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Source1

{
  "resourceType": "ConceptMap",
  "id": "R2-MedicationDispense-element-map-to-R4B",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fhir"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r4b"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r4b"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ConceptMap/R2-MedicationDispense-element-map-to-R4B",
  "version": "0.1.0",
  "name": "R2MedicationDispenseElementMapToR4B",
  "title": "Cross-version mapping for FHIR DSTU2 MedicationDispense to FHIR R4B MedicationDispense",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:04:55.1953219-05:00",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description": "This ConceptMap represents cross-version mappings for elements from a FHIR DSTU2 MedicationDispense to FHIR R4B.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "sourceCanonical": "http://hl7.org/fhir/1.0",
  "targetUri": "http://hl7.org/fhir/4.3",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
      "targetVersion": "4.3.0",
      "element": [
        {
          "code": "MedicationDispense.meta",
          "display": "meta",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "MedicationDispense.meta",
              "display": "MedicationDispense.meta",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.meta` is mapped to FHIR R4B element `MedicationDispense.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `MedicationDispense.meta` do not cover the following types: Meta.\nThe mappings for `MedicationDispense.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        },
        {
          "code": "MedicationDispense.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "MedicationDispense.implicitRules",
              "display": "MedicationDispense.implicitRules",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.implicitRules` is mapped to FHIR R4B element `MedicationDispense.implicitRules` as `Equivalent`.\nAsserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible."
            }
          ]
        },
        {
          "code": "MedicationDispense.language",
          "display": "language",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "MedicationDispense.language",
              "display": "MedicationDispense.language",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.language` is mapped to FHIR R4B element `MedicationDispense.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": "MedicationDispense.text",
          "display": "text",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "MedicationDispense.text",
              "display": "MedicationDispense.text",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.text` is mapped to FHIR R4B element `MedicationDispense.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `MedicationDispense.text` do not cover the following types: Narrative.\nThe mappings for `MedicationDispense.text` do not cover the following types based on type expansion: div, status.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative."
            }
          ]
        },
        {
          "code": "MedicationDispense.contained",
          "display": "contained",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "MedicationDispense.contained",
              "display": "MedicationDispense.contained",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.contained` is mapped to FHIR R4B element `MedicationDispense.contained` as `SourceIsBroaderThanTarget`.\nThis should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."
            }
          ]
        },
        {
          "code": "MedicationDispense.identifier",
          "display": "identifier",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "MedicationDispense.identifier",
              "display": "MedicationDispense.identifier",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.identifier` is mapped to FHIR R4B element `MedicationDispense.identifier` as `RelatedTo`.\nThe mappings for `MedicationDispense.identifier` do not cover the following types: Identifier.\nThe mappings for `MedicationDispense.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        },
        {
          "code": "MedicationDispense.status",
          "display": "status",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "MedicationDispense.status",
              "display": "MedicationDispense.status",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.status` is mapped to FHIR R4B element `MedicationDispense.status` as `RelatedTo`.\nThe mappings for `MedicationDispense.status` do not allow expression of the necessary codes, per the bindings on the source and target.\nThe target context `MedicationDispense.status` is a modifier element, so this extension does not need to be defined as a modifier."
            }
          ]
        },
        {
          "code": "MedicationDispense.patient",
          "display": "patient",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "MedicationDispense.subject",
              "display": "MedicationDispense.subject",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.patient` is mapped to FHIR R4B element `MedicationDispense.subject` as `SourceIsBroaderThanTarget`.\nThe mappings for `MedicationDispense.patient` do not cover the following types based on type expansion: display, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `MedicationDispense.patient` with unmapped reference targets: Patient.\nSubstanceAdministration->subject->Patient."
            }
          ]
        },
        {
          "code": "MedicationDispense.dispenser",
          "display": "dispenser",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "MedicationDispense.performer.actor",
              "display": "MedicationDispense.performer.actor",
              "equivalence": "relatedto",
              "comment": "Element `MedicationDispense.dispenser` is mapped to FHIR R4B element `MedicationDispense.performer.actor` as `RelatedTo`.\nThe mappings for `MedicationDispense.dispenser` do not cover the following types based on type expansion: display, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `MedicationDispense.dispenser` with unmapped reference targets: Practitioner."
