Generated Narrative: ConceptMap R3-Questionnaire-element-map-to-R4 Mapping from http://hl7.org/fhir/3.0 to http://hl7.org/fhir/4.0 Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/Questionnaire|3.0.2 to Questionnaireversion: 4.0.1) Source Concept Details Relationship Target Concept Details Comment Codes from http://hl7.org/fhir/StructureDefinition/Questionnaire|3.0.2 Codes from Questionnaire Questionnaire.meta meta is equivalent to Questionnaire.meta Questionnaire.meta Element `Questionnaire.meta` is mapped to FHIR R4 element `Questionnaire.meta` as `Equivalent`. Questionnaire.implicitRules implicitRules is equivalent to Questionnaire.implicitRules Questionnaire.implicitRules Element `Questionnaire.implicitRules` is mapped to FHIR R4 element `Questionnaire.implicitRules` as `Equivalent`. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation. Questionnaire.language language is equivalent to Questionnaire.language Questionnaire.language Element `Questionnaire.language` is mapped to FHIR R4 element `Questionnaire.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). Questionnaire.text text is equivalent to Questionnaire.text Questionnaire.text Element `Questionnaire.text` is mapped to FHIR R4 element `Questionnaire.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 "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later. Questionnaire.contained contained is equivalent to Questionnaire.contained Questionnaire.contained Element `Questionnaire.contained` is mapped to FHIR R4 element `Questionnaire.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. Questionnaire.url url is equivalent to Questionnaire.url Questionnaire.url Element `Questionnaire.url` is mapped to FHIR R4 element `Questionnaire.url` as `Equivalent`. Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred. Multiple instances may share the same url if they have a distinct version. Questionnaire.identifier identifier is equivalent to Questionnaire.identifier Questionnaire.identifier Element `Questionnaire.identifier` is mapped to FHIR R4 element `Questionnaire.identifier` as `Equivalent`. Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, e.g., to identify this questionnaire outside of FHIR, where it is not possible to use the logical URI. Questionnaire.version version is equivalent to Questionnaire.version Questionnaire.version Element `Questionnaire.version` is mapped to FHIR R4 element `Questionnaire.version` as `Equivalent`. There may be different questionnaire instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a refrence to a particular business version of the questionnaire with the format [url]|[version]. Questionnaire.name name is equivalent to Questionnaire.name Questionnaire.name Element `Questionnaire.name` is mapped to FHIR R4 element `Questionnaire.name` as `Equivalent`. The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure that it is computable friendly. Questionnaire.title title is equivalent to Questionnaire.title Questionnaire.title Element `Questionnaire.title` is mapped to FHIR R4 element `Questionnaire.title` as `Equivalent`. This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc. Questionnaire.status status is equivalent to Questionnaire.status Questionnaire.status Element `Questionnaire.status` is mapped to FHIR R4 element `Questionnaire.status` as `Equivalent`. Allows filtering of questionnaires that are appropriate for use vs. not. This is labeled as "Is Modifier" because applications should not use a retired questionnaire without due consideration. Questionnaire.experimental experimental is equivalent to Questionnaire.experimental Questionnaire.experimental Element `Questionnaire.experimental` is mapped to FHIR R4 element `Questionnaire.experimental` as `Equivalent`. Allows filtering of questionnaire that are appropriate for use vs. not. This is labeled as "Is Modifier" because applications should not use an experimental questionnaire in production. Questionnaire.date date is equivalent to Questionnaire.date Questionnaire.date Element `Questionnaire.date` is mapped to FHIR R4 element `Questionnaire.date` as `Equivalent`. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the questionnaire. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource. Questionnaire.publisher publisher is equivalent to Questionnaire.publisher Questionnaire.publisher Element `Questionnaire.publisher` is mapped to FHIR R4 element `Questionnaire.publisher` as `Equivalent`. Usually an organization, but may be an individual. The publisher (or steward) of the questionnaire is the organization or individual primarily responsible for the maintenance and upkeep of the questionnaire. