R3-MedicationRequest-element-map-to-R4B
type: ConceptMap
node role: treeRoot
id:
  v: R3-MedicationRequest-element-map-to-R4B
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ConceptMap R3-MedicationRequest-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/MedicationRequest|3.0.2 to MedicationRequestversion: 4.3.0) Source Code Relationship Target Code Comment MedicationRequest.meta (meta) maps to wider concept MedicationRequest.meta Element `MedicationRequest.meta` is mapped to FHIR R4B element `MedicationRequest.meta` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.meta` do not cover the following types: Meta. The mappings for `MedicationRequest.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId. MedicationRequest.implicitRules (implicitRules) is equivalent to MedicationRequest.implicitRules Element `MedicationRequest.implicitRules` is mapped to FHIR R4B element `MedicationRequest.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. MedicationRequest.language (language) is equivalent to MedicationRequest.language Element `MedicationRequest.language` is mapped to FHIR R4B element `MedicationRequest.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 present…
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-MedicationRequest-element-map-to-R4B
  l: R3-MedicationRequest-element-map-to-R4B
version:
  v: 0.1.0
name:
  v: R3MedicationRequestElementMapToR4B
title:
  v: Cross-version mapping for FHIR STU3 MedicationRequest to FHIR R4B MedicationRequest
status:
  v: active
experimental:
  v: false
date:
  v: 2026-03-17T16:04:11.0881277-05:00
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 MedicationRequest 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/MedicationRequest
    l: MedicationRequest
  source version:
    v: 3.0.2
  target:
    v: http://hl7.org/fhir/StructureDefinition/MedicationRequest
    l: MedicationRequest
  target version:
    v: 4.3.0
  element:
    code:
      v: MedicationRequest.meta
    display:
      v: meta
    target:
      modifier extension:
        value: Code
      code:
        v: MedicationRequest.meta
      display:
        v: MedicationRequest.meta
      equivalence:
        v: wider
      comment:
        v: Element `MedicationRequest.meta` is mapped to FHIR R4B element `MedicationRequest.meta` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.meta` do not cover the following types: Meta. The mappings for `MedicationRequest.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.
  element:
    code:
      v: MedicationRequest.implicitRules
    display:
      v: implicitRules
    target:
      modifier extension:
        value: Code
      code:
        v: MedicationRequest.implicitRules
      display:
        v: MedicationRequest.implicitRules
      equivalence:
        v: equivalent
      comment:
        v: Element `MedicationRequest.implicitRules` is mapped to FHIR R4B element `MedicationRequest.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: MedicationRequest.language
    display:
      v: language
    target:
      modifier extension:
        value: Code
      code:
        v: MedicationRequest.language
      display:
        v: MedicationRequest.language
      equivalence:
        v: equivalent
      comment:
        v: Element `MedicationRequest.language` is mapped to FHIR R4B element `MedicationRequest.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: MedicationRequest.text
    display:
      v: text
    target:
      modifier extension:
        value: Code
      code:
        v: MedicationRequest.text
      display:
        v: MedicationRequest.text
      equivalence:
        v: wider
      comment:
        v: Element `MedicationRequest.text` is mapped to FHIR R4B element `MedicationRequest.text` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.text` do not cover the following types: Narrative. The mappings for `MedicationRequest.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: MedicationRequest.contained
    display:
      v: contained
    target:
      modifier extension:
        value: Code
      code:
        v: MedicationRequest.contained
      display:
        v: MedicationRequest.contained
      equivalence:
        v: equivalent
      comment:
        v: Element `MedicationRequest.contained` is mapped to FHIR R4B element `MedicationRequest.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: MedicationRequest.identifier
    display:
      v: identifier
    target:
      modifier extension:
        value: Code
      code:
        v: MedicationRequest.identifier
      display:
        v: MedicationRequest.identifier
      equivalence:
        v: wider
      comment:
        v: Element `MedicationRequest.identifier` is mapped to FHIR R4B element `MedicationRequest.identifier` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.identifier` do not cover the following types: Identifier. The mappings for `MedicationRequest.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.
  element:
    code:
      v: MedicationRequest.basedOn
    display:
      v: basedOn
    target:
      modifier extension:
        value: Code
      code:
        v: MedicationRequest.basedOn
      display:
        v: MedicationRequest.basedOn
      equivalence:
        v: wider
      comment:
        v: Element `MedicationRequest.basedOn` is mapped to FHIR R4B element `MedicationRequest.basedOn` as `RelatedTo`. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `MedicationRequest.basedOn` with unmapped reference targets: CarePlan, MedicationRequest, ProcedureRequest, ReferralRequest.

