Extensions for Using Data Elements from FHIR R5 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR R4B - Downloaded Version null See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 0 |
<ConceptMap xmlns="http://hl7.org/fhir">
<id value="R5-MedicationStatement-element-map-to-R4B"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap R5-MedicationStatement-element-map-to-R4B</b></p><a name="R5-MedicationStatement-element-map-to-R4B"> </a><a name="hcR5-MedicationStatement-element-map-to-R4B"> </a><p>Mapping from http://hl7.org/fhir/5.0 to http://hl7.org/fhir/4.3</p><br/><p><b>Group 1 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/MedicationStatement|5.0.0</code> to <a href="http://hl7.org/fhir/R4B/medicationstatement.html">MedicationStatementversion: 4.3.0)</a></p><table class="grid"><tr><td colspan="2"><b>Source Concept Details</b></td><td><b>Relationship</b></td><td colspan="2"><b>Target Concept Details</b></td><td><b>Comment</b></td></tr><tr><td colspan="2"><b>Codes</b> from http://hl7.org/fhir/StructureDefinition/MedicationStatement|5.0.0</td><td/><td colspan="2" title="http://hl7.org/fhir/StructureDefinition/MedicationStatement|4.3.0"><b>Codes</b> from MedicationStatement</td><td/></tr><tr><td style="border-right-width: 0px">MedicationStatement.meta</td><td style="border-left-width: 0px">meta</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MedicationStatement.meta</td><td style="border-left-width: 0px">MedicationStatement.meta</td><td>Element `MedicationStatement.meta` is mapped to FHIR R4B element `MedicationStatement.meta` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">MedicationStatement.implicitRules</td><td style="border-left-width: 0px">implicitRules</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MedicationStatement.implicitRules</td><td style="border-left-width: 0px">MedicationStatement.implicitRules</td><td>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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.</td></tr><tr><td style="border-right-width: 0px">MedicationStatement.language</td><td style="border-left-width: 0px">language</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MedicationStatement.language</td><td style="border-left-width: 0px">MedicationStatement.language</td><td>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).</td></tr><tr><td style="border-right-width: 0px">MedicationStatement.text</td><td style="border-left-width: 0px">text</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MedicationStatement.text</td><td style="border-left-width: 0px">MedicationStatement.text</td><td>Element `MedicationStatement.text` is mapped to FHIR R4B element `MedicationStatement.text` as `Equivalent`.
Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.</td></tr><tr><td style="border-right-width: 0px">MedicationStatement.contained</td><td style="border-left-width: 0px">contained</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MedicationStatement.contained</td><td style="border-left-width: 0px">MedicationStatement.contained</td><td>Element `MedicationStatement.contained` is mapped to FHIR R4B element `MedicationStatement.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 style="border-right-width: 0px">MedicationStatement.identifier</td><td style="border-left-width: 0px">identifier</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MedicationStatement.identifier</td><td style="border-left-width: 0px">MedicationStatement.identifier</td><td>Element `MedicationStatement.identifier` is mapped to FHIR R4B element `MedicationStatement.identifier` as `Equivalent`.
This is a business identifier, not a resource identifier.</td></tr><tr><td style="border-right-width: 0px">MedicationStatement.partOf</td><td style="border-left-width: 0px">partOf</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MedicationStatement.partOf</td><td style="border-left-width: 0px">MedicationStatement.partOf</td><td>Element `MedicationStatement.partOf` is mapped to FHIR R4B element `MedicationStatement.partOf` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">MedicationStatement.status</td><td style="border-left-width: 0px">status</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MedicationStatement.status</td><td style="border-left-width: 0px">MedicationStatement.status</td><td>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.
This status concerns just the recording of the medication statement. MedicationStatement.adherence should be used for indicating a patient's adherence to the information in this resource. Note, the statuses are different than in previous releases for MedicationStatement or MedicationStatement.
This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.</td></tr><tr><td style="border-right-width: 0px">MedicationStatement.category</td><td style="border-left-width: 0px">category</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MedicationStatement.category</td><td style="border-left-width: 0px">MedicationStatement.category</td><td>Element `MedicationStatement.category` is mapped to FHIR R4B element `MedicationStatement.category` as `SourceIsBroaderThanTarget`.</td></tr><tr><td style="border-right-width: 0px">MedicationStatement.medication</td><td style="border-left-width: 0px">medication</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MedicationStatement.medication[x]</td><td style="border-left-width: 0px">MedicationStatement.medication[x]</td><td>Element `MedicationStatement.medication` is mapped to FHIR R4B element `MedicationStatement.medication[x]` as `SourceIsBroaderThanTarget`.
