diff --git a/Pipfile.lock b/Pipfile.lock
index c52d6f7..0b21746 100644
--- a/Pipfile.lock
+++ b/Pipfile.lock
@@ -44,101 +44,86 @@
         },
         "aiohttp": {
             "hashes": [
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+                "sha256:f833a80d9de9307d736b6af58c235b17ef7f90ebea7b9c49cd274dec7a66a2f1",
+                "sha256:fb0544a0e8294a5a5e20d3cacdaaa9a911d7c0a9150f5264aef36e7d8fdfa07e",
+                "sha256:ff5d22eece44528023254b595c670dfcf9733ac6af74c4b6cb4f6a784dc3870c"
             ],
             "index": "pypi",
-            "markers": "python_version >= '3.8'",
-            "version": "==3.10.10"
+            "markers": "python_version >= '3.9'",
+            "version": "==3.11.2"
         },
         "aiohttp-cors": {
             "hashes": [
@@ -304,71 +289,71 @@
                 "toml"
             ],
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@@ -381,11 +366,11 @@
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@@ -668,11 +653,11 @@
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@@ -872,112 +857,99 @@
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@@ -1450,12 +1422,12 @@
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         "jedi": {
             "hashes": [
-                "sha256:cf0496f3651bc65d7174ac1b7d043eff454892c708a87d1b683e57b569927ffd",
-                "sha256:e983c654fe5c02867aef4cdfce5a2fbb4a50adc0af145f70504238f18ef5e7e0"
+                "sha256:4770dc3de41bde3966b02eb84fbcf557fb33cce26ad23da12c742fb50ecb11f0",
+                "sha256:a8ef22bde8490f57fe5c7681a3c83cb58874daf72b4784de3cce5b6ef6edb5b9"
             ],
             "index": "pypi",
             "markers": "python_version >= '3.6'",
-            "version": "==0.19.1"
+            "version": "==0.19.2"
         },
         "json-rpc": {
             "hashes": [
@@ -1651,11 +1623,11 @@
         },
         "packaging": {
             "hashes": [
-                "sha256:026ed72c8ed3fcce5bf8950572258698927fd1dbda10a5e981cdf0ac37f4f002",
-                "sha256:5b8f2217dbdbd2f7f384c41c628544e6d52f2d0f53c6d0c3ea61aa5d1d7ff124"
+                "sha256:09abb1bccd265c01f4a3aa3f7a7db064b36514d2cba19a2f694fe6150451a759",
+                "sha256:c228a6dc5e932d346bc5739379109d49e8853dd8223571c7c5b55260edc0b97f"
             ],
             "markers": "python_version >= '3.8'",
-            "version": "==24.1"
+            "version": "==24.2"
         },
         "parso": {
             "hashes": [
@@ -1778,11 +1750,11 @@
         },
         "setuptools": {
             "hashes": [
-                "sha256:f2504966861356aa38616760c0f66568e535562374995367b4e69c7143cf6bcd",
-                "sha256:fba5dd4d766e97be1b1681d98712680ae8f2f26d7881245f2ce9e40714f1a686"
+                "sha256:5c4ccb41111392671f02bb5f8436dfc5a9a7185e80500531b133f5775c4163ef",
+                "sha256:87cb777c3b96d638ca02031192d40390e0ad97737e27b6b4fa831bea86f2f829"
             ],
-            "markers": "python_version >= '3.8'",
-            "version": "==75.3.0"
+            "markers": "python_version >= '3.9'",
+            "version": "==75.5.0"
         },
         "sexpdata": {
             "hashes": [
diff --git a/app/aidbox/operations.py b/app/aidbox/operations.py
index 04ac43f..cbc3420 100644
--- a/app/aidbox/operations.py
+++ b/app/aidbox/operations.py
@@ -2,7 +2,7 @@
 
 from aiohttp import web
 
-from app.converter import from_first_class_extension, to_first_class_extension
+from app.converter.aidbox import from_first_class_extension, to_first_class_extension
 
 from ..sdc import (
     assemble,
@@ -30,7 +30,9 @@ async def assemble_op(request: AidboxSdcRequest):
     assembled_questionnaire_lazy = await assemble(request.fhir_client, questionnaire)
     assembled_questionnaire = json.loads(json.dumps(assembled_questionnaire_lazy, default=list))
     if request.is_fhir:
-        assembled_questionnaire = from_first_class_extension(assembled_questionnaire)
+        assembled_questionnaire = await from_first_class_extension(
+            assembled_questionnaire, request.aidbox_client
+        )
     return web.json_response(assembled_questionnaire)
 
