| Active as of 2026-04-03 |
Definitions for the ISiKFormularDaten resource profile.
Guidance on how to interpret the contents of this table can be foundhere
| 0. QuestionnaireResponse | |
| Definition | A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to. |
| Short | A structured set of questions and their answers |
| Comments | The QuestionnaireResponse contains enough information about the questions asked and their organization that it can be interpreted somewhat independently from the Questionnaire it is based on. I.e. You don't need access to the Questionnaire in order to extract basic information from a QuestionnaireResponse. |
| Control | 0..* |
| Is Modifier | false |
| Summary | false |
| Alternate Names | Form, QuestionnaireAnswers |
| Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) sdcqr-1: Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. ( subject.exists())sdcqr-2: When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers. ( (QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()) |
| 2. QuestionnaireResponse.id | |
| Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
| Short | serverseitige, interne ID des DatensatzesLogical id of this artifact |
| Comments | bedingtes Pflichtfeld/bedingtes MS: Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
| Control | 0..1 |
| Type | idstring |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| 4. QuestionnaireResponse.implicitRules | |
| Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. |
| Short | Verweis auf die Regeln, nach denen die Ressource erstellt wurdeA set of rules under which this content was created |
| Comments | Begründung Constraint: In ISiK existiert kein Use-Case für dieses Element. Da es sich um ein Modifying Element handelt, wird es daher ausgeschlossen. Darüber hinaus werden die Regeln als URI vorgehalten. Dies führt dazu, dass sich hinter der URI eine beliebige Menge an Regeln befinden kann; wodurch nicht sichergestellt werden kann, dass alle Clients die Regeln korrekt interpretieren können. 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. |
| Control | 0..01 |
| Type | uri |
| Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 6. QuestionnaireResponse.modifierExtension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | ExtensionExtensions that cannot be ignored |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them |
| Summary | false |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on QuestionnaireResponse.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 8. QuestionnaireResponse.modifierExtension:MDR-Relevant | |
| Slice Name | MDR-Relevant |
| Definition | An Extension |
| Short | MPG-Relevanz der Formulardaten |
| Comments | Begründung MS: In dieser Extension wird angegeben, dass die Formulardaten MDR-relevant sind. Für die Erhebung und/oder Darstellung müssen ggf. bestimmte Voraussetzungen erfüllt sein. Ist die Extension nicht vorhanden, liegt keine MDR-relevanmt vor. |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | Extension(ISiKMDRRelevanzFormularExtension) (Extension Type: Coding) |
| Is Modifier | true because Ist in dieser Extension nicht der Code 'none' gesetzt, muss die Anzeige rechtlich geprüft werden, weil der FormularDefinitionErsteller eine Relevanz im Rahmen der MDR identifiziert hat. |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 10. QuestionnaireResponse.modifierExtension:MDR-Relevant.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on QuestionnaireResponse.modifierExtension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 12. QuestionnaireResponse.modifierExtension:MDR-Relevant.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | https://gematik.de/fhir/isik/StructureDefinition/ISiKMDRRelevanzFormularExtension |
| 14. QuestionnaireResponse.modifierExtension:MDR-Relevant.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Binding | Unless not suitable, these codes SHALL be taken from For codes, see ISiKMDRRelevanzFormularVS (extensible to https://gematik.de/fhir/isik/ValueSet/ISiKMDRRelevanzFormularVS) |
| Type | Coding, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 16. QuestionnaireResponse.identifier | |
| Definition | A business identifier assigned to a particular completed (or partially completed) questionnaire. |
| Short | eindeutiger Identifier der FormularDatenUnique id for this set of answers |
| Comments | Begründung MS: Ein vom FormularRenderer vergebener, eindeutiger Identifier kann von weiterverarbeitenden Systemen genutzt werden, um Dubletten zu erkennen. |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..1 |
| Type | Identifier |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | Used for tracking, registration and other business purposes. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 18. QuestionnaireResponse.questionnaire | |
| Definition | The Questionnaire that defines and organizes the questions for which answers are being provided. |
| Short | Bezug zur FormularDefinition inkl. VersionForm being answered |
| Comments | Bei der Angabe der Canonical, sollte die Version der FormularDefinition, welche bei der Erstellung die Grundlage gebildet hat, angegeben sein. Begründung MS: Der Bezug zur Formulardefinition kann für die Interpretation und Darstellung der Formulardaten relevant sein. 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.). |