The target context `MedicationStatement.medication[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `MedicationStatement`.
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 style="border-right-width: 0px">MedicationStatement.subject</td><td style="border-left-width: 0px">subject</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MedicationStatement.subject</td><td style="border-left-width: 0px">MedicationStatement.subject</td><td>Element `MedicationStatement.subject` is mapped to FHIR R4B element `MedicationStatement.subject` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">MedicationStatement.encounter</td><td style="border-left-width: 0px">encounter</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MedicationStatement.context</td><td style="border-left-width: 0px">MedicationStatement.context</td><td>Element `MedicationStatement.encounter` is mapped to FHIR R4B element `MedicationStatement.context` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">MedicationStatement.effective[x]</td><td style="border-left-width: 0px">effective[x]</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">MedicationStatement.effective[x]</td><td style="border-left-width: 0px">MedicationStatement.effective[x]</td><td>Element `MedicationStatement.effective[x]` is mapped to FHIR R4B element `MedicationStatement.effective[x]` as `SourceIsBroaderThanTarget`.
The mappings for `MedicationStatement.effective[x]` do not cover the following types: Timing.
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 and is expected to continue indefinitely at the time the usage is recorded, the "end" date will be omitted. If the end date is known, then it is included as the "end date". The date/time attribute supports a variety of dates - year, year/month and exact date. If something more than this is required, this should be conveyed as text.</td></tr><tr><td style="border-right-width: 0px">MedicationStatement.dateAsserted</td><td style="border-left-width: 0px">dateAsserted</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MedicationStatement.dateAsserted</td><td style="border-left-width: 0px">MedicationStatement.dateAsserted</td><td>Element `MedicationStatement.dateAsserted` is mapped to FHIR R4B element `MedicationStatement.dateAsserted` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">MedicationStatement.informationSource</td><td style="border-left-width: 0px">informationSource</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MedicationStatement.informationSource</td><td style="border-left-width: 0px">MedicationStatement.informationSource</td><td>Element `MedicationStatement.informationSource` is mapped to FHIR R4B element `MedicationStatement.informationSource` as `SourceIsBroaderThanTarget`.</td></tr><tr><td style="border-right-width: 0px">MedicationStatement.derivedFrom</td><td style="border-left-width: 0px">derivedFrom</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MedicationStatement.derivedFrom</td><td style="border-left-width: 0px">MedicationStatement.derivedFrom</td><td>Element `MedicationStatement.derivedFrom` is mapped to FHIR R4B element `MedicationStatement.derivedFrom` as `Equivalent`.
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.</td></tr><tr><td style="border-right-width: 0px; border-bottom-style: none">MedicationStatement.reason</td><td style="border-left-width: 0px; border-bottom-style: none">reason</td><td><a href="CodeSystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">MedicationStatement.reasonCode</td><td style="border-left-width: 0px">MedicationStatement.reasonCode</td><td>Element `MedicationStatement.reason` is mapped to FHIR R4B element `MedicationStatement.reasonCode` as `SourceIsBroaderThanTarget`.
Element `MedicationStatement.reason` is mapped to FHIR R4B element `MedicationStatement.reasonReference` as `SourceIsBroaderThanTarget`.
The mappings for `MedicationStatement.reason` do not cover the following types: CodeableReference.
This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference.</td></tr><tr><td style="border-right-width: 0px; border-top-style: none"/><td style="border-top-style: none; border-left-width: 0px"/><td><a href="CodeSystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">MedicationStatement.reasonReference</td><td style="border-left-width: 0px">MedicationStatement.reasonReference</td><td>Element `MedicationStatement.reason` is mapped to FHIR R4B element `MedicationStatement.reasonCode` as `SourceIsBroaderThanTarget`.
Element `MedicationStatement.reason` is mapped to FHIR R4B element `MedicationStatement.reasonReference` as `SourceIsBroaderThanTarget`.
The mappings for `MedicationStatement.reason` do not cover the following types: CodeableReference.