            }
          ]
        },
        {
          "code": "MedicationDispense.authorizingPrescription",
          "display": "authorizingPrescription",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "MedicationDispense.authorizingPrescription",
              "display": "MedicationDispense.authorizingPrescription",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.authorizingPrescription` is mapped to FHIR R4B element `MedicationDispense.authorizingPrescription` as `SourceIsBroaderThanTarget`.\nThe mappings for `MedicationDispense.authorizingPrescription` do not cover the following types based on type expansion: display, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `MedicationDispense.authorizingPrescription` with unmapped reference targets: MedicationOrder."
            }
          ]
        },
        {
          "code": "MedicationDispense.type",
          "display": "type",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "MedicationDispense.type",
              "display": "MedicationDispense.type",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.type` is mapped to FHIR R4B element `MedicationDispense.type` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.quantity",
          "display": "quantity",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "MedicationDispense.quantity",
              "display": "MedicationDispense.quantity",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.quantity` is mapped to FHIR R4B element `MedicationDispense.quantity` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.daysSupply",
          "display": "daysSupply",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "MedicationDispense.daysSupply",
              "display": "MedicationDispense.daysSupply",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.daysSupply` is mapped to FHIR R4B element `MedicationDispense.daysSupply` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.medication[x]",
          "display": "medication[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "MedicationDispense.medication[x]",
              "display": "MedicationDispense.medication[x]",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.medication[x]` is mapped to FHIR R4B element `MedicationDispense.medication[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `MedicationDispense.medication[x]` do not cover the following types based on type expansion: display, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `MedicationDispense.medication[x]` with unmapped reference targets: Medication.\nSource element `MedicationDispense.medication[x]` has unmapped reference types. While the target element `MedicationDispense.medication[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.\nIf only a code is specified, then it needs to be a code for a specific product.  If more information is required, then the use of the medication resource is recommended.  Note: do not use Medication.name to describe the dispensed medication. When the only available information is a text description of the medication, Medication.code.text should be used."
            }
          ]
        },
        {
          "code": "MedicationDispense.whenPrepared",
          "display": "whenPrepared",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "MedicationDispense.whenPrepared",
              "display": "MedicationDispense.whenPrepared",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.whenPrepared` is mapped to FHIR R4B element `MedicationDispense.whenPrepared` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.whenHandedOver",
          "display": "whenHandedOver",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "MedicationDispense.whenHandedOver",
              "display": "MedicationDispense.whenHandedOver",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.whenHandedOver` is mapped to FHIR R4B element `MedicationDispense.whenHandedOver` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.destination",
          "display": "destination",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "MedicationDispense.destination",
              "display": "MedicationDispense.destination",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.destination` is mapped to FHIR R4B element `MedicationDispense.destination` as `SourceIsBroaderThanTarget`.\nThe mappings for `MedicationDispense.destination` do not cover the following types based on type expansion: display, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `MedicationDispense.destination` with unmapped reference targets: Location."
            }
          ]
        },
        {
          "code": "MedicationDispense.receiver",
          "display": "receiver",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "MedicationDispense.receiver",
              "display": "MedicationDispense.receiver",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.receiver` is mapped to FHIR R4B element `MedicationDispense.receiver` as `RelatedTo`.\nThe mappings for `MedicationDispense.receiver` do not cover the following types based on type expansion: display, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `MedicationDispense.receiver` with unmapped reference targets: Patient, Practitioner."
            }
          ]
        },
        {
          "code": "MedicationDispense.note",
          "display": "note",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "MedicationDispense.note",
              "display": "MedicationDispense.note",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.note` is mapped to FHIR R4B element `MedicationDispense.note` as `RelatedTo`.\nThe mappings for `MedicationDispense.note` do not cover the following types: string.\nThe mappings for `MedicationDispense.note` do not cover the following types based on type expansion: value."
