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Packagehl7.fhir.uv.xver-r4.r4b
Resource TypeConceptMap
IdConceptMap-R4-Substance-element-map-to-R4B.json
FHIR VersionR4B
Sourcehttp://hl7.org/fhir/uv/xver-r4.r4b/0.1.0/ConceptMap-R4-Substance-element-map-to-R4B.html
URLhttp://hl7.org/fhir/uv/xver/ConceptMap/R4-Substance-element-map-to-R4B
Version0.1.0
Statusactive
Date2026-03-17T16:03:43.4533884-05:00
NameR4SubstanceElementMapToR4B
TitleCross-version mapping for FHIR R4 Substance to FHIR R4B Substance
Realmuv
Authorityhl7
DescriptionThis ConceptMap represents cross-version mappings for elements from a FHIR R4 Substance to FHIR R4B.

Resources that use this resource

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Resources that this resource uses

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ConceptMap R4-Substance-element-map-to-R4B

Mapping from http://hl7.org/fhir/4.0 to http://hl7.org/fhir/4.3


Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/Substance|4.0.1 to Substanceversion: 4.3.0)

Source CodeRelationshipTarget CodeComment
Substance.meta (meta)is equivalent toSubstance.metaElement `Substance.meta` is mapped to FHIR R4B element `Substance.meta` as `Equivalent`.
Substance.implicitRules (implicitRules)is equivalent toSubstance.implicitRulesElement `Substance.implicitRules` is mapped to FHIR R4B element `Substance.implicitRules` as `Equivalent`. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Substance.language (language)is equivalent toSubstance.languageElement `Substance.language` is mapped to FHIR R4B element `Substance.language` as `Equivalent`. Language 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).
Substance.text (text)is equivalent toSubstance.textElement `Substance.text` is mapped to FHIR R4B element `Substance.text` as `Equivalent`. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Substance.contained (contained)is equivalent toSubstance.containedElement `Substance.contained` is mapped to FHIR R4B element `Substance.contained` as `Equivalent`. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Substance.identifier (identifier)is equivalent toSubstance.identifierElement `Substance.identifier` is mapped to FHIR R4B element `Substance.identifier` as `Equivalent`. This identifier is associated with the kind of substance in contrast to the Substance.instance.identifier which is associated with the package/container.
Substance.status (status)is equivalent toSubstance.statusElement `Substance.status` is mapped to FHIR R4B element `Substance.status` as `Equivalent`. An externally-defined extension that has been mapped as the representation of FHIR R4 element `Substance.status`: `http://hl7.org/fhir/StructureDefinition/artifact-status`.
Substance.category (category)is equivalent toSubstance.categoryElement `Substance.category` is mapped to FHIR R4B element `Substance.category` as `Equivalent`. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in Substance.code.
Substance.code (code)is equivalent toSubstance.codeElement `Substance.code` is mapped to FHIR R4B element `Substance.code` as `Equivalent`. This could be a reference to an externally defined code. It could also be a locally assigned code (e.g. a formulary), optionally with translations to the standard drug codes.
Substance.description (description)is equivalent toSubstance.descriptionElement `Substance.description` is mapped to FHIR R4B element `Substance.description` as `Equivalent`.
Substance.instance (instance)maps to wider conceptSubstance.instanceElement `Substance.instance` is mapped to FHIR R4B element `Substance.instance` as `Equivalent`.
Substance.instance.identifier (identifier)is equivalent toSubstance.instance.identifierElement `Substance.instance.identifier` is mapped to FHIR R4B element `Substance.instance.identifier` as `Equivalent`.
Substance.instance.expiry (expiry)is equivalent toSubstance.instance.expiryElement `Substance.instance.expiry` is mapped to FHIR R4B element `Substance.instance.expiry` as `Equivalent`.
Substance.instance.quantity (quantity)is equivalent toSubstance.instance.quantityElement `Substance.instance.quantity` is mapped to FHIR R4B element `Substance.instance.quantity` as `Equivalent`.
Substance.ingredient (ingredient)maps to wider conceptSubstance.ingredientElement `Substance.ingredient` is mapped to FHIR R4B element `Substance.ingredient` as `Equivalent`.
Substance.ingredient.quantity (quantity)is equivalent toSubstance.ingredient.quantityElement `Substance.ingredient.quantity` is mapped to FHIR R4B element `Substance.ingredient.quantity` as `Equivalent`.
Substance.ingredient.substance[x] (substance[x])is equivalent toSubstance.ingredient.substance[x]Element `Substance.ingredient.substance[x]` is mapped to FHIR R4B element `Substance.ingredient.substance[x]` as `Equivalent`. The target context `Substance.ingredient.substance[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Substance.ingredient`.

