Extensions for Using Data Elements from FHIR STU3 in FHIR R4B - Downloaded Version null See the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/xver/ConceptMap/R3-MedicationStatement-element-map-to-R4B | Version: 0.1.0 | |||
| Standards status: Trial-use | Maturity Level: 0 | Computable Name: R3MedicationStatementElementMapToR4B | ||
This ConceptMap represents cross-version mappings for elements from a FHIR STU3 MedicationStatement to FHIR 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/MedicationStatement|3.0.2 to MedicationStatementversion: 4.3.0)
| Source Code | Relationship | Target Code | Comment |
| MedicationStatement.meta (meta) | maps to wider concept | MedicationStatement.meta | Element `MedicationStatement.meta` is mapped to FHIR R4B element `MedicationStatement.meta` as `SourceIsBroaderThanTarget`. The mappings for `MedicationStatement.meta` do not cover the following types: Meta. The mappings for `MedicationStatement.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId. |
| MedicationStatement.implicitRules (implicitRules) | is equivalent to | MedicationStatement.implicitRules | Element `MedicationStatement.implicitRules` is mapped to FHIR R4B element `MedicationStatement.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. |
| MedicationStatement.language (language) | is equivalent to | MedicationStatement.language | Element `MedicationStatement.language` is mapped to FHIR R4B element `MedicationStatement.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). |
| MedicationStatement.text (text) | maps to wider concept | MedicationStatement.text | Element `MedicationStatement.text` is mapped to FHIR R4B element `MedicationStatement.text` as `SourceIsBroaderThanTarget`. The mappings for `MedicationStatement.text` do not cover the following types: Narrative. The mappings for `MedicationStatement.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. |
| MedicationStatement.contained (contained) | is equivalent to | MedicationStatement.contained | Element `MedicationStatement.contained` is mapped to FHIR R4B element `MedicationStatement.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. |
| MedicationStatement.identifier (identifier) | maps to wider concept | MedicationStatement.identifier | Element `MedicationStatement.identifier` is mapped to FHIR R4B element `MedicationStatement.identifier` as `SourceIsBroaderThanTarget`. The mappings for `MedicationStatement.identifier` do not cover the following types: Identifier. The mappings for `MedicationStatement.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. |
| MedicationStatement.basedOn (basedOn) | maps to wider concept | MedicationStatement.basedOn | Element `MedicationStatement.basedOn` is mapped to FHIR R4B element `MedicationStatement.basedOn` as `RelatedTo`. An externally-defined extension that has been mapped as the representation of FHIR STU3 element `MedicationStatement.basedOn`: `http://hl7.org/fhir/StructureDefinition/event-basedOn`. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `MedicationStatement.basedOn` with unmapped reference targets: CarePlan, MedicationRequest, ProcedureRequest, ReferralRequest. |
| MedicationStatement.partOf (partOf) | maps to wider concept | MedicationStatement.partOf | Element `MedicationStatement.partOf` is mapped to FHIR R4B element `MedicationStatement.partOf` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `MedicationStatement.partOf` with unmapped reference targets: MedicationAdministration, MedicationDispense, MedicationStatement, Observation, Procedure. |
| MedicationStatement.context (context) | maps to wider concept | MedicationStatement.context | Element `MedicationStatement.context` is mapped to FHIR R4B element `MedicationStatement.context` as `SourceIsBroaderThanTarget`. The mappings for `MedicationStatement.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 `MedicationStatement.context` with unmapped reference targets: Encounter, EpisodeOfCare. |
| MedicationStatement.status (status) | is equivalent to | MedicationStatement.status | Element `MedicationStatement.status` is mapped to FHIR R4B element `MedicationStatement.status` as `SourceIsNarrowerThanTarget`. The mappings for `MedicationStatement.status` do not allow expression of the necessary codes, per the bindings on the source and target. MedicationStatement 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). This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
| MedicationStatement.category (category) | is equivalent to | MedicationStatement.category | Element `MedicationStatement.category` is mapped to FHIR R4B element `MedicationStatement.category` as `Equivalent`. |
| MedicationStatement.medication[x] (medication[x]) | maps to wider concept | MedicationStatement.medication[x] | Element `MedicationStatement.medication[x]` is mapped to FHIR R4B element `MedicationStatement.medication[x]` as `SourceIsBroaderThanTarget`. The mappings for `MedicationStatement.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 `MedicationStatement.medication[x]` with unmapped reference targets: Medication. Source element `MedicationStatement.medication[x]` has unmapped reference types. While the target element `MedicationStatement.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. . |
| MedicationStatement.effective[x] (effective[x]) | is equivalent to | MedicationStatement.effective[x] | Element `MedicationStatement.effective[x]` is mapped to FHIR R4B element `MedicationStatement.effective[x]` as `SourceIsBroaderThanTarget`. The target context `MedicationStatement.effective[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `MedicationStatement`. This 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. |
| MedicationStatement.dateAsserted (dateAsserted) | is equivalent to | MedicationStatement.dateAsserted | Element `MedicationStatement.dateAsserted` is mapped to FHIR R4B element `MedicationStatement.dateAsserted` as `Equivalent`. |
| MedicationStatement.informationSource (informationSource) | maps to wider concept | MedicationStatement.informationSource | Element `MedicationStatement.informationSource` is mapped to FHIR R4B element `MedicationStatement.informationSource` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `MedicationStatement.informationSource` with unmapped reference targets: Organization, Patient, Practitioner, RelatedPerson. |
