Extensions for Using Data Elements from FHIR R4 in FHIR R5
0.1.0 - STU
Extensions for Using Data Elements from FHIR R4 in FHIR R5
0.1.0 - STU
Extensions for Using Data Elements from FHIR R4 in FHIR R5 - 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="R4-QuestionnaireResponse-element-map-to-R5"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap R4-QuestionnaireResponse-element-map-to-R5</b></p><a name="R4-QuestionnaireResponse-element-map-to-R5"> </a><a name="hcR4-QuestionnaireResponse-element-map-to-R5"> </a><p>Mapping from http://hl7.org/fhir/4.0 to http://hl7.org/fhir/5.0</p><br/><p><b>Group 1 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1</code> to <a href="http://hl7.org/fhir/R5/questionnaireresponse.html">QuestionnaireResponseversion: 5.0.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>QuestionnaireResponse.meta (meta)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>QuestionnaireResponse.meta</td><td>Element `QuestionnaireResponse.meta` is mapped to FHIR R5 element `QuestionnaireResponse.meta` as `Equivalent`.</td></tr><tr><td>QuestionnaireResponse.implicitRules (implicitRules)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>QuestionnaireResponse.implicitRules</td><td>Element `QuestionnaireResponse.implicitRules` is mapped to FHIR R5 element `QuestionnaireResponse.implicitRules` as `Equivalent`.
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.</td></tr><tr><td>QuestionnaireResponse.language (language)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>QuestionnaireResponse.language</td><td>Element `QuestionnaireResponse.language` is mapped to FHIR R5 element `QuestionnaireResponse.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>QuestionnaireResponse.text (text)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>QuestionnaireResponse.text</td><td>Element `QuestionnaireResponse.text` is mapped to FHIR R5 element `QuestionnaireResponse.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 information is added later.</td></tr><tr><td>QuestionnaireResponse.contained (contained)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>QuestionnaireResponse.contained</td><td>Element `QuestionnaireResponse.contained` is mapped to FHIR R5 element `QuestionnaireResponse.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>QuestionnaireResponse.identifier (identifier)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>QuestionnaireResponse.identifier</td><td>Element `QuestionnaireResponse.identifier` is mapped to FHIR R5 element `QuestionnaireResponse.identifier` as `SourceIsNarrowerThanTarget`.</td></tr><tr><td>QuestionnaireResponse.basedOn (basedOn)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>QuestionnaireResponse.basedOn</td><td>Element `QuestionnaireResponse.basedOn` is mapped to FHIR R5 element `QuestionnaireResponse.basedOn` as `Equivalent`.</td></tr><tr><td>QuestionnaireResponse.partOf (partOf)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>QuestionnaireResponse.partOf</td><td>Element `QuestionnaireResponse.partOf` is mapped to FHIR R5 element `QuestionnaireResponse.partOf` as `Equivalent`.
Composition of questionnaire responses will be handled by the parent questionnaire having answers that reference the child questionnaire. For relationships to referrals, and other types of requests, use basedOn.</td></tr><tr><td>QuestionnaireResponse.questionnaire (questionnaire)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>QuestionnaireResponse.questionnaire</td><td>Element `QuestionnaireResponse.questionnaire` is mapped to FHIR R5 element `QuestionnaireResponse.questionnaire` as `Equivalent`.
If a QuestionnaireResponse references a Questionnaire, then the QuestionnaireResponse structure must be consistent with the Questionnaire (i.e. questions must be organized into the same groups, nested questions must still be nested, etc.).</td></tr><tr><td>QuestionnaireResponse.status (status)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>QuestionnaireResponse.status</td><td>Element `QuestionnaireResponse.status` is mapped to FHIR R5 element `QuestionnaireResponse.status` as `Equivalent`.
This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.</td></tr><tr><td>QuestionnaireResponse.subject (subject)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>QuestionnaireResponse.subject</td><td>Element `QuestionnaireResponse.subject` is mapped to FHIR R5 element `QuestionnaireResponse.subject` as `Equivalent`.