This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference.</td></tr><tr><td style="border-right-width: 0px">MedicationStatement.note</td><td style="border-left-width: 0px">note</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MedicationStatement.note</td><td style="border-left-width: 0px">MedicationStatement.note</td><td>Element `MedicationStatement.note` is mapped to FHIR R4B element `MedicationStatement.note` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">MedicationStatement.dosage</td><td style="border-left-width: 0px">dosage</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MedicationStatement.dosage</td><td style="border-left-width: 0px">MedicationStatement.dosage</td><td>Element `MedicationStatement.dosage` is mapped to FHIR R4B element `MedicationStatement.dosage` as `Equivalent`.
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.</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/MedicationStatement|5.0.0</code> to <a href="StructureDefinition-ext-R5-MedicationStatement.effective.html">R5: effective additional typesversion: 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>MedicationStatement.effective[x] (effective[x])</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (R5: effective additional types)</td><td>Element `MedicationStatement.effective[x]` is mapped to FHIR R4B element `MedicationStatement.effective[x]` as `SourceIsBroaderThanTarget`.
The mappings for `MedicationStatement.effective[x]` do not cover the following types: Timing.
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 and is expected to continue indefinitely at the time the usage is recorded, the "end" date will be omitted. If the end date is known, then it is included as the "end date". The date/time attribute supports a variety of dates - year, year/month and exact date. If something more than this is required, this should be conveyed as text.</td></tr></table><hr/><p><b>Group 3 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/MedicationStatement|5.0.0</code> to <a href="StructureDefinition-ext-R5-MedicationStatement.reason.html">R5: Reason for why the medication is being/was taken additional typesversion: 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>MedicationStatement.reason (reason)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Reason for why the medication is being/was taken additional types)</td><td>Element `MedicationStatement.reason` is mapped to FHIR R4B element `MedicationStatement.reasonCode` as `SourceIsBroaderThanTarget`.
Element `MedicationStatement.reason` is mapped to FHIR R4B element `MedicationStatement.reasonReference` as `SourceIsBroaderThanTarget`.
The mappings for `MedicationStatement.reason` do not cover the following types: CodeableReference.
This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference.</td></tr></table><hr/><p><b>Group 4 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/MedicationStatement|5.0.0</code> to <a href="StructureDefinition-ext-R5-MedicationStatement.rCI.html">R5: Link to information relevant to the usage of a medication (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>MedicationStatement.relatedClinicalInformation (relatedClinicalInformation)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Link to information relevant to the usage of a medication (new))</td><td>Element `MedicationStatement.relatedClinicalInformation` has a context of MedicationStatement based on following the parent source element upwards and mapping to `MedicationStatement`.
Element `MedicationStatement.relatedClinicalInformation` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 5 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/MedicationStatement|5.0.0</code> to <a href="StructureDefinition-ext-R5-MedicationStatement.renderedDosageInstruction.html">R5: Full representation of the dosage instructions (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>MedicationStatement.renderedDosageInstruction (renderedDosageInstruction)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Full representation of the dosage instructions (new))</td><td>Element `MedicationStatement.renderedDosageInstruction` has a context of MedicationStatement based on following the parent source element upwards and mapping to `MedicationStatement`.
Element `MedicationStatement.renderedDosageInstruction` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).</td></tr></table><hr/><p><b>Group 6 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/MedicationStatement|5.0.0</code> to <a href="StructureDefinition-ext-R5-MedicationStatement.adherence.html">R5: Indicates whether the medication is or is not being consumed or administered (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>MedicationStatement.adherence (adherence)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: Indicates whether the medication is or is not being consumed or administered (new))</td><td>Element `MedicationStatement.adherence` has a context of MedicationStatement based on following the parent source element upwards and mapping to `MedicationStatement`.
Element `MedicationStatement.adherence` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).
This element can be used to indicate whether a patient is following a course of treatment as instructed/prescribed or whether they are taking medications of their own volition. It can also be used to indicate that a patient is not taking a medication, either because they were told not to or because they decided on their own.</td></tr><tr><td>MedicationStatement.adherence.code (code)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension.extension:code (R5: Type of adherence (new))</td><td>Element `MedicationStatement.adherence.code` is part of an existing definition because parent element `MedicationStatement.adherence` requires a cross-version extension.
Element `MedicationStatement.adherence.code` has a context of MedicationStatement based on following the parent source element upwards and mapping to `MedicationStatement`.
Element `MedicationStatement.adherence.code` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).</td></tr><tr><td>MedicationStatement.adherence.reason (reason)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension.extension:reason (R5: Details of the reason for the current use of the medication (new))</td><td>Element `MedicationStatement.adherence.reason` is part of an existing definition because parent element `MedicationStatement.adherence` requires a cross-version extension.