| MedicationStatement.subject (subject) | maps to wider concept | MedicationStatement.subject | Element `MedicationStatement.subject` is mapped to FHIR R4B element `MedicationStatement.subject` as `SourceIsBroaderThanTarget`. The mappings for `MedicationStatement.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 `MedicationStatement.subject` with unmapped reference targets: Group, Patient. |
| MedicationStatement.derivedFrom (derivedFrom) | maps to wider concept | MedicationStatement.derivedFrom | Element `MedicationStatement.derivedFrom` is mapped to FHIR R4B element `MedicationStatement.derivedFrom` as `SourceIsBroaderThanTarget`. The mappings for `MedicationStatement.derivedFrom` 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 `MedicationStatement.derivedFrom` with unmapped reference targets: Resource. Likely 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. |
| MedicationStatement.reasonNotTaken (reasonNotTaken) | narrower | MedicationStatement.reasonCode | Element `MedicationStatement.reasonNotTaken` is mapped to FHIR R4B element `MedicationStatement.reasonCode` as `SourceIsNarrowerThanTarget`. |
| MedicationStatement.reasonCode (reasonCode) | is equivalent to | MedicationStatement.reasonCode | Element `MedicationStatement.reasonCode` is mapped to FHIR R4B element `MedicationStatement.reasonCode` as `Equivalent`. This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference. |
| MedicationStatement.reasonReference (reasonReference) | maps to wider concept | MedicationStatement.reasonReference | Element `MedicationStatement.reasonReference` is mapped to FHIR R4B element `MedicationStatement.reasonReference` as `SourceIsBroaderThanTarget`. The mappings for `MedicationStatement.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 `MedicationStatement.reasonReference` with unmapped reference targets: Condition, Observation. This is a reference to a condition that is the reason why the medication is being/was taken. If only a code exists, use reasonForUseCode. |
| MedicationStatement.note (note) | maps to wider concept | MedicationStatement.note | Element `MedicationStatement.note` is mapped to FHIR R4B element `MedicationStatement.note` as `SourceIsBroaderThanTarget`. The mappings for `MedicationStatement.note` do not cover the following types: Annotation. The mappings for `MedicationStatement.note` do not cover the following types based on type expansion: author[x], text, time. |
| MedicationStatement.dosage (dosage) | maps to wider concept | MedicationStatement.dosage | Element `MedicationStatement.dosage` is mapped to FHIR R4B element `MedicationStatement.dosage` as `SourceIsBroaderThanTarget`. The mappings for `MedicationStatement.dosage` do not cover the following types: Dosage. The mappings for `MedicationStatement.dosage` 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. The 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. |
Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/MedicationStatement|3.0.2 to STU3: meta additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| MedicationStatement.meta (meta) | is equivalent to | Extension (STU3: meta additional types) | Element `MedicationStatement.meta` is mapped to FHIR R4B element `MedicationStatement.meta` as `SourceIsBroaderThanTarget`. The mappings for `MedicationStatement.meta` do not cover the following types: Meta. The mappings for `MedicationStatement.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId. |
Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/MedicationStatement|3.0.2 to STU3: text additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| MedicationStatement.text (text) | is equivalent to | Extension (STU3: text additional types) | Element `MedicationStatement.text` is mapped to FHIR R4B element `MedicationStatement.text` as `SourceIsBroaderThanTarget`. The mappings for `MedicationStatement.text` do not cover the following types: Narrative. The mappings for `MedicationStatement.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. |
Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/MedicationStatement|3.0.2 to STU3: identifier additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| MedicationStatement.identifier (identifier) | is equivalent to | Extension (STU3: identifier additional types) | Element `MedicationStatement.identifier` is mapped to FHIR R4B element `MedicationStatement.identifier` as `SourceIsBroaderThanTarget`. The mappings for `MedicationStatement.identifier` do not cover the following types: Identifier. The mappings for `MedicationStatement.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. |
Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/MedicationStatement|3.0.2 to STU3: y | n | unk | na (new)version: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| MedicationStatement.taken (taken) | is equivalent to | Extension (STU3: y | n | unk | na (new)) | Element `MedicationStatement.taken` has a context of MedicationStatement based on following the parent source element upwards and mapping to `MedicationStatement`. Element `MedicationStatement.taken` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). This element is labeled as a modifier because it indicates that the medication was not taken. |
Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/MedicationStatement|3.0.2 to STU3: note additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| MedicationStatement.note (note) | is equivalent to | Extension (STU3: note additional types) | Element `MedicationStatement.note` is mapped to FHIR R4B element `MedicationStatement.note` as `SourceIsBroaderThanTarget`. The mappings for `MedicationStatement.note` do not cover the following types: Annotation. The mappings for `MedicationStatement.note` do not cover the following types based on type expansion: author[x], text, time. |
Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/MedicationStatement|3.0.2 to STU3: dosage additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| MedicationStatement.dosage (dosage) | is equivalent to | Extension (STU3: dosage additional types) | Element `MedicationStatement.dosage` is mapped to FHIR R4B element `MedicationStatement.dosage` as `SourceIsBroaderThanTarget`. The mappings for `MedicationStatement.dosage` do not cover the following types: Dosage. The mappings for `MedicationStatement.dosage` 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. The 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. |