Code
v: wider

Code
v: equivalent

Code
v: equivalent

Code
v: wider

Code
v: equivalent

Code
v: wider

Code
v: wider

code:
  v: MedicationRequest.groupIdentifier
display:
  v: groupIdentifier
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: MedicationRequest.groupIdentifier
  display:
    v: MedicationRequest.groupIdentifier
  equivalence:
    v: wider
  comment:
    v: Element `MedicationRequest.groupIdentifier` is mapped to FHIR R4B element `MedicationRequest.groupIdentifier` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.groupIdentifier` do not cover the following types: Identifier. The mappings for `MedicationRequest.groupIdentifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.

code:
  v: MedicationRequest.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: MedicationRequest.status
  display:
    v: MedicationRequest.status
  equivalence:
    v: equivalent
  comment:
    v: Element `MedicationRequest.status` is mapped to FHIR R4B element `MedicationRequest.status` as `Equivalent`. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

code:
  v: MedicationRequest.intent
display:
  v: intent
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: MedicationRequest.intent
  display:
    v: MedicationRequest.intent
  equivalence:
    v: equivalent
  comment:
    v: Element `MedicationRequest.intent` is mapped to FHIR R4B element `MedicationRequest.intent` as `SourceIsNarrowerThanTarget`. The mappings for `MedicationRequest.intent` do not allow expression of the necessary codes, per the bindings on the source and target. It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only. An instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record. This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.

code:
  v: MedicationRequest.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: MedicationRequest.category
  display:
    v: MedicationRequest.category
  equivalence:
    v: equivalent
  comment:
    v: Element `MedicationRequest.category` is mapped to FHIR R4B element `MedicationRequest.category` as `SourceIsNarrowerThanTarget`.

code:
  v: MedicationRequest.priority
display:
  v: priority
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: MedicationRequest.priority
  display:
    v: MedicationRequest.priority
  equivalence:
    v: equivalent
  comment:
    v: Element `MedicationRequest.priority` is mapped to FHIR R4B element `MedicationRequest.priority` as `Equivalent`.

code:
  v: MedicationRequest.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: MedicationRequest.medication[x]
  display:
    v: MedicationRequest.medication[x]
  equivalence:
    v: wider
  comment:
    v: Element `MedicationRequest.medication[x]` is mapped to FHIR R4B element `MedicationRequest.medication[x]` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.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 `MedicationRequest.medication[x]` with unmapped reference targets: Medication. Source element `MedicationRequest.medication[x]` has unmapped reference types. While the target element `MedicationRequest.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 or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource. .

code:
  v: MedicationRequest.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: MedicationRequest.subject
  display:
    v: MedicationRequest.subject
  equivalence:
    v: wider
  comment:
    v: Element `MedicationRequest.subject` is mapped to FHIR R4B element `MedicationRequest.subject` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.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 `MedicationRequest.subject` with unmapped reference targets: Group, Patient. The subject on a medication request is mandatory. For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified.

code:
  v: MedicationRequest.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: MedicationRequest.encounter
  display:
    v: MedicationRequest.encounter
  equivalence:
    v: wider
  comment:
    v: Element `MedicationRequest.context` is mapped to FHIR R4B element `MedicationRequest.encounter` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.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 `MedicationRequest.context` with unmapped reference targets: Encounter, EpisodeOfCare. SubstanceAdministration->component->EncounterEvent.

code:
  v: MedicationRequest.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: MedicationRequest.supportingInformation
  display:
    v: MedicationRequest.supportingInformation
  equivalence:
    v: wider
  comment:
    v: Element `MedicationRequest.supportingInformation` is mapped to FHIR R4B element `MedicationRequest.supportingInformation` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.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 `MedicationRequest.supportingInformation` with unmapped reference targets: Resource.

code:
  v: MedicationRequest.authoredOn
display:
  v: authoredOn
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: MedicationRequest.authoredOn
  display:
    v: MedicationRequest.authoredOn
  equivalence:
    v: equivalent
  comment:
    v: Element `MedicationRequest.authoredOn` is mapped to FHIR R4B element `MedicationRequest.authoredOn` as `Equivalent`.

