Implementierungsleitfaden ISiK-Formular-Modul

Ausgefülltes ISiK-Formular

Metadaten

Canonical	https://gematik.de/fhir/isik/StructureDefinition/ISiKFormularDaten
Status	active
Version	5.0.0
Basis	http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse

Inhalt

ISiKFormularDaten (QuestionnaireResponse)	I		QuestionnaireResponse	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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` dom-6: A resource should have narrative for robust management text.`div`.exists() sdcqr-1: Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. `subject.exists()` sdcqr-2: When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers. `(QuestionnaireResponse\|repeat(answer\|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()` Mappings rim: Entity. Role, or Act workflow: Event rim: Observation[moodCode=EVN]
id	Σ	0..1	string	There are no (further) constraints on this element Element id QuestionnaireResponse.id Short description Logical id of this artifact 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 string
meta	Σ	0..1	Meta	There are no (further) constraints on this element Element id QuestionnaireResponse.meta Short description Metadata about the resource 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())`
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id QuestionnaireResponse.implicitRules Short description A set of rules under which this content was created Definition A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Comments Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
language		0..1	codeBinding	There are no (further) constraints on this element Element id QuestionnaireResponse.language Short description Language of the resource content Definition The base language in which the resource is written. Comments Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). Data type code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
text		0..1	Narrative	There are no (further) constraints on this element Element id QuestionnaireResponse.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Comments Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: Act.text?
contained		0..*	Resource	There are no (further) constraints on this element Element id QuestionnaireResponse.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources Definition These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. Comments This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. Data type Resource Mappings rim: N/A
extension	I	0..*	Extension	There are no (further) constraints on this element 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 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
modifierExtension	?! I	1..*	Extension	Element id QuestionnaireResponse.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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
MDR-Relevant	S ?! I	1..1	Extension(Coding)	Element id QuestionnaireResponse.modifierExtension:MDR-Relevant Short description MPG-Relevanz der Formulardaten Alternate names extensions, user content Definition Optional Extension Element - found in all resources. Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments Begründung MS: Systeme, die Formulardaten anzeigen oder weiterverarbeiten benötigen Information zu deren MPG-Relevanz Data type Extension(Coding) Extension URL https://gematik.de/fhir/isik/StructureDefinition/ISiKMDRRelevanzFormularExtension 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
id		0..1	string	There are no (further) constraints on this element Element id QuestionnaireResponse.modifierExtension:MDR-Relevant.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..0	Extension	There are no (further) constraints on this element Element id QuestionnaireResponse.modifierExtension:MDR-Relevant.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 element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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) Extensions are always sliced by (at least) url 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
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id QuestionnaireResponse.modifierExtension:MDR-Relevant.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 uri Fixed value https://gematik.de/fhir/isik/StructureDefinition/ISiKMDRRelevanzFormularExtension Mappings rim: N/A
value[x]	S	1..1	Binding	There are no (further) constraints on this element Element id QuestionnaireResponse.modifierExtension:MDR-Relevant.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). Binding ISiKMDRRelevanzFormularVS (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueCoding			Coding	There are no (further) constraints on this element Data type Coding
identifier	S Σ	0..1	Identifier	Element id QuestionnaireResponse.identifier Short description eindeutiger Identifier der FormularDaten Definition A business identifier assigned to a particular completed (or partially completed) questionnaire. Requirements Used for tracking, registration and other business purposes. Comments Begründung MS: Ein vom FormularRenderer vergebener, eindeutiger Identifier kann von weiterverarbeitenden Systemen genutzt werden, um Dubletten zu erkennen. Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.identifier w5: FiveWs.identifier rim: .id
