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Source1

{
  "resourceType": "ConceptMap",
  "id": "R2-Questionnaire-element-map-to-R4",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "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-r2.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-r2.r4"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ConceptMap/R2-Questionnaire-element-map-to-R4",
  "version": "0.1.0",
  "name": "R2QuestionnaireElementMapToR4",
  "title": "Cross-version mapping for FHIR DSTU2 Questionnaire to FHIR R4 Questionnaire",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:04:02.457828-05:00",
  "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 DSTU2 Questionnaire to FHIR R4.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "sourceCanonical": "http://hl7.org/fhir/1.0",
  "targetUri": "http://hl7.org/fhir/4.0",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Questionnaire",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/StructureDefinition/Questionnaire",
      "targetVersion": "4.0.1",
      "element": [
        {
          "code": "Questionnaire.meta",
          "display": "meta",
          "target": [
            {
              "code": "Questionnaire.meta",
              "display": "Questionnaire.meta",
              "equivalence": "wider",
              "comment": "Element `Questionnaire.meta` is mapped to FHIR R4 element `Questionnaire.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `Questionnaire.meta` do not cover the following types: Meta.\nThe mappings for `Questionnaire.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        },
        {
          "code": "Questionnaire.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "code": "Questionnaire.implicitRules",
              "display": "Questionnaire.implicitRules",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.implicitRules` is mapped to FHIR R4 element `Questionnaire.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 as much as possible."
            }
          ]
        },
        {
          "code": "Questionnaire.language",
          "display": "language",
          "target": [
            {
              "code": "Questionnaire.language",
              "display": "Questionnaire.language",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.language` is mapped to FHIR R4 element `Questionnaire.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": "Questionnaire.text",
          "display": "text",
          "target": [
            {
              "code": "Questionnaire.text",
              "display": "Questionnaire.text",
              "equivalence": "wider",
              "comment": "Element `Questionnaire.text` is mapped to FHIR R4 element `Questionnaire.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `Questionnaire.text` do not cover the following types: Narrative.\nThe mappings for `Questionnaire.text` do not cover the following types based on type expansion: div, status.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative."
            }
          ]
        },
        {
          "code": "Questionnaire.contained",
          "display": "contained",
          "target": [
            {
              "code": "Questionnaire.contained",
              "display": "Questionnaire.contained",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.contained` is mapped to FHIR R4 element `Questionnaire.contained` as `SourceIsBroaderThanTarget`.\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."
            }
          ]
        },
        {
          "code": "Questionnaire.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "Questionnaire.identifier",
              "display": "Questionnaire.identifier",
              "equivalence": "wider",
              "comment": "Element `Questionnaire.identifier` is mapped to FHIR R4 element `Questionnaire.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `Questionnaire.identifier` do not cover the following types: Identifier.\nThe mappings for `Questionnaire.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        },
        {
          "code": "Questionnaire.version",
          "display": "version",
          "target": [
            {
              "code": "Questionnaire.version",
              "display": "Questionnaire.version",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.version` is mapped to FHIR R4 element `Questionnaire.version` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Questionnaire.status",
          "display": "status",
          "target": [
            {
              "code": "Questionnaire.status",
              "display": "Questionnaire.status",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.status` is mapped to FHIR R4 element `Questionnaire.status` as `SourceIsNarrowerThanTarget`.\nThe mappings for `Questionnaire.status` do not allow expression of the necessary codes, per the bindings on the source and target."
            }
          ]
        },
        {
          "code": "Questionnaire.date",
          "display": "date",
          "target": [
            {
              "code": "Questionnaire.date",
              "display": "Questionnaire.date",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.date` is mapped to FHIR R4 element `Questionnaire.date` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Questionnaire.publisher",
          "display": "publisher",
          "target": [
            {
              "code": "Questionnaire.publisher",
              "display": "Questionnaire.publisher",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.publisher` is mapped to FHIR R4 element `Questionnaire.publisher` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Questionnaire.telecom",
          "display": "telecom",
          "target": [
            {
              "code": "Questionnaire.contact",
              "display": "Questionnaire.contact",
              "equivalence": "relatedto",
              "comment": "Element `Questionnaire.telecom` is mapped to FHIR R4 element `Questionnaire.contact` as `SourceIsBroaderThanTarget`.\nThe mappings for `Questionnaire.telecom` do not cover the following types: ContactPoint.\nThe mappings for `Questionnaire.telecom` do not cover the following types based on type expansion: period, rank, system, use, value."
            }
          ]
        },
        {
          "code": "Questionnaire.subjectType",
          "display": "subjectType",
          "target": [
            {
              "code": "Questionnaire.subjectType",
              "display": "Questionnaire.subjectType",
              "equivalence": "wider",
              "comment": "Element `Questionnaire.subjectType` is mapped to FHIR R4 element `Questionnaire.subjectType` as `RelatedTo`.\nThe mappings for `Questionnaire.subjectType` do not allow expression of the necessary codes, per the bindings on the source and target.\nIf none are specified, then the subject is unlimited."
