Extensions for Using Data Elements from FHIR R4B in FHIR R4
0.1.0 - STU
Extensions for Using Data Elements from FHIR R4B in FHIR R4
0.1.0 - STU
Extensions for Using Data Elements from FHIR R4B in FHIR R4 - Downloaded Version null See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 0 |
{
"resourceType" : "ConceptMap",
"id" : "R4B-QuestionnaireResponse-element-map-to-R4",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap R4B-QuestionnaireResponse-element-map-to-R4</b></p><a name=\"R4B-QuestionnaireResponse-element-map-to-R4\"> </a><a name=\"hcR4B-QuestionnaireResponse-element-map-to-R4\"> </a><p>Mapping from http://hl7.org/fhir/4.3 to http://hl7.org/fhir/4.0</p><br/><p><b>Group 1 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.3.0</code> to <a href=\"http://hl7.org/fhir/R4/questionnaireresponse.html\">QuestionnaireResponseversion: 4.0.1)</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 R4 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 R4 element `QuestionnaireResponse.implicitRules` as `Equivalent`.\nAsserting 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 R4 element `QuestionnaireResponse.language` as `Equivalent`.\nLanguage 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 R4 element `QuestionnaireResponse.text` as `Equivalent`.\nContained 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 R4 element `QuestionnaireResponse.contained` as `Equivalent`.\nThis 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 R4 element `QuestionnaireResponse.identifier` as `Equivalent`.</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 R4 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 R4 element `QuestionnaireResponse.partOf` as `Equivalent`.\nComposition 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 R4 element `QuestionnaireResponse.questionnaire` as `Equivalent`.\nIf 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 R4 element `QuestionnaireResponse.status` as `Equivalent`.\nThis 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 R4 element `QuestionnaireResponse.subject` as `Equivalent`.\nIf 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 R4 element `QuestionnaireResponse.encounter` as `Equivalent`.\nThis 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 R4 element `QuestionnaireResponse.authored` as `Equivalent`.\nMay 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.\n\nThis 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 R4 element `QuestionnaireResponse.author` as `Equivalent`.\nMapping 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 R4 element `QuestionnaireResponse.source` as `Equivalent`.\nIf 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#wider\" title=\"wider\">maps to wider concept</a></td><td>QuestionnaireResponse.item</td><td>Element `QuestionnaireResponse.item` is mapped to FHIR R4 element `QuestionnaireResponse.item` as `Equivalent`.\nGroups 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 R4 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 R4 element `QuestionnaireResponse.item.definition` as `Equivalent`.\nThe 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].\n\nThere 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 R4 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#wider\" title=\"wider\">maps to wider concept</a></td><td>QuestionnaireResponse.item.answer</td><td>Element `QuestionnaireResponse.item.answer` is mapped to FHIR R4 element `QuestionnaireResponse.item.answer` as `Equivalent`.\nThe 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 R4 element `QuestionnaireResponse.item.answer.value[x]` as `RelatedTo`.\nThe 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`.\nMore 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 R4 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 R4 element `QuestionnaireResponse.item.item` as `Equivalent`.</td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "fhir"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 0,
"_valueInteger" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r4"
}
]
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "trial-use",
"_valueCode" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r4"
}
]
}
}
],
"url" : "http://hl7.org/fhir/uv/xver/ConceptMap/R4B-QuestionnaireResponse-element-map-to-R4",
"version" : "0.1.0",
"name" : "R4BQuestionnaireResponseElementMapToR4",
"title" : "Cross-version mapping for FHIR R4B QuestionnaireResponse to FHIR R4 QuestionnaireResponse",
"status" : "active",
"experimental" : false,
"date" : "2026-03-17T16:03:47.9360528-05:00",
"contact" : [
{
"name" : "FHIR Infrastructure",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/fiwg"
}
]
}
],
"description" : "This ConceptMap represents cross-version mappings for elements from a FHIR R4B QuestionnaireResponse to FHIR R4.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001",
"display" : "World"
}
]
}
],
"sourceCanonical" : "http://hl7.org/fhir/4.3",
"targetUri" : "http://hl7.org/fhir/4.0",
"group" : [
{
"source" : "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
"sourceVersion" : "4.3.0",
"target" : "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
"targetVersion" : "4.0.1",
"element" : [
{
"code" : "QuestionnaireResponse.meta",
"display" : "meta",
"target" : [
{
"code" : "QuestionnaireResponse.meta",
"display" : "QuestionnaireResponse.meta",
"equivalence" : "equivalent",
"comment" : "Element `QuestionnaireResponse.meta` is mapped to FHIR R4 element `QuestionnaireResponse.meta` as `Equivalent`."