basedOn	Σ	0..*	Reference(CarePlan \| ServiceRequest)	There are no (further) constraints on this element Element id QuestionnaireResponse.basedOn Short description Request fulfilled by this QuestionnaireResponse Alternate names order Definition The order, proposal or plan that is fulfilled in whole or in part by this QuestionnaireResponse. For example, a ServiceRequest seeking an intake assessment or a decision support recommendation to assess for post-partum depression. Requirements Supports traceability of responsibility for the action and allows linkage of an action to the recommendations acted upon. Data type Reference(CarePlan \| ServiceRequest) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.basedOn rim: .outboundRelationship[typeCode=FLFS].target
partOf	Σ	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())` Mappings workflow: Event.partOf rim: .inboundRelationship[typeCode=COMP].source[moodCode=EVN]
questionnaire	S Σ	1..1	canonical(Questionnaire)	Element id QuestionnaireResponse.questionnaire Short description Bezug zur FormularDefinition inkl. Version Alternate names Form Definition The Questionnaire that defines and organizes the questions for which answers are being provided. Requirements Needed to allow editing of the questionnaire response in a manner that enforces the constraints of the original form. Comments Bei der Angabe der Canonical, sollte die Version der FormularDefinition, welche bei der Erstellung die Grundlage gebildet hat, angegeben sein. Begründung MS: Der Bezug zur Formulardefinition kann für die Interpretation und Darstellung der Formulardaten relevant sein. Data type canonical(Questionnaire) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.instantiates rim: ./outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]
id		0..1	string	There are no (further) constraints on this element Element id QuestionnaireResponse.questionnaire.id Short description xml:id (or equivalent in JSON) Definition unique id for the element within a resource (for internal references) Data type string
extension	I	1..*	Extension	Element id QuestionnaireResponse.questionnaire.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()`
questionnaireDisplay	S I	1..1	Extension(string)	Element id QuestionnaireResponse.questionnaire.extension:questionnaireDisplay Short description Titel/Überschrift der zugrunde liegenden FormularDefinition Alternate names extensions, user content Definition The title or other name to display when referencing a resource by canonical URL. Comments Wird für die Darstellung und Auffindbarkeit der FormularDaten benötigt. Data type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/display 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()`
value		0..1	System.String	There are no (further) constraints on this element Element id QuestionnaireResponse.questionnaire.value Short description Primitive value for canonical Definition Primitive value for canonical Data type System.String
status	S Σ ?!	1..1	codeBinding	Element id QuestionnaireResponse.status Short description Status Definition The position of the questionnaire response within its overall lifecycle. Requirements The information on Questionnaire resources may possibly be gathered during multiple sessions and altered after considered being finished. Comments Begründung Pflichtfeld: Bei der Verarbeitung von FormularDaten ist es wichtig, den Status zu beachten. Falls die Instanz noch nicht `completed` ist, sollte von einer Weiterverarbeitung abgesehen werden. 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())` Mappings workflow: Event.status w5: FiveWs.status rim: .statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish "in-progress" from "published)
subject	S Σ	1..1	Reference(Resource)	Element id QuestionnaireResponse.subject Short description Subject (Patient), über das in diesem Formular berichtet wird. 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 Begründung Pflichtfeld: Zur Vereinfachung des Workflows werden zunächst nur Formulare mit Patientenbezug zugelassen. Diese Anforderung kann in künftigen Ausbaustufen gelockert werden. Data type Reference(Resource) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.subject w5: FiveWs.subject[x] rim: .participation[typeCode=SBJ].role w5: FiveWs.subject
encounter	Σ	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())` Mappings workflow: Event.encounter w5: FiveWs.context rim: .inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]
authored	S Σ	1..1	dateTime	Element id QuestionnaireResponse.authored Short description Datum der FormularDaten Alternate names Date Created, Date published, Date Issued, Date updated Definition The date and/or time that this set of answers were last changed. 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 Begründung Pflichtfeld: Relevant für die Suche und zeitliche Einordnung der FormularDaten Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.occurrence[x] w5: FiveWs.recorded rim: .participation[typeCode=AUT].time