code:
  v: MedicationRequest.requester
display:
  v: requester
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: MedicationRequest.requester
  display:
    v: MedicationRequest.requester
  equivalence:
    v: wider
  comment:
    v: Element `MedicationRequest.requester` is mapped to FHIR R4B element `MedicationRequest.requester` as `Equivalent`.

code:
  v: MedicationRequest.requester.agent
display:
  v: agent
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: MedicationRequest.requester
  display:
    v: MedicationRequest.requester
  equivalence:
    v: wider
  comment:
    v: Element `MedicationRequest.requester.agent` is mapped to FHIR R4B element `MedicationRequest.requester` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `MedicationRequest.requester.agent` with unmapped reference targets: Device, Organization, Patient, Practitioner, RelatedPerson. It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only.

code:
  v: MedicationRequest.recorder
display:
  v: recorder
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: MedicationRequest.recorder
  display:
    v: MedicationRequest.recorder
  equivalence:
    v: wider
  comment:
    v: Element `MedicationRequest.recorder` is mapped to FHIR R4B element `MedicationRequest.recorder` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.recorder` 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 `MedicationRequest.recorder` with unmapped reference targets: Practitioner.

code:
  v: MedicationRequest.reasonCode
display:
  v: reasonCode
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: MedicationRequest.reasonCode
  display:
    v: MedicationRequest.reasonCode
  equivalence:
    v: equivalent
  comment:
    v: Element `MedicationRequest.reasonCode` is mapped to FHIR R4B element `MedicationRequest.reasonCode` as `Equivalent`. This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference.

code:
  v: MedicationRequest.reasonReference
display:
  v: reasonReference
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: MedicationRequest.reasonReference
  display:
    v: MedicationRequest.reasonReference
  equivalence:
    v: wider
  comment:
    v: Element `MedicationRequest.reasonReference` is mapped to FHIR R4B element `MedicationRequest.reasonReference` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.reasonReference` 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 `MedicationRequest.reasonReference` with unmapped reference targets: Condition, Observation. This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode.

code:
  v: MedicationRequest.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: MedicationRequest.note
  display:
    v: MedicationRequest.note
  equivalence:
    v: wider
  comment:
    v: Element `MedicationRequest.note` is mapped to FHIR R4B element `MedicationRequest.note` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.note` do not cover the following types: Annotation. The mappings for `MedicationRequest.note` do not cover the following types based on type expansion: author[x], text, time.

code:
  v: MedicationRequest.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: MedicationRequest.dosageInstruction
  display:
    v: MedicationRequest.dosageInstruction
  equivalence:
    v: wider
  comment:
    v: Element `MedicationRequest.dosageInstruction` is mapped to FHIR R4B element `MedicationRequest.dosageInstruction` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.dosageInstruction` do not cover the following types: Dosage. The mappings for `MedicationRequest.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. There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed.

code:
  v: MedicationRequest.dispenseRequest
display:
  v: dispenseRequest
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: MedicationRequest.dispenseRequest
  display:
    v: MedicationRequest.dispenseRequest
  equivalence:
    v: wider
  comment:
    v: Element `MedicationRequest.dispenseRequest` is mapped to FHIR R4B element `MedicationRequest.dispenseRequest` as `Equivalent`.

code:
  v: MedicationRequest.dispenseRequest.validityPeriod
display:
  v: validityPeriod
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: MedicationRequest.dispenseRequest.validityPeriod
  display:
    v: MedicationRequest.dispenseRequest.validityPeriod
  equivalence:
    v: wider
  comment:
    v: Element `MedicationRequest.dispenseRequest.validityPeriod` is mapped to FHIR R4B element `MedicationRequest.dispenseRequest.validityPeriod` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.dispenseRequest.validityPeriod` do not cover the following types: Period. The mappings for `MedicationRequest.dispenseRequest.validityPeriod` do not cover the following types based on type expansion: end, start. It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations.

