R3-MedicationDispense-element-map-to-R4B
type: ConceptMap
node role: treeRoot
id:
  v: R3-MedicationDispense-element-map-to-R4B
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ConceptMap R3-MedicationDispense-element-map-to-R4B Mapping from http://hl7.org/fhir/3.0 to http://hl7.org/fhir/4.3 Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/MedicationDispense|3.0.2 to MedicationDispenseversion: 4.3.0) Source Code Relationship Target Code Comment MedicationDispense.meta (meta) maps to wider concept MedicationDispense.meta Element `MedicationDispense.meta` is mapped to FHIR R4B element `MedicationDispense.meta` as `SourceIsBroaderThanTarget`. The mappings for `MedicationDispense.meta` do not cover the following types: Meta. The mappings for `MedicationDispense.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId. MedicationDispense.implicitRules (implicitRules) is equivalent to MedicationDispense.implicitRules Element `MedicationDispense.implicitRules` is mapped to FHIR R4B element `MedicationDispense.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. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation. MedicationDispense.language (language) is equivalent to MedicationDispense.language Element `MedicationDispense.language` is mapped to FHIR R4B element `MedicationDispense.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…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
    l: structuredefinition-wg
  value: Code
    v: fhir
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
    l: structuredefinition-fmm
  value: Integer
    v: 0
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Canonical
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r4b
        l: hl7.fhir.uv.xver-r3.r4b
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: trial-use
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Canonical
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r4b
        l: hl7.fhir.uv.xver-r3.r4b
url:
  v: http://hl7.org/fhir/uv/xver/ConceptMap/R3-MedicationDispense-element-map-to-R4B
  l: R3-MedicationDispense-element-map-to-R4B
version:
  v: 0.1.0
name:
  v: R3MedicationDispenseElementMapToR4B
title:
  v: Cross-version mapping for FHIR STU3 MedicationDispense to FHIR R4B MedicationDispense
status:
  v: active
experimental:
  v: false
date:
  v: 2026-03-17T16:04:11.0838003-05:00
contact:
  name:
    v: FHIR Infrastructure
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/fiwg
description:
  v: This ConceptMap represents cross-version mappings for elements from a FHIR STU3 MedicationDispense to FHIR R4B.
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 001
    display:
      v: World
source: Canonical
  v: http://hl7.org/fhir/3.0
  l: http://hl7.org/fhir/3.0
target: Uri
  v: http://hl7.org/fhir/4.3
  l: http://hl7.org/fhir/4.3
group:
  source:
    v: http://hl7.org/fhir/StructureDefinition/MedicationDispense
    l: MedicationDispense
  source version:
    v: 3.0.2
  target:
    v: http://hl7.org/fhir/StructureDefinition/MedicationDispense
    l: MedicationDispense
  target version:
    v: 4.3.0
  element:
    code:
      v: MedicationDispense.meta
    display:
      v: meta
    target:
      modifier extension:
        value: Code
      code:
        v: MedicationDispense.meta
      display:
        v: MedicationDispense.meta
      equivalence:
        v: wider
      comment:
        v: Element `MedicationDispense.meta` is mapped to FHIR R4B element `MedicationDispense.meta` as `SourceIsBroaderThanTarget`. The mappings for `MedicationDispense.meta` do not cover the following types: Meta. The mappings for `MedicationDispense.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.
  element:
    code:
      v: MedicationDispense.implicitRules
    display:
      v: implicitRules
    target:
      modifier extension:
        value: Code
      code:
        v: MedicationDispense.implicitRules
      display:
        v: MedicationDispense.implicitRules
      equivalence:
        v: equivalent
      comment:
        v: Element `MedicationDispense.implicitRules` is mapped to FHIR R4B element `MedicationDispense.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. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
  element:
    code:
      v: MedicationDispense.language
    display:
      v: language
    target:
      modifier extension:
        value: Code
      code:
        v: MedicationDispense.language
      display:
        v: MedicationDispense.language
      equivalence:
        v: equivalent
      comment:
        v: Element `MedicationDispense.language` is mapped to FHIR R4B element `MedicationDispense.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).
  element:
    code:
      v: MedicationDispense.text
    display:
      v: text
    target:
      modifier extension:
        value: Code
      code:
        v: MedicationDispense.text
      display:
        v: MedicationDispense.text
      equivalence:
        v: wider
      comment:
        v: Element `MedicationDispense.text` is mapped to FHIR R4B element `MedicationDispense.text` as `SourceIsBroaderThanTarget`. The mappings for `MedicationDispense.text` do not cover the following types: Narrative. The mappings for `MedicationDispense.text` do not cover the following types based on type expansion: div, status. 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 in formation is added later.
  element:
    code:
      v: MedicationDispense.contained
    display:
      v: contained
    target:
      modifier extension:
        value: Code
      code:
        v: MedicationDispense.contained
      display:
        v: MedicationDispense.contained
      equivalence:
        v: equivalent
      comment:
        v: Element `MedicationDispense.contained` is mapped to FHIR R4B element `MedicationDispense.contained` as `SourceIsBroaderThanTarget`. 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.
  element:
    code:
      v: MedicationDispense.identifier
    display:
      v: identifier
    target:
      modifier extension:
        value: Code
      code:
        v: MedicationDispense.identifier
      display:
        v: MedicationDispense.identifier
      equivalence:
        v: wider
      comment:
        v: Element `MedicationDispense.identifier` is mapped to FHIR R4B element `MedicationDispense.identifier` as `SourceIsBroaderThanTarget`. The mappings for `MedicationDispense.identifier` do not cover the following types: Identifier. The mappings for `MedicationDispense.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.
  element:
    code:
      v: MedicationDispense.partOf
    display:
      v: partOf
    target:
      modifier extension:
        value: Code
      code:
        v: MedicationDispense.partOf
      display:
        v: MedicationDispense.partOf
      equivalence:
        v: wider
      comment:
        v: Element `MedicationDispense.partOf` is mapped to FHIR R4B element `MedicationDispense.partOf` as `SourceIsBroaderThanTarget`. The mappings for `MedicationDispense.partOf` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `MedicationDispense.partOf` with unmapped reference targets: Procedure.

