Extensions for Using Data Elements from FHIR R4B in FHIR R5
0.1.0 - STU International flag

Extensions for Using Data Elements from FHIR R4B in FHIR R5 - Downloaded Version null See the Directory of published versions

: R4BMedicationDispenseElementMapToR5 - XML Representation

Page standards status: Trial-use Maturity Level: 0

Raw xml | Download


<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="R4B-MedicationDispense-element-map-to-R5"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap R4B-MedicationDispense-element-map-to-R5</b></p><a name="R4B-MedicationDispense-element-map-to-R5"> </a><a name="hcR4B-MedicationDispense-element-map-to-R5"> </a><p>Mapping from http://hl7.org/fhir/4.3 to http://hl7.org/fhir/5.0</p><br/><p><b>Group 1 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/MedicationDispense|4.3.0</code> to <a href="http://hl7.org/fhir/R5/medicationdispense.html">MedicationDispenseversion: 5.0.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>MedicationDispense.meta (meta)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.meta</td><td>Element `MedicationDispense.meta` is mapped to FHIR R5 element `MedicationDispense.meta` as `Equivalent`.</td></tr><tr><td>MedicationDispense.implicitRules (implicitRules)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.implicitRules</td><td>Element `MedicationDispense.implicitRules` is mapped to FHIR R5 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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.</td></tr><tr><td>MedicationDispense.language (language)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.language</td><td>Element `MedicationDispense.language` is mapped to FHIR R5 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).</td></tr><tr><td>MedicationDispense.text (text)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.text</td><td>Element `MedicationDispense.text` is mapped to FHIR R5 element `MedicationDispense.text` as `Equivalent`.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded information is added later.</td></tr><tr><td>MedicationDispense.contained (contained)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.contained</td><td>Element `MedicationDispense.contained` is mapped to FHIR R5 element `MedicationDispense.contained` as `Equivalent`.
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.</td></tr><tr><td>MedicationDispense.identifier (identifier)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.identifier</td><td>Element `MedicationDispense.identifier` is mapped to FHIR R5 element `MedicationDispense.identifier` as `Equivalent`.
This is a business identifier, not a resource identifier.</td></tr><tr><td>MedicationDispense.partOf (partOf)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.partOf</td><td>Element `MedicationDispense.partOf` is mapped to FHIR R5 element `MedicationDispense.partOf` as `Equivalent`.</td></tr><tr><td>MedicationDispense.status (status)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.status</td><td>Element `MedicationDispense.status` is mapped to FHIR R5 element `MedicationDispense.status` as `Equivalent`.
This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.</td></tr><tr><td>MedicationDispense.category (category)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.category</td><td>Element `MedicationDispense.category` is mapped to FHIR R5 element `MedicationDispense.category` as `SourceIsNarrowerThanTarget`.
The category can be used to include where the medication is expected to be consumed or other types of dispenses.  Invariants can be used to bind to different value sets when profiling to bind.</td></tr><tr><td>MedicationDispense.medication[x] (medication[x])</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-narrower-than-target" title="source-is-narrower-than-target">is narrower than</a></td><td>MedicationDispense.medication</td><td>Element `MedicationDispense.medication[x]` is mapped to FHIR R5 element `MedicationDispense.medication` as `SourceIsNarrowerThanTarget`.
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.</td></tr><tr><td>MedicationDispense.subject (subject)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.subject</td><td>Element `MedicationDispense.subject` is mapped to FHIR R5 element `MedicationDispense.subject` as `Equivalent`.
SubstanceAdministration-&gt;subject-&gt;Patient.</td></tr><tr><td>MedicationDispense.context (context)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>MedicationDispense.encounter</td><td>Element `MedicationDispense.context` is mapped to FHIR R5 element `MedicationDispense.encounter` as `SourceIsBroaderThanTarget`.
The mappings for `MedicationDispense.context` do not cover the following types based on type expansion: display, identifier, reference, type.
The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `MedicationDispense.context` with unmapped reference targets: EpisodeOfCare.</td></tr><tr><td>MedicationDispense.supportingInformation (supportingInformation)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.supportingInformation</td><td>Element `MedicationDispense.supportingInformation` is mapped to FHIR R5 element `MedicationDispense.supportingInformation` as `Equivalent`.</td></tr><tr><td>MedicationDispense.performer (performer)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>MedicationDispense.performer</td><td>Element `MedicationDispense.performer` is mapped to FHIR R5 element `MedicationDispense.performer` as `Equivalent`.</td></tr><tr><td>MedicationDispense.performer.function (function)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.performer.function</td><td>Element `MedicationDispense.performer.function` is mapped to FHIR R5 element `MedicationDispense.performer.function` as `Equivalent`.</td></tr><tr><td>MedicationDispense.performer.actor (actor)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.performer.actor</td><td>Element `MedicationDispense.performer.actor` is mapped to FHIR R5 element `MedicationDispense.performer.actor` as `Equivalent`.</td></tr><tr><td>MedicationDispense.location (location)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.location</td><td>Element `MedicationDispense.location` is mapped to FHIR R5 element `MedicationDispense.location` as `Equivalent`.
