            {
              "code": "Procedure.language",
              "display": "Procedure.language",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.language` is mapped to FHIR R4 element `Procedure.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": "Procedure.text",
          "display": "text",
          "target": [
            {
              "code": "Procedure.text",
              "display": "Procedure.text",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.text` is mapped to FHIR R4 element `Procedure.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": "Procedure.contained",
          "display": "contained",
          "target": [
            {
              "code": "Procedure.contained",
              "display": "Procedure.contained",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.contained` is mapped to FHIR R4 element `Procedure.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": "Procedure.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "Procedure.identifier",
              "display": "Procedure.identifier",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.identifier` is mapped to FHIR R4 element `Procedure.identifier` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Procedure.basedOn",
          "display": "basedOn",
          "target": [
            {
              "code": "Procedure.basedOn",
              "display": "Procedure.basedOn",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.basedOn` is mapped to FHIR R4 element `Procedure.basedOn` as `SourceIsNarrowerThanTarget`."
            }
          ]
        },
        {
          "code": "Procedure.partOf",
          "display": "partOf",
          "target": [
            {
              "code": "Procedure.partOf",
              "display": "Procedure.partOf",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.partOf` is mapped to FHIR R4 element `Procedure.partOf` as `Equivalent`.\nThe MedicationAdministration has a partOf reference to Procedure, but this is not a circular reference.  For a surgical procedure, the anesthesia related medicationAdministration is part of the procedure.  For an IV medication administration,  the procedure to insert the IV port is part of the medication administration."
            }
          ]
        },
        {
          "code": "Procedure.status",
          "display": "status",
          "target": [
            {
              "code": "Procedure.status",
              "display": "Procedure.status",
              "equivalence": "relatedto",
              "comment": "Element `Procedure.status` is mapped to FHIR R4 element `Procedure.status` as `RelatedTo`.\nThe mappings for `Procedure.status` do not allow expression of the necessary codes, per the bindings on the source and target.\nThe target context `Procedure.status` is a modifier element, so this extension does not need to be defined as a modifier.\nThe unknown code is not to be used to convey other statuses.  The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure.\n\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."
            }
          ]
        },
        {
          "code": "Procedure.notDoneReason",
          "display": "notDoneReason",
          "target": [
            {
              "code": "Procedure.reasonCode",
              "display": "Procedure.reasonCode",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.notDoneReason` is mapped to FHIR R4 element `Procedure.statusReason` as `Equivalent`.\nElement `Procedure.notDoneReason` is mapped to FHIR R4 element `Procedure.reasonCode` as `SourceIsNarrowerThanTarget`."
            },
            {
              "code": "Procedure.statusReason",
              "display": "Procedure.statusReason",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.notDoneReason` is mapped to FHIR R4 element `Procedure.statusReason` as `Equivalent`.\nElement `Procedure.notDoneReason` is mapped to FHIR R4 element `Procedure.reasonCode` as `SourceIsNarrowerThanTarget`."
            }
          ]
        },
        {
          "code": "Procedure.category",
          "display": "category",
          "target": [
            {
              "code": "Procedure.category",
              "display": "Procedure.category",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.category` is mapped to FHIR R4 element `Procedure.category` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Procedure.code",
          "display": "code",
          "target": [
            {
              "code": "Procedure.code",
              "display": "Procedure.code",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.code` is mapped to FHIR R4 element `Procedure.code` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Procedure.subject",
          "display": "subject",
          "target": [
            {
              "code": "Procedure.subject",
              "display": "Procedure.subject",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.subject` is mapped to FHIR R4 element `Procedure.subject` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Procedure.context",
          "display": "context",
          "target": [
            {
              "code": "Procedure.encounter",
              "display": "Procedure.encounter",
              "equivalence": "wider",
              "comment": "Element `Procedure.context` is mapped to FHIR R4 element `Procedure.encounter` as `SourceIsBroaderThanTarget`.\nThe mappings for `Procedure.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 `Procedure.context` with unmapped reference targets: EpisodeOfCare."
            }
          ]
        },
        {
          "code": "Procedure.performed[x]",
          "display": "performed[x]",
          "target": [
            {
              "code": "Procedure.performed[x]",
              "display": "Procedure.performed[x]",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.performed[x]` is mapped to FHIR R4 element `Procedure.performed[x]` as `Equivalent`.\nThe target context `Procedure.performed[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Procedure`."
            }
          ]
        },
        {
          "code": "Procedure.performer",
          "display": "performer",
          "target": [
            {
              "code": "Procedure.performer",
              "display": "Procedure.performer",
              "equivalence": "wider",
              "comment": "Element `Procedure.performer` is mapped to FHIR R4 element `Procedure.performer` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Procedure.performer.role",
          "display": "role",
          "target": [
            {
              "code": "Procedure.performer.function",
              "display": "Procedure.performer.function",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.performer.role` is mapped to FHIR R4 element `Procedure.performer.function` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Procedure.performer.actor",
          "display": "actor",
          "target": [
            {
              "code": "Procedure.performer.actor",
              "display": "Procedure.performer.actor",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.performer.actor` is mapped to FHIR R4 element `Procedure.performer.actor` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Procedure.performer.onBehalfOf",
          "display": "onBehalfOf",
          "target": [
            {
              "code": "Procedure.performer.onBehalfOf",
              "display": "Procedure.performer.onBehalfOf",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.performer.onBehalfOf` is mapped to FHIR R4 element `Procedure.performer.onBehalfOf` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Procedure.location",
          "display": "location",
          "target": [
            {
              "code": "Procedure.location",
              "display": "Procedure.location",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.location` is mapped to FHIR R4 element `Procedure.location` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Procedure.reasonCode",
          "display": "reasonCode",
          "target": [
            {
              "code": "Procedure.reasonCode",
              "display": "Procedure.reasonCode",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.reasonCode` is mapped to FHIR R4 element `Procedure.reasonCode` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Procedure.reasonReference",
          "display": "reasonReference",
          "target": [
            {
              "code": "Procedure.reasonReference",
              "display": "Procedure.reasonReference",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.reasonReference` is mapped to FHIR R4 element `Procedure.reasonReference` as `Equivalent`.\ne.g. endoscopy for dilatation and biopsy, combination diagnosis and therapeutic."