Code
v: wider

Code
v: equivalent

Code
v: equivalent

Code
v: wider

Code
v: equivalent

Code
v: wider

Code
v: wider

code:
  v: MedicationDispense.status
display:
  v: status
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: MedicationDispense.status
  display:
    v: MedicationDispense.status
  equivalence:
    v: wider
  comment:
    v: Element `MedicationDispense.status` is mapped to FHIR R4B element `MedicationDispense.status` as `RelatedTo`. The mappings for `MedicationDispense.status` do not allow expression of the necessary codes, per the bindings on the source and target. The target context `MedicationDispense.status` is a modifier element, so this extension does not need to be defined as a modifier. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

code:
  v: MedicationDispense.category
display:
  v: category
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: MedicationDispense.category
  display:
    v: MedicationDispense.category
  equivalence:
    v: equivalent
  comment:
    v: Element `MedicationDispense.category` is mapped to FHIR R4B element `MedicationDispense.category` as `Equivalent`.

code:
  v: MedicationDispense.medication[x]
display:
  v: medication[x]
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: MedicationDispense.medication[x]
  display:
    v: MedicationDispense.medication[x]
  equivalence:
    v: wider
  comment:
    v: Element `MedicationDispense.medication[x]` is mapped to FHIR R4B element `MedicationDispense.medication[x]` as `SourceIsBroaderThanTarget`. The mappings for `MedicationDispense.medication[x]` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `MedicationDispense.medication[x]` with unmapped reference targets: Medication. Source 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. If 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:
  v: MedicationDispense.subject
display:
  v: subject
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: MedicationDispense.subject
  display:
    v: MedicationDispense.subject
  equivalence:
    v: wider
  comment:
    v: Element `MedicationDispense.subject` is mapped to FHIR R4B element `MedicationDispense.subject` as `SourceIsBroaderThanTarget`. The mappings for `MedicationDispense.subject` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `MedicationDispense.subject` with unmapped reference targets: Group, Patient. SubstanceAdministration->subject->Patient.

