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{
  "resourceType": "ConceptMap",
  "id": "R3-MedicationDispense-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-MedicationDispense-element-map-to-R4",
  "version": "0.1.0",
  "name": "R3MedicationDispenseElementMapToR4",
  "title": "Cross-version mapping for FHIR STU3 MedicationDispense to FHIR R4 MedicationDispense",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:03:24.0411463-05:00",
  "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 MedicationDispense 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/MedicationDispense",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
      "targetVersion": "4.0.1",
      "element": [
        {
          "code": "MedicationDispense.meta",
          "display": "meta",
          "target": [
            {
              "code": "MedicationDispense.meta",
              "display": "MedicationDispense.meta",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.meta` is mapped to FHIR R4 element `MedicationDispense.meta` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "code": "MedicationDispense.implicitRules",
              "display": "MedicationDispense.implicitRules",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.implicitRules` is mapped to FHIR R4 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. \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": "MedicationDispense.language",
          "display": "language",
          "target": [
            {
              "code": "MedicationDispense.language",
              "display": "MedicationDispense.language",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.language` is mapped to FHIR R4 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": [
            {
              "code": "MedicationDispense.text",
              "display": "MedicationDispense.text",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.text` is mapped to FHIR R4 element `MedicationDispense.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": "MedicationDispense.contained",
          "display": "contained",
          "target": [
            {
              "code": "MedicationDispense.contained",
              "display": "MedicationDispense.contained",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.contained` is mapped to FHIR R4 element `MedicationDispense.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": "MedicationDispense.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "MedicationDispense.identifier",
              "display": "MedicationDispense.identifier",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.identifier` is mapped to FHIR R4 element `MedicationDispense.identifier` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.partOf",
          "display": "partOf",
          "target": [
            {
              "code": "MedicationDispense.partOf",
              "display": "MedicationDispense.partOf",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.partOf` is mapped to FHIR R4 element `MedicationDispense.partOf` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.status",
          "display": "status",
          "target": [
            {
              "code": "MedicationDispense.status",
              "display": "MedicationDispense.status",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.status` is mapped to FHIR R4 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.\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."
            }
          ]
        },
        {
          "code": "MedicationDispense.category",
          "display": "category",
          "target": [
            {
              "code": "MedicationDispense.category",
              "display": "MedicationDispense.category",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.category` is mapped to FHIR R4 element `MedicationDispense.category` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.medication[x]",
          "display": "medication[x]",
          "target": [
            {
              "code": "MedicationDispense.medication[x]",
              "display": "MedicationDispense.medication[x]",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.medication[x]` is mapped to FHIR R4 element `MedicationDispense.medication[x]` as `Equivalent`.\nThe target context `MedicationDispense.medication[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `MedicationDispense`.\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.  For example if you require form or lot number, then you must reference the Medication resource. ."
            }
          ]
        },
        {
          "code": "MedicationDispense.subject",
          "display": "subject",
          "target": [
            {
              "code": "MedicationDispense.subject",
              "display": "MedicationDispense.subject",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.subject` is mapped to FHIR R4 element `MedicationDispense.subject` as `Equivalent`.\nSubstanceAdministration->subject->Patient."
            }
          ]
        },
        {
          "code": "MedicationDispense.context",
          "display": "context",
          "target": [
            {
              "code": "MedicationDispense.context",
              "display": "MedicationDispense.context",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.context` is mapped to FHIR R4 element `MedicationDispense.context` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.supportingInformation",
          "display": "supportingInformation",
          "target": [
            {
              "code": "MedicationDispense.supportingInformation",
              "display": "MedicationDispense.supportingInformation",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.supportingInformation` is mapped to FHIR R4 element `MedicationDispense.supportingInformation` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.performer",
          "display": "performer",
          "target": [
            {
              "code": "MedicationDispense.performer",
              "display": "MedicationDispense.performer",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.performer` is mapped to FHIR R4 element `MedicationDispense.performer` as `Equivalent`.\nThe performer will be reviewed as part of STU4."
            }
          ]
        },
        {
          "code": "MedicationDispense.performer.actor",
          "display": "actor",
          "target": [
            {
              "code": "MedicationDispense.performer.actor",
              "display": "MedicationDispense.performer.actor",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.performer.actor` is mapped to FHIR R4 element `MedicationDispense.performer.actor` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.authorizingPrescription",
          "display": "authorizingPrescription",
          "target": [
            {
              "code": "MedicationDispense.authorizingPrescription",
              "display": "MedicationDispense.authorizingPrescription",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.authorizingPrescription` is mapped to FHIR R4 element `MedicationDispense.authorizingPrescription` as `Equivalent`.\nMaps to basedOn in Event logical model."