Source1

{
  "resourceType": "ConceptMap",
  "id": "R4-Substance-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-r4.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-r4.r4b"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ConceptMap/R4-Substance-element-map-to-R4B",
  "version": "0.1.0",
  "name": "R4SubstanceElementMapToR4B",
  "title": "Cross-version mapping for FHIR R4 Substance to FHIR R4B Substance",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:03:43.4533884-05:00",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description": "This ConceptMap represents cross-version mappings for elements from a FHIR R4 Substance to FHIR R4B.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "sourceCanonical": "http://hl7.org/fhir/4.0",
  "targetUri": "http://hl7.org/fhir/4.3",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Substance",
      "sourceVersion": "4.0.1",
      "target": "http://hl7.org/fhir/StructureDefinition/Substance",
      "targetVersion": "4.3.0",
      "element": [
        {
          "code": "Substance.meta",
          "display": "meta",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Substance.meta",
              "display": "Substance.meta",
              "equivalence": "equivalent",
              "comment": "Element `Substance.meta` is mapped to FHIR R4B element `Substance.meta` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Substance.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Substance.implicitRules",
              "display": "Substance.implicitRules",
              "equivalence": "equivalent",
              "comment": "Element `Substance.implicitRules` is mapped to FHIR R4B element `Substance.implicitRules` as `Equivalent`.\nAsserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."
            }
          ]
        },
        {
          "code": "Substance.language",
          "display": "language",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Substance.language",
              "display": "Substance.language",
              "equivalence": "equivalent",
              "comment": "Element `Substance.language` is mapped to FHIR R4B element `Substance.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": "Substance.text",
          "display": "text",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Substance.text",
              "display": "Substance.text",
              "equivalence": "equivalent",
              "comment": "Element `Substance.text` is mapped to FHIR R4B element `Substance.text` as `Equivalent`.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later."
            }
          ]
        },
        {
          "code": "Substance.contained",
          "display": "contained",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Substance.contained",
              "display": "Substance.contained",
              "equivalence": "equivalent",
              "comment": "Element `Substance.contained` is mapped to FHIR R4B element `Substance.contained` as `Equivalent`.\nThis should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."
            }
          ]
        },
        {
          "code": "Substance.identifier",
          "display": "identifier",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Substance.identifier",
              "display": "Substance.identifier",
              "equivalence": "equivalent",
              "comment": "Element `Substance.identifier` is mapped to FHIR R4B element `Substance.identifier` as `Equivalent`.\nThis identifier is associated with the kind of substance in contrast to the  Substance.instance.identifier which is associated with the package/container."
            }
          ]
        },
        {
          "code": "Substance.status",
          "display": "status",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Substance.status",
              "display": "Substance.status",
              "equivalence": "equivalent",
              "comment": "Element `Substance.status` is mapped to FHIR R4B element `Substance.status` as `Equivalent`.\nAn externally-defined extension that has been mapped as the representation of FHIR R4 element `Substance.status`: `http://hl7.org/fhir/StructureDefinition/artifact-status`."
            }
          ]
        },
        {
          "code": "Substance.category",
          "display": "category",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Substance.category",
              "display": "Substance.category",
              "equivalence": "equivalent",
              "comment": "Element `Substance.category` is mapped to FHIR R4B element `Substance.category` as `Equivalent`.\nThe level of granularity is defined by the category concepts in the value set.   More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in Substance.code."
            }
          ]
        },
        {
          "code": "Substance.code",
          "display": "code",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Substance.code",
              "display": "Substance.code",
              "equivalence": "equivalent",
              "comment": "Element `Substance.code` is mapped to FHIR R4B element `Substance.code` as `Equivalent`.\nThis could be a reference to an externally defined code.  It could also be a locally assigned code (e.g. a formulary),  optionally with translations to the standard drug codes."
            }
          ]
        },
        {
          "code": "Substance.description",
          "display": "description",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Substance.description",
              "display": "Substance.description",
              "equivalence": "equivalent",
              "comment": "Element `Substance.description` is mapped to FHIR R4B element `Substance.description` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Substance.instance",
          "display": "instance",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Substance.instance",
              "display": "Substance.instance",
              "equivalence": "wider",
              "comment": "Element `Substance.instance` is mapped to FHIR R4B element `Substance.instance` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Substance.instance.identifier",
          "display": "identifier",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Substance.instance.identifier",
              "display": "Substance.instance.identifier",
              "equivalence": "equivalent",
              "comment": "Element `Substance.instance.identifier` is mapped to FHIR R4B element `Substance.instance.identifier` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Substance.instance.expiry",
          "display": "expiry",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Substance.instance.expiry",
              "display": "Substance.instance.expiry",
              "equivalence": "equivalent",
              "comment": "Element `Substance.instance.expiry` is mapped to FHIR R4B element `Substance.instance.expiry` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Substance.instance.quantity",
          "display": "quantity",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Substance.instance.quantity",
              "display": "Substance.instance.quantity",
              "equivalence": "equivalent",
              "comment": "Element `Substance.instance.quantity` is mapped to FHIR R4B element `Substance.instance.quantity` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Substance.ingredient",
          "display": "ingredient",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "wider"
                }
              ],
              "code": "Substance.ingredient",
              "display": "Substance.ingredient",
              "equivalence": "wider",
              "comment": "Element `Substance.ingredient` is mapped to FHIR R4B element `Substance.ingredient` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Substance.ingredient.quantity",
          "display": "quantity",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Substance.ingredient.quantity",
              "display": "Substance.ingredient.quantity",
              "equivalence": "equivalent",
              "comment": "Element `Substance.ingredient.quantity` is mapped to FHIR R4B element `Substance.ingredient.quantity` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Substance.ingredient.substance[x]",
          "display": "substance[x]",
          "target": [
            {
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode": "equivalent"
                }
              ],
              "code": "Substance.ingredient.substance[x]",
              "display": "Substance.ingredient.substance[x]",
              "equivalence": "equivalent",
              "comment": "Element `Substance.ingredient.substance[x]` is mapped to FHIR R4B element `Substance.ingredient.substance[x]` as `Equivalent`.\nThe target context `Substance.ingredient.substance[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Substance.ingredient`."
            }
          ]
        }
      ]
    }
  ]
}