If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types.</td></tr><tr><td>QuestionnaireResponse.encounter (encounter)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>QuestionnaireResponse.encounter</td><td>Element `QuestionnaireResponse.encounter` is mapped to FHIR R5 element `QuestionnaireResponse.encounter` as `Equivalent`.
This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. A questionnaire that was initiated during an encounter but not fully completed during the encounter would still generally be associated with the encounter.</td></tr><tr><td>QuestionnaireResponse.authored (authored)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>QuestionnaireResponse.authored</td><td>Element `QuestionnaireResponse.authored` is mapped to FHIR R5 element `QuestionnaireResponse.authored` as `Equivalent`.
May be different from the lastUpdateTime of the resource itself, because that reflects when the data was known to the server, not when the data was captured.
This element is optional to allow for systems that might not know the value, however it SHOULD be populated if possible.</td></tr><tr><td>QuestionnaireResponse.author (author)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>QuestionnaireResponse.author</td><td>Element `QuestionnaireResponse.author` is mapped to FHIR R5 element `QuestionnaireResponse.author` as `Equivalent`.
Mapping a subject's answers to multiple choice options and determining what to put in the textual answer is a matter of interpretation. Authoring by device would indicate that some portion of the questionnaire had been auto-populated.</td></tr><tr><td>QuestionnaireResponse.source (source)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>QuestionnaireResponse.source</td><td>Element `QuestionnaireResponse.source` is mapped to FHIR R5 element `QuestionnaireResponse.source` as `Equivalent`.
If not specified, no inference can be made about who provided the data.</td></tr><tr><td>QuestionnaireResponse.item (item)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>QuestionnaireResponse.item</td><td>Element `QuestionnaireResponse.item` is mapped to FHIR R5 element `QuestionnaireResponse.item` as `Equivalent`.
Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).</td></tr><tr><td>QuestionnaireResponse.item.linkId (linkId)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>QuestionnaireResponse.item.linkId</td><td>Element `QuestionnaireResponse.item.linkId` is mapped to FHIR R5 element `QuestionnaireResponse.item.linkId` as `Equivalent`.</td></tr><tr><td>QuestionnaireResponse.item.definition (definition)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>QuestionnaireResponse.item.definition</td><td>Element `QuestionnaireResponse.item.definition` is mapped to FHIR R5 element `QuestionnaireResponse.item.definition` as `Equivalent`.
The ElementDefinition must be in a [StructureDefinition](https://hl7.org/fhir/s.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].
There is no need for this element if the item pointed to by the linkId has a definition listed.</td></tr><tr><td>QuestionnaireResponse.item.text (text)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>QuestionnaireResponse.item.text</td><td>Element `QuestionnaireResponse.item.text` is mapped to FHIR R5 element `QuestionnaireResponse.item.text` as `Equivalent`.</td></tr><tr><td>QuestionnaireResponse.item.answer (answer)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#source-is-broader-than-target" title="source-is-broader-than-target">is broader than</a></td><td>QuestionnaireResponse.item.answer</td><td>Element `QuestionnaireResponse.item.answer` is mapped to FHIR R5 element `QuestionnaireResponse.item.answer` as `Equivalent`.
The value is nested because we cannot have a repeating structure that has variable type.</td></tr><tr><td>QuestionnaireResponse.item.answer.value[x] (value[x])</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>QuestionnaireResponse.item.answer.value[x]</td><td>Element `QuestionnaireResponse.item.answer.value[x]` is mapped to FHIR R5 element `QuestionnaireResponse.item.answer.value[x]` as `RelatedTo`.
The target context `QuestionnaireResponse.item.answer.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `QuestionnaireResponse.item.answer`.
