RLQuestionnaireResponseValutazione

RLQuestionnaireResponseValutazione

Descrizione

Il profilo RLQuestionnaireResponseValutazione è stato strutturato a partire dalla risorsa generica FHIR QuestionnaireResponse per riportare il dettaglio delle risposte ai quesiti delle valutazioni dei bisogni alla quale un assistito è stato sottoposto.

Di seguito è presentato il contenuto del profilo in diversi formati. La corrispondente definizione è consultabile al seguente link: RLQuestionnaireResponseValutazione.

Snapshot View

QuestionnaireResponse	I		QuestionnaireResponse	There are no (further) constraints on this element Element Id QuestionnaireResponse Short description A structured set of questions and their answers Alternate names Form, QuestionnaireAnswers 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. 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. Data Type QuestionnaireResponse Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.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-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-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim:Entity. Role, or Act workflow:Event rim:Observation[moodCode=EVN]
id	Σ	1..1	System.String	Element Id QuestionnaireResponse.id Short description UUID prodotto dal server FHIR (applicativo) che detiente la risorsa Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Data Type System.String
meta	Σ	1..1	Meta	Element Id QuestionnaireResponse.meta Short description Metadati della risorsa 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. Data Type Meta Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
versionId	Σ	1..1	id	Element Id QuestionnaireResponse.meta.versionId Short description Versione della risorsa 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. Comments The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes. Data Type id Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
lastUpdated	Σ	1..1	instant	Element Id QuestionnaireResponse.meta.lastUpdated Short description Data e ora di ultimo aggiornamento della risorsa Definition Formato standard FHIR: YYY-MM-DDThh:mm:ss.sss+zz:zz Comments This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction. Data Type instant Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
source	Σ	0..1	uri	There are no (further) constraints on this element Element Id QuestionnaireResponse.meta.source Short description Identifies where the resource comes from 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. 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. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
profile	Σ	1..1	canonical(StructureDefinition)Fixed Value	Element Id QuestionnaireResponse.meta.profile Short description Profilo al quale la risorsa si riferisce Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. 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. Data Type canonical(StructureDefinition) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLQuestionnaireResponseValutazione Mappings rim:n/a
security	Σ	0..*	CodingBinding	There are no (further) constraints on this element Element Id QuestionnaireResponse.meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. 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. Data Type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding
tag	Σ	0..*	Coding	There are no (further) constraints on this element Element Id QuestionnaireResponse.meta.tag Short description Tags applied to this resource 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. 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. Data Type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding
extension	I	1..*	Extension	Element Id QuestionnaireResponse.extension Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints 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()` Mappings rim:n/a rim:N/A
esitoValutazione	I	0..1	Extension(Reference(RLObservationEsitoValutazione))	Element Id QuestionnaireResponse.extension:esitoValutazione Short description Riferimento all'esito della valutazione, se questa ne prevede uno, al quale il paziente è stato sottoposto Alternate names extensions, user content Definition Reference al profilo RLObservationEsitoValutazione contenente l'esito della valutazione 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. Data Type Extension(Reference(RLObservationEsitoValutazione)) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLQuestionnaireResponseEsitoValutazione Constraints 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()` Mappings rim:n/a rim:N/A
tipologiaValutazione	I	1..1	Extension(CodeableConcept)	Element Id QuestionnaireResponse.extension:tipologiaValutazione Short description Tipologia di valutazione Alternate names extensions, user content Definition Optional Extension Element - found in all resources. Comments Per il dettaglio esaustivo della codifica consultare la Tabella delle tipologia di valutazione contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. Data Type Extension(CodeableConcept) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLQuestionnaireResponseTipologiaValutazione Constraints 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()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id QuestionnaireResponse.extension:tipologiaValutazione.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. 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. Data Type System.String Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLQuestionnaireResponseTipologiaValutazione Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id QuestionnaireResponse.extension:tipologiaValutazione.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
coding	Σ	1..1	Coding	Element Id QuestionnaireResponse.extension:tipologiaValutazione.value[x].coding Short description Codice e descrizione della tipologia di valutazione Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	There are no (further) constraints on this element Element Id QuestionnaireResponse.extension:tipologiaValutazione.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id QuestionnaireResponse.extension:tipologiaValutazione.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id QuestionnaireResponse.extension:tipologiaValutazione.value[x].coding.code Short description Codice della tipologia di valutazione Definition Stringa alfanumerica di un carattere Requirements Need to refer to a particular code in the system. Comments Il dato è detenuto dal SGDT Data Type code Binding ValueSet relativo alla tipologia di valutazione SGDT Tipologia Valutazione (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	1..1	string	Element Id QuestionnaireResponse.extension:tipologiaValutazione.value[x].coding.display Short description Descrizione della tipologia di valutazione Definition Stringa alfanumerica di al più di 50 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Il dato è detenuto dal SGDT Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id QuestionnaireResponse.extension:tipologiaValutazione.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id QuestionnaireResponse.extension:tipologiaValutazione.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
identifier	Σ	0..1	Identifier	There are no (further) constraints on this element Element Id QuestionnaireResponse.identifier Short description Unique id for this set of answers Definition A business identifier assigned to a particular completed (or partially completed) questionnaire. Requirements Used for tracking, registration and other business purposes. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Event.identifier w5:FiveWs.identifier rim:.id
basedOn	Σ I	1..1	Reference(RLCarePlanProgettoIndividuale)	Element Id QuestionnaireResponse.basedOn Short description Riferimento al progetto individule nel quale è previsto l'esito della valutazione Alternate names order Definition Reference alla risorsa RLCarePlanProgettoIndividuale contenente il progetto individuale del paziente Requirements Supports traceability of responsibility for the action and allows linkage of an action to the recommendations acted upon. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(RLCarePlanProgettoIndividuale) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.basedOn rim:.outboundRelationship[typeCode=FLFS].target
partOf	Σ I	0..*	Reference(Observation \| Procedure)	There are no (further) constraints on this element Element Id QuestionnaireResponse.partOf Short description Part of this action 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. 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. Data Type Reference(Observation \| Procedure) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.partOf rim:.inboundRelationship[typeCode=COMP].source[moodCode=EVN]