author	S Σ	0..1	Reference(Device \| Practitioner \| PractitionerRole \| Patient \| RelatedPerson \| Organization)	Element id QuestionnaireResponse.author Short description Ersteller des Fromulars Alternate names Laboratory, Service, Practitioner, Department, Company, Performer Definition Person who received the answers to the questions in the QuestionnaireResponse and recorded them in the system. Requirements Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers. Comments Auch wenn hier keine Einschränkung vorgenommen wurde, ist zu empfehlen, hier die ausfüllende Person (Patient/Practitioner) zu referenzieren und nicht nur die Software (Device), mit der das Formular ausgefüllt wurde. Begründung MS: In den meisten Fällen ist relevant, wer Formulardaten erfasst hat. Data type Reference(Device \| Practitioner \| PractitionerRole \| Patient \| RelatedPerson \| Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.performer w5: FiveWs.author rim: .participation[typeCode=AUT].role
source	Σ	0..1	Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson)	There are no (further) constraints on this element Element id QuestionnaireResponse.source Short description The person who answered the questions Definition The person who answered the questions about the subject. Requirements When answering questions about a subject that is minor, incapable of answering or an animal, another human source may answer the questions. Comments If not specified, no inference can be made about who provided the data. Data type Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.source rim: .participation[typeCode=INF].role
item	S I	0..*	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: .outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]
id		0..1	string	There are no (further) constraints on this element Element id QuestionnaireResponse.item.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id QuestionnaireResponse.item.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 element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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 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
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id QuestionnaireResponse.item.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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 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
linkId	S	1..1	string	Element id QuestionnaireResponse.item.linkId Short description Eindeutige ID des Formularelement Definition The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource. Requirements Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier. Comments Begründung Pflichtfeld: Die LinkId ordnet die Information der Antwort einer Frage in der FormularDefinition zu und ist aus dem Grund zur Interpretation der Antwort unablässig. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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: .outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code
text	S	0..1	string	Element id QuestionnaireResponse.item.text Short description Frage, die beantwortet wurde Definition Text that is displayed above the contents of the group or as the text of the question being answered. Requirements Allows the questionnaire response to be read without access to the questionnaire. Comments Begründung Pflichtfeld: Die FormularDaten sollte pro Antwort auch die Fragestellung mitführen, damit die Daten auch von Systemen/Anwendern interpretiert werden können, die keinen Zugriff auf die zugrunde liegende FormularDefinition haben. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .text
answer	S	0..*	BackboneElement	Element id QuestionnaireResponse.item.answer Short description Antwort Definition The respondent's answer(s) to the question. Comments Begründung MS: Die erfasste Antwort MUSS stets vorhanden sein. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .value[type=LIST_ANY]
id		0..1	string	There are no (further) constraints on this element Element id QuestionnaireResponse.item.answer.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id QuestionnaireResponse.item.answer.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 element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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 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
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id QuestionnaireResponse.item.answer.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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 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