An externally-defined extension that has been mapped as the representation of FHIR R4B element `MedicationDispense.location`: `http://hl7.org/fhir/StructureDefinition/event-location`.</td></tr><tr><td>MedicationDispense.authorizingPrescription (authorizingPrescription)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.authorizingPrescription</td><td>Element `MedicationDispense.authorizingPrescription` is mapped to FHIR R5 element `MedicationDispense.authorizingPrescription` as `Equivalent`.
Maps to basedOn in Event logical model.</td></tr><tr><td>MedicationDispense.type (type)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.type</td><td>Element `MedicationDispense.type` is mapped to FHIR R5 element `MedicationDispense.type` as `Equivalent`.</td></tr><tr><td>MedicationDispense.quantity (quantity)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.quantity</td><td>Element `MedicationDispense.quantity` is mapped to FHIR R5 element `MedicationDispense.quantity` as `Equivalent`.</td></tr><tr><td>MedicationDispense.daysSupply (daysSupply)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.daysSupply</td><td>Element `MedicationDispense.daysSupply` is mapped to FHIR R5 element `MedicationDispense.daysSupply` as `Equivalent`.</td></tr><tr><td>MedicationDispense.whenPrepared (whenPrepared)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.whenPrepared</td><td>Element `MedicationDispense.whenPrepared` is mapped to FHIR R5 element `MedicationDispense.whenPrepared` as `Equivalent`.</td></tr><tr><td>MedicationDispense.whenHandedOver (whenHandedOver)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.whenHandedOver</td><td>Element `MedicationDispense.whenHandedOver` is mapped to FHIR R5 element `MedicationDispense.whenHandedOver` as `Equivalent`.</td></tr><tr><td>MedicationDispense.destination (destination)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.destination</td><td>Element `MedicationDispense.destination` is mapped to FHIR R5 element `MedicationDispense.destination` as `Equivalent`.</td></tr><tr><td>MedicationDispense.receiver (receiver)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.receiver</td><td>Element `MedicationDispense.receiver` is mapped to FHIR R5 element `MedicationDispense.receiver` as `Equivalent`.</td></tr><tr><td>MedicationDispense.note (note)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.note</td><td>Element `MedicationDispense.note` is mapped to FHIR R5 element `MedicationDispense.note` as `Equivalent`.</td></tr><tr><td>MedicationDispense.dosageInstruction (dosageInstruction)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.dosageInstruction</td><td>Element `MedicationDispense.dosageInstruction` is mapped to FHIR R5 element `MedicationDispense.dosageInstruction` as `Equivalent`.
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.</td></tr><tr><td>MedicationDispense.substitution (substitution)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>MedicationDispense.substitution</td><td>Element `MedicationDispense.substitution` is mapped to FHIR R5 element `MedicationDispense.substitution` as `Equivalent`.</td></tr><tr><td>MedicationDispense.substitution.wasSubstituted (wasSubstituted)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.substitution.wasSubstituted</td><td>Element `MedicationDispense.substitution.wasSubstituted` is mapped to FHIR R5 element `MedicationDispense.substitution.wasSubstituted` as `Equivalent`.</td></tr><tr><td>MedicationDispense.substitution.type (type)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.substitution.type</td><td>Element `MedicationDispense.substitution.type` is mapped to FHIR R5 element `MedicationDispense.substitution.type` as `Equivalent`.</td></tr><tr><td>MedicationDispense.substitution.reason (reason)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.substitution.reason</td><td>Element `MedicationDispense.substitution.reason` is mapped to FHIR R5 element `MedicationDispense.substitution.reason` as `Equivalent`.</td></tr><tr><td>MedicationDispense.substitution.responsibleParty (responsibleParty)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.substitution.responsibleParty</td><td>Element `MedicationDispense.substitution.responsibleParty` is mapped to FHIR R5 element `MedicationDispense.substitution.responsibleParty` as `SourceIsBroaderThanTarget`.</td></tr><tr><td>MedicationDispense.eventHistory (eventHistory)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>MedicationDispense.eventHistory</td><td>Element `MedicationDispense.eventHistory` is mapped to FHIR R5 element `MedicationDispense.eventHistory` as `Equivalent`.