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the questionnaire. This item SHOULD be populated unless the information is available from context. Questionnaire.description description is equivalent to Questionnaire.description Questionnaire.description Element `Questionnaire.description` is mapped to FHIR R4 element `Questionnaire.description` as `Equivalent`. This description can be used to capture details such as why the questionnaire was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the questionnaire as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the profile is presumed to be the predominant language in the place the profile was created). Questionnaire.purpose purpose is equivalent to Questionnaire.purpose Questionnaire.purpose Element `Questionnaire.purpose` is mapped to FHIR R4 element `Questionnaire.purpose` as `Equivalent`. This element does not describe the usage of the questionnaire Instead it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this questionnaire. Questionnaire.approvalDate approvalDate is equivalent to Questionnaire.approvalDate Questionnaire.approvalDate Element `Questionnaire.approvalDate` is mapped to FHIR R4 element `Questionnaire.approvalDate` as `Equivalent`. The 'date' element may be more recent than the approval date because of minor changes / editorial corrections. Questionnaire.lastReviewDate lastReviewDate is equivalent to Questionnaire.lastReviewDate Questionnaire.lastReviewDate Element `Questionnaire.lastReviewDate` is mapped to FHIR R4 element `Questionnaire.lastReviewDate` as `Equivalent`. If specified, this is usually after the approval date. Questionnaire.effectivePeriod effectivePeriod is equivalent to Questionnaire.effectivePeriod Questionnaire.effectivePeriod Element `Questionnaire.effectivePeriod` is mapped to FHIR R4 element `Questionnaire.effectivePeriod` as `Equivalent`. The effective period for a questionnaire determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015. Questionnaire.useContext useContext is equivalent to Questionnaire.useContext Questionnaire.useContext Element `Questionnaire.useContext` is mapped to FHIR R4 element `Questionnaire.useContext` as `Equivalent`. When multiple useContexts are specified, there is no expectation whether all or any of the contexts apply. Questionnaire.jurisdiction jurisdiction is equivalent to Questionnaire.jurisdiction Questionnaire.jurisdiction Element `Questionnaire.jurisdiction` is mapped to FHIR R4 element `Questionnaire.jurisdiction` as `Equivalent`. It may be possible for the questionnaire to be used in jurisdictions other than those for which it was originally designed or intended. Questionnaire.contact contact is equivalent to Questionnaire.contact Questionnaire.contact Element `Questionnaire.contact` is mapped to FHIR R4 element `Questionnaire.contact` as `Equivalent`. May be a web site, an email address, a telephone number, etc. Questionnaire.copyright copyright is equivalent to Questionnaire.copyright Questionnaire.copyright Element `Questionnaire.copyright` is mapped to FHIR R4 element `Questionnaire.copyright` as `Equivalent`. Questionnaire.code code is equivalent to Questionnaire.code Questionnaire.code Element `Questionnaire.code` is mapped to FHIR R4 element `Questionnaire.code` as `Equivalent`. Questionnaire.subjectType subjectType is equivalent to Questionnaire.subjectType Questionnaire.subjectType Element `Questionnaire.subjectType` is mapped to FHIR R4 element `Questionnaire.subjectType` as `SourceIsNarrowerThanTarget`. The mappings for `Questionnaire.subjectType` do not allow expression of the necessary codes, per the bindings on the source and target. If none are specified, then the subject is unlimited. Questionnaire.item item maps to wider concept Questionnaire.item Questionnaire.item Element `Questionnaire.item` is mapped to FHIR R4 element `Questionnaire.item` as `Equivalent`. The content of the questionnaire is constructed from an ordered, hierarchical collection of items. Questionnaire.item.linkId linkId is equivalent to Questionnaire.item.linkId Questionnaire.item.linkId Element `Questionnaire.item.linkId` is mapped to FHIR R4 element `Questionnaire.item.linkId` as `Equivalent`. This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning. GUIDs or sequential numbers are appropriate here. Questionnaire.item.definition definition is equivalent to Questionnaire.item.definition Questionnaire.item.definition Element `Questionnaire.item.definition` is mapped to FHIR R4 element `Questionnaire.item.definition` as `Equivalent`. the URI refers to an ElementDefinition in either a [StructureDefinition](https://hl7.org/fhir/s.html#) or a [DataElement](https://hl7.org/fhir/d.html#), and always starts with the canonical URL for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](https://hl7.org/fhir/element-def.