| Control | 10..1 |
| Type | canonical(Questionnaire) |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Needed to allow editing of the questionnaire response in a manner that enforces the constraints of the original form. |
| Alternate Names | Form |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 20. QuestionnaireResponse.questionnaire.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 10..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on QuestionnaireResponse.questionnaire.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 22. QuestionnaireResponse.questionnaire.extension:questionnaireDisplay | |
| Slice Name | questionnaireDisplay |
| Definition | The title or other name to display when referencing a resource by canonical URL. |
| Short | Titel/Überschrift der zugrunde liegenden FormularDefinition |
| Comments | Wird für die Darstellung und Auffindbarkeit der FormularDaten benötigt. |
| Control | 1..1 |
| Type | Extension(Display Name) (Extension Type: string) |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 24. QuestionnaireResponse.status | |
| Definition | The position of the questionnaire response within its overall lifecycle. |
| Short | Statusin-progress | completed | amended | entered-in-error | stopped |
| Comments | Begründung Pflichtfeld:
Bei der Verarbeitung von FormularDaten ist es wichtig, den Status zu beachten. Falls die Instanz noch nicht This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
| Control | 1..1 |
| Binding | The codes SHALL be taken from QuestionnaireResponseStatushttp://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1 (required to http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1)Lifecycle status of the questionnaire response. |
| Type | code |
| Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | The information on Questionnaire resources may possibly be gathered during multiple sessions and altered after considered being finished. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 26. QuestionnaireResponse.subject | |
| Definition | The subject of the questionnaire response. This could be a patient, organization, practitioner, device, etc. This is who/what the answers apply to, but is not necessarily the source of information. |
| Short | Subject (Patient), über das in diesem Formular berichtet wird.The subject of the questions |
| Comments | Begründung Pflichtfeld: If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types. |
| Control | 10..1 |
| Type | Reference(Resource) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | Allows linking the answers to the individual the answers describe. May also affect access control. |
| Alternate Names | Patient, Focus |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 28. QuestionnaireResponse.subject.reference | |
| Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. |
| Short | Patienten-LinkLiteral reference, Relative, internal or absolute URL |
| Comments | Begründung MS: Die Verlinkung auf eine Patienten-Ressource dient der technischen Zuordnung der Dokumentation zu einem Patienten und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. Im ISik Kontext MUSS die referenzierte Ressource konform zu ISiKPatient sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden. Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. |
| Control | 10..1 This element is affected by the following invariants: ref-1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 30. QuestionnaireResponse.authored | |
| Definition | The date and/or time that this set of answers were last changed. |
| Short | Datum der FormularDatenDate the answers were gathered |
| Comments | Begründung Pflichtfeld: Relevant für die Suche und zeitliche Einordnung der FormularDaten 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. |
| Control | 10..1 |
| Type | dateTime |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Clinicians need to be able to check the date that the information in the questionnaire was collected, to derive the context of the answers. |
| Alternate Names | Date Created, Date published, Date Issued, Date updated |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 32. QuestionnaireResponse.author | |
| Definition | Person who received the answers to the questions in the QuestionnaireResponse and recorded them in the system. |
| Short | Ersteller des FromularsPerson who received and recorded the answers |
| Comments | Auch wenn hier keine Einschränkung vorgenommen wurde, ist zu empfehlen, hier die ausfüllende Person (Patient/Practitioner) zu referenzieren und nicht nur die Software (Device), mit der das Formular ausgefüllt wurde. Begründung MS: In den meisten Fällen ist relevant, wer Formulardaten erfasst hat. 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. |
| Control | 0..1 |
| Type | Reference(Device, Practitioner, PractitionerRole, Patient, RelatedPerson, Organization) |
| Is Modifier | false |
| Must Support | true |
| Must Support Types | No must-support rules about the choice of types/profiles |
| Summary | true |
| Requirements | Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers. |
| Alternate Names | Laboratory, Service, Practitioner, Department, Company, Performer |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 34. QuestionnaireResponse.item | |