questionnaire	Σ	1..1	canonical(RLQuestionnaireValutazione)	Element Id QuestionnaireResponse.questionnaire Short description Valutazione Alternate names Form Definition Reference alla risorsa RLQuestionnaireValutazione contenente il nome della valutazione Requirements Needed to allow editing of the questionnaire response in a manner that enforces the constraints of the original form. Comments 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.). Data Type canonical(RLQuestionnaireValutazione) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Event.instantiates rim:./outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]
status	Σ ?!	1..1	codeBindingFixed Value	Element Id QuestionnaireResponse.status Short description Stato della valutazione Definition Valore fisso su "completed" Requirements The information on Questionnaire resources may possibly be gathered during multiple sessions and altered after considered being finished. Comments This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Data Type code Binding Lifecycle status of the questionnaire response. QuestionnaireResponseStatus (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value completed Mappings rim:n/a workflow:Event.status w5:FiveWs.status rim:.statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish "in-progress" from "published)
subject	Σ I	0..1	Reference(Resource)	There are no (further) constraints on this element Element Id QuestionnaireResponse.subject Short description The subject of the questions Alternate names Patient, Focus 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. Requirements Allows linking the answers to the individual the answers describe. May also affect access control. Comments If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types. Data Type Reference(Resource) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.subject w5:FiveWs.subject[x] rim:.participation[typeCode=SBJ].role w5:FiveWs.subject
encounter	Σ I	0..1	Reference(Encounter)	There are no (further) constraints on this element Element Id QuestionnaireResponse.encounter Short description Encounter created as part of Definition The Encounter during which this questionnaire response was created or to which the creation of this record is tightly associated. Requirements Provides context for the information that was captured. May also affect access control. 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. Data Type Reference(Encounter) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.encounter w5:FiveWs.context rim:.inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]
authored	Σ	1..1	dateTime	Element Id QuestionnaireResponse.authored Short description Data della valutazione Alternate names Date Created, Date published, Date Issued, Date updated Definition Formato: YYYY-MM-DD secondo lo standard FHIR 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. Comments Il dato è detenuto dal SGDT Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Event.occurrence[x] w5:FiveWs.recorded rim:.participation[typeCode=AUT].time
author	Σ I	1..1	Reference(RLPractitionerProfessionistaSanitario)	Element Id QuestionnaireResponse.author Short description Riferimento del professionista sanitario che ha eseguito la valutazione Alternate names Laboratory, Service, Practitioner, Department, Company, Performer Definition Reference al profilo RLPractionerProfessionistaSanitario del professionista sanitario che ha eseguito la valutazione Requirements Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers. Comments Il dato è detenuto dal SGDT Data Type Reference(RLPractitionerProfessionistaSanitario) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.performer w5:FiveWs.author rim:.participation[typeCode=AUT].role
source	Σ I	1..1	Reference(RLPatientCittadino)	Element Id QuestionnaireResponse.source Short description Paziente sottopposto alla valutazione Definition Reference alla risorsa RLPatientCittadino contenente i dettagli anagrafici del paziente Requirements When answering questions about a subject that is minor, incapable of answering or an animal, another human source may answer the questions. Comments Il dato è detenuto dal SGDT Data Type Reference(RLPatientCittadino) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.source rim:.participation[typeCode=INF].role
item	I	1..*	BackboneElement	There are no (further) constraints on this element Element Id QuestionnaireResponse.item Short description Groups and questions Definition A group or question item from the original questionnaire for which answers are provided. Comments 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). Data Type BackboneElement Constraints 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()` Mappings rim:n/a rim:.outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]
linkId		1..1	string	Element Id QuestionnaireResponse.item.linkId Short description Identificativo del quesito Definition Stringa alfanumerica al più di 10 caratteri definita in generale da un valore numerico incrementale a partire da 1. Nel caso di valutazione multidimensionale InterRAI - HomeCare i linkId sono così definiti: "php.{valore numerico incrementale}" per la sezione PHP. "pvc.{valore numerico incrementale}" per la sezione PVC. Requirements Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id
definition		0..1	uri	There are no (further) constraints on this element Element Id QuestionnaireResponse.item.definition Short description ElementDefinition - details for the item Definition A reference to an ElementDefinition that provides the details for the item. 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. 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. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code
text		1..1	string	Element Id QuestionnaireResponse.item.text Short description Testo del quesito Definition Stringa alfanumerica al più di 1000 caratteri Requirements Allows the questionnaire response to be read without access to the questionnaire. Comments Il dato è detenuto dal SGDT Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.text
answer		1..1	BackboneElement	Element Id QuestionnaireResponse.item.answer Short description Riposta al quesito Definition The respondent's answer(s) to the question. Comments The value is nested because we cannot have a repeating structure that has variable type. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.value[type=LIST_ANY]
value[x]		1..1		Element Id QuestionnaireResponse.item.answer.value[x] Short description Contenuto informativo della risposta Definition In base alla tipologia di risposta relativa al singolo quesito i possibili campi e i relativi datatype sono: valueBoolean (boolean) valueDecimal (decimal) valueInteger (integer) valueDate (date) valueDateTime (dateTime) valueTime (time) valueString (string) valueUri (uri) valueAttachment (Attachment) valueCoding (Coding) valueQuantity (Quantity) valueReference (Reference) Requirements Ability to retain a single-valued answer to a question. Comments Il dato è detenuto dal SGDT Binding Code indicating the response provided for a question. QuestionnaireAnswerCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.item
valueBoolean			boolean	There are no (further) constraints on this element Data Type boolean
valueDecimal			decimal	There are no (further) constraints on this element Data Type decimal
valueInteger			integer	There are no (further) constraints on this element Data Type integer
valueDate			date	There are no (further) constraints on this element Data Type date
valueDateTime			dateTime	There are no (further) constraints on this element Data Type dateTime
valueTime			time	There are no (further) constraints on this element Data Type time
valueString			string	There are no (further) constraints on this element Data Type string
valueUri			uri	There are no (further) constraints on this element Data Type uri
valueAttachment			Attachment	There are no (further) constraints on this element Data Type Attachment
valueCoding			Coding	There are no (further) constraints on this element Data Type Coding
valueQuantity			Quantity	There are no (further) constraints on this element Data Type Quantity
valueReference			Reference(Resource)	There are no (further) constraints on this element Data Type Reference(Resource)
item		0..*	see (item)	There are no (further) constraints on this element Element Id QuestionnaireResponse.item.answer.item Short description Nested groups and questions Definition Nested groups and/or questions found within this particular answer. Requirements It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details. Mappings rim:.outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]
item		0..*	see (item)	There are no (further) constraints on this element Element Id QuestionnaireResponse.item.item Short description Nested questionnaire response items Definition Questions or sub-groups nested beneath a question or group. Requirements Reports can consist of complex nested groups. Mappings rim:.outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]