            }
          ]
        },
        {
          "code": "Questionnaire.group",
          "display": "group",
          "target": [
            {
              "code": "Questionnaire.item",
              "display": "Questionnaire.item",
              "equivalence": "relatedto",
              "comment": "Element `Questionnaire.group` is mapped to FHIR R4 element `Questionnaire.item` as `SourceIsNarrowerThanTarget`.\nThe Questionnaire itself has one \"root\" group with the actual contents of the Questionnaire.  Information on this root group applies to the questionnaire as a whole."
            }
          ]
        },
        {
          "code": "Questionnaire.group.linkId",
          "display": "linkId",
          "target": [
            {
              "code": "Questionnaire.item.linkId",
              "display": "Questionnaire.item.linkId",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.group.linkId` is mapped to FHIR R4 element `Questionnaire.item.linkId` as `Equivalent`.\nMay be omitted if there is no expectation to link answers back to a questionnaire.  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."
            }
          ]
        },
        {
          "code": "Questionnaire.group.concept",
          "display": "concept",
          "target": [
            {
              "code": "Questionnaire.item.code",
              "display": "Questionnaire.item.code",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.group.concept` is mapped to FHIR R4 element `Questionnaire.item.code` as `Equivalent`.\nThe code(s) for the \"root\" group apply to the questionnaire as a whole."
            }
          ]
        },
        {
          "code": "Questionnaire.group.text",
          "display": "text",
          "target": [
            {
              "code": "Questionnaire.item.item",
              "display": "Questionnaire.item.item",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.group.text` is mapped to FHIR R4 element `Questionnaire.item.text` as `Equivalent`.\nElement `Questionnaire.group.text` is mapped to FHIR R4 element `Questionnaire.item.item` as `SourceIsNarrowerThanTarget`.\nCommon extensions are defined for more specialized types of display text."
            },
            {
              "code": "Questionnaire.item.text",
              "display": "Questionnaire.item.text",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.group.text` is mapped to FHIR R4 element `Questionnaire.item.text` as `Equivalent`.\nElement `Questionnaire.group.text` is mapped to FHIR R4 element `Questionnaire.item.item` as `SourceIsNarrowerThanTarget`.\nCommon extensions are defined for more specialized types of display text."
            }
          ]
        },
        {
          "code": "Questionnaire.group.required",
          "display": "required",
          "target": [
            {
              "code": "Questionnaire.item.required",
              "display": "Questionnaire.item.required",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.group.required` is mapped to FHIR R4 element `Questionnaire.item.required` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Questionnaire.group.repeats",
          "display": "repeats",
          "target": [
            {
              "code": "Questionnaire.item.repeats",
              "display": "Questionnaire.item.repeats",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.group.repeats` is mapped to FHIR R4 element `Questionnaire.item.repeats` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Questionnaire.group.group",
          "display": "group",
          "target": [
            {
              "code": "Questionnaire.item.item",
              "display": "Questionnaire.item.item",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.group.group` is mapped to FHIR R4 element `Questionnaire.item.item` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Questionnaire.group.question",
          "display": "question",
          "target": [
            {
              "code": "Questionnaire.item",
              "display": "Questionnaire.item",
              "equivalence": "relatedto",
              "comment": "Element `Questionnaire.group.question` is mapped to FHIR R4 element `Questionnaire.item` as `Equivalent`.\nElement `Questionnaire.group.question` is mapped to FHIR R4 element `Questionnaire.item.item` as `Equivalent`."
            },
            {
              "code": "Questionnaire.item.item",
              "display": "Questionnaire.item.item",
              "equivalence": "relatedto",
              "comment": "Element `Questionnaire.group.question` is mapped to FHIR R4 element `Questionnaire.item` as `Equivalent`.\nElement `Questionnaire.group.question` is mapped to FHIR R4 element `Questionnaire.item.item` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Questionnaire.group.question.linkId",
          "display": "linkId",
          "target": [
            {
              "code": "Questionnaire.item.linkId",
              "display": "Questionnaire.item.linkId",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.group.question.linkId` is mapped to FHIR R4 element `Questionnaire.item.linkId` as `Equivalent`.\nMay be omitted if there is no expectation to link answers back to a questionnaire.  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."
            }
          ]
        },
        {
          "code": "Questionnaire.group.question.concept",
          "display": "concept",
          "target": [
            {
              "code": "Questionnaire.item.code",
              "display": "Questionnaire.item.code",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.group.question.concept` is mapped to FHIR R4 element `Questionnaire.item.code` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Questionnaire.group.question.text",
          "display": "text",
          "target": [
            {
              "code": "Questionnaire.item.text",
              "display": "Questionnaire.item.text",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.group.question.text` is mapped to FHIR R4 element `Questionnaire.item.text` as `Equivalent`.\nCommon extensions are defined for more specialized types of display text."
            }
          ]
        },
        {
          "code": "Questionnaire.group.question.type",
          "display": "type",
          "target": [
            {
              "code": "Questionnaire.item.type",
              "display": "Questionnaire.item.type",
              "equivalence": "narrower",
              "comment": "Element `Questionnaire.group.question.type` is mapped to FHIR R4 element `Questionnaire.item.type` as `SourceIsNarrowerThanTarget`.\nThe mappings for `Questionnaire.group.question.type` do not allow expression of the necessary codes, per the bindings on the source and target.\nAdditional constraints on the type of answer can be conveyed by extensions."