More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.</td></tr><tr><td>QuestionnaireResponse.item.answer.item (item)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>QuestionnaireResponse.item.answer.item</td><td>Element `QuestionnaireResponse.item.answer.item` is mapped to FHIR R5 element `QuestionnaireResponse.item.answer.item` as `Equivalent`.</td></tr><tr><td>QuestionnaireResponse.item.item (item)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>QuestionnaireResponse.item.item</td><td>Element `QuestionnaireResponse.item.item` is mapped to FHIR R5 element `QuestionnaireResponse.item.item` as `Equivalent`.</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-r4.r5"/>
</extension>
</valueInteger>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="trial-use">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r5"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/uv/xver/ConceptMap/R4-QuestionnaireResponse-element-map-to-R5"/>
<version value="0.1.0"/>
<name value="R4QuestionnaireResponseElementMapToR5"/>
<title
value="Cross-version mapping for FHIR R4 QuestionnaireResponse to FHIR R5 QuestionnaireResponse"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-03-17T16:04:37.2990968-05:00"/>
<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 R4 QuestionnaireResponse to FHIR R5."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<sourceScopeCanonical value="http://hl7.org/fhir/4.0"/>
<targetScopeUri value="http://hl7.org/fhir/5.0"/>
<group>
<source
value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1"/>
<target
value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|5.0.0"/>
<element>
<code value="QuestionnaireResponse.meta"/>
<display value="meta"/>
<target>
<code value="QuestionnaireResponse.meta"/>
<display value="QuestionnaireResponse.meta"/>
<relationship value="equivalent"/>
<comment
value="Element `QuestionnaireResponse.meta` is mapped to FHIR R5 element `QuestionnaireResponse.meta` as `Equivalent`."/>
</target>
</element>
<element>
<code value="QuestionnaireResponse.implicitRules"/>
<display value="implicitRules"/>
<target>
<code value="QuestionnaireResponse.implicitRules"/>
<display value="QuestionnaireResponse.implicitRules"/>
<relationship value="equivalent"/>
<comment
value="Element `QuestionnaireResponse.implicitRules` is mapped to FHIR R5 element `QuestionnaireResponse.implicitRules` as `Equivalent`.
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."/>
</target>
</element>
<element>
<code value="QuestionnaireResponse.language"/>
<display value="language"/>
<target>
<code value="QuestionnaireResponse.language"/>
<display value="QuestionnaireResponse.language"/>
<relationship value="equivalent"/>
<comment
value="Element `QuestionnaireResponse.language` is mapped to FHIR R5 element `QuestionnaireResponse.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="QuestionnaireResponse.text"/>
<display value="text"/>
<target>
<code value="QuestionnaireResponse.text"/>
<display value="QuestionnaireResponse.text"/>
<relationship value="equivalent"/>
<comment
value="Element `QuestionnaireResponse.text` is mapped to FHIR R5 element `QuestionnaireResponse.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 information is added later."/>
</target>
</element>
<element>
<code value="QuestionnaireResponse.contained"/>
<display value="contained"/>
<target>
<code value="QuestionnaireResponse.contained"/>
<display value="QuestionnaireResponse.contained"/>
<relationship value="equivalent"/>
<comment
value="Element `QuestionnaireResponse.contained` is mapped to FHIR R5 element `QuestionnaireResponse.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="QuestionnaireResponse.identifier"/>
<display value="identifier"/>
<target>
<code value="QuestionnaireResponse.identifier"/>
<display value="QuestionnaireResponse.identifier"/>
<relationship value="equivalent"/>
<comment
value="Element `QuestionnaireResponse.identifier` is mapped to FHIR R5 element `QuestionnaireResponse.identifier` as `SourceIsNarrowerThanTarget`."/>
</target>
</element>
<element>
<code value="QuestionnaireResponse.basedOn"/>
<display value="basedOn"/>
<target>
<code value="QuestionnaireResponse.basedOn"/>
<display value="QuestionnaireResponse.basedOn"/>
<relationship value="equivalent"/>
<comment
value="Element `QuestionnaireResponse.basedOn` is mapped to FHIR R5 element `QuestionnaireResponse.basedOn` as `Equivalent`."/>
</target>
</element>
<element>
<code value="QuestionnaireResponse.partOf"/>
<display value="partOf"/>
<target>
<code value="QuestionnaireResponse.partOf"/>
<display value="QuestionnaireResponse.partOf"/>
<relationship value="equivalent"/>
<comment
value="Element `QuestionnaireResponse.partOf` is mapped to FHIR R5 element `QuestionnaireResponse.partOf` as `Equivalent`.