| Definition | A group or question item from the original questionnaire for which answers are provided. |
| Short | FormularelementGroups and questions |
| Comments | Begründung MS: Es können beliebig viele Formularelemente hier abgebildet werden. 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). |
| Control | 0..* |
| Type | BackboneElement |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) qrs-1: Nested item can't be beneath both item and answer ( (answer.exists() and item.exists()).not())qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not()) |
| 36. QuestionnaireResponse.item.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 38. QuestionnaireResponse.item.linkId | |
| Definition | The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource. |
| Short | Eindeutige ID des FormularelementPointer to specific item from Questionnaire |
| Comments | Begründung Pflichtfeld: Die LinkId ordnet die Information der Antwort einer Frage in der FormularDefinition zu und ist aus dem Grund zur Interpretation der Antwort unablässig. |
| Control | 1..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | false |
| Requirements | Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 40. QuestionnaireResponse.item.text | |
| Definition | Text that is displayed above the contents of the group or as the text of the question being answered. |
| Short | Frage, die beantwortet wurdeName for group or question text |
| Comments | Begründung Pflichtfeld: |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | false |
| Requirements | Allows the questionnaire response to be read without access to the questionnaire. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 42. QuestionnaireResponse.item.answer | |
| Definition | The respondent's answer(s) to the question. |
| Short | AntwortThe response(s) to the question |
| Comments | Begründung MS: Die erfasste Antwort MUSS stets vorhanden sein. The value is nested because we cannot have a repeating structure that has variable type. |
| Control | 0..* |
| Type | BackboneElement |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 44. QuestionnaireResponse.item.answer.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 46. QuestionnaireResponse.item.answer.value[x] | |
| Definition | The answer (or one of the answers) provided by the respondent to the question. |
| Short | Inhalt der AntwortSingle-valued answer to the question |
| Comments | Begründung MS: Der Inhalt der jeweilig erfassten Antwort MUSS stehts vorhanden sein. 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. |
| Control | 0..1 |
| Binding | For example codes, see QuestionnaireAnswerCodeshttp://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1 (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)Code indicating the response provided for a question. |
| Type | Choice of: boolean, decimal, integer, date, dateTime, time, string, uri, Attachment, Coding, Quantity, Reference(Resource) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Must Support Types | No must-support rules about the choice of types/profiles |
| Summary | false |
| Requirements | Ability to retain a single-valued answer to a question. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 48. QuestionnaireResponse.item.answer.item | |
| Definition | Nested groups and/or questions found within this particular answer. |
| Short | Untergeordnetes ItemNested groups and questions |
| Comments | Begründung MS: |
| Control | 0..* |
| Type | Seettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Requirements | It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 50. QuestionnaireResponse.item.item | |
| Definition | Questions or sub-groups nested beneath a question or group. |
| Short | Untergeordnetes ItemNested questionnaire response items |
| Comments | Begründung MS: |
| Control | 0..* |
| Type | Seettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Requirements | Reports can consist of complex nested groups. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be foundhere
| 0. QuestionnaireResponse | |
| Invariants | sdcqr-1: Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. (subject.exists())sdcqr-2: When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers. ( (QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()) |
| 2. QuestionnaireResponse.id | |
| Short | serverseitige, interne ID des Datensatzes |
| Comments | bedingtes Pflichtfeld/bedingtes MS: Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine |
| Must Support | true |
| 4. QuestionnaireResponse.meta | |
| 6. QuestionnaireResponse.meta.versionId | |
| Short | Eindeutiger Name der serverseitigen Version des Datensatzes |
| Comments | Alle von einem Server bereitgestellten Ressourcen SOLLEN über eine |
| 8. QuestionnaireResponse.meta.lastUpdated | |
| Short | Zeitpunkt der letzten Änderung |
| Comments | Alle von einem Server bereitgestellten Ressourcen SOLLEN über ein |
| 10. QuestionnaireResponse.implicitRules | |
| Short | Verweis auf die Regeln, nach denen die Ressource erstellt wurde |
| Comments | Begründung Constraint: In ISiK existiert kein Use-Case für dieses Element. Da es sich um ein Modifying Element handelt, wird es daher ausgeschlossen. Darüber hinaus werden die Regeln als URI vorgehalten. Dies führt dazu, dass sich hinter der URI eine beliebige Menge an Regeln befinden kann; wodurch nicht sichergestellt werden kann, dass alle Clients die Regeln korrekt interpretieren können. |