Differential View

QuestionnaireResponse	I		QuestionnaireResponse	There are no (further) constraints on this element Element Id QuestionnaireResponse Short description A structured set of questions and their answers Alternate names Form, QuestionnaireAnswers 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. 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. Data Type QuestionnaireResponse Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.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-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-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim:Entity. Role, or Act workflow:Event rim:Observation[moodCode=EVN]
id	Σ	1..1	System.String	Element Id QuestionnaireResponse.id Short description UUID prodotto dal server FHIR (applicativo) che detiente la risorsa Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Data Type System.String
meta	Σ	1..1	Meta	Element Id QuestionnaireResponse.meta Short description Metadati della risorsa 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. Data Type Meta Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
versionId	Σ	1..1	id	Element Id QuestionnaireResponse.meta.versionId Short description Versione della risorsa 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. Comments The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes. Data Type id Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
lastUpdated	Σ	1..1	instant	Element Id QuestionnaireResponse.meta.lastUpdated Short description Data e ora di ultimo aggiornamento della risorsa Definition Formato standard FHIR: YYY-MM-DDThh:mm:ss.sss+zz:zz Comments This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction. Data Type instant Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
source	Σ	0..1	uri	There are no (further) constraints on this element Element Id QuestionnaireResponse.meta.source Short description Identifies where the resource comes from 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. 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. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
profile	Σ	1..1	canonical(StructureDefinition)Fixed Value	Element Id QuestionnaireResponse.meta.profile Short description Profilo al quale la risorsa si riferisce Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. 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. Data Type canonical(StructureDefinition) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLQuestionnaireResponseValutazione Mappings rim:n/a
security	Σ	0..*	CodingBinding	There are no (further) constraints on this element Element Id QuestionnaireResponse.meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. 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. Data Type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding
tag	Σ	0..*	Coding	There are no (further) constraints on this element Element Id QuestionnaireResponse.meta.tag Short description Tags applied to this resource 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. 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. Data Type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding
extension	I	1..*	Extension	Element Id QuestionnaireResponse.extension Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints 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()` Mappings rim:n/a rim:N/A
esitoValutazione	I	0..1	Extension(Reference(RLObservationEsitoValutazione))	Element Id QuestionnaireResponse.extension:esitoValutazione Short description Riferimento all'esito della valutazione, se questa ne prevede uno, al quale il paziente è stato sottoposto Alternate names extensions, user content Definition Reference al profilo RLObservationEsitoValutazione contenente l'esito della valutazione 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. Data Type Extension(Reference(RLObservationEsitoValutazione)) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLQuestionnaireResponseEsitoValutazione Constraints 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()` Mappings rim:n/a rim:N/A
tipologiaValutazione	I	1..1	Extension(CodeableConcept)	Element Id QuestionnaireResponse.extension:tipologiaValutazione Short description Tipologia di valutazione Alternate names extensions, user content Definition Optional Extension Element - found in all resources. Comments Per il dettaglio esaustivo della codifica consultare la Tabella delle tipologia di valutazione contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. Data Type Extension(CodeableConcept) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLQuestionnaireResponseTipologiaValutazione Constraints 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()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id QuestionnaireResponse.extension:tipologiaValutazione.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. 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. Data Type System.String Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLQuestionnaireResponseTipologiaValutazione Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id QuestionnaireResponse.extension:tipologiaValutazione.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
coding	Σ	1..1	Coding	Element Id QuestionnaireResponse.extension:tipologiaValutazione.value[x].coding Short description Codice e descrizione della tipologia di valutazione Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	There are no (further) constraints on this element Element Id QuestionnaireResponse.extension:tipologiaValutazione.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id QuestionnaireResponse.extension:tipologiaValutazione.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id QuestionnaireResponse.extension:tipologiaValutazione.value[x].coding.code Short description Codice della tipologia di valutazione Definition Stringa alfanumerica di un carattere Requirements Need to refer to a particular code in the system. Comments Il dato è detenuto dal SGDT Data Type code Binding ValueSet relativo alla tipologia di valutazione SGDT Tipologia Valutazione (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	1..1	string	Element Id QuestionnaireResponse.extension:tipologiaValutazione.value[x].coding.display Short description Descrizione della tipologia di valutazione Definition Stringa alfanumerica di al più di 50 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Il dato è detenuto dal SGDT Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id QuestionnaireResponse.extension:tipologiaValutazione.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id QuestionnaireResponse.extension:tipologiaValutazione.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
identifier	Σ	0..1	Identifier	There are no (further) constraints on this element Element Id QuestionnaireResponse.identifier Short description Unique id for this set of answers Definition A business identifier assigned to a particular completed (or partially completed) questionnaire. Requirements Used for tracking, registration and other business purposes. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Event.identifier w5:FiveWs.identifier rim:.id
basedOn	Σ I	1..1	Reference(RLCarePlanProgettoIndividuale)	Element Id QuestionnaireResponse.basedOn Short description Riferimento al progetto individule nel quale è previsto l'esito della valutazione Alternate names order Definition Reference alla risorsa RLCarePlanProgettoIndividuale contenente il progetto individuale del paziente Requirements Supports traceability of responsibility for the action and allows linkage of an action to the recommendations acted upon. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(RLCarePlanProgettoIndividuale) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.basedOn rim:.outboundRelationship[typeCode=FLFS].target
partOf	Σ I	0..*	Reference(Observation \| Procedure)	There are no (further) constraints on this element Element Id QuestionnaireResponse.partOf Short description Part of this action 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. 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. Data Type Reference(Observation \| Procedure) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.partOf rim:.inboundRelationship[typeCode=COMP].source[moodCode=EVN]
questionnaire	Σ	1..1	canonical(RLQuestionnaireValutazione)	Element Id QuestionnaireResponse.questionnaire Short description Valutazione Alternate names Form Definition Reference alla risorsa RLQuestionnaireValutazione contenente il nome della valutazione Requirements Needed to allow editing of the questionnaire response in a manner that enforces the constraints of the original form. Comments 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.). Data Type canonical(RLQuestionnaireValutazione) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Event.instantiates rim:./outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]
status	Σ ?!	1..1	codeBindingFixed Value	Element Id QuestionnaireResponse.status Short description Stato della valutazione Definition Valore fisso su "completed" Requirements The information on Questionnaire resources may possibly be gathered during multiple sessions and altered after considered being finished. Comments This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Data Type code Binding Lifecycle status of the questionnaire response. QuestionnaireResponseStatus (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value completed Mappings rim:n/a workflow:Event.status w5:FiveWs.status rim:.statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish "in-progress" from "published)
subject	Σ I	0..1	Reference(Resource)	There are no (further) constraints on this element Element Id QuestionnaireResponse.subject Short description The subject of the questions Alternate names Patient, Focus 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. Requirements Allows linking the answers to the individual the answers describe. May also affect access control. Comments If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types. Data Type Reference(Resource) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.subject w5:FiveWs.subject[x] rim:.participation[typeCode=SBJ].role w5:FiveWs.subject
encounter	Σ I	0..1	Reference(Encounter)	There are no (further) constraints on this element Element Id QuestionnaireResponse.encounter Short description Encounter created as part of Definition The Encounter during which this questionnaire response was created or to which the creation of this record is tightly associated. Requirements Provides context for the information that was captured. May also affect access control. 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. Data Type Reference(Encounter) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.encounter w5:FiveWs.context rim:.inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]
authored	Σ	1..1	dateTime	Element Id QuestionnaireResponse.authored Short description Data della valutazione Alternate names Date Created, Date published, Date Issued, Date updated Definition Formato: YYYY-MM-DD secondo lo standard FHIR 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. Comments Il dato è detenuto dal SGDT Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Event.occurrence[x] w5:FiveWs.recorded rim:.participation[typeCode=AUT].time
author	Σ I	1..1	Reference(RLPractitionerProfessionistaSanitario)	Element Id QuestionnaireResponse.author Short description Riferimento del professionista sanitario che ha eseguito la valutazione Alternate names Laboratory, Service, Practitioner, Department, Company, Performer Definition Reference al profilo RLPractionerProfessionistaSanitario del professionista sanitario che ha eseguito la valutazione Requirements Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers. Comments Il dato è detenuto dal SGDT Data Type Reference(RLPractitionerProfessionistaSanitario) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.performer w5:FiveWs.author rim:.participation[typeCode=AUT].role
source	Σ I	1..1	Reference(RLPatientCittadino)	Element Id QuestionnaireResponse.source Short description Paziente sottopposto alla valutazione Definition Reference alla risorsa RLPatientCittadino contenente i dettagli anagrafici del paziente Requirements When answering questions about a subject that is minor, incapable of answering or an animal, another human source may answer the questions. Comments Il dato è detenuto dal SGDT Data Type Reference(RLPatientCittadino) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.source rim:.participation[typeCode=INF].role
item	I	1..*	BackboneElement	There are no (further) constraints on this element Element Id QuestionnaireResponse.item Short description Groups and questions Definition A group or question item from the original questionnaire for which answers are provided. Comments 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). Data Type BackboneElement Constraints 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()` Mappings rim:n/a rim:.outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]
linkId		1..1	string	Element Id QuestionnaireResponse.item.linkId Short description Identificativo del quesito Definition Stringa alfanumerica al più di 10 caratteri definita in generale da un valore numerico incrementale a partire da 1. Nel caso di valutazione multidimensionale InterRAI - HomeCare i linkId sono così definiti: "php.{valore numerico incrementale}" per la sezione PHP. "pvc.{valore numerico incrementale}" per la sezione PVC. Requirements Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id
definition		0..1	uri	There are no (further) constraints on this element Element Id QuestionnaireResponse.item.definition Short description ElementDefinition - details for the item Definition A reference to an ElementDefinition that provides the details for the item. 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. 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. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code
text		1..1	string	Element Id QuestionnaireResponse.item.text Short description Testo del quesito Definition Stringa alfanumerica al più di 1000 caratteri Requirements Allows the questionnaire response to be read without access to the questionnaire. Comments Il dato è detenuto dal SGDT Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.text
answer		1..1	BackboneElement	Element Id QuestionnaireResponse.item.answer Short description Riposta al quesito Definition The respondent's answer(s) to the question. Comments The value is nested because we cannot have a repeating structure that has variable type. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.value[type=LIST_ANY]
value[x]		1..1		Element Id QuestionnaireResponse.item.answer.value[x] Short description Contenuto informativo della risposta Definition In base alla tipologia di risposta relativa al singolo quesito i possibili campi e i relativi datatype sono: valueBoolean (boolean) valueDecimal (decimal) valueInteger (integer) valueDate (date) valueDateTime (dateTime) valueTime (time) valueString (string) valueUri (uri) valueAttachment (Attachment) valueCoding (Coding) valueQuantity (Quantity) valueReference (Reference) Requirements Ability to retain a single-valued answer to a question. Comments Il dato è detenuto dal SGDT Binding Code indicating the response provided for a question. QuestionnaireAnswerCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.item
valueBoolean			boolean	There are no (further) constraints on this element Data Type boolean
valueDecimal			decimal	There are no (further) constraints on this element Data Type decimal
valueInteger			integer	There are no (further) constraints on this element Data Type integer
valueDate			date	There are no (further) constraints on this element Data Type date
valueDateTime			dateTime	There are no (further) constraints on this element Data Type dateTime
valueTime			time	There are no (further) constraints on this element Data Type time
valueString			string	There are no (further) constraints on this element Data Type string
valueUri			uri	There are no (further) constraints on this element Data Type uri
valueAttachment			Attachment	There are no (further) constraints on this element Data Type Attachment
valueCoding			Coding	There are no (further) constraints on this element Data Type Coding
valueQuantity			Quantity	There are no (further) constraints on this element Data Type Quantity
valueReference			Reference(Resource)	There are no (further) constraints on this element Data Type Reference(Resource)
item		0..*	see (item)	There are no (further) constraints on this element Element Id QuestionnaireResponse.item.answer.item Short description Nested groups and questions Definition Nested groups and/or questions found within this particular answer. Requirements It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details. Mappings rim:.outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]
item		0..*	see (item)	There are no (further) constraints on this element Element Id QuestionnaireResponse.item.item Short description Nested questionnaire response items Definition Questions or sub-groups nested beneath a question or group. Requirements Reports can consist of complex nested groups. Mappings rim:.outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]

