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Source1

{
  "resourceType": "ConceptMap",
  "id": "R3-Medication-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-Medication-element-map-to-R4",
  "version": "0.1.0",
  "name": "R3MedicationElementMapToR4",
  "title": "Cross-version mapping for FHIR STU3 Medication to FHIR R4 Medication",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:03:24.0346212-05:00",
  "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 Medication 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/Medication",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/StructureDefinition/Medication",
      "targetVersion": "4.0.1",
      "element": [
        {
          "code": "Medication.meta",
          "display": "meta",
          "target": [
            {
              "code": "Medication.meta",
              "display": "Medication.meta",
              "equivalence": "equivalent",
              "comment": "Element `Medication.meta` is mapped to FHIR R4 element `Medication.meta` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Medication.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "code": "Medication.implicitRules",
              "display": "Medication.implicitRules",
              "equivalence": "equivalent",
              "comment": "Element `Medication.implicitRules` is mapped to FHIR R4 element `Medication.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": "Medication.language",
          "display": "language",
          "target": [
            {
              "code": "Medication.language",
              "display": "Medication.language",
              "equivalence": "equivalent",
              "comment": "Element `Medication.language` is mapped to FHIR R4 element `Medication.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": "Medication.text",
          "display": "text",
          "target": [
            {
              "code": "Medication.text",
              "display": "Medication.text",
              "equivalence": "equivalent",
              "comment": "Element `Medication.text` is mapped to FHIR R4 element `Medication.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": "Medication.contained",
          "display": "contained",
          "target": [
            {
              "code": "Medication.contained",
              "display": "Medication.contained",
              "equivalence": "equivalent",
              "comment": "Element `Medication.contained` is mapped to FHIR R4 element `Medication.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": "Medication.code",
          "display": "code",
          "target": [
            {
              "code": "Medication.code",
              "display": "Medication.code",
              "equivalence": "equivalent",
              "comment": "Element `Medication.code` is mapped to FHIR R4 element `Medication.code` as `Equivalent`.\nDepending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true.  As described in the coding datatype: \"A coding may be marked as a \"userSelected\" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc."
            }
          ]
        },
        {
          "code": "Medication.manufacturer",
          "display": "manufacturer",
          "target": [
            {
              "code": "Medication.manufacturer",
              "display": "Medication.manufacturer",
              "equivalence": "equivalent",
              "comment": "Element `Medication.manufacturer` is mapped to FHIR R4 element `Medication.manufacturer` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Medication.form",
          "display": "form",
          "target": [
            {
              "code": "Medication.form",
              "display": "Medication.form",
              "equivalence": "equivalent",
              "comment": "Element `Medication.form` is mapped to FHIR R4 element `Medication.form` as `Equivalent`.\nWhen Medication is referenced from MedicationRequest, this is the ordered form.  When Medication is referenced within MedicationDispense, this is the dispensed form.  When Medication is referenced within MedicationAdministration, this is administered form."
            }
          ]
        },
        {
          "code": "Medication.ingredient",
          "display": "ingredient",
          "target": [
            {
              "code": "Medication.ingredient",
              "display": "Medication.ingredient",
              "equivalence": "wider",
              "comment": "Element `Medication.ingredient` is mapped to FHIR R4 element `Medication.ingredient` as `Equivalent`.\nThe ingredients need not be a complete list.  If an ingredient is not specified, this does not indicate whether an ingredient is present or absent.  If an ingredient is specified it does not mean that all ingredients are specified.  It is possible to specify both inactive and active ingredients."
            }
          ]
        },
        {
          "code": "Medication.ingredient.item[x]",
          "display": "item[x]",
          "target": [
            {
              "code": "Medication.ingredient.item[x]",
              "display": "Medication.ingredient.item[x]",
              "equivalence": "equivalent",
              "comment": "Element `Medication.ingredient.item[x]` is mapped to FHIR R4 element `Medication.ingredient.item[x]` as `Equivalent`.\nThe target context `Medication.ingredient.item[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Medication.ingredient`."