Composition of questionnaire responses will be handled by the parent questionnaire having answers that reference the child questionnaire. For relationships to referrals, and other types of requests, use basedOn."/>
</target>
</element>
<element>
<code value="QuestionnaireResponse.questionnaire"/>
<display value="questionnaire"/>
<target>
<code value="QuestionnaireResponse.questionnaire"/>
<display value="QuestionnaireResponse.questionnaire"/>
<relationship value="equivalent"/>
<comment
value="Element `QuestionnaireResponse.questionnaire` is mapped to FHIR R5 element `QuestionnaireResponse.questionnaire` as `Equivalent`.
If a QuestionnaireResponse references a Questionnaire, then the QuestionnaireResponse structure must be consistent with the Questionnaire (i.e. questions must be organized into the same groups, nested questions must still be nested, etc.)."/>
</target>
</element>
<element>
<code value="QuestionnaireResponse.status"/>
<display value="status"/>
<target>
<code value="QuestionnaireResponse.status"/>
<display value="QuestionnaireResponse.status"/>
<relationship value="equivalent"/>
<comment
value="Element `QuestionnaireResponse.status` is mapped to FHIR R5 element `QuestionnaireResponse.status` as `Equivalent`.
This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."/>
</target>
</element>
<element>
<code value="QuestionnaireResponse.subject"/>
<display value="subject"/>
<target>
<code value="QuestionnaireResponse.subject"/>
<display value="QuestionnaireResponse.subject"/>
<relationship value="equivalent"/>
<comment
value="Element `QuestionnaireResponse.subject` is mapped to FHIR R5 element `QuestionnaireResponse.subject` as `Equivalent`.
If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types."/>
</target>
</element>
<element>
<code value="QuestionnaireResponse.encounter"/>
<display value="encounter"/>
<target>
<code value="QuestionnaireResponse.encounter"/>
<display value="QuestionnaireResponse.encounter"/>
<relationship value="equivalent"/>
<comment
value="Element `QuestionnaireResponse.encounter` is mapped to FHIR R5 element `QuestionnaireResponse.encounter` as `Equivalent`.
This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. A questionnaire that was initiated during an encounter but not fully completed during the encounter would still generally be associated with the encounter."/>
</target>
</element>
<element>
<code value="QuestionnaireResponse.authored"/>
<display value="authored"/>
<target>
<code value="QuestionnaireResponse.authored"/>
<display value="QuestionnaireResponse.authored"/>
<relationship value="equivalent"/>
<comment
value="Element `QuestionnaireResponse.authored` is mapped to FHIR R5 element `QuestionnaireResponse.authored` as `Equivalent`.
May be different from the lastUpdateTime of the resource itself, because that reflects when the data was known to the server, not when the data was captured.
This element is optional to allow for systems that might not know the value, however it SHOULD be populated if possible."/>
</target>
</element>
<element>
<code value="QuestionnaireResponse.author"/>
<display value="author"/>
<target>
<code value="QuestionnaireResponse.author"/>
<display value="QuestionnaireResponse.author"/>
<relationship value="equivalent"/>
<comment
value="Element `QuestionnaireResponse.author` is mapped to FHIR R5 element `QuestionnaireResponse.author` as `Equivalent`.
Mapping a subject's answers to multiple choice options and determining what to put in the textual answer is a matter of interpretation. Authoring by device would indicate that some portion of the questionnaire had been auto-populated."/>
</target>
</element>
<element>
<code value="QuestionnaireResponse.source"/>
<display value="source"/>
<target>
<code value="QuestionnaireResponse.source"/>
<display value="QuestionnaireResponse.source"/>
<relationship value="equivalent"/>
<comment
value="Element `QuestionnaireResponse.source` is mapped to FHIR R5 element `QuestionnaireResponse.source` as `Equivalent`.