value[x]	S	0..1		Element id QuestionnaireResponse.item.answer.value[x] Short description Inhalt der Antwort Definition The answer (or one of the answers) provided by the respondent to the question. Requirements Ability to retain a single-valued answer to a question. Comments Begründung MS: Der Inhalt der jeweilig erfassten Antwort MUSS stehts vorhanden sein. 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: .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	S	0..*	see (item)	Element id QuestionnaireResponse.item.answer.item Short description Untergeordnetes Item 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. Comments Begründung MS: Items können beliebig verschachtelt und zu Gruppen zusammengefasst werden, um komplexere und umfangreichere Formulare zu strukturieren. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]
item	S	0..*	see (item)	Element id QuestionnaireResponse.item.item Short description Untergeordnetes Item Definition Questions or sub-groups nested beneath a question or group. Requirements Reports can consist of complex nested groups. Comments Begründung MS: Items können beliebig verschachtelt und zu Gruppen zusammengefasst werden, um komplexere und umfangreichere Formulare zu strukturieren. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]

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<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="ISiKFormularDaten" />
    <url value="https://gematik.de/fhir/isik/StructureDefinition/ISiKFormularDaten" />
    <version value="5.0.0" />
    <name value="ISiKFormularDaten" />
    <title value="Ausgef&#252;lltes ISiK-Formular" />
    <status value="active" />
    <experimental value="false" />
    <date value="2025-06-26" />
    <publisher value="gematik GmbH" />
    <description value="ToDo" />
    <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">
            <path value="QuestionnaireResponse" />
            <constraint>
                <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
                    <valueBoolean value="true" />
                </extension>
                <key value="sdcqr-1" />
                <severity value="warning" />
                <human value="Subject SHOULD be present (searching is difficult without subject).  Almost all QuestionnaireResponses should be with respect to some sort of subject." />
                <expression value="subject.exists()" />
                <xpath value="exists(f:subject)" />
                <source value="https://gematik.de/fhir/isik/StructureDefinition/ISiKFormularDaten" />
            </constraint>
            <constraint>
                <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
                    <valueBoolean value="true" />
                </extension>
                <key value="sdcqr-2" />
                <severity value="error" />
                <human value="When repeats=true for a group, it&#39;ll be represented with multiple items with the same linkId in the QuestionnaireResponse.  For a question, it&#39;ll be represented by a single item with that linkId with multiple answers." />
                <expression value="(QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()" />
                <xpath value="not(exists(for $item in descendant::f:item[f:answer] return $item/preceding-sibling::f:item[f:linkId/@value=$item/f:linkId/@value]))" />
                <source value="https://gematik.de/fhir/isik/StructureDefinition/ISiKFormularDaten" />
            </constraint>
        </element>
        <element id="QuestionnaireResponse.modifierExtension">
            <path value="QuestionnaireResponse.modifierExtension" />
            <min value="1" />
        </element>
        <element id="QuestionnaireResponse.modifierExtension:MDR-Relevant">
            <path value="QuestionnaireResponse.modifierExtension" />
            <sliceName value="MDR-Relevant" />
            <short value="MPG-Relevanz der Formulardaten" />
            <comment value="**Begr&#252;ndung MS:**   \n  Systeme, die Formulardaten anzeigen oder weiterverarbeiten ben&#246;tigen Information zu deren MPG-Relevanz" />
            <min value="1" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="https://gematik.de/fhir/isik/StructureDefinition/ISiKMDRRelevanzFormularExtension" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="QuestionnaireResponse.modifierExtension:MDR-Relevant.value[x]">
            <path value="QuestionnaireResponse.modifierExtension.value[x]" />
            <mustSupport value="true" />
        </element>
        <element id="QuestionnaireResponse.identifier">
            <path value="QuestionnaireResponse.identifier" />
            <short value="eindeutiger Identifier der FormularDaten" />
            <comment value="**Begr&#252;ndung MS:**\n  Ein vom FormularRenderer vergebener, eindeutiger Identifier kann von weiterverarbeitenden Systemen genutzt werden, um Dubletten zu erkennen." />
            <mustSupport value="true" />
        </element>
        <element id="QuestionnaireResponse.questionnaire">
            <path value="QuestionnaireResponse.questionnaire" />
            <short value="Bezug zur FormularDefinition inkl. Version" />
            <comment value="Bei der Angabe der Canonical, sollte die Version der FormularDefinition, welche bei der Erstellung die Grundlage gebildet hat, angegeben sein.\n  **Begr&#252;ndung MS:** \n  Der Bezug zur Formulardefinition kann f&#252;r die Interpretation und Darstellung der Formulardaten relevant sein." />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="QuestionnaireResponse.questionnaire.extension">