code:
  v: MedicationDispense.context
display:
  v: context
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: MedicationDispense.context
  display:
    v: MedicationDispense.context
  equivalence:
    v: wider
  comment:
    v: Element `MedicationDispense.context` is mapped to FHIR R4B element `MedicationDispense.context` as `SourceIsBroaderThanTarget`. The mappings for `MedicationDispense.context` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `MedicationDispense.context` with unmapped reference targets: Encounter, EpisodeOfCare.

code:
  v: MedicationDispense.supportingInformation
display:
  v: supportingInformation
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: MedicationDispense.supportingInformation
  display:
    v: MedicationDispense.supportingInformation
  equivalence:
    v: wider
  comment:
    v: Element `MedicationDispense.supportingInformation` is mapped to FHIR R4B element `MedicationDispense.supportingInformation` as `SourceIsBroaderThanTarget`. The mappings for `MedicationDispense.supportingInformation` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `MedicationDispense.supportingInformation` with unmapped reference targets: Resource.

code:
  v: MedicationDispense.performer
display:
  v: performer
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: MedicationDispense.performer
  display:
    v: MedicationDispense.performer
  equivalence:
    v: wider
  comment:
    v: Element `MedicationDispense.performer` is mapped to FHIR R4B element `MedicationDispense.performer` as `Equivalent`. The performer will be reviewed as part of STU4.

code:
  v: MedicationDispense.performer.actor
display:
  v: actor
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: MedicationDispense.performer.actor
  display:
    v: MedicationDispense.performer.actor
  equivalence:
    v: wider
  comment:
    v: Element `MedicationDispense.performer.actor` is mapped to FHIR R4B element `MedicationDispense.performer.actor` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `MedicationDispense.performer.actor` with unmapped reference targets: Device, Organization, Patient, Practitioner, RelatedPerson.

code:
  v: MedicationDispense.authorizingPrescription
display:
  v: authorizingPrescription
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: MedicationDispense.authorizingPrescription
  display:
    v: MedicationDispense.authorizingPrescription
  equivalence:
    v: wider
  comment:
    v: Element `MedicationDispense.authorizingPrescription` is mapped to FHIR R4B element `MedicationDispense.authorizingPrescription` as `SourceIsBroaderThanTarget`. The mappings for `MedicationDispense.authorizingPrescription` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `MedicationDispense.authorizingPrescription` with unmapped reference targets: MedicationRequest. Maps to basedOn in Event logical model.

code:
  v: MedicationDispense.type
display:
  v: type
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: MedicationDispense.type
  display:
    v: MedicationDispense.type
  equivalence:
    v: equivalent
  comment:
    v: Element `MedicationDispense.type` is mapped to FHIR R4B element `MedicationDispense.type` as `Equivalent`.

code:
  v: MedicationDispense.quantity
display:
  v: quantity
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: MedicationDispense.quantity
  display:
    v: MedicationDispense.quantity
  equivalence:
    v: equivalent
  comment:
    v: Element `MedicationDispense.quantity` is mapped to FHIR R4B element `MedicationDispense.quantity` as `Equivalent`.

code:
  v: MedicationDispense.daysSupply
display:
  v: daysSupply
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: MedicationDispense.daysSupply
  display:
    v: MedicationDispense.daysSupply
  equivalence:
    v: equivalent
  comment:
    v: Element `MedicationDispense.daysSupply` is mapped to FHIR R4B element `MedicationDispense.daysSupply` as `Equivalent`.

code:
  v: MedicationDispense.whenPrepared
display:
  v: whenPrepared
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: MedicationDispense.whenPrepared
  display:
    v: MedicationDispense.whenPrepared
  equivalence:
    v: equivalent
  comment:
    v: Element `MedicationDispense.whenPrepared` is mapped to FHIR R4B element `MedicationDispense.whenPrepared` as `Equivalent`.