}
]
},
{
"code" : "QuestionnaireResponse.implicitRules",
"display" : "implicitRules",
"target" : [
{
"code" : "QuestionnaireResponse.implicitRules",
"display" : "QuestionnaireResponse.implicitRules",
"equivalence" : "equivalent",
"comment" : "Element `QuestionnaireResponse.implicitRules` is mapped to FHIR R4 element `QuestionnaireResponse.implicitRules` as `Equivalent`.\nAsserting 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."
}
]
},
{
"code" : "QuestionnaireResponse.language",
"display" : "language",
"target" : [
{
"code" : "QuestionnaireResponse.language",
"display" : "QuestionnaireResponse.language",
"equivalence" : "equivalent",
"comment" : "Element `QuestionnaireResponse.language` is mapped to FHIR R4 element `QuestionnaireResponse.language` as `Equivalent`.\nLanguage 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)."
}
]
},
{
"code" : "QuestionnaireResponse.text",
"display" : "text",
"target" : [
{
"code" : "QuestionnaireResponse.text",
"display" : "QuestionnaireResponse.text",
"equivalence" : "equivalent",
"comment" : "Element `QuestionnaireResponse.text` is mapped to FHIR R4 element `QuestionnaireResponse.text` as `Equivalent`.\nContained 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."
}
]
},
{
"code" : "QuestionnaireResponse.contained",
"display" : "contained",
"target" : [
{
"code" : "QuestionnaireResponse.contained",
"display" : "QuestionnaireResponse.contained",
"equivalence" : "equivalent",
"comment" : "Element `QuestionnaireResponse.contained` is mapped to FHIR R4 element `QuestionnaireResponse.contained` as `Equivalent`.\nThis 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."
}
]
},
{
"code" : "QuestionnaireResponse.identifier",
"display" : "identifier",
"target" : [
{
"code" : "QuestionnaireResponse.identifier",
"display" : "QuestionnaireResponse.identifier",
"equivalence" : "equivalent",
"comment" : "Element `QuestionnaireResponse.identifier` is mapped to FHIR R4 element `QuestionnaireResponse.identifier` as `Equivalent`."
}
]
},
{
"code" : "QuestionnaireResponse.basedOn",
"display" : "basedOn",
"target" : [
{
"code" : "QuestionnaireResponse.basedOn",
"display" : "QuestionnaireResponse.basedOn",
"equivalence" : "equivalent",
"comment" : "Element `QuestionnaireResponse.basedOn` is mapped to FHIR R4 element `QuestionnaireResponse.basedOn` as `Equivalent`."
}
]
},
{
"code" : "QuestionnaireResponse.partOf",
"display" : "partOf",
"target" : [
{
"code" : "QuestionnaireResponse.partOf",
"display" : "QuestionnaireResponse.partOf",
"equivalence" : "equivalent",
"comment" : "Element `QuestionnaireResponse.partOf` is mapped to FHIR R4 element `QuestionnaireResponse.partOf` as `Equivalent`.\nComposition 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."
}
]
},
{
"code" : "QuestionnaireResponse.questionnaire",
"display" : "questionnaire",
"target" : [
{
"code" : "QuestionnaireResponse.questionnaire",
"display" : "QuestionnaireResponse.questionnaire",
"equivalence" : "equivalent",
"comment" : "Element `QuestionnaireResponse.questionnaire` is mapped to FHIR R4 element `QuestionnaireResponse.questionnaire` as `Equivalent`.\nIf 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.)."
}
]
},
{
"code" : "QuestionnaireResponse.status",
"display" : "status",
"target" : [
{
"code" : "QuestionnaireResponse.status",
"display" : "QuestionnaireResponse.status",
"equivalence" : "equivalent",
"comment" : "Element `QuestionnaireResponse.status` is mapped to FHIR R4 element `QuestionnaireResponse.status` as `Equivalent`.\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."
}
]
},
{
"code" : "QuestionnaireResponse.subject",
"display" : "subject",
"target" : [
{
"code" : "QuestionnaireResponse.subject",
"display" : "QuestionnaireResponse.subject",
"equivalence" : "equivalent",
"comment" : "Element `QuestionnaireResponse.subject` is mapped to FHIR R4 element `QuestionnaireResponse.subject` as `Equivalent`.\nIf the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types."
}
]
},
{
"code" : "QuestionnaireResponse.encounter",
"display" : "encounter",
"target" : [
{
"code" : "QuestionnaireResponse.encounter",
"display" : "QuestionnaireResponse.encounter",
"equivalence" : "equivalent",
"comment" : "Element `QuestionnaireResponse.encounter` is mapped to FHIR R4 element `QuestionnaireResponse.encounter` as `Equivalent`.\nThis 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."
}
]
},
{
"code" : "QuestionnaireResponse.authored",
"display" : "authored",
"target" : [
{
"code" : "QuestionnaireResponse.authored",
"display" : "QuestionnaireResponse.authored",
"equivalence" : "equivalent",
"comment" : "Element `QuestionnaireResponse.authored` is mapped to FHIR R4 element `QuestionnaireResponse.authored` as `Equivalent`.\nMay 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.\n\nThis element is optional to allow for systems that might not know the value, however it SHOULD be populated if possible."