This might 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.).</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/MedicationDispense|4.3.0</code> to <a href="StructureDefinition-ext-R4B-MedicationDispense.statusReason.html">R4B: Why a dispense was not performed (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>MedicationDispense.statusReason[x] (statusReason[x])</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>Extension (R4B: Why a dispense was not performed (new))</td><td>Element `MedicationDispense.statusReason[x]` has a context of MedicationDispense based on following the parent source element upwards and mapping to `MedicationDispense`.
Element `MedicationDispense.statusReason[x]` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 3 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/MedicationDispense|4.3.0</code> to <a href="StructureDefinition-ext-R4B-MedicationDispense.detectedIssue.html">R4B: Clinical issue with action (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>MedicationDispense.detectedIssue (detectedIssue)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>Extension (R4B: Clinical issue with action (new))</td><td>Element `MedicationDispense.detectedIssue` has a context of MedicationDispense based on following the parent source element upwards and mapping to `MedicationDispense`.
Element `MedicationDispense.detectedIssue` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.</td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fhir"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r5"/>
      </extension>
    </valueInteger>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r5"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/uv/xver/ConceptMap/R4B-MedicationDispense-element-map-to-R5"/>
  <version value="0.1.0"/>
  <name value="R4BMedicationDispenseElementMapToR5"/>
  <title
         value="Cross-version mapping for FHIR R4B MedicationDispense to FHIR R5 MedicationDispense"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-03-17T16:03:51.5721355-05:00"/>
  <contact>
    <name value="FHIR Infrastructure"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fiwg"/>
    </telecom>
  </contact>
  <description
               value="This ConceptMap represents cross-version mappings for elements from a FHIR R4B MedicationDispense to FHIR R5."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <sourceScopeCanonical value="http://hl7.org/fhir/4.3"/>
  <targetScopeUri value="http://hl7.org/fhir/5.0"/>
  <group>
    <source
            value="http://hl7.org/fhir/StructureDefinition/MedicationDispense|4.3.0"/>
    <target
            value="http://hl7.org/fhir/StructureDefinition/MedicationDispense|5.0.0"/>
    <element>
      <code value="MedicationDispense.meta"/>
      <display value="meta"/>
      <target>
        <code value="MedicationDispense.meta"/>
        <display value="MedicationDispense.meta"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.meta` is mapped to FHIR R5 element `MedicationDispense.meta` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.implicitRules"/>
      <display value="implicitRules"/>
      <target>
        <code value="MedicationDispense.implicitRules"/>
        <display value="MedicationDispense.implicitRules"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.implicitRules` is mapped to FHIR R5 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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.language"/>
      <display value="language"/>
      <target>
        <code value="MedicationDispense.language"/>
        <display value="MedicationDispense.language"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.language` is mapped to FHIR R5 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)."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.text"/>
      <display value="text"/>
      <target>
        <code value="MedicationDispense.text"/>
        <display value="MedicationDispense.text"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.text` is mapped to FHIR R5 element `MedicationDispense.text` as `Equivalent`.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded information is added later."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.contained"/>
      <display value="contained"/>
      <target>
        <code value="MedicationDispense.contained"/>
        <display value="MedicationDispense.contained"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.contained` is mapped to FHIR R5 element `MedicationDispense.contained` as `Equivalent`.
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.identifier"/>
      <display value="identifier"/>
      <target>
        <code value="MedicationDispense.identifier"/>
        <display value="MedicationDispense.identifier"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.identifier` is mapped to FHIR R5 element `MedicationDispense.identifier` as `Equivalent`.
This is a business identifier, not a resource identifier."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.partOf"/>
      <display value="partOf"/>
      <target>
        <code value="MedicationDispense.partOf"/>
        <display value="MedicationDispense.partOf"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.partOf` is mapped to FHIR R5 element `MedicationDispense.partOf` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.status"/>
      <display value="status"/>
      <target>
        <code value="MedicationDispense.status"/>
        <display value="MedicationDispense.status"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.status` is mapped to FHIR R5 element `MedicationDispense.status` as `Equivalent`.
This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.category"/>
      <display value="category"/>
      <target>
        <code value="MedicationDispense.category"/>
        <display value="MedicationDispense.category"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.category` is mapped to FHIR R5 element `MedicationDispense.category` as `SourceIsNarrowerThanTarget`.