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition. Note that [LOINC codes](https://hl7.org/fhir/loinc.html#da.html#dataelements) implicitly define DataElement resources. Questionnaire.item.code code is equivalent to Questionnaire.item.code Questionnaire.item.code Element `Questionnaire.item.code` is mapped to FHIR R4 element `Questionnaire.item.code` as `Equivalent`. The value may come from the ElementDefinition referred to by .definition. Questionnaire.item.prefix prefix is equivalent to Questionnaire.item.prefix Questionnaire.item.prefix Element `Questionnaire.item.prefix` is mapped to FHIR R4 element `Questionnaire.item.prefix` as `Equivalent`. These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed. Typically these won't be used for "display" items, though such use is not prohibited. Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire. Questionnaire.item.text text is equivalent to Questionnaire.item.text Questionnaire.item.text Element `Questionnaire.item.text` is mapped to FHIR R4 element `Questionnaire.item.text` as `Equivalent`. Questionnaire.item.type type is equivalent to Questionnaire.item.type Questionnaire.item.type Element `Questionnaire.item.type` is mapped to FHIR R4 element `Questionnaire.item.type` as `Equivalent`. Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition. Questionnaire.item.enableWhen enableWhen maps to wider concept Questionnaire.item.enableWhen Questionnaire.item.enableWhen Element `Questionnaire.item.enableWhen` is mapped to FHIR R4 element `Questionnaire.item.enableWhen` as `Equivalent`. If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true. I.e. treat "enableWhen"s as being joined by an "or" clause. This element is a modifier because if enableWhen is present for an item, "required" is ignored unless one of the enableWhen conditions is met. Questionnaire.item.enableWhen.question question is equivalent to Questionnaire.item.enableWhen.question Questionnaire.item.enableWhen.question Element `Questionnaire.item.enableWhen.question` is mapped to FHIR R4 element `Questionnaire.item.enableWhen.question` as `Equivalent`. If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the "ancestor" axis and then the "preceding" axis and then the "following" axis. Questionnaire.item.enableWhen.hasAnswer hasAnswer is equivalent to Questionnaire.item.enableWhen.answer[x] Questionnaire.item.enableWhen.answer[x] Element `Questionnaire.item.enableWhen.hasAnswer` is mapped to FHIR R4 element `Questionnaire.item.enableWhen.operator` as `RelatedTo`. Element `Questionnaire.item.enableWhen.hasAnswer` is mapped to FHIR R4 element `Questionnaire.item.enableWhen.answer[x]` as `Equivalent`. If answered=false and answer values are also provided, then they are treated as "or". I.e. "Enable if the question is unanswered or the answer is one of the specified values". If answered=true and answers are present, one of the specified answers must be met. (So there's little reason to specify answered=true if answers are present.). is related to Questionnaire.item.enableWhen.operator Questionnaire.item.enableWhen.operator Element `Questionnaire.item.enableWhen.hasAnswer` is mapped to FHIR R4 element `Questionnaire.item.enableWhen.operator` as `RelatedTo`. Element `Questionnaire.item.enableWhen.hasAnswer` is mapped to FHIR R4 element `Questionnaire.item.enableWhen.answer[x]` as `Equivalent`. If answered=false and answer values are also provided, then they are treated as "or". I.e. "Enable if the question is unanswered or the answer is one of the specified values". If answered=true and answers are present, one of the specified answers must be met. (So there's little reason to specify answered=true if answers are present.). Questionnaire.item.enableWhen.answer[x] answer[x] maps to wider concept Questionnaire.item.enableWhen.answer[x] Questionnaire.item.enableWhen.answer[x] Element `Questionnaire.item.enableWhen.answer[x]` is mapped to FHIR R4 element `Questionnaire.item.enableWhen.answer[x]` as `RelatedTo`. The mappings for `Questionnaire.item.enableWhen.answer[x]` do not cover the following types: Attachment. The target context `Questionnaire.item.enableWhen.answer[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Questionnaire.item.enableWhen`. Multiple answers are treated as "or". E.g. Enable if question 1 = A, C or E. Components not specified in the answer do not need to match. For example, if enableWhen specifies code + system for a Coding, it is ok if the answer has a "display" element. I.e. treat the answer as a 'pattern'. The dataType of this element must be the same as the data type of the question being referenced. Questionnaire.item.required required is equivalent to Questionnaire.item.required Questionnaire.item.required Element `Questionnaire.item.required` is mapped to FHIR R4 element `Questionnaire.item.required` as `Equivalent`. Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true. If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition. Questionnaire.item.repeats repeats is equivalent to Questionnaire.item.repeats Questionnaire.item.repeats Element `Questionnaire.item.repeats` is mapped to FHIR R4 element `Questionnaire.item.repeats` as `Equivalent`. If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse. When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition or to simply list each of the answers beneath the question. (Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.). The value may come from the ElementDefinition referred to by .definition. Questionnaire.item.readOnly readOnly is equivalent to Questionnaire.item.readOnly Questionnaire.item.readOnly Element `Questionnaire.item.readOnly` is mapped to FHIR R4 element `Questionnaire.item.readOnly` as `Equivalent`. The value of readOnly elements can be established by asserting extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers. Questionnaire.item.maxLength maxLength is equivalent to Questionnaire.item.maxLength Questionnaire.item.maxLength Element `Questionnaire.item.maxLength` is mapped to FHIR R4 element `Questionnaire.item.maxLength` as `Equivalent`. For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition. Questionnaire.item.options options maps to wider concept Questionnaire.item.answerValueSet Questionnaire.item.answerValueSet Element `Questionnaire.item.options` is mapped to FHIR R4 element `Questionnaire.item.answerValueSet` as `SourceIsBroaderThanTarget`. The mappings for `Questionnaire.item.options` do not cover the following types: Reference. The mappings for `Questionnaire.item.options` do not cover the following types based on type expansion: display, identifier, reference. LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](https://hl7.org/fhir/loinc..html#alist). The value may come from the ElementDefinition referred to by .definition. Questionnaire.item.option option maps to wider concept Questionnaire.item.answerOption Questionnaire.item.answerOption Element `Questionnaire.item.option` is mapped to FHIR R4 element `Questionnaire.item.answerOption` as `Equivalent`. This element can be used when the value set machinery of options is deemed too cumbersome or when there's a need to capture options that are not codes. Questionnaire.item.option.value[x] value[x] is equivalent to Questionnaire.item.answerOption.value[x] Questionnaire.item.answerOption.value[x] Element `Questionnaire.item.option.value[x]` is mapped to FHIR R4 element `Questionnaire.item.answerOption.value[x]` as `Equivalent`. The target context `Questionnaire.item.answerOption.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Questionnaire.item.answerOption`. The data type of the value must agree with the item.type. Questionnaire.item.initial[x] initial[x] is equivalent to Questionnaire.item.initial Questionnaire.item.initial Element `Questionnaire.item.initial[x]` is mapped to FHIR R4 element `Questionnaire.item.initial` as `SourceIsNarrowerThanTarget`. Element `Questionnaire.item.initial[x]` is mapped to FHIR R4 element `Questionnaire.item.initial.value[x]` as `RelatedTo`. The target context `Questionnaire.item.initial.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Questionnaire.item.initial`. The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created. Note that default values can influence results. The data type of initial[x] must agree with the item.type. is related to Questionnaire.item.initial.value[x] Questionnaire.item.initial.value[x] Element `Questionnaire.item.initial[x]` is mapped to FHIR R4 element `Questionnaire.item.initial` as `SourceIsNarrowerThanTarget`. Element `Questionnaire.item.initial[x]` is mapped to FHIR R4 element `Questionnaire.item.initial.value[x]` as `RelatedTo`. The target context `Questionnaire.item.initial.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Questionnaire.item.initial`. The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created. Note that default values can influence results. The data type of initial[x] must agree with the item.type. Questionnaire.item.item item is equivalent to Questionnaire.item.item Questionnaire.item.item Element `Questionnaire.item.item` is mapped to FHIR R4 element `Questionnaire.item.item` as `Equivalent`. There is no specified limit to the depth of nesting. However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting. Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/Questionnaire|3.0.2 to STU3: Value question must have additional typesversion: 0.1.0) Source Code Relationship Target Code Comment Questionnaire.item.enableWhen.answer[x] (answer[x]) is equivalent to Extension (STU3: Value question must have additional types) Element `Questionnaire.item.enableWhen.answer[x]` is mapped to FHIR R4 element `Questionnaire.item.enableWhen.answer[x]` as `RelatedTo`. The mappings for `Questionnaire.item.enableWhen.answer[x]` do not cover the following types: Attachment. The target context `Questionnaire.item.enableWhen.answer[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Questionnaire.item.enableWhen`. Multiple answers are treated as "or". E.g. Enable if question 1 = A, C or E. Components not specified in the answer do not need to match. For example, if enableWhen specifies code + system for a Coding, it is ok if the answer has a "display" element. I.e. treat the answer as a 'pattern'. The dataType of this element must be the same as the data type of the question being referenced. Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/Questionnaire|3.0.2 to STU3: options additional typesversion: 0.1.0) Source Code Relationship Target Code Comment Questionnaire.item.options (options) maps to wider concept Extension (STU3: options additional types) Element `Questionnaire.item.options` is mapped to FHIR R4 element `Questionnaire.item.answerValueSet` as `SourceIsBroaderThanTarget`. The mappings for `Questionnaire.item.options` do not cover the following types: Reference. The mappings for `Questionnaire.item.options` do not cover the following types based on type expansion: display, identifier, reference. LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](https://hl7.org/fhir/loinc..html#alist). The value may come from the ElementDefinition referred to by .definition.
Cross-version mapping for FHIR STU3 Questionnaire to FHIR R4 Questionnaire
This ConceptMap represents cross-version mappings for elements from a FHIR STU3 Questionnaire to FHIR R4.
Element `Questionnaire.meta` is mapped to FHIR R4 element `Questionnaire.meta` as `Equivalent`.
Element `Questionnaire.implicitRules` is mapped to FHIR R4 element `Questionnaire.implicitRules` as `Equivalent`. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
Element `Questionnaire.language` is mapped to FHIR R4 element `Questionnaire.language` as `Equivalent`. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Element `Questionnaire.text` is mapped to FHIR R4 element `Questionnaire.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 "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.
Element `Questionnaire.contained` is mapped to FHIR R4 element `Questionnaire.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.
Element `Questionnaire.url` is mapped to FHIR R4 element `Questionnaire.url` as `Equivalent`. Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred. Multiple instances may share the same url if they have a distinct version.
Element `Questionnaire.identifier` is mapped to FHIR R4 element `Questionnaire.identifier` as `Equivalent`. Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, e.g., to identify this questionnaire outside of FHIR, where it is not possible to use the logical URI.
Element `Questionnaire.version` is mapped to FHIR R4 element `Questionnaire.version` as `Equivalent`. There may be different questionnaire instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a refrence to a particular business version of the questionnaire with the format [url]|[version].
Element `Questionnaire.name` is mapped to FHIR R4 element `Questionnaire.name` as `Equivalent`. The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure that it is computable friendly.
Element `Questionnaire.title` is mapped to FHIR R4 element `Questionnaire.title` as `Equivalent`. This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.
Element `Questionnaire.status` is mapped to FHIR R4 element `Questionnaire.status` as `Equivalent`. Allows filtering of questionnaires that are appropriate for use vs. not. This is labeled as "Is Modifier" because applications should not use a retired questionnaire without due consideration.
Element `Questionnaire.experimental` is mapped to FHIR R4 element `Questionnaire.experimental` as `Equivalent`. Allows filtering of questionnaire that are appropriate for use vs. not. This is labeled as "Is Modifier" because applications should not use an experimental questionnaire in production.
Element `Questionnaire.date` is mapped to FHIR R4 element `Questionnaire.date` as `Equivalent`. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the questionnaire. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.