            }
          ]
        },
        {
          "code": "MedicationDispense.dosageInstruction",
          "display": "dosageInstruction",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "MedicationDispense.dosageInstruction",
              "display": "MedicationDispense.dosageInstruction",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.dosageInstruction` is mapped to FHIR R4B element `MedicationDispense.dosageInstruction` as `SourceIsNarrowerThanTarget`.\nWhen the dose or rate is intended to change over the entire administration period (e.g. Tapering dose prescriptions), multiple instances of dosage instructions will need to be supplied to convey the different doses/rates."
            }
          ]
        },
        {
          "code": "MedicationDispense.dosageInstruction.text",
          "display": "text",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "MedicationDispense.dosageInstruction",
              "display": "MedicationDispense.dosageInstruction",
              "equivalence": "relatedto",
              "comment": "Element `MedicationDispense.dosageInstruction.text` is mapped to FHIR R4B element `MedicationDispense.dosageInstruction` as `RelatedTo`.\nThe mappings for `MedicationDispense.dosageInstruction.text` do not cover the following types: string.\nThe mappings for `MedicationDispense.dosageInstruction.text` do not cover the following types based on type expansion: value."
            }
          ]
        },
        {
          "code": "MedicationDispense.dosageInstruction.additionalInstructions",
          "display": "additionalInstructions",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "MedicationDispense.dosageInstruction",
              "display": "MedicationDispense.dosageInstruction",
              "equivalence": "relatedto",
              "comment": "Element `MedicationDispense.dosageInstruction.additionalInstructions` is mapped to FHIR R4B element `MedicationDispense.dosageInstruction` as `RelatedTo`.\nThe mappings for `MedicationDispense.dosageInstruction.additionalInstructions` do not cover the following types: CodeableConcept.\nThe mappings for `MedicationDispense.dosageInstruction.additionalInstructions` do not cover the following types based on type expansion: coding, text."
            }
          ]
        },
        {
          "code": "MedicationDispense.dosageInstruction.timing",
          "display": "timing",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "MedicationDispense.dosageInstruction",
              "display": "MedicationDispense.dosageInstruction",
              "equivalence": "relatedto",
              "comment": "Element `MedicationDispense.dosageInstruction.timing` is mapped to FHIR R4B element `MedicationDispense.dosageInstruction` as `RelatedTo`.\nThe mappings for `MedicationDispense.dosageInstruction.timing` do not cover the following types: Timing.\nThe mappings for `MedicationDispense.dosageInstruction.timing` do not cover the following types based on type expansion: bounds[x], code, count, duration, durationMax, durationUnits, event, frequency, frequencyMax, period, periodMax, periodUnits, repeat, when."
            }
          ]
        },
        {
          "code": "MedicationDispense.dosageInstruction.asNeeded[x]",
          "display": "asNeeded[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "MedicationDispense.dosageInstruction",
              "display": "MedicationDispense.dosageInstruction",
              "equivalence": "relatedto",
              "comment": "Element `MedicationDispense.dosageInstruction.asNeeded[x]` is mapped to FHIR R4B element `MedicationDispense.dosageInstruction` as `RelatedTo`.\nThe mappings for `MedicationDispense.dosageInstruction.asNeeded[x]` do not cover the following types: boolean, CodeableConcept.\nThe mappings for `MedicationDispense.dosageInstruction.asNeeded[x]` do not cover the following types based on type expansion: coding, text, value."
            }
          ]
        },
        {
          "code": "MedicationDispense.dosageInstruction.site[x]",
          "display": "site[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "MedicationDispense.dosageInstruction",
              "display": "MedicationDispense.dosageInstruction",
              "equivalence": "relatedto",
              "comment": "Element `MedicationDispense.dosageInstruction.site[x]` is mapped to FHIR R4B element `MedicationDispense.dosageInstruction` as `RelatedTo`.\nThe mappings for `MedicationDispense.dosageInstruction.site[x]` do not cover the following types: CodeableConcept, Reference.\nThe mappings for `MedicationDispense.dosageInstruction.site[x]` do not cover the following types based on type expansion: coding, display, reference, text."
            }
          ]
        },
        {
          "code": "MedicationDispense.dosageInstruction.route",
          "display": "route",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "MedicationDispense.dosageInstruction",
              "display": "MedicationDispense.dosageInstruction",
              "equivalence": "relatedto",
              "comment": "Element `MedicationDispense.dosageInstruction.route` is mapped to FHIR R4B element `MedicationDispense.dosageInstruction` as `RelatedTo`.\nThe mappings for `MedicationDispense.dosageInstruction.route` do not cover the following types: CodeableConcept.\nThe mappings for `MedicationDispense.dosageInstruction.route` do not cover the following types based on type expansion: coding, text."