Element `MedicationStatement.adherence.reason` has a context of MedicationStatement based on following the parent source element upwards and mapping to `MedicationStatement`.
Element `MedicationStatement.adherence.reason` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).
This is generally only used for "exception" statuses such as "entered-in-error". The reason for performing the event at all is captured in reasonCode, not here.</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-r5.r4b"/>
</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-r5.r4b"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/uv/xver/ConceptMap/R5-MedicationStatement-element-map-to-R4B"/>
<version value="0.1.0"/>
<name value="R5MedicationStatementElementMapToR4B"/>
<title
value="Cross-version mapping for FHIR R5 MedicationStatement to FHIR R4B MedicationStatement"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-03-17T16:03:57.773916-05:00"/>
<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 R5 MedicationStatement to FHIR R4B."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<sourceCanonical value="http://hl7.org/fhir/5.0"/>
<targetUri value="http://hl7.org/fhir/4.3"/>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/MedicationStatement"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/StructureDefinition/MedicationStatement"/>
<targetVersion value="4.3.0"/>
<element>
<code value="MedicationStatement.meta"/>
<display value="meta"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MedicationStatement.meta"/>
<display value="MedicationStatement.meta"/>
<equivalence value="equivalent"/>
<comment
value="Element `MedicationStatement.meta` is mapped to FHIR R4B element `MedicationStatement.meta` as `Equivalent`."/>
</target>
</element>
<element>
<code value="MedicationStatement.implicitRules"/>
<display value="implicitRules"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MedicationStatement.implicitRules"/>
<display value="MedicationStatement.implicitRules"/>
<equivalence value="equivalent"/>
<comment
value="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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc."/>
</target>
</element>
<element>
<code value="MedicationStatement.language"/>
<display value="language"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MedicationStatement.language"/>
<display value="MedicationStatement.language"/>
<equivalence value="equivalent"/>
<comment
value="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)."/>
</target>
</element>
<element>
<code value="MedicationStatement.text"/>
<display value="text"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MedicationStatement.text"/>
<display value="MedicationStatement.text"/>
<equivalence value="equivalent"/>
<comment
value="Element `MedicationStatement.text` is mapped to FHIR R4B element `MedicationStatement.text` as `Equivalent`.
Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later."/>
</target>
</element>
<element>
<code value="MedicationStatement.contained"/>
<display value="contained"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MedicationStatement.contained"/>
<display value="MedicationStatement.contained"/>
<equivalence value="equivalent"/>
<comment
value="Element `MedicationStatement.contained` is mapped to FHIR R4B element `MedicationStatement.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="MedicationStatement.identifier"/>
<display value="identifier"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MedicationStatement.identifier"/>
<display value="MedicationStatement.identifier"/>
<equivalence value="equivalent"/>
<comment
value="Element `MedicationStatement.identifier` is mapped to FHIR R4B element `MedicationStatement.identifier` as `Equivalent`.
This is a business identifier, not a resource identifier."/>
</target>
</element>
<element>
<code value="MedicationStatement.partOf"/>
<display value="partOf"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MedicationStatement.partOf"/>
<display value="MedicationStatement.partOf"/>
<equivalence value="equivalent"/>
<comment
value="Element `MedicationStatement.partOf` is mapped to FHIR R4B element `MedicationStatement.partOf` as `Equivalent`."/>
</target>
</element>
<element>
<code value="MedicationStatement.status"/>
<display value="status"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MedicationStatement.status"/>
<display value="MedicationStatement.status"/>
<equivalence value="equivalent"/>
<comment
value="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.
This status concerns just the recording of the medication statement. MedicationStatement.adherence should be used for indicating a patient's adherence to the information in this resource. Note, the statuses are different than in previous releases for MedicationStatement or MedicationStatement.
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="MedicationStatement.category"/>
<display value="category"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MedicationStatement.category"/>
<display value="MedicationStatement.category"/>
<equivalence value="equivalent"/>
<comment
value="Element `MedicationStatement.category` is mapped to FHIR R4B element `MedicationStatement.category` as `SourceIsBroaderThanTarget`."/>
</target>
</element>
<element>
<code value="MedicationStatement.medication"/>
<display value="medication"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MedicationStatement.medication[x]"/>
<display value="MedicationStatement.medication[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `MedicationStatement.medication` is mapped to FHIR R4B element `MedicationStatement.medication[x]` as `SourceIsBroaderThanTarget`.