code:
  v: MedicationRequest.dispenseRequest.numberOfRepeatsAllowed
display:
  v: numberOfRepeatsAllowed
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: MedicationRequest.dispenseRequest.numberOfRepeatsAllowed
  display:
    v: MedicationRequest.dispenseRequest.numberOfRepeatsAllowed
  equivalence:
    v: equivalent
  comment:
    v: Element `MedicationRequest.dispenseRequest.numberOfRepeatsAllowed` is mapped to FHIR R4B element `MedicationRequest.dispenseRequest.numberOfRepeatsAllowed` as `SourceIsNarrowerThanTarget`. If displaying "number of authorized fills", add 1 to this number.

code:
  v: MedicationRequest.dispenseRequest.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: MedicationRequest.dispenseRequest.quantity
  display:
    v: MedicationRequest.dispenseRequest.quantity
  equivalence:
    v: equivalent
  comment:
    v: Element `MedicationRequest.dispenseRequest.quantity` is mapped to FHIR R4B element `MedicationRequest.dispenseRequest.quantity` as `Equivalent`.

code:
  v: MedicationRequest.dispenseRequest.expectedSupplyDuration
display:
  v: expectedSupplyDuration
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: MedicationRequest.dispenseRequest.expectedSupplyDuration
  display:
    v: MedicationRequest.dispenseRequest.expectedSupplyDuration
  equivalence:
    v: equivalent
  comment:
    v: Element `MedicationRequest.dispenseRequest.expectedSupplyDuration` is mapped to FHIR R4B element `MedicationRequest.dispenseRequest.expectedSupplyDuration` as `Equivalent`. In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage) When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors.

code:
  v: MedicationRequest.dispenseRequest.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: MedicationRequest.dispenseRequest.performer
  display:
    v: MedicationRequest.dispenseRequest.performer
  equivalence:
    v: wider
  comment:
    v: Element `MedicationRequest.dispenseRequest.performer` is mapped to FHIR R4B element `MedicationRequest.dispenseRequest.performer` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.dispenseRequest.performer` 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 `MedicationRequest.dispenseRequest.performer` with unmapped reference targets: Organization.

code:
  v: MedicationRequest.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: MedicationRequest.substitution
  display:
    v: MedicationRequest.substitution
  equivalence:
    v: wider
  comment:
    v: Element `MedicationRequest.substitution` is mapped to FHIR R4B element `MedicationRequest.substitution` as `Equivalent`.

code:
  v: MedicationRequest.substitution.allowed
display:
  v: allowed
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: MedicationRequest.substitution.allowed[x]
  display:
    v: MedicationRequest.substitution.allowed[x]
  equivalence:
    v: equivalent
  comment:
    v: Element `MedicationRequest.substitution.allowed` is mapped to FHIR R4B element `MedicationRequest.substitution.allowed[x]` as `Equivalent`. The target context `MedicationRequest.substitution.allowed[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `MedicationRequest.substitution`. This element is labeled as a modifer because whether substitution is allow or not cannot be ignored.

code:
  v: MedicationRequest.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: MedicationRequest.substitution.reason
  display:
    v: MedicationRequest.substitution.reason
  equivalence:
    v: equivalent
  comment:
    v: Element `MedicationRequest.substitution.reason` is mapped to FHIR R4B element `MedicationRequest.substitution.reason` as `Equivalent`.

code:
  v: MedicationRequest.priorPrescription
display:
  v: priorPrescription
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: MedicationRequest.priorPrescription
  display:
    v: MedicationRequest.priorPrescription
  equivalence:
    v: wider
  comment:
    v: Element `MedicationRequest.priorPrescription` is mapped to FHIR R4B element `MedicationRequest.priorPrescription` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.priorPrescription` 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 `MedicationRequest.priorPrescription` with unmapped reference targets: MedicationRequest.

code:
  v: MedicationRequest.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: MedicationRequest.detectedIssue
  display:
    v: MedicationRequest.detectedIssue
  equivalence:
    v: wider
  comment:
    v: Element `MedicationRequest.detectedIssue` is mapped to FHIR R4B element `MedicationRequest.detectedIssue` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.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 `MedicationRequest.detectedIssue` with unmapped reference targets: DetectedIssue.

code:
  v: MedicationRequest.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: MedicationRequest.eventHistory
  display:
    v: MedicationRequest.eventHistory
  equivalence:
    v: wider
  comment:
    v: Element `MedicationRequest.eventHistory` is mapped to FHIR R4B element `MedicationRequest.eventHistory` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.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 `MedicationRequest.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/MedicationRequest
  l: MedicationRequest
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationRequest.meta
  l: extension-MedicationRequest.meta
target version:
  v: 0.1.0
element:
  code:
    v: MedicationRequest.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 `MedicationRequest.meta` is mapped to FHIR R4B element `MedicationRequest.meta` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.meta` do not cover the following types: Meta. The mappings for `MedicationRequest.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.