            }
          ]
        },
        {
          "code": "MedicationDispense.dosageInstruction.method",
          "display": "method",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "MedicationDispense.dosageInstruction",
              "display": "MedicationDispense.dosageInstruction",
              "equivalence": "relatedto",
              "comment": "Element `MedicationDispense.dosageInstruction.method` is mapped to FHIR R4B element `MedicationDispense.dosageInstruction` as `RelatedTo`.\nThe mappings for `MedicationDispense.dosageInstruction.method` do not cover the following types: CodeableConcept.\nThe mappings for `MedicationDispense.dosageInstruction.method` do not cover the following types based on type expansion: coding, text.\nThis attribute will most often NOT be populated.  It is most commonly used for injections.  For example, Slow Push, Deep IV.  One of the reasons this attribute is not used often, is that the method is often pre-coordinated with the route and/or form of administration.  This means the codes used in route or form may pre-coordinate the method in the route code or the form code.  The implementation decision about what coding system to use for route or form code will determine how frequently the method code will be populated e.g. if route or form code pre-coordinate method code, then this attribute will not be populated often; if there is no pre-coordination then method code may  be used frequently."
            }
          ]
        },
        {
          "code": "MedicationDispense.dosageInstruction.dose[x]",
          "display": "dose[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "MedicationDispense.dosageInstruction",
              "display": "MedicationDispense.dosageInstruction",
              "equivalence": "relatedto",
              "comment": "Element `MedicationDispense.dosageInstruction.dose[x]` is mapped to FHIR R4B element `MedicationDispense.dosageInstruction` as `RelatedTo`.\nThe mappings for `MedicationDispense.dosageInstruction.dose[x]` do not cover the following types: Quantity, Range.\nThe mappings for `MedicationDispense.dosageInstruction.dose[x]` do not cover the following types based on type expansion: code, comparator, high, low, system, unit, value.\nNote that this specifies the quantity of the specified medication, not the quantity of active ingredient(s).  The prescribed strength can be calculated by multiplying the doseQuantity by the strength of each active ingredient in the prescribed Medication. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule."
            }
          ]
        },
        {
          "code": "MedicationDispense.dosageInstruction.rate[x]",
          "display": "rate[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "MedicationDispense.dosageInstruction",
              "display": "MedicationDispense.dosageInstruction",
              "equivalence": "relatedto",
              "comment": "Element `MedicationDispense.dosageInstruction.rate[x]` is mapped to FHIR R4B element `MedicationDispense.dosageInstruction` as `RelatedTo`.\nThe mappings for `MedicationDispense.dosageInstruction.rate[x]` do not cover the following types: Range, Ratio.\nThe mappings for `MedicationDispense.dosageInstruction.rate[x]` do not cover the following types based on type expansion: denominator, high, low, numerator."
            }
          ]
        },
        {
          "code": "MedicationDispense.dosageInstruction.maxDosePerPeriod",
          "display": "maxDosePerPeriod",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "relatedto"
                }
              ],
              "code": "MedicationDispense.dosageInstruction",
              "display": "MedicationDispense.dosageInstruction",
              "equivalence": "relatedto",
              "comment": "Element `MedicationDispense.dosageInstruction.maxDosePerPeriod` is mapped to FHIR R4B element `MedicationDispense.dosageInstruction` as `RelatedTo`.\nThe mappings for `MedicationDispense.dosageInstruction.maxDosePerPeriod` do not cover the following types: Ratio.\nThe mappings for `MedicationDispense.dosageInstruction.maxDosePerPeriod` do not cover the following types based on type expansion: denominator, numerator."