Hybrid View

QuestionnaireResponse	I		QuestionnaireResponse	There are no (further) constraints on this element Element Id QuestionnaireResponse Short description A structured set of questions and their answers Alternate names Form, QuestionnaireAnswers 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. 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. Data Type QuestionnaireResponse Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.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-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-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim:Entity. Role, or Act workflow:Event rim:Observation[moodCode=EVN]
id	Σ	1..1	System.String	Element Id QuestionnaireResponse.id Short description UUID prodotto dal server FHIR (applicativo) che detiente la risorsa Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Data Type System.String
meta	Σ	1..1	Meta	Element Id QuestionnaireResponse.meta Short description Metadati della risorsa 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. Data Type Meta Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
versionId	Σ	1..1	id	Element Id QuestionnaireResponse.meta.versionId Short description Versione della risorsa 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. Comments The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes. Data Type id Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
lastUpdated	Σ	1..1	instant	Element Id QuestionnaireResponse.meta.lastUpdated Short description Data e ora di ultimo aggiornamento della risorsa Definition Formato standard FHIR: YYY-MM-DDThh:mm:ss.sss+zz:zz Comments This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction. Data Type instant Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
source	Σ	0..1	uri	There are no (further) constraints on this element Element Id QuestionnaireResponse.meta.source Short description Identifies where the resource comes from 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. 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. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
profile	Σ	1..1	canonical(StructureDefinition)Fixed Value	Element Id QuestionnaireResponse.meta.profile Short description Profilo al quale la risorsa si riferisce Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. 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. Data Type canonical(StructureDefinition) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLQuestionnaireResponseValutazione Mappings rim:n/a
security	Σ	0..*	CodingBinding	There are no (further) constraints on this element Element Id QuestionnaireResponse.meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. 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. Data Type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding
tag	Σ	0..*	Coding	There are no (further) constraints on this element Element Id QuestionnaireResponse.meta.tag Short description Tags applied to this resource 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. 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. Data Type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding
extension	I	1..*	Extension	Element Id QuestionnaireResponse.extension Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints 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()` Mappings rim:n/a rim:N/A
esitoValutazione	I	0..1	Extension(Reference(RLObservationEsitoValutazione))	Element Id QuestionnaireResponse.extension:esitoValutazione Short description Riferimento all'esito della valutazione, se questa ne prevede uno, al quale il paziente è stato sottoposto Alternate names extensions, user content Definition Reference al profilo RLObservationEsitoValutazione contenente l'esito della valutazione 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. Data Type Extension(Reference(RLObservationEsitoValutazione)) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLQuestionnaireResponseEsitoValutazione Constraints 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()` Mappings rim:n/a rim:N/A
tipologiaValutazione	I	1..1	Extension(CodeableConcept)	Element Id QuestionnaireResponse.extension:tipologiaValutazione Short description Tipologia di valutazione Alternate names extensions, user content Definition Optional Extension Element - found in all resources. Comments Per il dettaglio esaustivo della codifica consultare la Tabella delle tipologia di valutazione contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide. Data Type Extension(CodeableConcept) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/RLQuestionnaireResponseTipologiaValutazione Constraints 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()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id QuestionnaireResponse.extension:tipologiaValutazione.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. 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. Data Type System.String Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/RLQuestionnaireResponseTipologiaValutazione Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id QuestionnaireResponse.extension:tipologiaValutazione.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
coding	Σ	1..1	Coding	Element Id QuestionnaireResponse.extension:tipologiaValutazione.value[x].coding Short description Codice e descrizione della tipologia di valutazione Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	There are no (further) constraints on this element Element Id QuestionnaireResponse.extension:tipologiaValutazione.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id QuestionnaireResponse.extension:tipologiaValutazione.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	codeBinding	Element Id QuestionnaireResponse.extension:tipologiaValutazione.value[x].coding.code Short description Codice della tipologia di valutazione Definition Stringa alfanumerica di un carattere Requirements Need to refer to a particular code in the system. Comments Il dato è detenuto dal SGDT Data Type code Binding ValueSet relativo alla tipologia di valutazione SGDT Tipologia Valutazione (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	1..1	string	Element Id QuestionnaireResponse.extension:tipologiaValutazione.value[x].coding.display Short description Descrizione della tipologia di valutazione Definition Stringa alfanumerica di al più di 50 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Il dato è detenuto dal SGDT Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id QuestionnaireResponse.extension:tipologiaValutazione.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id QuestionnaireResponse.extension:tipologiaValutazione.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
identifier	Σ	0..1	Identifier	There are no (further) constraints on this element Element Id QuestionnaireResponse.identifier Short description Unique id for this set of answers Definition A business identifier assigned to a particular completed (or partially completed) questionnaire. Requirements Used for tracking, registration and other business purposes. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Event.identifier w5:FiveWs.identifier rim:.id
basedOn	Σ I	1..1	Reference(RLCarePlanProgettoIndividuale)	Element Id QuestionnaireResponse.basedOn Short description Riferimento al progetto individule nel quale è previsto l'esito della valutazione Alternate names order Definition Reference alla risorsa RLCarePlanProgettoIndividuale contenente il progetto individuale del paziente Requirements Supports traceability of responsibility for the action and allows linkage of an action to the recommendations acted upon. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(RLCarePlanProgettoIndividuale) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.basedOn rim:.outboundRelationship[typeCode=FLFS].target
partOf	Σ I	0..*	Reference(Observation \| Procedure)	There are no (further) constraints on this element Element Id QuestionnaireResponse.partOf Short description Part of this action 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. 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. Data Type Reference(Observation \| Procedure) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.partOf rim:.inboundRelationship[typeCode=COMP].source[moodCode=EVN]
questionnaire	Σ	1..1	canonical(RLQuestionnaireValutazione)	Element Id QuestionnaireResponse.questionnaire Short description Valutazione Alternate names Form Definition Reference alla risorsa RLQuestionnaireValutazione contenente il nome della valutazione Requirements Needed to allow editing of the questionnaire response in a manner that enforces the constraints of the original form. Comments 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.). Data Type canonical(RLQuestionnaireValutazione) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Event.instantiates rim:./outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]
status	Σ ?!	1..1	codeBindingFixed Value	Element Id QuestionnaireResponse.status Short description Stato della valutazione Definition Valore fisso su "completed" Requirements The information on Questionnaire resources may possibly be gathered during multiple sessions and altered after considered being finished. Comments This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Data Type code Binding Lifecycle status of the questionnaire response. QuestionnaireResponseStatus (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value completed Mappings rim:n/a workflow:Event.status w5:FiveWs.status rim:.statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish "in-progress" from "published)
subject	Σ I	0..1	Reference(Resource)	There are no (further) constraints on this element Element Id QuestionnaireResponse.subject Short description The subject of the questions Alternate names Patient, Focus 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. Requirements Allows linking the answers to the individual the answers describe. May also affect access control. Comments If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types. Data Type Reference(Resource) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.subject w5:FiveWs.subject[x] rim:.participation[typeCode=SBJ].role w5:FiveWs.subject
encounter	Σ I	0..1	Reference(Encounter)	There are no (further) constraints on this element Element Id QuestionnaireResponse.encounter Short description Encounter created as part of Definition The Encounter during which this questionnaire response was created or to which the creation of this record is tightly associated. Requirements Provides context for the information that was captured. May also affect access control. 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. Data Type Reference(Encounter) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.encounter w5:FiveWs.context rim:.inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]
authored	Σ	1..1	dateTime	Element Id QuestionnaireResponse.authored Short description Data della valutazione Alternate names Date Created, Date published, Date Issued, Date updated Definition Formato: YYYY-MM-DD secondo lo standard FHIR 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. Comments Il dato è detenuto dal SGDT Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Event.occurrence[x] w5:FiveWs.recorded rim:.participation[typeCode=AUT].time
author	Σ I	1..1	Reference(RLPractitionerProfessionistaSanitario)	Element Id QuestionnaireResponse.author Short description Riferimento del professionista sanitario che ha eseguito la valutazione Alternate names Laboratory, Service, Practitioner, Department, Company, Performer Definition Reference al profilo RLPractionerProfessionistaSanitario del professionista sanitario che ha eseguito la valutazione Requirements Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers. Comments Il dato è detenuto dal SGDT Data Type Reference(RLPractitionerProfessionistaSanitario) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.performer w5:FiveWs.author rim:.participation[typeCode=AUT].role
source	Σ I	1..1	Reference(RLPatientCittadino)	Element Id QuestionnaireResponse.source Short description Paziente sottopposto alla valutazione Definition Reference alla risorsa RLPatientCittadino contenente i dettagli anagrafici del paziente Requirements When answering questions about a subject that is minor, incapable of answering or an animal, another human source may answer the questions. Comments Il dato è detenuto dal SGDT Data Type Reference(RLPatientCittadino) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.source rim:.participation[typeCode=INF].role
item	I	1..*	BackboneElement	There are no (further) constraints on this element Element Id QuestionnaireResponse.item Short description Groups and questions Definition A group or question item from the original questionnaire for which answers are provided. Comments 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). Data Type BackboneElement Constraints 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()` Mappings rim:n/a rim:.outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]
linkId		1..1	string	Element Id QuestionnaireResponse.item.linkId Short description Identificativo del quesito Definition Stringa alfanumerica al più di 10 caratteri definita in generale da un valore numerico incrementale a partire da 1. Nel caso di valutazione multidimensionale InterRAI - HomeCare i linkId sono così definiti: "php.{valore numerico incrementale}" per la sezione PHP. "pvc.{valore numerico incrementale}" per la sezione PVC. Requirements Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id
definition		0..1	uri	There are no (further) constraints on this element Element Id QuestionnaireResponse.item.definition Short description ElementDefinition - details for the item Definition A reference to an ElementDefinition that provides the details for the item. 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. 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. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code
text		1..1	string	Element Id QuestionnaireResponse.item.text Short description Testo del quesito Definition Stringa alfanumerica al più di 1000 caratteri Requirements Allows the questionnaire response to be read without access to the questionnaire. Comments Il dato è detenuto dal SGDT Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.text
answer		1..1	BackboneElement	Element Id QuestionnaireResponse.item.answer Short description Riposta al quesito Definition The respondent's answer(s) to the question. Comments The value is nested because we cannot have a repeating structure that has variable type. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.value[type=LIST_ANY]
value[x]		1..1		Element Id QuestionnaireResponse.item.answer.value[x] Short description Contenuto informativo della risposta Definition In base alla tipologia di risposta relativa al singolo quesito i possibili campi e i relativi datatype sono: valueBoolean (boolean) valueDecimal (decimal) valueInteger (integer) valueDate (date) valueDateTime (dateTime) valueTime (time) valueString (string) valueUri (uri) valueAttachment (Attachment) valueCoding (Coding) valueQuantity (Quantity) valueReference (Reference) Requirements Ability to retain a single-valued answer to a question. Comments Il dato è detenuto dal SGDT Binding Code indicating the response provided for a question. QuestionnaireAnswerCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.item
valueBoolean			boolean	There are no (further) constraints on this element Data Type boolean
valueDecimal			decimal	There are no (further) constraints on this element Data Type decimal
valueInteger			integer	There are no (further) constraints on this element Data Type integer
valueDate			date	There are no (further) constraints on this element Data Type date
valueDateTime			dateTime	There are no (further) constraints on this element Data Type dateTime
valueTime			time	There are no (further) constraints on this element Data Type time
valueString			string	There are no (further) constraints on this element Data Type string
valueUri			uri	There are no (further) constraints on this element Data Type uri
valueAttachment			Attachment	There are no (further) constraints on this element Data Type Attachment
valueCoding			Coding	There are no (further) constraints on this element Data Type Coding
valueQuantity			Quantity	There are no (further) constraints on this element Data Type Quantity
valueReference			Reference(Resource)	There are no (further) constraints on this element Data Type Reference(Resource)
item		0..*	see (item)	There are no (further) constraints on this element Element Id QuestionnaireResponse.item.answer.item Short description Nested groups and questions Definition Nested groups and/or questions found within this particular answer. Requirements It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details. Mappings rim:.outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]
item		0..*	see (item)	There are no (further) constraints on this element Element Id QuestionnaireResponse.item.item Short description Nested questionnaire response items Definition Questions or sub-groups nested beneath a question or group. Requirements Reports can consist of complex nested groups. Mappings rim:.outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]

