Embodiments of the present disclosure provide a cloud-based integrated charting system that utilizes a universal mapping service across services and clients to provide insights for the provider into customizations made by clients. Additionally, the system provides content building tools that enable clients to customize content to update models provided by the provider. A mapping service maps model codes corresponding to model concepts to a plurality of standard based concept codes corresponding to client domain specific customized concepts for an ontology of the one or more ontologies. A workflow recommendation is provided that enables a user to chart data and includes the model concepts comprising charting elements. Accordingly, the data is stored in a client database in accordance with the client domain specific customized concepts. Since the model concepts are mapped to the client domain specific customized concepts, the workflow recommendation can be prepopulated with data from the client database.