            }
          ]
        },
        {
          "code": "MedicationDispense.substitution",
          "display": "substitution",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "MedicationDispense.substitution",
              "display": "MedicationDispense.substitution",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.substitution` is mapped to FHIR R4B element `MedicationDispense.substitution` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.substitution.type",
          "display": "type",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "MedicationDispense.substitution.type",
              "display": "MedicationDispense.substitution.type",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.substitution.type` is mapped to FHIR R4B element `MedicationDispense.substitution.type` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.substitution.reason",
          "display": "reason",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "MedicationDispense.substitution.reason",
              "display": "MedicationDispense.substitution.reason",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.substitution.reason` is mapped to FHIR R4B element `MedicationDispense.substitution.reason` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.substitution.responsibleParty",
          "display": "responsibleParty",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "MedicationDispense.substitution.responsibleParty",
              "display": "MedicationDispense.substitution.responsibleParty",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.substitution.responsibleParty` is mapped to FHIR R4B element `MedicationDispense.substitution.responsibleParty` as `RelatedTo`.\nThe mappings for `MedicationDispense.substitution.responsibleParty` do not cover the following types based on type expansion: display, reference.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR DSTU2 element `MedicationDispense.substitution.responsibleParty` with unmapped reference targets: Practitioner."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.meta",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "MedicationDispense.meta",
          "display": "meta",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.meta` is mapped to FHIR R4B element `MedicationDispense.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `MedicationDispense.meta` do not cover the following types: Meta.\nThe mappings for `MedicationDispense.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.text",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "MedicationDispense.text",
          "display": "text",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.text` is mapped to FHIR R4B element `MedicationDispense.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `MedicationDispense.text` do not cover the following types: Narrative.\nThe mappings for `MedicationDispense.text` do not cover the following types based on type expansion: div, status.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.identifier",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "MedicationDispense.identifier",
          "display": "identifier",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.identifier` is mapped to FHIR R4B element `MedicationDispense.identifier` as `RelatedTo`.\nThe mappings for `MedicationDispense.identifier` do not cover the following types: Identifier.\nThe mappings for `MedicationDispense.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.status",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "MedicationDispense.status",
          "display": "status",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.status` is mapped to FHIR R4B element `MedicationDispense.status` as `RelatedTo`.\nThe mappings for `MedicationDispense.status` do not allow expression of the necessary codes, per the bindings on the source and target.\nThe target context `MedicationDispense.status` is a modifier element, so this extension does not need to be defined as a modifier."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.note",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "MedicationDispense.note",
          "display": "note",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.note` is mapped to FHIR R4B element `MedicationDispense.note` as `RelatedTo`.\nThe mappings for `MedicationDispense.note` do not cover the following types: string.\nThe mappings for `MedicationDispense.note` do not cover the following types based on type expansion: value."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.text",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "MedicationDispense.dosageInstruction.text",
          "display": "text",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.dosageInstruction.text` is mapped to FHIR R4B element `MedicationDispense.dosageInstruction` as `RelatedTo`.\nThe mappings for `MedicationDispense.dosageInstruction.text` do not cover the following types: string.\nThe mappings for `MedicationDispense.dosageInstruction.text` do not cover the following types based on type expansion: value."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.additionalInstructions",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "MedicationDispense.dosageInstruction.additionalInstructions",
          "display": "additionalInstructions",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.dosageInstruction.additionalInstructions` is mapped to FHIR R4B element `MedicationDispense.dosageInstruction` as `RelatedTo`.\nThe mappings for `MedicationDispense.dosageInstruction.additionalInstructions` do not cover the following types: CodeableConcept.\nThe mappings for `MedicationDispense.dosageInstruction.additionalInstructions` do not cover the following types based on type expansion: coding, text."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.timing",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "MedicationDispense.dosageInstruction.timing",