The target context `MedicationStatement.medication[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `MedicationStatement`.
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="MedicationStatement.subject"/>
<display value="subject"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MedicationStatement.subject"/>
<display value="MedicationStatement.subject"/>
<equivalence value="equivalent"/>
<comment
value="Element `MedicationStatement.subject` is mapped to FHIR R4B element `MedicationStatement.subject` as `Equivalent`."/>
</target>
</element>
<element>
<code value="MedicationStatement.encounter"/>
<display value="encounter"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MedicationStatement.context"/>
<display value="MedicationStatement.context"/>
<equivalence value="equivalent"/>
<comment
value="Element `MedicationStatement.encounter` is mapped to FHIR R4B element `MedicationStatement.context` as `Equivalent`."/>
</target>
</element>
<element>
<code value="MedicationStatement.effective[x]"/>
<display value="effective[x]"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="MedicationStatement.effective[x]"/>
<display value="MedicationStatement.effective[x]"/>
<equivalence value="wider"/>
<comment
value="Element `MedicationStatement.effective[x]` is mapped to FHIR R4B element `MedicationStatement.effective[x]` as `SourceIsBroaderThanTarget`.
The mappings for `MedicationStatement.effective[x]` do not cover the following types: Timing.
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 and is expected to continue indefinitely at the time the usage is recorded, the "end" date will be omitted. If the end date is known, then it is included as the "end date". The date/time attribute supports a variety of dates - year, year/month and exact date. If something more than this is required, this should be conveyed as text."/>
</target>
</element>
<element>
<code value="MedicationStatement.dateAsserted"/>
<display value="dateAsserted"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MedicationStatement.dateAsserted"/>
<display value="MedicationStatement.dateAsserted"/>
<equivalence value="equivalent"/>
<comment
value="Element `MedicationStatement.dateAsserted` is mapped to FHIR R4B element `MedicationStatement.dateAsserted` as `Equivalent`."/>
</target>
</element>
<element>
<code value="MedicationStatement.informationSource"/>
<display value="informationSource"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MedicationStatement.informationSource"/>
<display value="MedicationStatement.informationSource"/>
<equivalence value="equivalent"/>
<comment
value="Element `MedicationStatement.informationSource` is mapped to FHIR R4B element `MedicationStatement.informationSource` as `SourceIsBroaderThanTarget`."/>
</target>
</element>
<element>
<code value="MedicationStatement.derivedFrom"/>
<display value="derivedFrom"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MedicationStatement.derivedFrom"/>
<display value="MedicationStatement.derivedFrom"/>
<equivalence value="equivalent"/>
<comment
value="Element `MedicationStatement.derivedFrom` is mapped to FHIR R4B element `MedicationStatement.derivedFrom` as `Equivalent`.
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."/>
</target>
</element>
<element>
<code value="MedicationStatement.reason"/>
<display value="reason"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="relatedto"/>
</modifierExtension>
<code value="MedicationStatement.reasonCode"/>
<display value="MedicationStatement.reasonCode"/>
<equivalence value="relatedto"/>
<comment
value="Element `MedicationStatement.reason` is mapped to FHIR R4B element `MedicationStatement.reasonCode` as `SourceIsBroaderThanTarget`.
Element `MedicationStatement.reason` is mapped to FHIR R4B element `MedicationStatement.reasonReference` as `SourceIsBroaderThanTarget`.
The mappings for `MedicationStatement.reason` do not cover the following types: CodeableReference.
This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference."/>
</target>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="relatedto"/>
</modifierExtension>
<code value="MedicationStatement.reasonReference"/>
<display value="MedicationStatement.reasonReference"/>
<equivalence value="relatedto"/>
<comment
value="Element `MedicationStatement.reason` is mapped to FHIR R4B element `MedicationStatement.reasonCode` as `SourceIsBroaderThanTarget`.
Element `MedicationStatement.reason` is mapped to FHIR R4B element `MedicationStatement.reasonReference` as `SourceIsBroaderThanTarget`.
The mappings for `MedicationStatement.reason` do not cover the following types: CodeableReference.