Element `Questionnaire.publisher` is mapped to FHIR R4 element `Questionnaire.publisher` as `Equivalent`. Usually an organization, but may be an individual. The publisher (or steward) of the questionnaire is the organization or individual primarily responsible for the maintenance and upkeep of the questionnaire. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the questionnaire. This item SHOULD be populated unless the information is available from context.
Element `Questionnaire.description` is mapped to FHIR R4 element `Questionnaire.description` as `Equivalent`. This description can be used to capture details such as why the questionnaire was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the questionnaire as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the profile is presumed to be the predominant language in the place the profile was created).
Element `Questionnaire.purpose` is mapped to FHIR R4 element `Questionnaire.purpose` as `Equivalent`. This element does not describe the usage of the questionnaire Instead it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this questionnaire.
Element `Questionnaire.approvalDate` is mapped to FHIR R4 element `Questionnaire.approvalDate` as `Equivalent`. The 'date' element may be more recent than the approval date because of minor changes / editorial corrections.
Element `Questionnaire.lastReviewDate` is mapped to FHIR R4 element `Questionnaire.lastReviewDate` as `Equivalent`. If specified, this is usually after the approval date.
Element `Questionnaire.effectivePeriod` is mapped to FHIR R4 element `Questionnaire.effectivePeriod` as `Equivalent`. The effective period for a questionnaire determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.
Element `Questionnaire.useContext` is mapped to FHIR R4 element `Questionnaire.useContext` as `Equivalent`. When multiple useContexts are specified, there is no expectation whether all or any of the contexts apply.
Element `Questionnaire.jurisdiction` is mapped to FHIR R4 element `Questionnaire.jurisdiction` as `Equivalent`. It may be possible for the questionnaire to be used in jurisdictions other than those for which it was originally designed or intended.
Element `Questionnaire.contact` is mapped to FHIR R4 element `Questionnaire.contact` as `Equivalent`. May be a web site, an email address, a telephone number, etc.
Element `Questionnaire.copyright` is mapped to FHIR R4 element `Questionnaire.copyright` as `Equivalent`.
Element `Questionnaire.code` is mapped to FHIR R4 element `Questionnaire.code` as `Equivalent`.
Element `Questionnaire.subjectType` is mapped to FHIR R4 element `Questionnaire.subjectType` as `SourceIsNarrowerThanTarget`. The mappings for `Questionnaire.subjectType` do not allow expression of the necessary codes, per the bindings on the source and target. If none are specified, then the subject is unlimited.
Element `Questionnaire.item` is mapped to FHIR R4 element `Questionnaire.item` as `Equivalent`. The content of the questionnaire is constructed from an ordered, hierarchical collection of items.
Element `Questionnaire.item.linkId` is mapped to FHIR R4 element `Questionnaire.item.linkId` as `Equivalent`. This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning. GUIDs or sequential numbers are appropriate here.
Element `Questionnaire.item.definition` is mapped to FHIR R4 element `Questionnaire.item.definition` as `Equivalent`. the URI refers to an ElementDefinition in either a [StructureDefinition](https://hl7.org/fhir/s.html#) or a [DataElement](https://hl7.org/fhir/d.html#), and always starts with the canonical URL for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](https://hl7.org/fhir/element-def.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition. Note that [LOINC codes](https://hl7.org/fhir/loinc.html#da.html#dataelements) implicitly define DataElement resources.
Element `Questionnaire.item.code` is mapped to FHIR R4 element `Questionnaire.item.code` as `Equivalent`. The value may come from the ElementDefinition referred to by .definition.
Element `Questionnaire.item.prefix` is mapped to FHIR R4 element `Questionnaire.item.prefix` as `Equivalent`. These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed. Typically these won't be used for "display" items, though such use is not prohibited. Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.
Element `Questionnaire.item.text` is mapped to FHIR R4 element `Questionnaire.item.text` as `Equivalent`.
Element `Questionnaire.item.type` is mapped to FHIR R4 element `Questionnaire.item.type` as `Equivalent`. Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.