source:
  v: http://hl7.org/fhir/StructureDefinition/MedicationRequest
  l: MedicationRequest
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationRequest.text
  l: extension-MedicationRequest.text
target version:
  v: 0.1.0
element:
  code:
    v: MedicationRequest.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 `MedicationRequest.text` is mapped to FHIR R4B element `MedicationRequest.text` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.text` do not cover the following types: Narrative. The mappings for `MedicationRequest.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/MedicationRequest
  l: MedicationRequest
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationRequest.identifier
  l: extension-MedicationRequest.identifier
target version:
  v: 0.1.0
element:
  code:
    v: MedicationRequest.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 `MedicationRequest.identifier` is mapped to FHIR R4B element `MedicationRequest.identifier` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.identifier` do not cover the following types: Identifier. The mappings for `MedicationRequest.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.

source:
  v: http://hl7.org/fhir/StructureDefinition/MedicationRequest
  l: MedicationRequest
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationRequest.definition
  l: extension-MedicationRequest.definition
target version:
  v: 0.1.0
element:
  code:
    v: MedicationRequest.definition
  display:
    v: definition
  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 `MedicationRequest.definition` has a context of MedicationRequest based on following the parent source element upwards and mapping to `MedicationRequest`. Element `MedicationRequest.definition` 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/MedicationRequest
  l: MedicationRequest
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationRequest.groupIdentifier
  l: extension-MedicationRequest.groupIdentifier
target version:
  v: 0.1.0
element:
  code:
    v: MedicationRequest.groupIdentifier
  display:
    v: groupIdentifier
  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 `MedicationRequest.groupIdentifier` is mapped to FHIR R4B element `MedicationRequest.groupIdentifier` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.groupIdentifier` do not cover the following types: Identifier. The mappings for `MedicationRequest.groupIdentifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.

source:
  v: http://hl7.org/fhir/StructureDefinition/MedicationRequest
  l: MedicationRequest
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationRequest.requester.onBehalfOf
  l: extension-MedicationRequest.requester.onBehalfOf
target version:
  v: 0.1.0
element:
  code:
    v: MedicationRequest.requester.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 `MedicationRequest.requester.onBehalfOf` has a context of MedicationRequest.requester based on following the parent source element upwards and mapping to `MedicationRequest`. Element `MedicationRequest.requester.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/MedicationRequest
  l: MedicationRequest
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationRequest.note
  l: extension-MedicationRequest.note
target version:
  v: 0.1.0
element:
  code:
    v: MedicationRequest.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 `MedicationRequest.note` is mapped to FHIR R4B element `MedicationRequest.note` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.note` do not cover the following types: Annotation. The mappings for `MedicationRequest.note` do not cover the following types based on type expansion: author[x], text, time.

source:
  v: http://hl7.org/fhir/StructureDefinition/MedicationRequest
  l: MedicationRequest
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationRequest.dosageInstruction
  l: extension-MedicationRequest.dosageInstruction
target version:
  v: 0.1.0
element:
  code:
    v: MedicationRequest.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 `MedicationRequest.dosageInstruction` is mapped to FHIR R4B element `MedicationRequest.dosageInstruction` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.dosageInstruction` do not cover the following types: Dosage. The mappings for `MedicationRequest.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. There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed.

source:
  v: http://hl7.org/fhir/StructureDefinition/MedicationRequest
  l: MedicationRequest
source version:
  v: 3.0.2
target:
  v: http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.validityPeriod
  l: extension-MedicationRequest.dispenseRequest.validityPeriod
target version:
  v: 0.1.0
element:
  code:
    v: MedicationRequest.dispenseRequest.validityPeriod
  display:
    v: validityPeriod
  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 `MedicationRequest.dispenseRequest.validityPeriod` is mapped to FHIR R4B element `MedicationRequest.dispenseRequest.validityPeriod` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.dispenseRequest.validityPeriod` do not cover the following types: Period. The mappings for `MedicationRequest.dispenseRequest.validityPeriod` do not cover the following types based on type expansion: end, start. It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations.