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Source1

{
  "resourceType": "ConceptMap",
  "id": "R4-MedicationStatement-element-map-to-R5",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fhir"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r5"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r5"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ConceptMap/R4-MedicationStatement-element-map-to-R5",
  "version": "0.1.0",
  "name": "R4MedicationStatementElementMapToR5",
  "title": "Cross-version mapping for FHIR R4 MedicationStatement to FHIR R5 MedicationStatement",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:04:35.4237417-05:00",
  "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 MedicationStatement to FHIR R5.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "sourceScopeCanonical": "http://hl7.org/fhir/4.0",
  "targetScopeUri": "http://hl7.org/fhir/5.0",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/MedicationStatement|4.0.1",
      "target": "http://hl7.org/fhir/StructureDefinition/MedicationStatement|5.0.0",
      "element": [
        {
          "code": "MedicationStatement.meta",
          "display": "meta",
          "target": [
            {
              "code": "MedicationStatement.meta",
              "display": "MedicationStatement.meta",
              "relationship": "equivalent",
              "comment": "Element `MedicationStatement.meta` is mapped to FHIR R5 element `MedicationStatement.meta` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationStatement.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "code": "MedicationStatement.implicitRules",
              "display": "MedicationStatement.implicitRules",
              "relationship": "equivalent",
              "comment": "Element `MedicationStatement.implicitRules` is mapped to FHIR R5 element `MedicationStatement.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": "MedicationStatement.language",
          "display": "language",
          "target": [
            {
              "code": "MedicationStatement.language",
              "display": "MedicationStatement.language",
              "relationship": "equivalent",
              "comment": "Element `MedicationStatement.language` is mapped to FHIR R5 element `MedicationStatement.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": "MedicationStatement.text",
          "display": "text",
          "target": [
            {
              "code": "MedicationStatement.text",
              "display": "MedicationStatement.text",
              "relationship": "equivalent",
              "comment": "Element `MedicationStatement.text` is mapped to FHIR R5 element `MedicationStatement.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": "MedicationStatement.contained",
          "display": "contained",
          "target": [
            {
              "code": "MedicationStatement.contained",
              "display": "MedicationStatement.contained",
              "relationship": "equivalent",
              "comment": "Element `MedicationStatement.contained` is mapped to FHIR R5 element `MedicationStatement.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": "MedicationStatement.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "MedicationStatement.identifier",
              "display": "MedicationStatement.identifier",
              "relationship": "equivalent",
              "comment": "Element `MedicationStatement.identifier` is mapped to FHIR R5 element `MedicationStatement.identifier` as `Equivalent`.\nThis is a business identifier, not a resource identifier."
            }
          ]
        },
        {
          "code": "MedicationStatement.partOf",
          "display": "partOf",
          "target": [
            {
              "code": "MedicationStatement.partOf",
              "display": "MedicationStatement.partOf",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `MedicationStatement.partOf` is mapped to FHIR R5 element `MedicationStatement.partOf` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `MedicationStatement.partOf` with unmapped reference targets: MedicationAdministration, MedicationDispense, Observation."
            }
          ]
        },
        {
          "code": "MedicationStatement.status",
          "display": "status",
          "target": [
            {
              "code": "MedicationStatement.status",
              "display": "MedicationStatement.status",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `MedicationStatement.status` is mapped to FHIR R5 element `MedicationStatement.status` as `SourceIsBroaderThanTarget`.\nThe target context `MedicationStatement.status` is a modifier element, so this extension does not need to be defined as a modifier.\nMedicationStatement is a statement at a point in time.  The status is only representative at the point when it was asserted.  The value set for MedicationStatement.status contains codes that assert the status of the use of the medication by the patient (for example, stopped or on hold) as well as codes that assert the status of the medication statement itself (for example, entered in error).\r\rThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."
            }
          ]
        },
        {
          "code": "MedicationStatement.category",
          "display": "category",
          "target": [
            {
              "code": "MedicationStatement.category",
              "display": "MedicationStatement.category",
              "relationship": "equivalent",
              "comment": "Element `MedicationStatement.category` is mapped to FHIR R5 element `MedicationStatement.category` as `SourceIsNarrowerThanTarget`."
            }
          ]
        },
        {
          "code": "MedicationStatement.medication[x]",
          "display": "medication[x]",
          "target": [
            {
              "code": "MedicationStatement.medication",
              "display": "MedicationStatement.medication",
              "relationship": "source-is-narrower-than-target",
              "comment": "Element `MedicationStatement.medication[x]` is mapped to FHIR R5 element `MedicationStatement.medication` as `SourceIsNarrowerThanTarget`.\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": "MedicationStatement.subject",
          "display": "subject",
          "target": [
            {
              "code": "MedicationStatement.subject",
              "display": "MedicationStatement.subject",
              "relationship": "equivalent",
              "comment": "Element `MedicationStatement.subject` is mapped to FHIR R5 element `MedicationStatement.subject` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationStatement.context",
          "display": "context",
          "target": [
            {
              "code": "MedicationStatement.encounter",
              "display": "MedicationStatement.encounter",
              "relationship": "source-is-broader-than-target",
              "comment": "Element `MedicationStatement.context` is mapped to FHIR R5 element `MedicationStatement.encounter` as `SourceIsBroaderThanTarget`.\nThe mappings for `MedicationStatement.context` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `MedicationStatement.context` with unmapped reference targets: EpisodeOfCare."
            }
          ]
        },
        {
          "code": "MedicationStatement.effective[x]",
          "display": "effective[x]",
          "target": [
            {
              "code": "MedicationStatement.effective[x]",
              "display": "MedicationStatement.effective[x]",
              "relationship": "equivalent",
              "comment": "Element `MedicationStatement.effective[x]` is mapped to FHIR R5 element `MedicationStatement.effective[x]` as `Equivalent`.\nThe target context `MedicationStatement.effective[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `MedicationStatement`.\nThis attribute reflects the period over which the patient consumed the medication and is expected to be populated on the majority of Medication Statements. If the medication is still being taken at the time the statement is recorded, the \"end\" date will be omitted.  The date/time attribute supports a variety of dates - year, year/month and exact date.  If something more than this is required, this should be conveyed as text."
            }
          ]
        },
        {
          "code": "MedicationStatement.dateAsserted",
          "display": "dateAsserted",
          "target": [
            {
              "code": "MedicationStatement.dateAsserted",
              "display": "MedicationStatement.dateAsserted",
              "relationship": "equivalent",
              "comment": "Element `MedicationStatement.dateAsserted` is mapped to FHIR R5 element `MedicationStatement.dateAsserted` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationStatement.informationSource",
          "display": "informationSource",
          "target": [
            {
              "code": "MedicationStatement.informationSource",
              "display": "MedicationStatement.informationSource",
              "relationship": "equivalent",
              "comment": "Element `MedicationStatement.informationSource` is mapped to FHIR R5 element `MedicationStatement.informationSource` as `SourceIsNarrowerThanTarget`."
            }
          ]
        },
        {
          "code": "MedicationStatement.derivedFrom",
          "display": "derivedFrom",
          "target": [
            {
              "code": "MedicationStatement.derivedFrom",
              "display": "MedicationStatement.derivedFrom",
              "relationship": "equivalent",
              "comment": "Element `MedicationStatement.derivedFrom` is mapped to FHIR R5 element `MedicationStatement.derivedFrom` as `Equivalent`.\nLikely references would be to MedicationRequest, MedicationDispense, Claim, Observation or QuestionnaireAnswers.  The most common use cases for deriving a MedicationStatement comes from creating a MedicationStatement from a MedicationRequest or from a lab observation or a claim.  it should be noted that the amount of information that is available varies from the type resource that you derive the MedicationStatement from."
            }
          ]
        },
        {
          "code": "MedicationStatement.note",
          "display": "note",
          "target": [
            {
              "code": "MedicationStatement.note",
              "display": "MedicationStatement.note",
              "relationship": "equivalent",
              "comment": "Element `MedicationStatement.note` is mapped to FHIR R5 element `MedicationStatement.note` as `Equivalent`."
            }
          ]
        },
        {
          "code": "MedicationStatement.dosage",
          "display": "dosage",
          "target": [
            {
              "code": "MedicationStatement.dosage",
              "display": "MedicationStatement.dosage",
              "relationship": "equivalent",
              "comment": "Element `MedicationStatement.dosage` is mapped to FHIR R5 element `MedicationStatement.dosage` as `Equivalent`.\nThe dates included in the dosage on a Medication Statement reflect the dates for a given dose.  For example, \"from November 1, 2016 to November 3, 2016, take one tablet daily and from November 4, 2016 to November 7, 2016, take two tablets daily.\"  It is expected that this specificity may only be populated where the patient brings in their labeled container or where the Medication Statement is derived from a MedicationRequest."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/MedicationStatement|4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationStatement.status|0.1.0",
      "element": [
        {
          "code": "MedicationStatement.status",
          "display": "status",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `MedicationStatement.status` is mapped to FHIR R5 element `MedicationStatement.status` as `SourceIsBroaderThanTarget`.\nThe target context `MedicationStatement.status` is a modifier element, so this extension does not need to be defined as a modifier.\nMedicationStatement is a statement at a point in time.  The status is only representative at the point when it was asserted.  The value set for MedicationStatement.status contains codes that assert the status of the use of the medication by the patient (for example, stopped or on hold) as well as codes that assert the status of the medication statement itself (for example, entered in error).\r\rThis 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/MedicationStatement|4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationStatement.statusReason|0.1.0",
      "element": [
        {
          "code": "MedicationStatement.statusReason",
          "display": "statusReason",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `MedicationStatement.statusReason` has a context of MedicationStatement based on following the parent source element upwards and mapping to `MedicationStatement`.\nElement `MedicationStatement.statusReason` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nThis is generally only used for \"exception\" statuses such as \"not-taken\", \"on-hold\", \"cancelled\" or \"entered-in-error\". The reason for performing the event at all is captured in reasonCode, not here."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/MedicationStatement|4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationStatement.reasonCode|0.1.0",
      "element": [
        {
          "code": "MedicationStatement.reasonCode",
          "display": "reasonCode",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `MedicationStatement.reasonCode` has a context of MedicationStatement based on following the parent source element upwards and mapping to `MedicationStatement`.\nElement `MedicationStatement.reasonCode` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nThis could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/MedicationStatement|4.0.1",
      "target": "http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationStatement.reasonReference|0.1.0",
      "element": [
        {
          "code": "MedicationStatement.reasonReference",
          "display": "reasonReference",
          "target": [
            {
              "code": "Extension",
              "relationship": "equivalent",
              "comment": "Element `MedicationStatement.reasonReference` has a context of MedicationStatement based on following the parent source element upwards and mapping to `MedicationStatement`.\nElement `MedicationStatement.reasonReference` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nThis is a reference to a condition that is the reason why the medication is being/was taken.  If only a code exists, use reasonForUseCode."
            }
          ]
        }
      ]
    }
  ]
}