Table View

QuestionnaireResponse		..
QuestionnaireResponse.id		1..
QuestionnaireResponse.meta		1..
QuestionnaireResponse.meta.versionId		1..
QuestionnaireResponse.meta.lastUpdated		1..
QuestionnaireResponse.meta.profile		1..1
QuestionnaireResponse.extension		1..
QuestionnaireResponse.extension	Extension	0..1
QuestionnaireResponse.extension	Extension	1..1
QuestionnaireResponse.extension.value[x]		..
QuestionnaireResponse.extension.value[x].coding		1..1
QuestionnaireResponse.extension.value[x].coding.code		1..
QuestionnaireResponse.extension.value[x].coding.display		1..
QuestionnaireResponse.basedOn	Reference(RLCarePlanProgettoIndividuale)	1..1
QuestionnaireResponse.questionnaire	canonical(RLQuestionnaireValutazione)	1..
QuestionnaireResponse.status		..
QuestionnaireResponse.authored		1..
QuestionnaireResponse.author	Reference(RLPractitionerProfessionistaSanitario)	1..
QuestionnaireResponse.source	Reference(RLPatientCittadino)	1..
QuestionnaireResponse.item		1..
QuestionnaireResponse.item.linkId		..
QuestionnaireResponse.item.text		1..
QuestionnaireResponse.item.answer		1..1
QuestionnaireResponse.item.answer.value[x]		1..

XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="RLQuestionnaireResponseValutazione" />
    <url value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLQuestionnaireResponseValutazione" />
    <name value="RLQuestionnaireResponseValutazione" />
    <status value="draft" />
    <description value="Profilo volto a mostrare il dettaglio delle risposte ai quesiti della valutazione alla quale il paziente &#232; stato sottoposto." />
    <keyword>
        <system value="https://fhir.siss.regione.lombardia.it/CodeSystem/Tag" />
        <code value="PI" />
    </keyword>
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="QuestionnaireResponse" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" />
    <derivation value="constraint" />
    <differential>
        <element id="QuestionnaireResponse.id">
            <path value="QuestionnaireResponse.id" />
            <short value="UUID prodotto dal server FHIR (applicativo) che detiente la risorsa" />
            <min value="1" />
        </element>
        <element id="QuestionnaireResponse.meta">
            <path value="QuestionnaireResponse.meta" />
            <short value="Metadati della risorsa" />
            <min value="1" />
        </element>
        <element id="QuestionnaireResponse.meta.versionId">
            <path value="QuestionnaireResponse.meta.versionId" />
            <short value="Versione della risorsa" />
            <min value="1" />
        </element>
        <element id="QuestionnaireResponse.meta.lastUpdated">
            <path value="QuestionnaireResponse.meta.lastUpdated" />
            <short value="Data e ora di ultimo aggiornamento della risorsa" />
            <definition value="Formato standard FHIR: YYY-MM-DDThh:mm:ss.sss+zz:zz" />
            <min value="1" />
        </element>
        <element id="QuestionnaireResponse.meta.profile">
            <path value="QuestionnaireResponse.meta.profile" />
            <short value="Profilo al quale la risorsa si riferisce" />
            <min value="1" />
            <max value="1" />
            <fixedCanonical value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLQuestionnaireResponseValutazione" />
        </element>
        <element id="QuestionnaireResponse.extension">
            <path value="QuestionnaireResponse.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="1" />
        </element>
        <element id="QuestionnaireResponse.extension:esitoValutazione">
            <path value="QuestionnaireResponse.extension" />
            <sliceName value="esitoValutazione" />
            <short value="Riferimento all&#39;esito della valutazione, se questa ne prevede uno, al quale il paziente &#232; stato sottoposto" />
            <definition value="Reference al profilo RLObservationEsitoValutazione contenente l&#39;esito della valutazione" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLQuestionnaireResponseEsitoValutazione" />
            </type>
            <isModifier value="false" />
        </element>
        <element id="QuestionnaireResponse.extension:tipologiaValutazione">
            <path value="QuestionnaireResponse.extension" />
            <sliceName value="tipologiaValutazione" />
            <short value="Tipologia di valutazione" />
            <comment value="Per il dettaglio esaustivo della codifica consultare la Tabella delle tipologia di valutazione contenuta nella sezione dei value-set del profilo presente nell&#39;Implementation Guide." />
            <min value="1" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLQuestionnaireResponseTipologiaValutazione" />
            </type>
            <isModifier value="false" />
        </element>
        <element id="QuestionnaireResponse.extension:tipologiaValutazione.value[x].coding">
            <path value="QuestionnaireResponse.extension.value[x].coding" />
            <short value="Codice e descrizione della tipologia di valutazione" />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="QuestionnaireResponse.extension:tipologiaValutazione.value[x].coding.code">
            <path value="QuestionnaireResponse.extension.value[x].coding.code" />
            <short value="Codice della tipologia di valutazione" />
            <definition value="Stringa alfanumerica di un carattere" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
            <min value="1" />
            <binding>
                <strength value="required" />
                <description value="ValueSet relativo alla tipologia di valutazione" />
                <valueSet value="https://fhir.siss.regione.lombardia.it/ValueSet/SGDT-TipologiaValutazione" />
            </binding>
        </element>
        <element id="QuestionnaireResponse.extension:tipologiaValutazione.value[x].coding.display">
            <path value="QuestionnaireResponse.extension.value[x].coding.display" />
            <short value="Descrizione della tipologia di valutazione" />
            <definition value="Stringa alfanumerica di al pi&#249; di 50 caratteri" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
            <min value="1" />
        </element>
        <element id="QuestionnaireResponse.basedOn">
            <path value="QuestionnaireResponse.basedOn" />
            <short value="Riferimento al progetto individule nel quale &#232; previsto l&#39;esito della valutazione" />
            <definition value="Reference alla risorsa RLCarePlanProgettoIndividuale contenente il progetto individuale del paziente" />
            <min value="1" />
            <max value="1" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCarePlanProgettoIndividuale" />
            </type>
        </element>
        <element id="QuestionnaireResponse.questionnaire">
            <path value="QuestionnaireResponse.questionnaire" />
            <short value="Valutazione" />
            <definition value="Reference alla risorsa RLQuestionnaireValutazione contenente il nome della valutazione" />
            <min value="1" />
            <type>
                <code value="canonical" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLQuestionnaireValutazione" />
            </type>
        </element>
        <element id="QuestionnaireResponse.status">
            <path value="QuestionnaireResponse.status" />
            <short value="Stato della valutazione" />
            <definition value="Valore fisso su &quot;completed&quot;" />
            <fixedCode value="completed" />
        </element>
        <element id="QuestionnaireResponse.authored">
            <path value="QuestionnaireResponse.authored" />
            <short value="Data della valutazione" />
            <definition value="Formato: YYYY-MM-DD secondo lo standard FHIR" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
            <min value="1" />
        </element>
        <element id="QuestionnaireResponse.author">
            <path value="QuestionnaireResponse.author" />
            <short value="Riferimento del professionista sanitario che ha eseguito la valutazione" />
            <definition value="Reference al profilo RLPractionerProfessionistaSanitario del professionista sanitario che ha eseguito la valutazione" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
            <min value="1" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerProfessionistaSanitario" />
            </type>
        </element>
        <element id="QuestionnaireResponse.source">
            <path value="QuestionnaireResponse.source" />
            <short value="Paziente sottopposto alla valutazione" />
            <definition value="Reference alla risorsa RLPatientCittadino contenente i dettagli anagrafici del paziente" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
            <min value="1" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPatientCittadino" />
            </type>
        </element>
        <element id="QuestionnaireResponse.item">
            <path value="QuestionnaireResponse.item" />
            <min value="1" />
        </element>
        <element id="QuestionnaireResponse.item.linkId">
            <path value="QuestionnaireResponse.item.linkId" />
            <short value="Identificativo del quesito" />
            <definition value="Stringa alfanumerica al pi&#249; di 10 caratteri definita in generale da un valore numerico incrementale a partire da 1.\nNel caso di valutazione multidimensionale InterRAI - HomeCare i linkId sono cos&#236; definiti:  \n&quot;php.{valore numerico incrementale}&quot; per la sezione PHP.\n&quot;pvc.{valore numerico incrementale}&quot; per la sezione PVC." />
        </element>
        <element id="QuestionnaireResponse.item.text">
            <path value="QuestionnaireResponse.item.text" />
            <short value="Testo del quesito" />
            <definition value="Stringa alfanumerica al pi&#249; di 1000 caratteri" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
            <min value="1" />
        </element>
        <element id="QuestionnaireResponse.item.answer">
            <path value="QuestionnaireResponse.item.answer" />
            <short value="Riposta al quesito" />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="QuestionnaireResponse.item.answer.value[x]">
            <path value="QuestionnaireResponse.item.answer.value[x]" />
            <short value="Contenuto informativo della risposta" />
            <definition value="In base alla tipologia di risposta relativa al singolo quesito i possibili campi e i relativi datatype sono: \nvalueBoolean (boolean) \nvalueDecimal (decimal) \nvalueInteger (integer) \nvalueDate (date) \nvalueDateTime (dateTime) \nvalueTime (time) \nvalueString (string) \nvalueUri (uri) \nvalueAttachment (Attachment)\nvalueCoding (Coding)\nvalueQuantity (Quantity) \nvalueReference (Reference)" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
            <min value="1" />
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "RLQuestionnaireResponseValutazione",
    "url": "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLQuestionnaireResponseValutazione",
    "name": "RLQuestionnaireResponseValutazione",
    "status": "draft",
    "description": "Profilo volto a mostrare il dettaglio delle risposte ai quesiti della valutazione alla quale il paziente è stato sottoposto.",
    "keyword":  [
        {
            "system": "https://fhir.siss.regione.lombardia.it/CodeSystem/Tag",
            "code": "PI"
        }
    ],
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "QuestionnaireResponse",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "QuestionnaireResponse.id",
                "path": "QuestionnaireResponse.id",
                "short": "UUID prodotto dal server FHIR (applicativo) che detiente la risorsa",
                "min": 1
            },
            {
                "id": "QuestionnaireResponse.meta",
                "path": "QuestionnaireResponse.meta",
                "short": "Metadati della risorsa",
                "min": 1
            },
            {
                "id": "QuestionnaireResponse.meta.versionId",
                "path": "QuestionnaireResponse.meta.versionId",
                "short": "Versione della risorsa",
                "min": 1
            },
            {
                "id": "QuestionnaireResponse.meta.lastUpdated",
                "path": "QuestionnaireResponse.meta.lastUpdated",
                "short": "Data e ora di ultimo aggiornamento della risorsa",
                "definition": "Formato standard FHIR: YYY-MM-DDThh:mm:ss.sss+zz:zz",
                "min": 1
            },
            {
                "id": "QuestionnaireResponse.meta.profile",
                "path": "QuestionnaireResponse.meta.profile",
                "short": "Profilo al quale la risorsa si riferisce",
                "min": 1,
                "max": "1",
                "fixedCanonical": "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLQuestionnaireResponseValutazione"
            },
            {
                "id": "QuestionnaireResponse.extension",
                "path": "QuestionnaireResponse.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "rules": "open"
                },
                "min": 1
            },
            {
                "id": "QuestionnaireResponse.extension:esitoValutazione",
                "path": "QuestionnaireResponse.extension",
                "sliceName": "esitoValutazione",
                "short": "Riferimento all'esito della valutazione, se questa ne prevede uno, al quale il paziente è stato sottoposto",
                "definition": "Reference al profilo RLObservationEsitoValutazione contenente l'esito della valutazione",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLQuestionnaireResponseEsitoValutazione"
                        ]
                    }
                ],
                "isModifier": false
            },
            {
                "id": "QuestionnaireResponse.extension:tipologiaValutazione",
                "path": "QuestionnaireResponse.extension",
                "sliceName": "tipologiaValutazione",
                "short": "Tipologia di valutazione",
                "comment": "Per il dettaglio esaustivo della codifica consultare la Tabella delle tipologia di valutazione contenuta nella sezione dei value-set del profilo presente nell'Implementation Guide.",
                "min": 1,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLQuestionnaireResponseTipologiaValutazione"
                        ]
                    }
                ],
                "isModifier": false
            },
            {
                "id": "QuestionnaireResponse.extension:tipologiaValutazione.value[x].coding",
                "path": "QuestionnaireResponse.extension.value[x].coding",
                "short": "Codice e descrizione della tipologia di valutazione",
                "min": 1,
                "max": "1"
            },
            {
                "id": "QuestionnaireResponse.extension:tipologiaValutazione.value[x].coding.code",
                "path": "QuestionnaireResponse.extension.value[x].coding.code",
                "short": "Codice della tipologia di valutazione",
                "definition": "Stringa alfanumerica di un carattere",
                "comment": "Il dato è detenuto dal SGDT",
                "min": 1,
                "binding": {
                    "strength": "required",
                    "description": "ValueSet relativo alla tipologia di valutazione",
                    "valueSet": "https://fhir.siss.regione.lombardia.it/ValueSet/SGDT-TipologiaValutazione"
                }
            },
            {
                "id": "QuestionnaireResponse.extension:tipologiaValutazione.value[x].coding.display",
                "path": "QuestionnaireResponse.extension.value[x].coding.display",
                "short": "Descrizione della tipologia di valutazione",
                "definition": "Stringa alfanumerica di al più di 50 caratteri",
                "comment": "Il dato è detenuto dal SGDT",
                "min": 1
            },
            {
                "id": "QuestionnaireResponse.basedOn",
                "path": "QuestionnaireResponse.basedOn",
                "short": "Riferimento al progetto individule nel quale è previsto l'esito della valutazione",
                "definition": "Reference alla risorsa RLCarePlanProgettoIndividuale contenente il progetto individuale del paziente",
                "min": 1,
                "max": "1",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLCarePlanProgettoIndividuale"
                        ]
                    }
                ]
            },
            {
                "id": "QuestionnaireResponse.questionnaire",
                "path": "QuestionnaireResponse.questionnaire",
                "short": "Valutazione",
                "definition": "Reference alla risorsa RLQuestionnaireValutazione contenente il nome della valutazione",
                "min": 1,
                "type":  [
                    {
                        "code": "canonical",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLQuestionnaireValutazione"
                        ]
                    }
                ]
            },
            {
                "id": "QuestionnaireResponse.status",
                "path": "QuestionnaireResponse.status",
                "short": "Stato della valutazione",
                "definition": "Valore fisso su \"completed\"",
                "fixedCode": "completed"
            },
            {
                "id": "QuestionnaireResponse.authored",
                "path": "QuestionnaireResponse.authored",
                "short": "Data della valutazione",
                "definition": "Formato: YYYY-MM-DD secondo lo standard FHIR",
                "comment": "Il dato è detenuto dal SGDT",
                "min": 1
            },
            {
                "id": "QuestionnaireResponse.author",
                "path": "QuestionnaireResponse.author",
                "short": "Riferimento del professionista sanitario che ha eseguito la valutazione",
                "definition": "Reference al profilo RLPractionerProfessionistaSanitario del professionista sanitario che ha eseguito la valutazione",
                "comment": "Il dato è detenuto dal SGDT",
                "min": 1,
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPractitionerProfessionistaSanitario"
                        ]
                    }
                ]
            },
            {
                "id": "QuestionnaireResponse.source",
                "path": "QuestionnaireResponse.source",
                "short": "Paziente sottopposto alla valutazione",
                "definition": "Reference alla risorsa RLPatientCittadino contenente i dettagli anagrafici del paziente",
                "comment": "Il dato è detenuto dal SGDT",
                "min": 1,
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPatientCittadino"
                        ]
                    }
                ]
            },
            {
                "id": "QuestionnaireResponse.item",
                "path": "QuestionnaireResponse.item",
                "min": 1
            },
            {
                "id": "QuestionnaireResponse.item.linkId",
                "path": "QuestionnaireResponse.item.linkId",
                "short": "Identificativo del quesito",
                "definition": "Stringa alfanumerica al più di 10 caratteri definita in generale da un valore numerico incrementale a partire da 1.\nNel caso di valutazione multidimensionale InterRAI - HomeCare i linkId sono così definiti:  \n\"php.{valore numerico incrementale}\" per la sezione PHP.\n\"pvc.{valore numerico incrementale}\" per la sezione PVC."
            },
            {
                "id": "QuestionnaireResponse.item.text",
                "path": "QuestionnaireResponse.item.text",
                "short": "Testo del quesito",
                "definition": "Stringa alfanumerica al più di 1000 caratteri",
                "comment": "Il dato è detenuto dal SGDT",
                "min": 1
            },
            {
                "id": "QuestionnaireResponse.item.answer",
                "path": "QuestionnaireResponse.item.answer",
                "short": "Riposta al quesito",
                "min": 1,
                "max": "1"
            },
            {
                "id": "QuestionnaireResponse.item.answer.value[x]",
                "path": "QuestionnaireResponse.item.answer.value[x]",
                "short": "Contenuto informativo della risposta",
                "definition": "In base alla tipologia di risposta relativa al singolo quesito i possibili campi e i relativi datatype sono: \nvalueBoolean (boolean) \nvalueDecimal (decimal) \nvalueInteger (integer) \nvalueDate (date) \nvalueDateTime (dateTime) \nvalueTime (time) \nvalueString (string) \nvalueUri (uri) \nvalueAttachment (Attachment)\nvalueCoding (Coding)\nvalueQuantity (Quantity) \nvalueReference (Reference)",
                "comment": "Il dato è detenuto dal SGDT",
                "min": 1
            }
        ]
    }
}