code:
  v: MedicationDispense.whenHandedOver
display:
  v: whenHandedOver
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: MedicationDispense.whenHandedOver
  display:
    v: MedicationDispense.whenHandedOver
  equivalence:
    v: equivalent
  comment:
    v: Element `MedicationDispense.whenHandedOver` is mapped to FHIR R4B element `MedicationDispense.whenHandedOver` as `Equivalent`.

code:
  v: MedicationDispense.destination
display:
  v: destination
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: MedicationDispense.destination
  display:
    v: MedicationDispense.destination
  equivalence:
    v: wider
  comment:
    v: Element `MedicationDispense.destination` is mapped to FHIR R4B element `MedicationDispense.destination` as `SourceIsBroaderThanTarget`. The mappings for `MedicationDispense.destination` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `MedicationDispense.destination` with unmapped reference targets: Location.

code:
  v: MedicationDispense.receiver
display:
  v: receiver
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: MedicationDispense.receiver
  display:
    v: MedicationDispense.receiver
  equivalence:
    v: wider
  comment:
    v: Element `MedicationDispense.receiver` is mapped to FHIR R4B element `MedicationDispense.receiver` as `SourceIsBroaderThanTarget`. The mappings for `MedicationDispense.receiver` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `MedicationDispense.receiver` with unmapped reference targets: Patient, Practitioner.

code:
  v: MedicationDispense.note
display:
  v: note
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: MedicationDispense.note
  display:
    v: MedicationDispense.note
  equivalence:
    v: wider
  comment:
    v: Element `MedicationDispense.note` is mapped to FHIR R4B element `MedicationDispense.note` as `SourceIsBroaderThanTarget`. The mappings for `MedicationDispense.note` do not cover the following types: Annotation. The mappings for `MedicationDispense.note` do not cover the following types based on type expansion: author[x], text, time.

code:
  v: MedicationDispense.dosageInstruction
display:
  v: dosageInstruction
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: MedicationDispense.dosageInstruction
  display:
    v: MedicationDispense.dosageInstruction
  equivalence:
    v: wider
  comment:
    v: Element `MedicationDispense.dosageInstruction` is mapped to FHIR R4B element `MedicationDispense.dosageInstruction` as `SourceIsBroaderThanTarget`. The mappings for `MedicationDispense.dosageInstruction` do not cover the following types: Dosage. The mappings for `MedicationDispense.dosageInstruction` do not cover the following types based on type expansion: additionalInstruction, asNeeded[x], dose[x], maxDosePerAdministration, maxDosePerLifetime, maxDosePerPeriod, method, patientInstruction, rate[x], route, sequence, site, text, timing. When 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. The pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed.

code:
  v: MedicationDispense.substitution
display:
  v: substitution
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: MedicationDispense.substitution
  display:
    v: MedicationDispense.substitution
  equivalence:
    v: wider
  comment:
    v: Element `MedicationDispense.substitution` is mapped to FHIR R4B element `MedicationDispense.substitution` as `Equivalent`.

code:
  v: MedicationDispense.substitution.wasSubstituted
display:
  v: wasSubstituted
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: MedicationDispense.substitution.wasSubstituted
  display:
    v: MedicationDispense.substitution.wasSubstituted
  equivalence:
    v: equivalent
  comment:
    v: Element `MedicationDispense.substitution.wasSubstituted` is mapped to FHIR R4B element `MedicationDispense.substitution.wasSubstituted` as `Equivalent`.

code:
  v: MedicationDispense.substitution.type
display:
  v: type
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: MedicationDispense.substitution.type
  display:
    v: MedicationDispense.substitution.type
  equivalence:
    v: equivalent
  comment:
    v: Element `MedicationDispense.substitution.type` is mapped to FHIR R4B element `MedicationDispense.substitution.type` as `Equivalent`.