            }
          ]
        },
        {
          "code": "Medication.ingredient.isActive",
          "display": "isActive",
          "target": [
            {
              "code": "Medication.ingredient.isActive",
              "display": "Medication.ingredient.isActive",
              "equivalence": "equivalent",
              "comment": "Element `Medication.ingredient.isActive` is mapped to FHIR R4 element `Medication.ingredient.isActive` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Medication.ingredient.amount",
          "display": "amount",
          "target": [
            {
              "code": "Medication.ingredient.strength",
              "display": "Medication.ingredient.strength",
              "equivalence": "equivalent",
              "comment": "Element `Medication.ingredient.amount` is mapped to FHIR R4 element `Medication.ingredient.strength` as `Equivalent`."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Medication",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Medication.isBrand",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Medication.isBrand",
          "display": "isBrand",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Medication.isBrand` has a context of Medication based on following the parent source element upwards and mapping to `Medication`.\nElement `Medication.isBrand` 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/Medication",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Medication.isOverTheCounter",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Medication.isOverTheCounter",
          "display": "isOverTheCounter",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Medication.isOverTheCounter` has a context of Medication based on following the parent source element upwards and mapping to `Medication`.\nElement `Medication.isOverTheCounter` 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/Medication",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Medication.package",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Medication.package",
          "display": "package",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `Medication.package` has a context of Medication based on following the parent source element upwards and mapping to `Medication`.\nElement `Medication.package` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "Medication.package.container",
          "display": "container",
          "target": [
            {
              "code": "Extension.extension:container",
              "equivalence": "equivalent",
              "comment": "Element `Medication.package.container` is part of an existing definition because parent element `Medication.package` requires a cross-version extension.\nElement `Medication.package.container` has a context of Medication based on following the parent source element upwards and mapping to `Medication`.\nElement `Medication.package.container` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "Medication.package.content",
          "display": "content",
          "target": [
            {
              "code": "Extension.extension:content",
              "equivalence": "wider",
              "comment": "Element `Medication.package.content` is part of an existing definition because parent element `Medication.package` requires a cross-version extension.\nElement `Medication.package.content` has a context of Medication based on following the parent source element upwards and mapping to `Medication`.\nElement `Medication.package.content` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "Medication.package.content.item[x]",
          "display": "item[x]",
          "target": [
            {
              "code": "Extension.extension:content.extension:item",
              "equivalence": "equivalent",
              "comment": "Element `Medication.package.content.item[x]` is part of an existing definition because parent element `Medication.package.content` requires a cross-version extension.\nElement `Medication.package.content.item[x]` has a context of Medication based on following the parent source element upwards and mapping to `Medication`.\nElement `Medication.package.content.item[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "Medication.package.content.amount",
          "display": "amount",
          "target": [
            {
              "code": "Extension.extension:content.extension:amount",
              "equivalence": "equivalent",
              "comment": "Element `Medication.package.content.amount` is part of an existing definition because parent element `Medication.package.content` requires a cross-version extension.\nElement `Medication.package.content.amount` has a context of Medication based on following the parent source element upwards and mapping to `Medication`.\nElement `Medication.package.content.amount` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "Medication.package.batch",
          "display": "batch",
          "target": [
            {
              "code": "Extension.extension:batch",
              "equivalence": "wider",
              "comment": "Element `Medication.package.batch` is part of an existing definition because parent element `Medication.package` requires a cross-version extension.\nElement `Medication.package.batch` has a context of Medication based on following the parent source element upwards and mapping to `Medication`.\nElement `Medication.package.batch` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "Medication.package.batch.lotNumber",
          "display": "lotNumber",
          "target": [
            {
              "code": "Extension.extension:batch.extension:lotNumber",
              "equivalence": "equivalent",
              "comment": "Element `Medication.package.batch.lotNumber` is part of an existing definition because parent element `Medication.package.batch` requires a cross-version extension.\nElement `Medication.package.batch.lotNumber` has a context of Medication based on following the parent source element upwards and mapping to `Medication`.\nElement `Medication.package.batch.lotNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "Medication.package.batch.expirationDate",
          "display": "expirationDate",
          "target": [
            {
              "code": "Extension.extension:batch.extension:expirationDate",
              "equivalence": "equivalent",
              "comment": "Element `Medication.package.batch.expirationDate` is part of an existing definition because parent element `Medication.package.batch` requires a cross-version extension.\nElement `Medication.package.batch.expirationDate` has a context of Medication based on following the parent source element upwards and mapping to `Medication`.\nElement `Medication.package.batch.expirationDate` 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/Medication",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-Medication.image",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Medication.image",
          "display": "image",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Medication.image` has a context of Medication based on following the parent source element upwards and mapping to `Medication`.\nElement `Medication.image` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    }
  ]
}