            <path value="QuestionnaireResponse.questionnaire.extension" />
            <min value="1" />
        </element>
        <element id="QuestionnaireResponse.questionnaire.extension:questionnaireDisplay">
            <path value="QuestionnaireResponse.questionnaire.extension" />
            <sliceName value="questionnaireDisplay" />
            <short value="Titel/&#220;berschrift der zugrunde liegenden FormularDefinition" />
            <comment value="Wird f&#252;r die Darstellung und Auffindbarkeit der FormularDaten ben&#246;tigt." />
            <min value="1" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://hl7.org/fhir/StructureDefinition/display" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="QuestionnaireResponse.status">
            <path value="QuestionnaireResponse.status" />
            <short value="Status" />
            <comment value="**Begr&#252;ndung Pflichtfeld:**\n  Bei der Verarbeitung von FormularDaten ist es wichtig, den Status zu beachten. Falls die Instanz noch nicht `completed` ist, sollte von einer Weiterverarbeitung abgesehen werden." />
            <mustSupport value="true" />
        </element>
        <element id="QuestionnaireResponse.subject">
            <path value="QuestionnaireResponse.subject" />
            <short value="Subject (Patient), &#252;ber das in diesem Formular berichtet wird." />
            <comment value="**Begr&#252;ndung Pflichtfeld:**  \n  Zur Vereinfachung des Workflows werden zun&#228;chst nur Formulare mit Patientenbezug zugelassen.  \n  Diese Anforderung kann in k&#252;nftigen Ausbaustufen gelockert werden." />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="QuestionnaireResponse.authored">
            <path value="QuestionnaireResponse.authored" />
            <short value="Datum der FormularDaten" />
            <comment value="**Begr&#252;ndung Pflichtfeld:** \n  Relevant f&#252;r die Suche und zeitliche Einordnung der FormularDaten" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="QuestionnaireResponse.author">
            <path value="QuestionnaireResponse.author" />
            <short value="Ersteller des Fromulars" />
            <comment value="Auch wenn hier keine Einschr&#228;nkung vorgenommen wurde, ist zu empfehlen, hier die ausf&#252;llende Person (Patient/Practitioner) zu referenzieren und nicht nur die Software (Device), mit der das Formular ausgef&#252;llt wurde.\n  **Begr&#252;ndung MS:**\n  In den meisten F&#228;llen ist relevant, wer Formulardaten erfasst hat." />
            <mustSupport value="true" />
        </element>
        <element id="QuestionnaireResponse.item">
            <path value="QuestionnaireResponse.item" />
            <mustSupport value="true" />
        </element>
        <element id="QuestionnaireResponse.item.linkId">
            <path value="QuestionnaireResponse.item.linkId" />
            <short value="Eindeutige ID des Formularelement" />
            <comment value="**Begr&#252;ndung Pflichtfeld:**\n    Die LinkId ordnet die Information der Antwort einer Frage in der FormularDefinition zu und ist aus dem Grund zur Interpretation der Antwort unabl&#228;ssig." />
            <mustSupport value="true" />
        </element>
        <element id="QuestionnaireResponse.item.text">
            <path value="QuestionnaireResponse.item.text" />
            <short value="Frage, die beantwortet wurde" />
            <comment value="**Begr&#252;ndung Pflichtfeld:**  \n    Die FormularDaten sollte pro Antwort auch die Fragestellung mitf&#252;hren, \n    damit die Daten auch von Systemen/Anwendern interpretiert werden k&#246;nnen, \n    die *keinen* Zugriff auf die zugrunde liegende FormularDefinition haben." />
            <mustSupport value="true" />
        </element>
        <element id="QuestionnaireResponse.item.answer">
            <path value="QuestionnaireResponse.item.answer" />
            <short value="Antwort" />
            <comment value="**Begr&#252;ndung MS:**\n    Die erfasste Antwort MUSS stets vorhanden sein." />
            <mustSupport value="true" />
        </element>
        <element id="QuestionnaireResponse.item.answer.value[x]">
            <path value="QuestionnaireResponse.item.answer.value[x]" />
            <short value="Inhalt der Antwort" />
            <comment value="**Begr&#252;ndung MS:**\n      Der Inhalt der jeweilig erfassten Antwort MUSS stehts vorhanden sein." />
            <mustSupport value="true" />
        </element>
        <element id="QuestionnaireResponse.item.answer.item">
            <path value="QuestionnaireResponse.item.answer.item" />
            <short value="Untergeordnetes Item" />
            <comment value="**Begr&#252;ndung MS:**  \n   Items k&#246;nnen beliebig verschachtelt und zu Gruppen zusammengefasst werden, um komplexere und umfangreichere Formulare zu strukturieren." />
            <mustSupport value="true" />
        </element>
        <element id="QuestionnaireResponse.item.item">