The category can be used to include where the medication is expected to be consumed or other types of dispenses.  Invariants can be used to bind to different value sets when profiling to bind."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.medication[x]"/>
      <display value="medication[x]"/>
      <target>
        <code value="MedicationDispense.medication"/>
        <display value="MedicationDispense.medication"/>
        <relationship value="source-is-narrower-than-target"/>
        <comment
                 value="Element `MedicationDispense.medication[x]` is mapped to FHIR R5 element `MedicationDispense.medication` as `SourceIsNarrowerThanTarget`.
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."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.subject"/>
      <display value="subject"/>
      <target>
        <code value="MedicationDispense.subject"/>
        <display value="MedicationDispense.subject"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.subject` is mapped to FHIR R5 element `MedicationDispense.subject` as `Equivalent`.
SubstanceAdministration-&gt;subject-&gt;Patient."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.context"/>
      <display value="context"/>
      <target>
        <code value="MedicationDispense.encounter"/>
        <display value="MedicationDispense.encounter"/>
        <relationship value="source-is-broader-than-target"/>
        <comment
                 value="Element `MedicationDispense.context` is mapped to FHIR R5 element `MedicationDispense.encounter` as `SourceIsBroaderThanTarget`.
The mappings for `MedicationDispense.context` do not cover the following types based on type expansion: display, identifier, reference, type.
The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `MedicationDispense.context` with unmapped reference targets: EpisodeOfCare."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.supportingInformation"/>
      <display value="supportingInformation"/>
      <target>
        <code value="MedicationDispense.supportingInformation"/>
        <display value="MedicationDispense.supportingInformation"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.supportingInformation` is mapped to FHIR R5 element `MedicationDispense.supportingInformation` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.performer"/>
      <display value="performer"/>
      <target>
        <code value="MedicationDispense.performer"/>
        <display value="MedicationDispense.performer"/>
        <relationship value="source-is-broader-than-target"/>
        <comment
                 value="Element `MedicationDispense.performer` is mapped to FHIR R5 element `MedicationDispense.performer` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.performer.function"/>
      <display value="function"/>
      <target>
        <code value="MedicationDispense.performer.function"/>
        <display value="MedicationDispense.performer.function"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.performer.function` is mapped to FHIR R5 element `MedicationDispense.performer.function` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.performer.actor"/>
      <display value="actor"/>
      <target>
        <code value="MedicationDispense.performer.actor"/>
        <display value="MedicationDispense.performer.actor"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.performer.actor` is mapped to FHIR R5 element `MedicationDispense.performer.actor` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.location"/>
      <display value="location"/>
      <target>
        <code value="MedicationDispense.location"/>
        <display value="MedicationDispense.location"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.location` is mapped to FHIR R5 element `MedicationDispense.location` as `Equivalent`.
An externally-defined extension that has been mapped as the representation of FHIR R4B element `MedicationDispense.location`: `http://hl7.org/fhir/StructureDefinition/event-location`."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.authorizingPrescription"/>
      <display value="authorizingPrescription"/>
      <target>
        <code value="MedicationDispense.authorizingPrescription"/>
        <display value="MedicationDispense.authorizingPrescription"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.authorizingPrescription` is mapped to FHIR R5 element `MedicationDispense.authorizingPrescription` as `Equivalent`.
Maps to basedOn in Event logical model."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.type"/>
      <display value="type"/>
      <target>
        <code value="MedicationDispense.type"/>
        <display value="MedicationDispense.type"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.type` is mapped to FHIR R5 element `MedicationDispense.type` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.quantity"/>
      <display value="quantity"/>
      <target>
        <code value="MedicationDispense.quantity"/>
        <display value="MedicationDispense.quantity"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.quantity` is mapped to FHIR R5 element `MedicationDispense.quantity` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.daysSupply"/>
      <display value="daysSupply"/>
      <target>
        <code value="MedicationDispense.daysSupply"/>
        <display value="MedicationDispense.daysSupply"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.daysSupply` is mapped to FHIR R5 element `MedicationDispense.daysSupply` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.whenPrepared"/>
      <display value="whenPrepared"/>
      <target>
        <code value="MedicationDispense.whenPrepared"/>
        <display value="MedicationDispense.whenPrepared"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.whenPrepared` is mapped to FHIR R5 element `MedicationDispense.whenPrepared` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.whenHandedOver"/>
      <display value="whenHandedOver"/>
      <target>
        <code value="MedicationDispense.whenHandedOver"/>
        <display value="MedicationDispense.whenHandedOver"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.whenHandedOver` is mapped to FHIR R5 element `MedicationDispense.whenHandedOver` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.destination"/>
      <display value="destination"/>
      <target>
        <code value="MedicationDispense.destination"/>
        <display value="MedicationDispense.destination"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.destination` is mapped to FHIR R5 element `MedicationDispense.destination` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.receiver"/>
      <display value="receiver"/>
      <target>
        <code value="MedicationDispense.receiver"/>
        <display value="MedicationDispense.receiver"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.receiver` is mapped to FHIR R5 element `MedicationDispense.receiver` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.note"/>
      <display value="note"/>
      <target>
        <code value="MedicationDispense.note"/>
        <display value="MedicationDispense.note"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.note` is mapped to FHIR R5 element `MedicationDispense.note` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.dosageInstruction"/>
      <display value="dosageInstruction"/>
      <target>
        <code value="MedicationDispense.dosageInstruction"/>
        <display value="MedicationDispense.dosageInstruction"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.dosageInstruction` is mapped to FHIR R5 element `MedicationDispense.dosageInstruction` as `Equivalent`.