| Control | 0..0 |
| 12. QuestionnaireResponse.modifierExtension | |
| Slicing | This element introduces a set of slices on QuestionnaireResponse.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 14. QuestionnaireResponse.modifierExtension:MDR-Relevant | |
| Slice Name | MDR-Relevant |
| Short | MPG-Relevanz der Formulardaten |
| Comments | Begründung MS: In dieser Extension wird angegeben, dass die Formulardaten MDR-relevant sind. Für die Erhebung und/oder Darstellung müssen ggf. bestimmte Voraussetzungen erfüllt sein. Ist die Extension nicht vorhanden, liegt keine MDR-relevanmt vor. |
| Control | 0..1 |
| Type | Extension(ISiKMDRRelevanzFormularExtension) (Extension Type: Coding) |
| Must Support | true |
| 16. QuestionnaireResponse.modifierExtension:MDR-Relevant.value[x] | |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 18. QuestionnaireResponse.identifier | |
| Short | eindeutiger Identifier der FormularDaten |
| Comments | Begründung MS: Ein vom FormularRenderer vergebener, eindeutiger Identifier kann von weiterverarbeitenden Systemen genutzt werden, um Dubletten zu erkennen. |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Must Support | true |
| 20. QuestionnaireResponse.questionnaire | |
| Short | Bezug zur FormularDefinition inkl. Version |
| Comments | Bei der Angabe der Canonical, sollte die Version der FormularDefinition, welche bei der Erstellung die Grundlage gebildet hat, angegeben sein. Begründung MS: Der Bezug zur Formulardefinition kann für die Interpretation und Darstellung der Formulardaten relevant sein. |
| Control | 1..? |
| Must Support | true |
| 22. QuestionnaireResponse.questionnaire.extension | |
| Control | 1..? |
| Slicing | This element introduces a set of slices on QuestionnaireResponse.questionnaire.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 24. QuestionnaireResponse.questionnaire.extension:questionnaireDisplay | |
| Slice Name | questionnaireDisplay |
| Short | Titel/Überschrift der zugrunde liegenden FormularDefinition |
| Comments | Wird für die Darstellung und Auffindbarkeit der FormularDaten benötigt. |
| Control | 1..1 |
| Type | Extension(Display Name) (Extension Type: string) |
| Must Support | true |
| 26. QuestionnaireResponse.status | |
| Short | Status |
| Comments | Begründung Pflichtfeld:
Bei der Verarbeitung von FormularDaten ist es wichtig, den Status zu beachten. Falls die Instanz noch nicht |
| Must Support | true |
| 28. QuestionnaireResponse.subject | |
| Short | Subject (Patient), über das in diesem Formular berichtet wird. |
| Comments | Begründung Pflichtfeld: |
| Control | 1..? |
| Must Support | true |
| 30. QuestionnaireResponse.subject.reference | |
| Short | Patienten-Link |
| Comments | Begründung MS: Die Verlinkung auf eine Patienten-Ressource dient der technischen Zuordnung der Dokumentation zu einem Patienten und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. Im ISik Kontext MUSS die referenzierte Ressource konform zu ISiKPatient sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden. |
| Control | 1..? |
| Must Support | true |
| 32. QuestionnaireResponse.authored | |
| Short | Datum der FormularDaten |
| Comments | Begründung Pflichtfeld: Relevant für die Suche und zeitliche Einordnung der FormularDaten |
| Control | 1..? |
| Must Support | true |
| 34. QuestionnaireResponse.author | |
| Short | Ersteller des Fromulars |
| Comments | Auch wenn hier keine Einschränkung vorgenommen wurde, ist zu empfehlen, hier die ausfüllende Person (Patient/Practitioner) zu referenzieren und nicht nur die Software (Device), mit der das Formular ausgefüllt wurde. Begründung MS: In den meisten Fällen ist relevant, wer Formulardaten erfasst hat. |
| Must Support | true |
| 36. QuestionnaireResponse.item | |
| Short | Formularelement |
| Comments | Begründung MS: Es können beliebig viele Formularelemente hier abgebildet werden. |
| Must Support | true |
| 38. QuestionnaireResponse.item.linkId | |
| Short | Eindeutige ID des Formularelement |
| Comments | Begründung Pflichtfeld: Die LinkId ordnet die Information der Antwort einer Frage in der FormularDefinition zu und ist aus dem Grund zur Interpretation der Antwort unablässig. |
| Must Support | true |
| 40. QuestionnaireResponse.item.text | |
| Short | Frage, die beantwortet wurde |
| Comments | Begründung Pflichtfeld: |
| Must Support | true |
| 42. QuestionnaireResponse.item.answer | |
| Short | Antwort |
| Comments | Begründung MS: Die erfasste Antwort MUSS stets vorhanden sein. |
| Must Support | true |
| 44. QuestionnaireResponse.item.answer.value[x] | |
| Short | Inhalt der Antwort |
| Comments | Begründung MS: Der Inhalt der jeweilig erfassten Antwort MUSS stehts vorhanden sein. |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 46. QuestionnaireResponse.item.answer.item | |
| Short | Untergeordnetes Item |
| Comments | Begründung MS: |
| Must Support | true |
| 48. QuestionnaireResponse.item.item | |
| Short | Untergeordnetes Item |
| Comments | Begründung MS: |
| Must Support | true |
Guidance on how to interpret the contents of this table can be foundhere
| 0. QuestionnaireResponse | |||||
| Definition | A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to. | ||||