}
]
},
{
"code" : "QuestionnaireResponse.author",
"display" : "author",
"target" : [
{
"code" : "QuestionnaireResponse.author",
"display" : "QuestionnaireResponse.author",
"equivalence" : "equivalent",
"comment" : "Element `QuestionnaireResponse.author` is mapped to FHIR R4 element `QuestionnaireResponse.author` as `Equivalent`.\nMapping 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."
}
]
},
{
"code" : "QuestionnaireResponse.source",
"display" : "source",
"target" : [
{
"code" : "QuestionnaireResponse.source",
"display" : "QuestionnaireResponse.source",
"equivalence" : "equivalent",
"comment" : "Element `QuestionnaireResponse.source` is mapped to FHIR R4 element `QuestionnaireResponse.source` as `Equivalent`.\nIf not specified, no inference can be made about who provided the data."
}
]
},
{
"code" : "QuestionnaireResponse.item",
"display" : "item",
"target" : [
{
"code" : "QuestionnaireResponse.item",
"display" : "QuestionnaireResponse.item",
"equivalence" : "wider",
"comment" : "Element `QuestionnaireResponse.item` is mapped to FHIR R4 element `QuestionnaireResponse.item` as `Equivalent`.\nGroups 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)."
}
]
},
{
"code" : "QuestionnaireResponse.item.linkId",
"display" : "linkId",
"target" : [
{
"code" : "QuestionnaireResponse.item.linkId",
"display" : "QuestionnaireResponse.item.linkId",
"equivalence" : "equivalent",
"comment" : "Element `QuestionnaireResponse.item.linkId` is mapped to FHIR R4 element `QuestionnaireResponse.item.linkId` as `Equivalent`."
}
]
},
{
"code" : "QuestionnaireResponse.item.definition",
"display" : "definition",
"target" : [
{
"code" : "QuestionnaireResponse.item.definition",
"display" : "QuestionnaireResponse.item.definition",
"equivalence" : "equivalent",
"comment" : "Element `QuestionnaireResponse.item.definition` is mapped to FHIR R4 element `QuestionnaireResponse.item.definition` as `Equivalent`.\nThe 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].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed."
}
]
},
{
"code" : "QuestionnaireResponse.item.text",
"display" : "text",
"target" : [
{
"code" : "QuestionnaireResponse.item.text",
"display" : "QuestionnaireResponse.item.text",
"equivalence" : "equivalent",
"comment" : "Element `QuestionnaireResponse.item.text` is mapped to FHIR R4 element `QuestionnaireResponse.item.text` as `Equivalent`."
}
]
},
{
"code" : "QuestionnaireResponse.item.answer",
"display" : "answer",
"target" : [
{
"code" : "QuestionnaireResponse.item.answer",
"display" : "QuestionnaireResponse.item.answer",
"equivalence" : "wider",
"comment" : "Element `QuestionnaireResponse.item.answer` is mapped to FHIR R4 element `QuestionnaireResponse.item.answer` as `Equivalent`.\nThe value is nested because we cannot have a repeating structure that has variable type."
}
]
},
{
"code" : "QuestionnaireResponse.item.answer.value[x]",
"display" : "value[x]",
"target" : [
{
"code" : "QuestionnaireResponse.item.answer.value[x]",
"display" : "QuestionnaireResponse.item.answer.value[x]",
"equivalence" : "equivalent",
"comment" : "Element `QuestionnaireResponse.item.answer.value[x]` is mapped to FHIR R4 element `QuestionnaireResponse.item.answer.value[x]` as `RelatedTo`.\nThe 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`.\nMore 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."
}
]
},
{
"code" : "QuestionnaireResponse.item.answer.item",
"display" : "item",
"target" : [
{
"code" : "QuestionnaireResponse.item.answer.item",
"display" : "QuestionnaireResponse.item.answer.item",
"equivalence" : "equivalent",
"comment" : "Element `QuestionnaireResponse.item.answer.item` is mapped to FHIR R4 element `QuestionnaireResponse.item.answer.item` as `Equivalent`."
}
]
},
{
"code" : "QuestionnaireResponse.item.item",
"display" : "item",
"target" : [
{
"code" : "QuestionnaireResponse.item.item",
"display" : "QuestionnaireResponse.item.item",
"equivalence" : "equivalent",
"comment" : "Element `QuestionnaireResponse.item.item` is mapped to FHIR R4 element `QuestionnaireResponse.item.item` as `Equivalent`."
}
]
}
]
}
]
}
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r4b.r4#0.1.0 based on FHIR 4.0.1. Generated 2026-03-20
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