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Source1

{
  "resourceType": "ConceptMap",
  "id": "R4-Consent-element-map-to-R5",
  "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-r4.r5"
          }
        ]
      }
    },
    {
      "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-r4.r5"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ConceptMap/R4-Consent-element-map-to-R5",
  "version": "0.1.0",
  "name": "R4ConsentElementMapToR5",
  "title": "Cross-version mapping for FHIR R4 Consent to FHIR R5 Consent",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:04:34.7642842-05:00",
  "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 R4 Consent to FHIR R5.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "sourceScopeCanonical": "http://hl7.org/fhir/4.0",
  "targetScopeUri": "http://hl7.org/fhir/5.0",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Consent|4.0.1",
      "target": "http://hl7.org/fhir/StructureDefinition/Consent|5.0.0",
      "element": [
        {
          "code": "Consent.meta",
          "display": "meta",
          "target": [
            {
              "code": "Consent.meta",
              "display": "Consent.meta",
              "relationship": "equivalent",
              "comment": "Element `Consent.meta` is mapped to FHIR R5 element `Consent.meta` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "code": "Consent.implicitRules",
              "display": "Consent.implicitRules",
              "relationship": "equivalent",
              "comment": "Element `Consent.implicitRules` is mapped to FHIR R5 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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."
            }
          ]
        },
        {
          "code": "Consent.language",
          "display": "language",
          "target": [
            {
              "code": "Consent.language",
              "display": "Consent.language",
              "relationship": "equivalent",
              "comment": "Element `Consent.language` is mapped to FHIR R5 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",
              "relationship": "equivalent",
              "comment": "Element `Consent.text` is mapped to FHIR R5 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 information is added later."
            }
          ]
        },
        {
          "code": "Consent.contained",
          "display": "contained",
          "target": [
            {
              "code": "Consent.contained",
              "display": "Consent.contained",
              "relationship": "equivalent",
              "comment": "Element `Consent.contained` is mapped to FHIR R5 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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."
            }
          ]
        },
        {
          "code": "Consent.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "Consent.identifier",
              "display": "Consent.identifier",
              "relationship": "equivalent",
              "comment": "Element `Consent.identifier` is mapped to FHIR R5 element `Consent.identifier` as `Equivalent`.\nThis identifier 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",
              "relationship": "equivalent",
              "comment": "Element `Consent.status` is mapped to FHIR R5 element `Consent.status` as `SourceIsNarrowerThanTarget`.\nThe mappings for `Consent.status` do not allow expression of the necessary codes, per the bindings on the source and target.\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",
              "relationship": "equivalent",
              "comment": "Element `Consent.category` is mapped to FHIR R5 element `Consent.category` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.patient",
          "display": "patient",
          "target": [
            {
              "code": "Consent.subject",
              "display": "Consent.subject",
              "relationship": "equivalent",
              "comment": "Element `Consent.patient` is mapped to FHIR R5 element `Consent.subject` 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.date",
              "display": "Consent.date",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Consent.dateTime` is mapped to FHIR R5 element `Consent.date` as `SourceIsBroaderThanTarget`.\nThe mappings for `Consent.dateTime` do not cover the following types: dateTime.\nThe mappings for `Consent.dateTime` do not cover the following types based on type expansion: value.\nThis is not the time of the original consent, but the time that this statement was made or derived."
            }
          ]
        },
        {
          "code": "Consent.performer",
          "display": "performer",
          "target": [
            {
              "code": "Consent.grantee",
              "display": "Consent.grantee",
              "relationship": "equivalent",
              "comment": "Element `Consent.performer` is mapped to FHIR R5 element `Consent.grantee` 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.policy",
          "display": "policy",
          "target": [
            {
              "code": "Consent.policyBasis",
              "display": "Consent.policyBasis",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Consent.policy` is mapped to FHIR R5 element `Consent.policyBasis` as `SourceIsBroaderThanTarget`."
            }
          ]
        },
        {
          "code": "Consent.policyRule",
          "display": "policyRule",
          "target": [
            {
              "code": "Consent.regulatoryBasis",
              "display": "Consent.regulatoryBasis",
              "relationship": "source-is-narrower-than-target",
              "comment": "Element `Consent.policyRule` is mapped to FHIR R5 element `Consent.regulatoryBasis` as `SourceIsNarrowerThanTarget`.\nIf the policyRule is absent, computable consent would need to be constructed from the elements of the Consent resource."