code:
  v: MedicationDispense.substitution.reason
display:
  v: reason
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: equivalent
  code:
    v: MedicationDispense.substitution.reason
  display:
    v: MedicationDispense.substitution.reason
  equivalence:
    v: equivalent
  comment:
    v: Element `MedicationDispense.substitution.reason` is mapped to FHIR R4B element `MedicationDispense.substitution.reason` as `Equivalent`.

code:
  v: MedicationDispense.substitution.responsibleParty
display:
  v: responsibleParty
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: MedicationDispense.substitution.responsibleParty
  display:
    v: MedicationDispense.substitution.responsibleParty
  equivalence:
    v: wider
  comment:
    v: Element `MedicationDispense.substitution.responsibleParty` is mapped to FHIR R4B element `MedicationDispense.substitution.responsibleParty` as `SourceIsBroaderThanTarget`. The mappings for `MedicationDispense.substitution.responsibleParty` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `MedicationDispense.substitution.responsibleParty` with unmapped reference targets: Practitioner.

code:
  v: MedicationDispense.detectedIssue
display:
  v: detectedIssue
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: MedicationDispense.detectedIssue
  display:
    v: MedicationDispense.detectedIssue
  equivalence:
    v: wider
  comment:
    v: Element `MedicationDispense.detectedIssue` is mapped to FHIR R4B element `MedicationDispense.detectedIssue` as `SourceIsBroaderThanTarget`. The mappings for `MedicationDispense.detectedIssue` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `MedicationDispense.detectedIssue` with unmapped reference targets: DetectedIssue.

code:
  v: MedicationDispense.notDoneReason[x]
display:
  v: notDoneReason[x]
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: relatedto
  code:
    v: MedicationDispense.statusReason[x]
  display:
    v: MedicationDispense.statusReason[x]
  equivalence:
    v: relatedto
  comment:
    v: Element `MedicationDispense.notDoneReason[x]` is mapped to FHIR R4B element `MedicationDispense.statusReason[x]` as `RelatedTo`. The mappings for `MedicationDispense.notDoneReason[x]` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `MedicationDispense.notDoneReason[x]` with unmapped reference targets: DetectedIssue. Source element `MedicationDispense.notDoneReason[x]` has unmapped reference types. While the target element `MedicationDispense.statusReason[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.

code:
  v: MedicationDispense.eventHistory
display:
  v: eventHistory
target:
  modifier extension:
    url:
      v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
      l: extension-ConceptMap.element.target.equivalence
    value: Code
      v: wider
  code:
    v: MedicationDispense.eventHistory
  display:
    v: MedicationDispense.eventHistory
  equivalence:
    v: wider
  comment:
    v: Element `MedicationDispense.eventHistory` is mapped to FHIR R4B element `MedicationDispense.eventHistory` as `SourceIsBroaderThanTarget`. The mappings for `MedicationDispense.eventHistory` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `MedicationDispense.eventHistory` with unmapped reference targets: Provenance. This 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:
  v: http://hl7.org/fhir/StructureDefinition/MedicationDispense
  l: MedicationDispense
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationDispense.meta
  l: extension-MedicationDispense.meta
target version:
  v: 0.1.0
element:
  code:
    v: MedicationDispense.meta
  display:
    v: meta
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `MedicationDispense.meta` is mapped to FHIR R4B element `MedicationDispense.meta` as `SourceIsBroaderThanTarget`. The mappings for `MedicationDispense.meta` do not cover the following types: Meta. The mappings for `MedicationDispense.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.

source:
  v: http://hl7.org/fhir/StructureDefinition/MedicationDispense
  l: MedicationDispense
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationDispense.text
  l: extension-MedicationDispense.text
target version:
  v: 0.1.0
element:
  code:
    v: MedicationDispense.text
  display:
    v: text
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `MedicationDispense.text` is mapped to FHIR R4B element `MedicationDispense.text` as `SourceIsBroaderThanTarget`. The mappings for `MedicationDispense.text` do not cover the following types: Narrative. The mappings for `MedicationDispense.text` do not cover the following types based on type expansion: div, status. 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 in formation is added later.