          "display": "timing",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.dosageInstruction.timing` is mapped to FHIR R4B element `MedicationDispense.dosageInstruction` as `RelatedTo`.\nThe mappings for `MedicationDispense.dosageInstruction.timing` do not cover the following types: Timing.\nThe mappings for `MedicationDispense.dosageInstruction.timing` do not cover the following types based on type expansion: bounds[x], code, count, duration, durationMax, durationUnits, event, frequency, frequencyMax, period, periodMax, periodUnits, repeat, when."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.asNeeded",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "MedicationDispense.dosageInstruction.asNeeded[x]",
          "display": "asNeeded[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.dosageInstruction.asNeeded[x]` is mapped to FHIR R4B element `MedicationDispense.dosageInstruction` as `RelatedTo`.\nThe mappings for `MedicationDispense.dosageInstruction.asNeeded[x]` do not cover the following types: boolean, CodeableConcept.\nThe mappings for `MedicationDispense.dosageInstruction.asNeeded[x]` do not cover the following types based on type expansion: coding, text, value."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.site",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "MedicationDispense.dosageInstruction.site[x]",
          "display": "site[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.dosageInstruction.site[x]` is mapped to FHIR R4B element `MedicationDispense.dosageInstruction` as `RelatedTo`.\nThe mappings for `MedicationDispense.dosageInstruction.site[x]` do not cover the following types: CodeableConcept, Reference.\nThe mappings for `MedicationDispense.dosageInstruction.site[x]` do not cover the following types based on type expansion: coding, display, reference, text."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.route",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "MedicationDispense.dosageInstruction.route",
          "display": "route",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.dosageInstruction.route` is mapped to FHIR R4B element `MedicationDispense.dosageInstruction` as `RelatedTo`.\nThe mappings for `MedicationDispense.dosageInstruction.route` do not cover the following types: CodeableConcept.\nThe mappings for `MedicationDispense.dosageInstruction.route` do not cover the following types based on type expansion: coding, text."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.method",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "MedicationDispense.dosageInstruction.method",
          "display": "method",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.dosageInstruction.method` is mapped to FHIR R4B element `MedicationDispense.dosageInstruction` as `RelatedTo`.\nThe mappings for `MedicationDispense.dosageInstruction.method` do not cover the following types: CodeableConcept.\nThe mappings for `MedicationDispense.dosageInstruction.method` do not cover the following types based on type expansion: coding, text.\nThis attribute will most often NOT be populated.  It is most commonly used for injections.  For example, Slow Push, Deep IV.  One of the reasons this attribute is not used often, is that the method is often pre-coordinated with the route and/or form of administration.  This means the codes used in route or form may pre-coordinate the method in the route code or the form code.  The implementation decision about what coding system to use for route or form code will determine how frequently the method code will be populated e.g. if route or form code pre-coordinate method code, then this attribute will not be populated often; if there is no pre-coordination then method code may  be used frequently."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.dose",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "MedicationDispense.dosageInstruction.dose[x]",
          "display": "dose[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.dosageInstruction.dose[x]` is mapped to FHIR R4B element `MedicationDispense.dosageInstruction` as `RelatedTo`.\nThe mappings for `MedicationDispense.dosageInstruction.dose[x]` do not cover the following types: Quantity, Range.\nThe mappings for `MedicationDispense.dosageInstruction.dose[x]` do not cover the following types based on type expansion: code, comparator, high, low, system, unit, value.\nNote that this specifies the quantity of the specified medication, not the quantity of active ingredient(s).  The prescribed strength can be calculated by multiplying the doseQuantity by the strength of each active ingredient in the prescribed Medication. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.rate",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "MedicationDispense.dosageInstruction.rate[x]",
          "display": "rate[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.dosageInstruction.rate[x]` is mapped to FHIR R4B element `MedicationDispense.dosageInstruction` as `RelatedTo`.\nThe mappings for `MedicationDispense.dosageInstruction.rate[x]` do not cover the following types: Range, Ratio.\nThe mappings for `MedicationDispense.dosageInstruction.rate[x]` do not cover the following types based on type expansion: denominator, high, low, numerator."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-MedicationDispense.dosageInstruction.maxDosePerPeriod",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "MedicationDispense.dosageInstruction.maxDosePerPeriod",
          "display": "maxDosePerPeriod",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.dosageInstruction.maxDosePerPeriod` is mapped to FHIR R4B element `MedicationDispense.dosageInstruction` as `RelatedTo`.\nThe mappings for `MedicationDispense.dosageInstruction.maxDosePerPeriod` do not cover the following types: Ratio.\nThe mappings for `MedicationDispense.dosageInstruction.maxDosePerPeriod` do not cover the following types based on type expansion: denominator, numerator."
            }
          ]
        }
      ]
    }
  ]
}