| Short | A structured set of questions and their answers | ||||
| Comments | The QuestionnaireResponse contains enough information about the questions asked and their organization that it can be interpreted somewhat independently from the Questionnaire it is based on. I.e. You don't need access to the Questionnaire in order to extract basic information from a QuestionnaireResponse. | ||||
| Control | 0..* | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | Form, QuestionnaireAnswers | ||||
| Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource ( contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated ( contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())dom-5: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty())dom-6: A resource should have narrative for robust management ( text.`div`.exists())sdcqr-1: Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. ( subject.exists())sdcqr-2: When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers. ( (QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()) | ||||
| 2. QuestionnaireResponse.id | |||||
| Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
| Short | serverseitige, interne ID des Datensatzes | ||||
| Comments | bedingtes Pflichtfeld/bedingtes MS: Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine | ||||
| Control | 0..1 | ||||
| Type | id | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| 4. QuestionnaireResponse.meta | |||||
| Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. | ||||
| Short | Metadata about the resource | ||||
| Control | 0..1 | ||||
| Type | Meta | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 6. QuestionnaireResponse.meta.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 8. QuestionnaireResponse.meta.extension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on QuestionnaireResponse.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 10. QuestionnaireResponse.meta.versionId | |||||
| Definition | The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. | ||||
| Short | Eindeutiger Name der serverseitigen Version des Datensatzes | ||||
| Comments | Alle von einem Server bereitgestellten Ressourcen SOLLEN über eine | ||||
| Control | 0..1 | ||||
| Type | id | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 12. QuestionnaireResponse.meta.lastUpdated | |||||
| Definition | When the resource last changed - e.g. when the version changed. | ||||
| Short | Zeitpunkt der letzten Änderung | ||||
| Comments | Alle von einem Server bereitgestellten Ressourcen SOLLEN über ein | ||||
| Control | 0..1 | ||||
| Type | instant | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 14. QuestionnaireResponse.meta.source | |||||
| Definition | A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. | ||||
| Short | Identifies where the resource comes from | ||||
| Comments | In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL. | ||||
| Control | 0..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 16. QuestionnaireResponse.meta.profile | |||||
| Definition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. | ||||
| Short | Profiles this resource claims to conform to | ||||
| Comments | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. | ||||
| Control | 0..* | ||||
| Type | canonical(StructureDefinition) | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 18. QuestionnaireResponse.meta.security | |||||
| Definition | Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. | ||||
| Short | Security Labels applied to this resource | ||||
| Comments | The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. | ||||
| Control | 0..* | ||||
| Binding | Unless not suitable, these codes SHALL be taken from All Security Labels (extensible to http://hl7.org/fhir/ValueSet/security-labels|4.0.1)Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 20. QuestionnaireResponse.meta.tag | |||||
| Definition | Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. | ||||
| Short | Tags applied to this resource | ||||
| Comments | The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. | ||||
| Control | 0..* | ||||
| Binding | For example codes, see CommonTags (example to http://hl7.org/fhir/ValueSet/common-tags|4.0.1)Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 22. QuestionnaireResponse.implicitRules | |||||
| Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. | ||||
| Short | Verweis auf die Regeln, nach denen die Ressource erstellt wurde | ||||
| Comments | Begründung Constraint: In ISiK existiert kein Use-Case für dieses Element. Da es sich um ein Modifying Element handelt, wird es daher ausgeschlossen. Darüber hinaus werden die Regeln als URI vorgehalten. Dies führt dazu, dass sich hinter der URI eine beliebige Menge an Regeln befinden kann; wodurch nicht sichergestellt werden kann, dass alle Clients die Regeln korrekt interpretieren können. | ||||
| Control | 0..0 | ||||
| Type | uri | ||||
| Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 24. QuestionnaireResponse.language | |||||
| Definition | The base language in which the resource is written. | ||||
| Short | Language of the resource content | ||||
| Comments | 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). | ||||
| Control | 0..1 | ||||
| Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)A human language.
| ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 26. QuestionnaireResponse.text | |||||
| Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. | ||||
| Short | Text summary of the resource, for human interpretation | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Type | Narrative | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | narrative, html, xhtml, display | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 28. QuestionnaireResponse.contained | |||||
| Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. | ||||
| Short | Contained, inline Resources | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Resource | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | inline resources, anonymous resources, contained resources | ||||
| 30. QuestionnaireResponse.extension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 32. QuestionnaireResponse.modifierExtension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on QuestionnaireResponse.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 34. QuestionnaireResponse.modifierExtension:MDR-Relevant | |||||
| Slice Name | MDR-Relevant | ||||
| Definition | An Extension | ||||
| Short | MPG-Relevanz der Formulardaten | ||||
| Comments | Begründung MS: In dieser Extension wird angegeben, dass die Formulardaten MDR-relevant sind. Für die Erhebung und/oder Darstellung müssen ggf. bestimmte Voraussetzungen erfüllt sein. Ist die Extension nicht vorhanden, liegt keine MDR-relevanmt vor. | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(ISiKMDRRelevanzFormularExtension) (Extension Type: Coding) | ||||
| Is Modifier | true because Ist in dieser Extension nicht der Code 'none' gesetzt, muss die Anzeige rechtlich geprüft werden, weil der FormularDefinitionErsteller eine Relevanz im Rahmen der MDR identifiziert hat. | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 36. QuestionnaireResponse.modifierExtension:MDR-Relevant.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 38. QuestionnaireResponse.modifierExtension:MDR-Relevant.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on QuestionnaireResponse.modifierExtension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 40. QuestionnaireResponse.modifierExtension:MDR-Relevant.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | https://gematik.de/fhir/isik/StructureDefinition/ISiKMDRRelevanzFormularExtension | ||||
| 42. QuestionnaireResponse.modifierExtension:MDR-Relevant.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from ISiKMDRRelevanzFormularVS (extensible to https://gematik.de/fhir/isik/ValueSet/ISiKMDRRelevanzFormularVS) | ||||
| Type | Coding | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 44. QuestionnaireResponse.identifier | |||||
| Definition | A business identifier assigned to a particular completed (or partially completed) questionnaire. | ||||
| Short | eindeutiger Identifier der FormularDaten | ||||
| Comments | Begründung MS: Ein vom FormularRenderer vergebener, eindeutiger Identifier kann von weiterverarbeitenden Systemen genutzt werden, um Dubletten zu erkennen. | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Used for tracking, registration and other business purposes. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 46. QuestionnaireResponse.basedOn | |||||
| Definition | The order, proposal or plan that is fulfilled in whole or in part by this QuestionnaireResponse. For example, a ServiceRequest seeking an intake assessment or a decision support recommendation to assess for post-partum depression. | ||||
| Short | Request fulfilled by this QuestionnaireResponse | ||||
| Control | 0..* | ||||
| Type | Reference(CarePlan, ServiceRequest) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Supports traceability of responsibility for the action and allows linkage of an action to the recommendations acted upon. | ||||
| Alternate Names | order | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 48. QuestionnaireResponse.partOf | |||||
| Definition | A procedure or observation that this questionnaire was performed as part of the execution of. For example, the surgery a checklist was executed as part of. | ||||
| Short | Part of this action | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Reference(Observation, Procedure) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 50. QuestionnaireResponse.questionnaire | |||||
| Definition | The Questionnaire that defines and organizes the questions for which answers are being provided. | ||||
| Short | Bezug zur FormularDefinition inkl. Version | ||||
| Comments | Bei der Angabe der Canonical, sollte die Version der FormularDefinition, welche bei der Erstellung die Grundlage gebildet hat, angegeben sein. Begründung MS: Der Bezug zur Formulardefinition kann für die Interpretation und Darstellung der Formulardaten relevant sein. | ||||
| Control | 1..1 | ||||
| Type | canonical(Questionnaire) | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Needed to allow editing of the questionnaire response in a manner that enforces the constraints of the original form. | ||||
| Alternate Names | Form | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 52. QuestionnaireResponse.questionnaire.id | |||||
| Definition | unique id for the element within a resource (for internal references) | ||||
| Short | xml:id (or equivalent in JSON) | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 54. QuestionnaireResponse.questionnaire.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 1..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on QuestionnaireResponse.questionnaire.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 56. QuestionnaireResponse.questionnaire.extension:questionnaireDisplay | |||||