This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference."/>
</target>
</element>
<element>
<code value="MedicationStatement.note"/>
<display value="note"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MedicationStatement.note"/>
<display value="MedicationStatement.note"/>
<equivalence value="equivalent"/>
<comment
value="Element `MedicationStatement.note` is mapped to FHIR R4B element `MedicationStatement.note` as `Equivalent`."/>
</target>
</element>
<element>
<code value="MedicationStatement.dosage"/>
<display value="dosage"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="MedicationStatement.dosage"/>
<display value="MedicationStatement.dosage"/>
<equivalence value="equivalent"/>
<comment
value="Element `MedicationStatement.dosage` is mapped to FHIR R4B element `MedicationStatement.dosage` as `Equivalent`.
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."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/MedicationStatement"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.effective"/>
<targetVersion value="0.1.0"/>
<element>
<code value="MedicationStatement.effective[x]"/>
<display value="effective[x]"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Extension"/>
<equivalence value="equivalent"/>
<comment
value="Element `MedicationStatement.effective[x]` is mapped to FHIR R4B element `MedicationStatement.effective[x]` as `SourceIsBroaderThanTarget`.
The mappings for `MedicationStatement.effective[x]` do not cover the following types: Timing.
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 and is expected to continue indefinitely at the time the usage is recorded, the "end" date will be omitted. If the end date is known, then it is included as the "end date". The date/time attribute supports a variety of dates - year, year/month and exact date. If something more than this is required, this should be conveyed as text."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/MedicationStatement"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.reason"/>
<targetVersion value="0.1.0"/>
<element>
<code value="MedicationStatement.reason"/>
<display value="reason"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `MedicationStatement.reason` is mapped to FHIR R4B element `MedicationStatement.reasonCode` as `SourceIsBroaderThanTarget`.
Element `MedicationStatement.reason` is mapped to FHIR R4B element `MedicationStatement.reasonReference` as `SourceIsBroaderThanTarget`.
The mappings for `MedicationStatement.reason` do not cover the following types: CodeableReference.
This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/MedicationStatement"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.relatedClinicalInformation"/>
<targetVersion value="0.1.0"/>
<element>
<code value="MedicationStatement.relatedClinicalInformation"/>
<display value="relatedClinicalInformation"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `MedicationStatement.relatedClinicalInformation` has a context of MedicationStatement based on following the parent source element upwards and mapping to `MedicationStatement`.
Element `MedicationStatement.relatedClinicalInformation` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/MedicationStatement"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.renderedDosageInstruction"/>
<targetVersion value="0.1.0"/>
<element>
<code value="MedicationStatement.renderedDosageInstruction"/>
<display value="renderedDosageInstruction"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `MedicationStatement.renderedDosageInstruction` has a context of MedicationStatement based on following the parent source element upwards and mapping to `MedicationStatement`.
Element `MedicationStatement.renderedDosageInstruction` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
</group>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/MedicationStatement"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationStatement.adherence"/>
<targetVersion value="0.1.0"/>
<element>
<code value="MedicationStatement.adherence"/>
<display value="adherence"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `MedicationStatement.adherence` has a context of MedicationStatement based on following the parent source element upwards and mapping to `MedicationStatement`.
Element `MedicationStatement.adherence` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).
This element can be used to indicate whether a patient is following a course of treatment as instructed/prescribed or whether they are taking medications of their own volition. It can also be used to indicate that a patient is not taking a medication, either because they were told not to or because they decided on their own."/>
</target>
</element>
<element>
<code value="MedicationStatement.adherence.code"/>
<display value="code"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Extension.extension:code"/>
<equivalence value="wider"/>
<comment
value="Element `MedicationStatement.adherence.code` is part of an existing definition because parent element `MedicationStatement.adherence` requires a cross-version extension.
Element `MedicationStatement.adherence.code` has a context of MedicationStatement based on following the parent source element upwards and mapping to `MedicationStatement`.
Element `MedicationStatement.adherence.code` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element)."/>
</target>
</element>
<element>
<code value="MedicationStatement.adherence.reason"/>
<display value="reason"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Extension.extension:reason"/>
<equivalence value="wider"/>
<comment
value="Element `MedicationStatement.adherence.reason` is part of an existing definition because parent element `MedicationStatement.adherence` requires a cross-version extension.
Element `MedicationStatement.adherence.reason` has a context of MedicationStatement based on following the parent source element upwards and mapping to `MedicationStatement`.
Element `MedicationStatement.adherence.reason` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).
This is generally only used for "exception" statuses such as "entered-in-error". The reason for performing the event at all is captured in reasonCode, not here."/>
</target>
</element>
</group>
</ConceptMap>
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r5.r4b#0.1.0 based on FHIR 4.3.0. Generated 2026-03-20
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