            <path value="QuestionnaireResponse.item.item" />
            <short value="Untergeordnetes Item" />
            <comment value="**Begr&#252;ndung MS:**  \n   Items k&#246;nnen beliebig verschachtelt und zu Gruppen zusammengefasst werden, um komplexere und umfangreichere Formulare zu strukturieren." />
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "id": "ISiKFormularDaten",
    "url": "https://gematik.de/fhir/isik/StructureDefinition/ISiKFormularDaten",
    "version": "5.0.0",
    "name": "ISiKFormularDaten",
    "title": "Ausgefülltes ISiK-Formular",
    "status": "active",
    "experimental": false,
    "date": "2025-06-26",
    "publisher": "gematik GmbH",
    "description": "ToDo",
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "QuestionnaireResponse",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "QuestionnaireResponse",
                "path": "QuestionnaireResponse",
                "constraint":  [
                    {
                        "key": "sdcqr-1",
                        "human": "Subject SHOULD be present (searching is difficult without subject).  Almost all QuestionnaireResponses should be with respect to some sort of subject.",
                        "source": "https://gematik.de/fhir/isik/StructureDefinition/ISiKFormularDaten",
                        "severity": "warning",
                        "expression": "subject.exists()",
                        "xpath": "exists(f:subject)",
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
                                "valueBoolean": true
                            }
                        ]
                    },
                    {
                        "key": "sdcqr-2",
                        "human": "When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse.  For a question, it'll be represented by a single item with that linkId with multiple answers.",
                        "source": "https://gematik.de/fhir/isik/StructureDefinition/ISiKFormularDaten",
                        "severity": "error",
                        "expression": "(QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()",
                        "xpath": "not(exists(for $item in descendant::f:item[f:answer] return $item/preceding-sibling::f:item[f:linkId/@value=$item/f:linkId/@value]))",
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
                                "valueBoolean": true
                            }
                        ]
                    }
                ]
            },
            {
                "id": "QuestionnaireResponse.modifierExtension",
                "path": "QuestionnaireResponse.modifierExtension",
                "min": 1
            },
            {
                "id": "QuestionnaireResponse.modifierExtension:MDR-Relevant",
                "path": "QuestionnaireResponse.modifierExtension",
                "sliceName": "MDR-Relevant",
                "short": "MPG-Relevanz der Formulardaten",
                "comment": "**Begründung MS:**   \n  Systeme, die Formulardaten anzeigen oder weiterverarbeiten benötigen Information zu deren MPG-Relevanz",
                "min": 1,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://gematik.de/fhir/isik/StructureDefinition/ISiKMDRRelevanzFormularExtension"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "QuestionnaireResponse.modifierExtension:MDR-Relevant.value[x]",
                "path": "QuestionnaireResponse.modifierExtension.value[x]",
                "mustSupport": true
            },
            {
                "id": "QuestionnaireResponse.identifier",
                "path": "QuestionnaireResponse.identifier",
                "short": "eindeutiger Identifier der FormularDaten",
                "comment": "**Begründung MS:**\n  Ein vom FormularRenderer vergebener, eindeutiger Identifier kann von weiterverarbeitenden Systemen genutzt werden, um Dubletten zu erkennen.",
                "mustSupport": true
            },
            {
                "id": "QuestionnaireResponse.questionnaire",
                "path": "QuestionnaireResponse.questionnaire",
                "short": "Bezug zur FormularDefinition inkl. Version",
                "comment": "Bei der Angabe der Canonical, sollte die Version der FormularDefinition, welche bei der Erstellung die Grundlage gebildet hat, angegeben sein.\n  **Begründung MS:** \n  Der Bezug zur Formulardefinition kann für die Interpretation und Darstellung der Formulardaten relevant sein.",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "QuestionnaireResponse.questionnaire.extension",
                "path": "QuestionnaireResponse.questionnaire.extension",
                "min": 1
            },
            {
                "id": "QuestionnaireResponse.questionnaire.extension:questionnaireDisplay",
                "path": "QuestionnaireResponse.questionnaire.extension",
                "sliceName": "questionnaireDisplay",
                "short": "Titel/Überschrift der zugrunde liegenden FormularDefinition",