| Slice Name | questionnaireDisplay | ||||
| Definition | The title or other name to display when referencing a resource by canonical URL. | ||||
| Short | Titel/Überschrift der zugrunde liegenden FormularDefinition | ||||
| Comments | Wird für die Darstellung und Auffindbarkeit der FormularDaten benötigt. | ||||
| Control | 1..1 | ||||
| Type | Extension(Display Name) (Extension Type: string) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 58. QuestionnaireResponse.questionnaire.value | |||||
| Definition | Primitive value for canonical | ||||
| Short | Primitive value for canonical | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 60. QuestionnaireResponse.status | |||||
| Definition | The position of the questionnaire response within its overall lifecycle. | ||||
| Short | Status | ||||
| Comments | Begründung Pflichtfeld:
Bei der Verarbeitung von FormularDaten ist es wichtig, den Status zu beachten. Falls die Instanz noch nicht | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from QuestionnaireResponseStatus (required to http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1)Lifecycle status of the questionnaire response. | ||||
| Type | code | ||||
| Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | The information on Questionnaire resources may possibly be gathered during multiple sessions and altered after considered being finished. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 62. QuestionnaireResponse.subject | |||||
| Definition | The subject of the questionnaire response. This could be a patient, organization, practitioner, device, etc. This is who/what the answers apply to, but is not necessarily the source of information. | ||||
| Short | Subject (Patient), über das in diesem Formular berichtet wird. | ||||
| Comments | Begründung Pflichtfeld: | ||||
| Control | 1..1 | ||||
| Type | Reference(Resource) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Allows linking the answers to the individual the answers describe. May also affect access control. | ||||
| Alternate Names | Patient, Focus | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 64. QuestionnaireResponse.subject.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 66. QuestionnaireResponse.subject.extension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on QuestionnaireResponse.subject.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 68. QuestionnaireResponse.subject.reference | |||||
| Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. | ||||
| Short | Patienten-Link | ||||
| Comments | Begründung MS: Die Verlinkung auf eine Patienten-Ressource dient der technischen Zuordnung der Dokumentation zu einem Patienten und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. Im ISik Kontext MUSS die referenzierte Ressource konform zu ISiKPatient sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden. | ||||
| Control | 1..1 This element is affected by the following invariants: ref-1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 70. QuestionnaireResponse.subject.type | |||||
| Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). | ||||
| Short | Type the reference refers to (e.g. "Patient") | ||||
| Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. | ||||
| Control | 0..1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from ResourceType (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)Aa resource (or, for logical models, the URI of the logical model). | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 72. QuestionnaireResponse.subject.identifier | |||||
| Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. | ||||
| Short | Logical reference, when literal reference is not known | ||||
| Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 74. QuestionnaireResponse.subject.display | |||||
| Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
| Short | Text alternative for the resource | ||||
| Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 76. QuestionnaireResponse.encounter | |||||
| Definition | The Encounter during which this questionnaire response was created or to which the creation of this record is tightly associated. | ||||
| Short | Encounter created as part of | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Type | Reference(Encounter) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Provides context for the information that was captured. May also affect access control. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 78. QuestionnaireResponse.authored | |||||
| Definition | The date and/or time that this set of answers were last changed. | ||||
| Short | Datum der FormularDaten | ||||
| Comments | Begründung Pflichtfeld: Relevant für die Suche und zeitliche Einordnung der FormularDaten | ||||
| Control | 1..1 | ||||
| Type | dateTime | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Clinicians need to be able to check the date that the information in the questionnaire was collected, to derive the context of the answers. | ||||
| Alternate Names | Date Created, Date published, Date Issued, Date updated | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 80. QuestionnaireResponse.author | |||||
| Definition | Person who received the answers to the questions in the QuestionnaireResponse and recorded them in the system. | ||||
| Short | Ersteller des Fromulars | ||||
| Comments | Auch wenn hier keine Einschränkung vorgenommen wurde, ist zu empfehlen, hier die ausfüllende Person (Patient/Practitioner) zu referenzieren und nicht nur die Software (Device), mit der das Formular ausgefüllt wurde. Begründung MS: In den meisten Fällen ist relevant, wer Formulardaten erfasst hat. | ||||
| Control | 0..1 | ||||