            }
          ]
        },
        {
          "code": "Consent.verification",
          "display": "verification",
          "target": [
            {
              "code": "Consent.verification",
              "display": "Consent.verification",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Consent.verification` is mapped to FHIR R5 element `Consent.verification` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.verification.verified",
          "display": "verified",
          "target": [
            {
              "code": "Consent.verification.verified",
              "display": "Consent.verification.verified",
              "relationship": "equivalent",
              "comment": "Element `Consent.verification.verified` is mapped to FHIR R5 element `Consent.verification.verified` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.verification.verifiedWith",
          "display": "verifiedWith",
          "target": [
            {
              "code": "Consent.verification.verifiedWith",
              "display": "Consent.verification.verifiedWith",
              "relationship": "equivalent",
              "comment": "Element `Consent.verification.verifiedWith` is mapped to FHIR R5 element `Consent.verification.verifiedWith` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.verification.verificationDate",
          "display": "verificationDate",
          "target": [
            {
              "code": "Consent.verification.verificationDate",
              "display": "Consent.verification.verificationDate",
              "relationship": "equivalent",
              "comment": "Element `Consent.verification.verificationDate` is mapped to FHIR R5 element `Consent.verification.verificationDate` as `SourceIsNarrowerThanTarget`."
            }
          ]
        },
        {
          "code": "Consent.provision",
          "display": "provision",
          "target": [
            {
              "code": "Consent.provision",
              "display": "Consent.provision",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Consent.provision` is mapped to FHIR R5 element `Consent.provision` as `SourceIsNarrowerThanTarget`."
            }
          ]
        },
        {
          "code": "Consent.provision.period",
          "display": "period",
          "target": [
            {
              "code": "Consent.provision.period",
              "display": "Consent.provision.period",
              "relationship": "equivalent",
              "comment": "Element `Consent.provision.period` is mapped to FHIR R5 element `Consent.provision.period` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.provision.actor",
          "display": "actor",
          "target": [
            {
              "code": "Consent.provision.actor",
              "display": "Consent.provision.actor",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Consent.provision.actor` is mapped to FHIR R5 element `Consent.provision.actor` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.provision.actor.role",
          "display": "role",
          "target": [
            {
              "code": "Consent.provision.actor.role",
              "display": "Consent.provision.actor.role",
              "relationship": "equivalent",
              "comment": "Element `Consent.provision.actor.role` is mapped to FHIR R5 element `Consent.provision.actor.role` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.provision.actor.reference",
          "display": "reference",
          "target": [
            {
              "code": "Consent.provision.actor.reference",
              "display": "Consent.provision.actor.reference",
              "relationship": "equivalent",
              "comment": "Element `Consent.provision.actor.reference` is mapped to FHIR R5 element `Consent.provision.actor.reference` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.provision.action",
          "display": "action",
          "target": [
            {
              "code": "Consent.provision.action",
              "display": "Consent.provision.action",
              "relationship": "equivalent",
              "comment": "Element `Consent.provision.action` is mapped to FHIR R5 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.provision.securityLabel",
          "display": "securityLabel",
          "target": [
            {
              "code": "Consent.provision.securityLabel",
              "display": "Consent.provision.securityLabel",
              "relationship": "equivalent",
              "comment": "Element `Consent.provision.securityLabel` is mapped to FHIR R5 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. When the purpose of use tag is on the data, access request purpose of use shall not conflict."
            }
          ]
        },
        {
          "code": "Consent.provision.purpose",
          "display": "purpose",
          "target": [
            {
              "code": "Consent.provision.purpose",
              "display": "Consent.provision.purpose",
              "relationship": "equivalent",
              "comment": "Element `Consent.provision.purpose` is mapped to FHIR R5 element `Consent.provision.purpose` as `Equivalent`.\nWhen the purpose of use tag is on the data, access request purpose of use shall not conflict."