If not specified, no inference can be made about who provided the data."/>
</target>
</element>
<element>
<code value="QuestionnaireResponse.item"/>
<display value="item"/>
<target>
<code value="QuestionnaireResponse.item"/>
<display value="QuestionnaireResponse.item"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `QuestionnaireResponse.item` is mapped to FHIR R5 element `QuestionnaireResponse.item` as `Equivalent`.
Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer)."/>
</target>
</element>
<element>
<code value="QuestionnaireResponse.item.linkId"/>
<display value="linkId"/>
<target>
<code value="QuestionnaireResponse.item.linkId"/>
<display value="QuestionnaireResponse.item.linkId"/>
<relationship value="equivalent"/>
<comment
value="Element `QuestionnaireResponse.item.linkId` is mapped to FHIR R5 element `QuestionnaireResponse.item.linkId` as `Equivalent`."/>
</target>
</element>
<element>
<code value="QuestionnaireResponse.item.definition"/>
<display value="definition"/>
<target>
<code value="QuestionnaireResponse.item.definition"/>
<display value="QuestionnaireResponse.item.definition"/>
<relationship value="equivalent"/>
<comment
value="Element `QuestionnaireResponse.item.definition` is mapped to FHIR R5 element `QuestionnaireResponse.item.definition` as `Equivalent`.
The ElementDefinition must be in a [StructureDefinition](https://hl7.org/fhir/s.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].
There is no need for this element if the item pointed to by the linkId has a definition listed."/>
</target>
</element>
<element>
<code value="QuestionnaireResponse.item.text"/>
<display value="text"/>
<target>
<code value="QuestionnaireResponse.item.text"/>
<display value="QuestionnaireResponse.item.text"/>
<relationship value="equivalent"/>
<comment
value="Element `QuestionnaireResponse.item.text` is mapped to FHIR R5 element `QuestionnaireResponse.item.text` as `Equivalent`."/>
</target>
</element>
<element>
<code value="QuestionnaireResponse.item.answer"/>
<display value="answer"/>
<target>
<code value="QuestionnaireResponse.item.answer"/>
<display value="QuestionnaireResponse.item.answer"/>
<relationship value="source-is-broader-than-target"/>
<comment
value="Element `QuestionnaireResponse.item.answer` is mapped to FHIR R5 element `QuestionnaireResponse.item.answer` as `Equivalent`.
The value is nested because we cannot have a repeating structure that has variable type."/>
</target>
</element>
<element>
<code value="QuestionnaireResponse.item.answer.value[x]"/>
<display value="value[x]"/>
<target>
<code value="QuestionnaireResponse.item.answer.value[x]"/>
<display value="QuestionnaireResponse.item.answer.value[x]"/>
<relationship value="equivalent"/>
<comment
value="Element `QuestionnaireResponse.item.answer.value[x]` is mapped to FHIR R5 element `QuestionnaireResponse.item.answer.value[x]` as `RelatedTo`.
The target context `QuestionnaireResponse.item.answer.value[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `QuestionnaireResponse.item.answer`.
More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire."/>
</target>
</element>
<element>
<code value="QuestionnaireResponse.item.answer.item"/>
<display value="item"/>
<target>
<code value="QuestionnaireResponse.item.answer.item"/>
<display value="QuestionnaireResponse.item.answer.item"/>
<relationship value="equivalent"/>
<comment
value="Element `QuestionnaireResponse.item.answer.item` is mapped to FHIR R5 element `QuestionnaireResponse.item.answer.item` as `Equivalent`."/>
</target>
</element>
<element>
<code value="QuestionnaireResponse.item.item"/>
<display value="item"/>
<target>
<code value="QuestionnaireResponse.item.item"/>
<display value="QuestionnaireResponse.item.item"/>
<relationship value="equivalent"/>
<comment
value="Element `QuestionnaireResponse.item.item` is mapped to FHIR R5 element `QuestionnaireResponse.item.item` as `Equivalent`."/>
</target>
</element>
</group>
</ConceptMap>
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r4.r5#0.1.0 based on FHIR 5.0.0. Generated 2026-03-20
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