| Type | Reference(Device, Practitioner, PractitionerRole, Patient, RelatedPerson, Organization) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Must Support Types | No must-support rules about the choice of types/profiles | ||||
| Summary | true | ||||
| Requirements | Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers. | ||||
| Alternate Names | Laboratory, Service, Practitioner, Department, Company, Performer | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 82. QuestionnaireResponse.source | |||||
| Definition | The person who answered the questions about the subject. | ||||
| Short | The person who answered the questions | ||||
| Comments | If not specified, no inference can be made about who provided the data. | ||||
| Control | 0..1 | ||||
| Type | Reference(Patient, Practitioner, PractitionerRole, RelatedPerson) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | When answering questions about a subject that is minor, incapable of answering or an animal, another human source may answer the questions. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 84. QuestionnaireResponse.item | |||||
| Definition | A group or question item from the original questionnaire for which answers are provided. | ||||
| Short | Formularelement | ||||
| Comments | Begründung MS: Es können beliebig viele Formularelemente hier abgebildet werden. | ||||
| Control | 0..* | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))qrs-1: Nested item can't be beneath both item and answer ( (answer.exists() and item.exists()).not()) | ||||
| 86. QuestionnaireResponse.item.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 88. QuestionnaireResponse.item.extension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 90. QuestionnaireResponse.item.modifierExtension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
| Alternate Names | extensions, user content, modifiers | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 92. QuestionnaireResponse.item.linkId | |||||
| Definition | The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource. | ||||
| Short | Eindeutige ID des Formularelement | ||||
| Comments | Begründung Pflichtfeld: Die LinkId ordnet die Information der Antwort einer Frage in der FormularDefinition zu und ist aus dem Grund zur Interpretation der Antwort unablässig. | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Requirements | Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 94. QuestionnaireResponse.item.definition | |||||
| Definition | A reference to an ElementDefinition that provides the details for the item. | ||||
| Short | ElementDefinition - details for the item | ||||
| Comments | The ElementDefinition must be in a StructureDefinition, 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. | ||||
| Control | 0..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Requirements | A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 96. QuestionnaireResponse.item.text | |||||
| Definition | Text that is displayed above the contents of the group or as the text of the question being answered. | ||||
| Short | Frage, die beantwortet wurde | ||||
| Comments | Begründung Pflichtfeld: | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Requirements | Allows the questionnaire response to be read without access to the questionnaire. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 98. QuestionnaireResponse.item.answer | |||||
| Definition | The respondent's answer(s) to the question. | ||||
| Short | Antwort | ||||
| Comments | Begründung MS: Die erfasste Antwort MUSS stets vorhanden sein. | ||||
| Control | 0..* | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 100. QuestionnaireResponse.item.answer.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 102. QuestionnaireResponse.item.answer.extension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 104. QuestionnaireResponse.item.answer.modifierExtension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
| Alternate Names | extensions, user content, modifiers | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 106. QuestionnaireResponse.item.answer.value[x] | |||||
| Definition | The answer (or one of the answers) provided by the respondent to the question. | ||||
| Short | Inhalt der Antwort | ||||
| Comments | Begründung MS: Der Inhalt der jeweilig erfassten Antwort MUSS stehts vorhanden sein. | ||||
| Control | 0..1 | ||||
| Binding | For example codes, see QuestionnaireAnswerCodes (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)Code indicating the response provided for a question. | ||||
| Type | Choice of: boolean, decimal, integer, date, dateTime, time, string, uri, Attachment, Coding, Quantity, Reference(Resource) | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Must Support Types | No must-support rules about the choice of types/profiles | ||||
| Summary | false | ||||
| Requirements | Ability to retain a single-valued answer to a question. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 108. QuestionnaireResponse.item.answer.item | |||||
| Definition | Nested groups and/or questions found within this particular answer. | ||||
| Short | Untergeordnetes Item | ||||
| Comments | Begründung MS: | ||||
| Control | 0..* | ||||
| Type | Seettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Requirements | It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 110. QuestionnaireResponse.item.item | |||||
| Definition | Questions or sub-groups nested beneath a question or group. | ||||
| Short | Untergeordnetes Item | ||||
| Comments | Begründung MS: | ||||
| Control | 0..* | ||||
| Type | Seettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Requirements | Reports can consist of complex nested groups. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||