 
@@ -40,7 +42,9 @@ async def constraint_check_operation(request: AidboxSdcRequest):
     env = parameter_to_env(request.resource)
 
     questionnaire = (
-        to_first_class_extension(env["Questionnaire"]) if request.is_fhir else env["Questionnaire"]
+        await to_first_class_extension(env["Questionnaire"], request.aidbox_client)
+        if request.is_fhir
+        else env["Questionnaire"]
     )
     as_root = questionnaire.get("runOnBehalfOfRoot")
     client = client if as_root else get_user_sdk_client(request.request, request.client)
@@ -54,7 +58,9 @@ async def get_questionnaire_context_operation(request: AidboxSdcRequest):
     env = parameter_to_env(request.resource)
 
     questionnaire = (
-        to_first_class_extension(env["Questionnaire"]) if request.is_fhir else env["Questionnaire"]
+        await to_first_class_extension(env["Questionnaire"], request.aidbox_client)
+        if request.is_fhir
+        else env["Questionnaire"]
     )
     as_root = questionnaire.get("runOnBehalfOfRoot")
     client = client if as_root else get_user_sdk_client(request.request, request.client)
@@ -81,7 +87,7 @@ async def extract_questionnaire_operation(request: AidboxSdcRequest):
     elif resource["resourceType"] == "Parameters":
         env = parameter_to_env(request.resource)
         questionnaire = (
-            to_first_class_extension(env["Questionnaire"])
+            await to_first_class_extension(env["Questionnaire"], request.aidbox_client)
             if request.is_fhir
             else env["Questionnaire"]
         )
@@ -147,14 +153,18 @@ async def populate_questionnaire(request: AidboxSdcRequest):
         )
 
     questionnaire = (
-        to_first_class_extension(env["Questionnaire"]) if request.is_fhir else env["Questionnaire"]
+        await to_first_class_extension(env["Questionnaire"], request.aidbox_client)
+        if request.is_fhir
+        else env["Questionnaire"]
     )
     as_root = questionnaire.get("runOnBehalfOfRoot")
     client = request.client if as_root else get_user_sdk_client(request.request, request.client)
 
     populated_resource = await populate(client, questionnaire, env)
     if request.is_fhir:
-        populated_resource = from_first_class_extension(populated_resource)
+        populated_resource = await from_first_class_extension(
+            populated_resource, request.aidbox_client
+        )
     return web.json_response(populated_resource)
 
 
@@ -172,7 +182,9 @@ async def populate_questionnaire_instance(request: AidboxSdcRequest):
 
     populated_resource = await populate(client, questionnaire, env)
     if request.is_fhir:
-        populated_resource = from_first_class_extension(populated_resource)
+        populated_resource = await from_first_class_extension(
+            populated_resource, request.aidbox_client
+        )
     return web.json_response(populated_resource)
 
 
diff --git a/app/converter/aidbox.py b/app/converter/aidbox.py
new file mode 100644
index 0000000..f2c5258
--- /dev/null
+++ b/app/converter/aidbox.py
@@ -0,0 +1,12 @@
+async def from_first_class_extension(fce_resource, aidbox_client):
+    fhir_resource = await aidbox_client.execute(
+        "/$to-format/fhir", method="post", data=fce_resource, params=None
+    )
+    return fhir_resource.get("resource")
+
+
+async def to_first_class_extension(fhir_resource, aidbox_client):
+    fce_resource = await aidbox_client.execute(
+        "/$to-format/aidbox", method="post", data=fhir_resource, params=None
+    )
+    return fce_resource.get("resource")
diff --git a/tests/sdc/test_assemble.py b/tests/sdc/test_assemble.py
index 3ee6127..701f1ca 100644
--- a/tests/sdc/test_assemble.py
+++ b/tests/sdc/test_assemble.py
@@ -552,6 +552,14 @@ async def test_assemble_sub_questionnaire_fhir(aidbox_client, safe_db):
         "status": "active",
         "resourceType": "Questionnaire",
         "extension": [
+            {
+                "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap",
+                "valueCanonical": "StructureMap/create-another-patient",
+            },
+            {
+                "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap",
+                "valueCanonical": "StructureMap/create-patient",
+            },
             {
                 "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext",
                 "extension": [
@@ -560,23 +568,17 @@ async def test_assemble_sub_questionnaire_fhir(aidbox_client, safe_db):
                         "valueCoding": {
                             "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext",
                             "code": "LaunchPatient",
-                            "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext",
                         },
                     },
-                    {"url": "type", "valueCode": "Patient"},
+                    {
+                        "url": "type",
+                        "valueCode": "Patient",
+                    },
                 ],
             },
             {
-                "url": "https://jira.hl7.org/browse/FHIR-22356#assembledFrom",
-                "valueCanonical": q.id,
-            },
-            {
-                "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap",
-                "valueCanonical": "StructureMap/create-another-patient",
-            },
-            {
-                "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap",
-                "valueCanonical": "StructureMap/create-patient",
+                "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom",
+                 "valueCanonical": q['id']
             },
         ],
     }