            }
          ]
        },
        {
          "code": "Consent.provision.class",
          "display": "class",
          "target": [
            {
              "code": "Consent.provision.documentType",
              "display": "Consent.provision.documentType",
              "relationship": "equivalent",
              "comment": "Element `Consent.provision.class` is mapped to FHIR R5 element `Consent.provision.documentType` as `Equivalent`.\nElement `Consent.provision.class` is mapped to FHIR R5 element `Consent.provision.resourceType` 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.provision.resourceType",
              "display": "Consent.provision.resourceType",
              "relationship": "equivalent",
              "comment": "Element `Consent.provision.class` is mapped to FHIR R5 element `Consent.provision.documentType` as `Equivalent`.\nElement `Consent.provision.class` is mapped to FHIR R5 element `Consent.provision.resourceType` 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.provision.code",
          "display": "code",
          "target": [
            {
              "code": "Consent.provision.code",
              "display": "Consent.provision.code",
              "relationship": "equivalent",
              "comment": "Element `Consent.provision.code` is mapped to FHIR R5 element `Consent.provision.code` as `Equivalent`.\nTypical use of this is a Document code with class = CDA."
            }
          ]
        },
        {
          "code": "Consent.provision.dataPeriod",
          "display": "dataPeriod",
          "target": [
            {
              "code": "Consent.provision.dataPeriod",
              "display": "Consent.provision.dataPeriod",
              "relationship": "equivalent",
              "comment": "Element `Consent.provision.dataPeriod` is mapped to FHIR R5 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.provision.data",
          "display": "data",
          "target": [
            {
              "code": "Consent.provision.data",
              "display": "Consent.provision.data",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Consent.provision.data` is mapped to FHIR R5 element `Consent.provision.data` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.provision.data.meaning",
          "display": "meaning",
          "target": [
            {
              "code": "Consent.provision.data.meaning",
              "display": "Consent.provision.data.meaning",
              "relationship": "equivalent",
              "comment": "Element `Consent.provision.data.meaning` is mapped to FHIR R5 element `Consent.provision.data.meaning` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.provision.data.reference",
          "display": "reference",
          "target": [
            {
              "code": "Consent.provision.data.reference",
              "display": "Consent.provision.data.reference",
              "relationship": "equivalent",
              "comment": "Element `Consent.provision.data.reference` is mapped to FHIR R5 element `Consent.provision.data.reference` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Consent.provision.provision",
          "display": "provision",
          "target": [
            {
              "code": "Consent.provision.provision",
              "display": "Consent.provision.provision",
              "relationship": "equivalent",
              "comment": "Element `Consent.provision.provision` is mapped to FHIR R5 element `Consent.provision.provision` as `Equivalent`."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Consent|4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Consent.scope|0.1.0",
      "element": [
        {
          "code": "Consent.scope",
          "display": "scope",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Consent.scope` has a context of Consent based on following the parent source element upwards and mapping to `Consent`.\nElement `Consent.scope` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Consent|4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Consent.dateTime|0.1.0",
      "element": [
        {
          "code": "Consent.dateTime",
          "display": "dateTime",
          "target": [
            {
              "code": "Extension",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `Consent.dateTime` is mapped to FHIR R5 element `Consent.date` as `SourceIsBroaderThanTarget`.\nThe mappings for `Consent.dateTime` do not cover the following types: dateTime.\nThe mappings for `Consent.dateTime` do not cover the following types based on type expansion: value.\nThis is not the time of the original consent, but the time that this statement was made or derived."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Consent|4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Consent.organization|0.1.0",
      "element": [
        {
          "code": "Consent.organization",
          "display": "organization",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Consent.organization` has a context of Consent based on following the parent source element upwards and mapping to `Consent`.\nElement `Consent.organization` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Consent|4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Consent.source|0.1.0",
      "element": [
        {
          "code": "Consent.source[x]",
          "display": "source[x]",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Consent.source[x]` has a context of Consent based on following the parent source element upwards and mapping to `Consent`.\nElement `Consent.source[x]` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\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|4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Consent.policy.authority|0.1.0",
      "element": [
        {
          "code": "Consent.policy.authority",
          "display": "authority",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Consent.policy.authority` has a context of Consent.policyBasis based on following the parent source element upwards and mapping to `Consent`.\nElement `Consent.policy.authority` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Consent|4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Consent.policy.uri|0.1.0",
      "element": [
        {
          "code": "Consent.policy.uri",
          "display": "uri",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Consent.policy.uri` has a context of Consent.policyBasis based on following the parent source element upwards and mapping to `Consent`.\nElement `Consent.policy.uri` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nThis element is for discoverability / documentation and does not modify or qualify the policy rules."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Consent|4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Consent.provision.type|0.1.0",
      "element": [
        {
          "code": "Consent.provision.type",
          "display": "type",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `Consent.provision.type` has a context of Consent.provision based on following the parent source element upwards and mapping to `Consent`.\nElement `Consent.provision.type` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    }
  ]
}