source:
  v: http://hl7.org/fhir/StructureDefinition/MedicationDispense
  l: MedicationDispense
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationDispense.identifier
  l: extension-MedicationDispense.identifier
target version:
  v: 0.1.0
element:
  code:
    v: MedicationDispense.identifier
  display:
    v: identifier
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `MedicationDispense.identifier` is mapped to FHIR R4B element `MedicationDispense.identifier` as `SourceIsBroaderThanTarget`. The mappings for `MedicationDispense.identifier` do not cover the following types: Identifier. The mappings for `MedicationDispense.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.

source:
  v: http://hl7.org/fhir/StructureDefinition/MedicationDispense
  l: MedicationDispense
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationDispense.status
  l: extension-MedicationDispense.status
target version:
  v: 0.1.0
element:
  code:
    v: MedicationDispense.status
  display:
    v: status
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `MedicationDispense.status` is mapped to FHIR R4B element `MedicationDispense.status` as `RelatedTo`. The mappings for `MedicationDispense.status` do not allow expression of the necessary codes, per the bindings on the source and target. The target context `MedicationDispense.status` is a modifier element, so this extension does not need to be defined as a modifier. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

source:
  v: http://hl7.org/fhir/StructureDefinition/MedicationDispense
  l: MedicationDispense
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationDispense.performer.onBehalfOf
  l: extension-MedicationDispense.performer.onBehalfOf
target version:
  v: 0.1.0
element:
  code:
    v: MedicationDispense.performer.onBehalfOf
  display:
    v: onBehalfOf
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `MedicationDispense.performer.onBehalfOf` has a context of MedicationDispense.performer based on following the parent source element upwards and mapping to `MedicationDispense`. Element `MedicationDispense.performer.onBehalfOf` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

source:
  v: http://hl7.org/fhir/StructureDefinition/MedicationDispense
  l: MedicationDispense
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationDispense.note
  l: extension-MedicationDispense.note
target version:
  v: 0.1.0
element:
  code:
    v: MedicationDispense.note
  display:
    v: note
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `MedicationDispense.note` is mapped to FHIR R4B element `MedicationDispense.note` as `SourceIsBroaderThanTarget`. The mappings for `MedicationDispense.note` do not cover the following types: Annotation. The mappings for `MedicationDispense.note` do not cover the following types based on type expansion: author[x], text, time.

source:
  v: http://hl7.org/fhir/StructureDefinition/MedicationDispense
  l: MedicationDispense
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationDispense.dosageInstruction
  l: extension-MedicationDispense.dosageInstruction
target version:
  v: 0.1.0
element:
  code:
    v: MedicationDispense.dosageInstruction
  display:
    v: dosageInstruction
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `MedicationDispense.dosageInstruction` is mapped to FHIR R4B element `MedicationDispense.dosageInstruction` as `SourceIsBroaderThanTarget`. The mappings for `MedicationDispense.dosageInstruction` do not cover the following types: Dosage. The mappings for `MedicationDispense.dosageInstruction` do not cover the following types based on type expansion: additionalInstruction, asNeeded[x], dose[x], maxDosePerAdministration, maxDosePerLifetime, maxDosePerPeriod, method, patientInstruction, rate[x], route, sequence, site, text, timing. When 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. The pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed.

source:
  v: http://hl7.org/fhir/StructureDefinition/MedicationDispense
  l: MedicationDispense
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationDispense.notDone
  l: extension-MedicationDispense.notDone
target version:
  v: 0.1.0
element:
  code:
    v: MedicationDispense.notDone
  display:
    v: notDone
  target:
    modifier extension:
      url:
        v: http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence
        l: extension-ConceptMap.element.target.equivalence
      value: Code
        v: equivalent
    code:
      v: Extension
    equivalence:
      v: equivalent
    comment:
      v: Element `MedicationDispense.notDone` has a context of MedicationDispense based on following the parent source element upwards and mapping to `MedicationDispense`. Element `MedicationDispense.notDone` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).