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."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.substitution"/>
      <display value="substitution"/>
      <target>
        <code value="MedicationDispense.substitution"/>
        <display value="MedicationDispense.substitution"/>
        <relationship value="source-is-broader-than-target"/>
        <comment
                 value="Element `MedicationDispense.substitution` is mapped to FHIR R5 element `MedicationDispense.substitution` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.substitution.wasSubstituted"/>
      <display value="wasSubstituted"/>
      <target>
        <code value="MedicationDispense.substitution.wasSubstituted"/>
        <display value="MedicationDispense.substitution.wasSubstituted"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.substitution.wasSubstituted` is mapped to FHIR R5 element `MedicationDispense.substitution.wasSubstituted` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.substitution.type"/>
      <display value="type"/>
      <target>
        <code value="MedicationDispense.substitution.type"/>
        <display value="MedicationDispense.substitution.type"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.substitution.type` is mapped to FHIR R5 element `MedicationDispense.substitution.type` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.substitution.reason"/>
      <display value="reason"/>
      <target>
        <code value="MedicationDispense.substitution.reason"/>
        <display value="MedicationDispense.substitution.reason"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.substitution.reason` is mapped to FHIR R5 element `MedicationDispense.substitution.reason` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.substitution.responsibleParty"/>
      <display value="responsibleParty"/>
      <target>
        <code value="MedicationDispense.substitution.responsibleParty"/>
        <display value="MedicationDispense.substitution.responsibleParty"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.substitution.responsibleParty` is mapped to FHIR R5 element `MedicationDispense.substitution.responsibleParty` as `SourceIsBroaderThanTarget`."/>
      </target>
    </element>
    <element>
      <code value="MedicationDispense.eventHistory"/>
      <display value="eventHistory"/>
      <target>
        <code value="MedicationDispense.eventHistory"/>
        <display value="MedicationDispense.eventHistory"/>
        <relationship value="equivalent"/>
        <comment
                 value="Element `MedicationDispense.eventHistory` is mapped to FHIR R5 element `MedicationDispense.eventHistory` as `Equivalent`.
This might 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.)."/>
      </target>
    </element>
  </group>
  <group>
    <source
            value="http://hl7.org/fhir/StructureDefinition/MedicationDispense|4.3.0"/>
    <target
            value="http://hl7.org/fhir/4.3/StructureDefinition/extension-MedicationDispense.statusReason|0.1.0"/>
    <element>
      <code value="MedicationDispense.statusReason[x]"/>
      <display value="statusReason[x]"/>
      <target>
        <code value="Extension"/>
        <relationship value="source-is-broader-than-target"/>
        <comment
                 value="Element `MedicationDispense.statusReason[x]` has a context of MedicationDispense based on following the parent source element upwards and mapping to `MedicationDispense`.
Element `MedicationDispense.statusReason[x]` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element)."/>
      </target>
    </element>
  </group>
  <group>
    <source
            value="http://hl7.org/fhir/StructureDefinition/MedicationDispense|4.3.0"/>
    <target
            value="http://hl7.org/fhir/4.3/StructureDefinition/extension-MedicationDispense.detectedIssue|0.1.0"/>
    <element>
      <code value="MedicationDispense.detectedIssue"/>
      <display value="detectedIssue"/>
      <target>
        <code value="Extension"/>
        <relationship value="source-is-broader-than-target"/>
        <comment
                 value="Element `MedicationDispense.detectedIssue` has a context of MedicationDispense based on following the parent source element upwards and mapping to `MedicationDispense`.
Element `MedicationDispense.detectedIssue` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue."/>
      </target>
    </element>
  </group>
</ConceptMap>