Esempi

Al momento non ci sono esempi disponibili.

Tipologie di ricerca

Ultime valutazioni effettuate da un paziente

Questa ricerca deve essere utilizzata dagli Enti Erogatori di servizi socioassistenziali per recuperare la versione più aggiornata delle valutazioni effettuate da un paziente che ha attivo o sta attivando un determinato servizio socioassistenziale. I parametri da valorizzare obbligatoriamente per effettuare la ricerca sono:

status: da compilare con il valore “completed”
source.reference(RLPatientiCittadino).identifier: codice fiscale del paziente
basedOn.reference(RLCarePlanProgettoIndividuale).activity.reference(RLServiceRequestServiziSocioSanitari).identifier: codice identificativo del servizio socioassistenziale d’interesse
basedOn.reference(RLCarePlanProgettoIndividuale).activity.reference(RLServiceRequestServiziSocioSanitari).perfomer.reference(RLOganizationL2).identifier: codice L2 dell’ente assegnato per l’erogazione del servizio socioassistenziale.

Nella tabella di seguito vengono riportati i dettagli tecnici per l’implementazione della ricerca:

SCOPE	Ultime valutazioni effettuate da un paziente
VERB	GET
BASE_APIMANAGER	https://api.servizirl.it/c/operatori.siss/fhir/v1.0.0/npri
URL	QuestionnaireResponse?_profile=https://fhir.siss.regione.lombardia.it/StructureDefinition/RLQuestionnaireResponseValutazione &based-on:CarePlan.activity-reference:ServiceRequest.performer:Organization.identifier={codiceLivello2} &based-on:CarePlan.activity-reference:ServiceRequest.identifier={numeroPratica} &source:Patient.identifier={codiceFiscaleAssistito} &status=completed &_include=QuestionnaireResponse:questionnaire &_include=QuestionnaireResponse:extension.esitoValutazione

A titolo esemplificativo, la chiamata:

QuestionnaireResponse?_profile=https://fhir.siss.regione.lombardia.it/StructureDefinition/RLQuestionnaireResponseValutazione&based-on:CarePlan.activity-reference:ServiceRequest.performer:Organization.identifier=03014300&based-on:CarePlan.activity-reference:ServiceRequest.identifier=2022000001&source:Patient.identifier=RSSMRA80A01F205&status=completed&_include=QuestionnaireResponse:questionnaire&_include=QuestionnaireResponse:extension.esitoValutazione

Restituirà l’ultima versione della valutazione afferente alla pratica "2022000001", e la tipologia della stessa, effettuata al paziente con codice fiscale “RSSMRA80A01F205”.

Un esempio di Bundle di risposta può essere consultato qui: esempio-ricerca-valutazioni.

Criterio di ricerca applicato per le funzionalità descritte nei documenti:

DC-COOP-FHIR#01 (Specifiche di cooperazione applicativa nell’ambito delle cure domiciliari).

Search parameter

Sulla base di quanto descritto nelle tipologie di ricerca sono riportati di seguito i parametri di ricerca del profilo RLQuestionnaireResponseValutazione:

_include
_profile
based-on
source
status

ValueSet

Attualmente non sono definiti value set specifici per il profilo RLQuestionnaireResponseValutazione.