            }
          ]
        },
        {
          "code": "Questionnaire.group.question.required",
          "display": "required",
          "target": [
            {
              "code": "Questionnaire.item.required",
              "display": "Questionnaire.item.required",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.group.question.required` is mapped to FHIR R4 element `Questionnaire.item.required` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Questionnaire.group.question.repeats",
          "display": "repeats",
          "target": [
            {
              "code": "Questionnaire.item.repeats",
              "display": "Questionnaire.item.repeats",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.group.question.repeats` is mapped to FHIR R4 element `Questionnaire.item.repeats` as `Equivalent`.\nWhether the question itself will be displayed for each answer is a rendering choice typically based on whether there are nested groups."
            }
          ]
        },
        {
          "code": "Questionnaire.group.question.options",
          "display": "options",
          "target": [
            {
              "code": "Questionnaire.item.answerValueSet",
              "display": "Questionnaire.item.answerValueSet",
              "equivalence": "wider",
              "comment": "Element `Questionnaire.group.question.options` is mapped to FHIR R4 element `Questionnaire.item.answerValueSet` as `SourceIsBroaderThanTarget`.\nThe mappings for `Questionnaire.group.question.options` do not cover the following types: Reference.\nThe mappings for `Questionnaire.group.question.options` do not cover the following types based on type expansion: display, reference.\nLOINC defines many useful value sets for questionnaire response. See [LOINC Answer Lists](https://hl7.org/fhir/loinc..html#alist)."
            }
          ]
        },
        {
          "code": "Questionnaire.group.question.option",
          "display": "option",
          "target": [
            {
              "code": "Questionnaire.item.answerOption",
              "display": "Questionnaire.item.answerOption",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.group.question.option` is mapped to FHIR R4 element `Questionnaire.item.answerOption` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Questionnaire.group.question.group",
          "display": "group",
          "target": [
            {
              "code": "Questionnaire.item.item",
              "display": "Questionnaire.item.item",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.group.question.group` is mapped to FHIR R4 element `Questionnaire.item.item` as `Equivalent`."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Questionnaire",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Questionnaire.meta",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Questionnaire.meta",
          "display": "meta",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.meta` is mapped to FHIR R4 element `Questionnaire.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `Questionnaire.meta` do not cover the following types: Meta.\nThe mappings for `Questionnaire.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Questionnaire",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Questionnaire.text",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Questionnaire.text",
          "display": "text",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.text` is mapped to FHIR R4 element `Questionnaire.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `Questionnaire.text` do not cover the following types: Narrative.\nThe mappings for `Questionnaire.text` do not cover the following types based on type expansion: div, status.\nContained resources do not have narrative. Resources that are not contained SHOULD have a narrative."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Questionnaire",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Questionnaire.identifier",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Questionnaire.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.identifier` is mapped to FHIR R4 element `Questionnaire.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `Questionnaire.identifier` do not cover the following types: Identifier.\nThe mappings for `Questionnaire.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Questionnaire",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Questionnaire.telecom",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Questionnaire.telecom",
          "display": "telecom",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `Questionnaire.telecom` is mapped to FHIR R4 element `Questionnaire.contact` as `SourceIsBroaderThanTarget`.\nThe mappings for `Questionnaire.telecom` do not cover the following types: ContactPoint.\nThe mappings for `Questionnaire.telecom` do not cover the following types based on type expansion: period, rank, system, use, value."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Questionnaire",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Questionnaire.subjectType",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Questionnaire.subjectType",
          "display": "subjectType",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.subjectType` is mapped to FHIR R4 element `Questionnaire.subjectType` as `RelatedTo`.\nThe mappings for `Questionnaire.subjectType` do not allow expression of the necessary codes, per the bindings on the source and target.\nIf none are specified, then the subject is unlimited."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Questionnaire",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Questionnaire.group.title",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Questionnaire.group.title",
          "display": "title",
          "target": [
            {
              "code": "Extension",
              "equivalence": "equivalent",
              "comment": "Element `Questionnaire.group.title` has a context of Questionnaire.item based on following the parent source element upwards and mapping to `Questionnaire`.\nElement `Questionnaire.group.title` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThe title of the \"root\" group is the title for the questionnaire."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Questionnaire",
      "sourceVersion": "1.0.2",
      "target": "http://hl7.org/fhir/1.0/StructureDefinition/extension-Questionnaire.group.question.options",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Questionnaire.group.question.options",
          "display": "options",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `Questionnaire.group.question.options` is mapped to FHIR R4 element `Questionnaire.item.answerValueSet` as `SourceIsBroaderThanTarget`.\nThe mappings for `Questionnaire.group.question.options` do not cover the following types: Reference.\nThe mappings for `Questionnaire.group.question.options` do not cover the following types based on type expansion: display, reference.\nLOINC defines many useful value sets for questionnaire response. See [LOINC Answer Lists](https://hl7.org/fhir/loinc..html#alist)."
            }
          ]
        }
      ]
    }
  ]
}