            }
          ]
        },
        {
          "code": "MedicationDispense.type",
          "display": "type",
          "target": [
            {
              "code": "MedicationDispense.type",
              "display": "MedicationDispense.type",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.type` is mapped to FHIR R4 element `MedicationDispense.type` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.quantity",
          "display": "quantity",
          "target": [
            {
              "code": "MedicationDispense.quantity",
              "display": "MedicationDispense.quantity",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.quantity` is mapped to FHIR R4 element `MedicationDispense.quantity` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.daysSupply",
          "display": "daysSupply",
          "target": [
            {
              "code": "MedicationDispense.daysSupply",
              "display": "MedicationDispense.daysSupply",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.daysSupply` is mapped to FHIR R4 element `MedicationDispense.daysSupply` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.whenPrepared",
          "display": "whenPrepared",
          "target": [
            {
              "code": "MedicationDispense.whenPrepared",
              "display": "MedicationDispense.whenPrepared",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.whenPrepared` is mapped to FHIR R4 element `MedicationDispense.whenPrepared` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.whenHandedOver",
          "display": "whenHandedOver",
          "target": [
            {
              "code": "MedicationDispense.whenHandedOver",
              "display": "MedicationDispense.whenHandedOver",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.whenHandedOver` is mapped to FHIR R4 element `MedicationDispense.whenHandedOver` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.destination",
          "display": "destination",
          "target": [
            {
              "code": "MedicationDispense.destination",
              "display": "MedicationDispense.destination",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.destination` is mapped to FHIR R4 element `MedicationDispense.destination` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.receiver",
          "display": "receiver",
          "target": [
            {
              "code": "MedicationDispense.receiver",
              "display": "MedicationDispense.receiver",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.receiver` is mapped to FHIR R4 element `MedicationDispense.receiver` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.note",
          "display": "note",
          "target": [
            {
              "code": "MedicationDispense.note",
              "display": "MedicationDispense.note",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.note` is mapped to FHIR R4 element `MedicationDispense.note` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.dosageInstruction",
          "display": "dosageInstruction",
          "target": [
            {
              "code": "MedicationDispense.dosageInstruction",
              "display": "MedicationDispense.dosageInstruction",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.dosageInstruction` is mapped to FHIR R4 element `MedicationDispense.dosageInstruction` as `Equivalent`.\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.\rThe pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed."
            }
          ]
        },
        {
          "code": "MedicationDispense.substitution",
          "display": "substitution",
          "target": [
            {
              "code": "MedicationDispense.substitution",
              "display": "MedicationDispense.substitution",
              "equivalence": "wider",
              "comment": "Element `MedicationDispense.substitution` is mapped to FHIR R4 element `MedicationDispense.substitution` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.substitution.wasSubstituted",
          "display": "wasSubstituted",
          "target": [
            {
              "code": "MedicationDispense.substitution.wasSubstituted",
              "display": "MedicationDispense.substitution.wasSubstituted",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.substitution.wasSubstituted` is mapped to FHIR R4 element `MedicationDispense.substitution.wasSubstituted` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.substitution.type",
          "display": "type",
          "target": [
            {
              "code": "MedicationDispense.substitution.type",
              "display": "MedicationDispense.substitution.type",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.substitution.type` is mapped to FHIR R4 element `MedicationDispense.substitution.type` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.substitution.reason",
          "display": "reason",
          "target": [
            {
              "code": "MedicationDispense.substitution.reason",
              "display": "MedicationDispense.substitution.reason",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.substitution.reason` is mapped to FHIR R4 element `MedicationDispense.substitution.reason` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.substitution.responsibleParty",
          "display": "responsibleParty",
          "target": [
            {
              "code": "MedicationDispense.substitution.responsibleParty",
              "display": "MedicationDispense.substitution.responsibleParty",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.substitution.responsibleParty` is mapped to FHIR R4 element `MedicationDispense.substitution.responsibleParty` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.detectedIssue",
          "display": "detectedIssue",
          "target": [
            {
              "code": "MedicationDispense.detectedIssue",
              "display": "MedicationDispense.detectedIssue",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.detectedIssue` is mapped to FHIR R4 element `MedicationDispense.detectedIssue` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationDispense.notDoneReason[x]",
          "display": "notDoneReason[x]",
          "target": [
            {
              "code": "MedicationDispense.statusReason[x]",
              "display": "MedicationDispense.statusReason[x]",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.notDoneReason[x]` is mapped to FHIR R4 element `MedicationDispense.statusReason[x]` as `SourceIsNarrowerThanTarget`.\nThe target context `MedicationDispense.statusReason[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `MedicationDispense`."
            }
          ]
        },
        {
          "code": "MedicationDispense.eventHistory",
          "display": "eventHistory",
          "target": [
            {
              "code": "MedicationDispense.eventHistory",
              "display": "MedicationDispense.eventHistory",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.eventHistory` is mapped to FHIR R4 element `MedicationDispense.eventHistory` as `Equivalent`.\nThis may not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationDispense.status",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "MedicationDispense.status",
          "display": "status",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.status` is mapped to FHIR R4 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.\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationDispense.performer.onBehalfOf",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "MedicationDispense.performer.onBehalfOf",
          "display": "onBehalfOf",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.performer.onBehalfOf` has a context of MedicationDispense.performer based on following the parent source element upwards and mapping to `MedicationDispense`.\nElement `MedicationDispense.performer.onBehalfOf` 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/MedicationDispense",
      "sourceVersion": "3.0.2",
      "target": "http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationDispense.notDone",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "MedicationDispense.notDone",
          "display": "notDone",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `MedicationDispense.notDone` has a context of MedicationDispense based on following the parent source element upwards and mapping to `MedicationDispense`.\nElement `MedicationDispense.notDone` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    }
  ]
}