                "comment": "Wird für die Darstellung und Auffindbarkeit der FormularDaten benötigt.",
                "min": 1,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://hl7.org/fhir/StructureDefinition/display"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "QuestionnaireResponse.status",
                "path": "QuestionnaireResponse.status",
                "short": "Status",
                "comment": "**Begründung Pflichtfeld:**\n  Bei der Verarbeitung von FormularDaten ist es wichtig, den Status zu beachten. Falls die Instanz noch nicht `completed` ist, sollte von einer Weiterverarbeitung abgesehen werden.",
                "mustSupport": true
            },
            {
                "id": "QuestionnaireResponse.subject",
                "path": "QuestionnaireResponse.subject",
                "short": "Subject (Patient), über das in diesem Formular berichtet wird.",
                "comment": "**Begründung Pflichtfeld:**  \n  Zur Vereinfachung des Workflows werden zunächst nur Formulare mit Patientenbezug zugelassen.  \n  Diese Anforderung kann in künftigen Ausbaustufen gelockert werden.",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "QuestionnaireResponse.authored",
                "path": "QuestionnaireResponse.authored",
                "short": "Datum der FormularDaten",
                "comment": "**Begründung Pflichtfeld:** \n  Relevant für die Suche und zeitliche Einordnung der FormularDaten",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "QuestionnaireResponse.author",
                "path": "QuestionnaireResponse.author",
                "short": "Ersteller des Fromulars",
                "comment": "Auch wenn hier keine Einschränkung vorgenommen wurde, ist zu empfehlen, hier die ausfüllende Person (Patient/Practitioner) zu referenzieren und nicht nur die Software (Device), mit der das Formular ausgefüllt wurde.\n  **Begründung MS:**\n  In den meisten Fällen ist relevant, wer Formulardaten erfasst hat.",
                "mustSupport": true
            },
            {
                "id": "QuestionnaireResponse.item",
                "path": "QuestionnaireResponse.item",
                "mustSupport": true
            },
            {
                "id": "QuestionnaireResponse.item.linkId",
                "path": "QuestionnaireResponse.item.linkId",
                "short": "Eindeutige ID des Formularelement",
                "comment": "**Begründung Pflichtfeld:**\n    Die LinkId ordnet die Information der Antwort einer Frage in der FormularDefinition zu und ist aus dem Grund zur Interpretation der Antwort unablässig.",
                "mustSupport": true
            },
            {
                "id": "QuestionnaireResponse.item.text",
                "path": "QuestionnaireResponse.item.text",
                "short": "Frage, die beantwortet wurde",
                "comment": "**Begründung Pflichtfeld:**  \n    Die FormularDaten sollte pro Antwort auch die Fragestellung mitführen, \n    damit die Daten auch von Systemen/Anwendern interpretiert werden können, \n    die *keinen* Zugriff auf die zugrunde liegende FormularDefinition haben.",
                "mustSupport": true
            },
            {
                "id": "QuestionnaireResponse.item.answer",
                "path": "QuestionnaireResponse.item.answer",
                "short": "Antwort",
                "comment": "**Begründung MS:**\n    Die erfasste Antwort MUSS stets vorhanden sein.",
                "mustSupport": true
            },
            {
                "id": "QuestionnaireResponse.item.answer.value[x]",
                "path": "QuestionnaireResponse.item.answer.value[x]",
                "short": "Inhalt der Antwort",
                "comment": "**Begründung MS:**\n      Der Inhalt der jeweilig erfassten Antwort MUSS stehts vorhanden sein.",
                "mustSupport": true
            },
            {
                "id": "QuestionnaireResponse.item.answer.item",
                "path": "QuestionnaireResponse.item.answer.item",
                "short": "Untergeordnetes Item",
                "comment": "**Begründung MS:**  \n   Items können beliebig verschachtelt und zu Gruppen zusammengefasst werden, um komplexere und umfangreichere Formulare zu strukturieren.",
                "mustSupport": true
            },
            {
                "id": "QuestionnaireResponse.item.item",
                "path": "QuestionnaireResponse.item.item",
                "short": "Untergeordnetes Item",
                "comment": "**Begründung MS:**  \n   Items können beliebig verschachtelt und zu Gruppen zusammengefasst werden, um komplexere und umfangreichere Formulare zu strukturieren.",
                "mustSupport": true
            }
        ]
    }
}

Ausgefülltes ISiK-Formular

Constraints/Invarianten

Name	Schweregrad	Beschreibung	Ausdruck
sdcqr-1	warning	Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject.	subject.exists()
sdcqr-2	error	When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers.	(QuestionnaireResponse\|repeat(answer\|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()