Element `Questionnaire.item.enableWhen` is mapped to FHIR R4 element `Questionnaire.item.enableWhen` as `Equivalent`. If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true. I.e. treat "enableWhen"s as being joined by an "or" clause. This element is a modifier because if enableWhen is present for an item, "required" is ignored unless one of the enableWhen conditions is met.
Element `Questionnaire.item.enableWhen.question` is mapped to FHIR R4 element `Questionnaire.item.enableWhen.question` as `Equivalent`. If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the "ancestor" axis and then the "preceding" axis and then the "following" axis.
Element `Questionnaire.item.enableWhen.hasAnswer` is mapped to FHIR R4 element `Questionnaire.item.enableWhen.operator` as `RelatedTo`. Element `Questionnaire.item.enableWhen.hasAnswer` is mapped to FHIR R4 element `Questionnaire.item.enableWhen.answer[x]` as `Equivalent`. If answered=false and answer values are also provided, then they are treated as "or". I.e. "Enable if the question is unanswered or the answer is one of the specified values". If answered=true and answers are present, one of the specified answers must be met. (So there's little reason to specify answered=true if answers are present.).
Element `Questionnaire.item.enableWhen.answer[x]` is mapped to FHIR R4 element `Questionnaire.item.enableWhen.answer[x]` as `RelatedTo`. The mappings for `Questionnaire.item.enableWhen.answer[x]` do not cover the following types: Attachment. The target context `Questionnaire.item.enableWhen.answer[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Questionnaire.item.enableWhen`. Multiple answers are treated as "or". E.g. Enable if question 1 = A, C or E. Components not specified in the answer do not need to match. For example, if enableWhen specifies code + system for a Coding, it is ok if the answer has a "display" element. I.e. treat the answer as a 'pattern'. The dataType of this element must be the same as the data type of the question being referenced.
Element `Questionnaire.item.required` is mapped to FHIR R4 element `Questionnaire.item.required` as `Equivalent`. Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true. If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.
Element `Questionnaire.item.repeats` is mapped to FHIR R4 element `Questionnaire.item.repeats` as `Equivalent`. If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse. When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition or to simply list each of the answers beneath the question. (Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.). The value may come from the ElementDefinition referred to by .definition.
Element `Questionnaire.item.readOnly` is mapped to FHIR R4 element `Questionnaire.item.readOnly` as `Equivalent`. The value of readOnly elements can be established by asserting extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.
Element `Questionnaire.item.maxLength` is mapped to FHIR R4 element `Questionnaire.item.maxLength` as `Equivalent`. For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.
Element `Questionnaire.item.options` is mapped to FHIR R4 element `Questionnaire.item.answerValueSet` as `SourceIsBroaderThanTarget`. The mappings for `Questionnaire.item.options` do not cover the following types: Reference. The mappings for `Questionnaire.item.options` do not cover the following types based on type expansion: display, identifier, reference. LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](https://hl7.org/fhir/loinc..html#alist). The value may come from the ElementDefinition referred to by .definition.
Element `Questionnaire.item.option` is mapped to FHIR R4 element `Questionnaire.item.answerOption` as `Equivalent`. This element can be used when the value set machinery of options is deemed too cumbersome or when there's a need to capture options that are not codes.
Element `Questionnaire.item.option.value[x]` is mapped to FHIR R4 element `Questionnaire.item.answerOption.value[x]` as `Equivalent`. The target context `Questionnaire.item.answerOption.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Questionnaire.item.answerOption`. The data type of the value must agree with the item.type.
Element `Questionnaire.item.initial[x]` is mapped to FHIR R4 element `Questionnaire.item.initial` as `SourceIsNarrowerThanTarget`. Element `Questionnaire.item.initial[x]` is mapped to FHIR R4 element `Questionnaire.item.initial.value[x]` as `RelatedTo`. The target context `Questionnaire.item.initial.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Questionnaire.item.initial`. The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created. Note that default values can influence results. The data type of initial[x] must agree with the item.type.
Element `Questionnaire.item.item` is mapped to FHIR R4 element `Questionnaire.item.item` as `Equivalent`. There is no specified limit to the depth of nesting. However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.