            }
          ]
        },
        {
          "code": "Procedure.bodySite",
          "display": "bodySite",
          "target": [
            {
              "code": "Procedure.bodySite",
              "display": "Procedure.bodySite",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.bodySite` is mapped to FHIR R4 element `Procedure.bodySite` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Procedure.outcome",
          "display": "outcome",
          "target": [
            {
              "code": "Procedure.outcome",
              "display": "Procedure.outcome",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.outcome` is mapped to FHIR R4 element `Procedure.outcome` as `Equivalent`.\nIf outcome contains narrative text only, it can be captured using the CodeableConcept.text."
            }
          ]
        },
        {
          "code": "Procedure.report",
          "display": "report",
          "target": [
            {
              "code": "Procedure.report",
              "display": "Procedure.report",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.report` is mapped to FHIR R4 element `Procedure.report` as `Equivalent`.\nThere could potentially be multiple reports - e.g. if this was a procedure which took multiple biopsies resulting in a number of anatomical pathology reports."
            }
          ]
        },
        {
          "code": "Procedure.complication",
          "display": "complication",
          "target": [
            {
              "code": "Procedure.complication",
              "display": "Procedure.complication",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.complication` is mapped to FHIR R4 element `Procedure.complication` as `Equivalent`.\nIf complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text."
            }
          ]
        },
        {
          "code": "Procedure.complicationDetail",
          "display": "complicationDetail",
          "target": [
            {
              "code": "Procedure.complicationDetail",
              "display": "Procedure.complicationDetail",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.complicationDetail` is mapped to FHIR R4 element `Procedure.complicationDetail` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Procedure.followUp",
          "display": "followUp",
          "target": [
            {
              "code": "Procedure.followUp",
              "display": "Procedure.followUp",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.followUp` is mapped to FHIR R4 element `Procedure.followUp` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Procedure.note",
          "display": "note",
          "target": [
            {
              "code": "Procedure.note",
              "display": "Procedure.note",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.note` is mapped to FHIR R4 element `Procedure.note` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Procedure.focalDevice",
          "display": "focalDevice",
          "target": [
            {
              "code": "Procedure.focalDevice",
              "display": "Procedure.focalDevice",
              "equivalence": "wider",
              "comment": "Element `Procedure.focalDevice` is mapped to FHIR R4 element `Procedure.focalDevice` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Procedure.focalDevice.action",
          "display": "action",
          "target": [
            {
              "code": "Procedure.focalDevice.action",
              "display": "Procedure.focalDevice.action",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.focalDevice.action` is mapped to FHIR R4 element `Procedure.focalDevice.action` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Procedure.focalDevice.manipulated",
          "display": "manipulated",
          "target": [
            {
              "code": "Procedure.focalDevice.manipulated",
              "display": "Procedure.focalDevice.manipulated",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.focalDevice.manipulated` is mapped to FHIR R4 element `Procedure.focalDevice.manipulated` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Procedure.usedReference",
          "display": "usedReference",
          "target": [
            {
              "code": "Procedure.usedReference",
              "display": "Procedure.usedReference",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.usedReference` is mapped to FHIR R4 element `Procedure.usedReference` as `Equivalent`.\nFor devices actually implanted or removed, use Procedure.device."
            }
          ]
        },
        {
          "code": "Procedure.usedCode",
          "display": "usedCode",
          "target": [
            {
              "code": "Procedure.usedCode",
              "display": "Procedure.usedCode",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.usedCode` is mapped to FHIR R4 element `Procedure.usedCode` as `Equivalent`.\nFor devices actually implanted or removed, use Procedure.device."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Procedure",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Procedure.definition",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Procedure.definition",
          "display": "definition",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.definition` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`.\nElement `Procedure.definition` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Procedure",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Procedure.status",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Procedure.status",
          "display": "status",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `Procedure.status` is mapped to FHIR R4 element `Procedure.status` as `RelatedTo`.\nThe mappings for `Procedure.status` do not allow expression of the necessary codes, per the bindings on the source and target.\nThe target context `Procedure.status` is a modifier element, so this extension does not need to be defined as a modifier.\nThe unknown code is not to be used to convey other statuses.  The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure.\n\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Procedure",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Procedure.notDone",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Procedure.notDone",
          "display": "notDone",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Procedure.notDone` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`.\nElement `Procedure.notDone` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nIf true, it means the procedure did not occur as described.  Typically it would be accompanied by attributes describing the type of activity.  It might also be accompanied by body site information or time information (i.e. no procedure was done to the left arm or no procedure was done in this 2-year period).  Specifying additional information such as performer, outcome, etc. is generally inappropriate.  For example, it's not that useful to say \"There was no appendectomy done at 12:03pm June 6th by Dr. Smith with a successful outcome\" as it implies that there *could* have been an appendectomy done at any other time, by any other clinician or with any other outcome.\n\nThis element is labeled as a modifier because it indicates that a procedure didn't happen."
            }
          ]
        }
      ]
    }
  ]
}