{ "resourceType": "StructureDefinition", "id": "ISiKFormularDaten", "url": "https://gematik.de/fhir/isik/StructureDefinition/ISiKFormularDaten", "version": "6.0.0-rc", "name": "ISiKFormularDaten", "title": "Ausgefülltes ISiK-Formular", "status": "active", "experimental": false, "date": "2026-04-02", "publisher": "gematik GmbH", "description": "Im Profil `ISiKFormularDaten` sind Mindestanforderungen an ISiK kompatible, ausgefüllte Formulare definiert.\nDie verwendbaren Extensions sind nicht mit profiliert, sondern im IG unter Spezifikationen->Extensions beschrieben.", "fhirVersion": "4.0.1", "kind": "resource", "abstract": false, "type": "QuestionnaireResponse", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse", "derivation": "constraint", "snapshot": { "element": [ { "id": "QuestionnaireResponse", "path": "QuestionnaireResponse", "short": "A structured set of questions and their answers", "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.", "comment": "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.", "alias": [ "Form", "QuestionnaireAnswers" ], "min": 0, "max": "*", "base": { "path": "QuestionnaireResponse", "min": 0, "max": "*" }, "constraint": [ { "key": "dom-2", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression": "contained.contained.empty()", "xpath": "not(parent::f:contained and f:contained)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-4", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-3", "severity": "error", "human": "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", "expression": "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()", "xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean": true }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." } ], "key": "dom-6", "severity": "warning", "human": "A resource should have narrative for robust management", "expression": "text.`div`.exists()", "xpath": "exists(f:text/h:div)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-5", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a security label", "expression": "contained.meta.security.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:security))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean": true } ], "key": "sdcqr-1", "severity": "warning", "human": "Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject.", "expression": "subject.exists()", "xpath": "exists(f:subject)", "source": "https://gematik.de/fhir/isik/StructureDefinition/ISiKFormularDaten" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean": true } ], "key": "sdcqr-2", "severity": "error", "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.", "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]))", "source": "https://gematik.de/fhir/isik/StructureDefinition/ISiKFormularDaten" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "workflow", "map": "Event" }, { "identity": "rim", "map": "Observation[moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.id", "path": "QuestionnaireResponse.id", "short": "serverseitige, interne ID des Datensatzes", "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comment": "**bedingtes Pflichtfeld/bedingtes MS:** Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine `id` verfügen.\n Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine `id`verfügen.", "min": 0, "max": "1", "base": { "path": "Resource.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mustSupport": true, "isSummary": true }, { "id": "QuestionnaireResponse.meta", "path": "QuestionnaireResponse.meta", "short": "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.", "min": 0, "max": "1", "base": { "path": "Resource.meta", "min": 0, "max": "1" }, "type": [ { "code": "Meta" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.meta.id", "path": "QuestionnaireResponse.meta.id", "representation": [ "xmlAttr" ], "short": "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.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.meta.extension", "path": "QuestionnaireResponse.meta.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "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.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.meta.versionId", "path": "QuestionnaireResponse.meta.versionId", "short": "Eindeutiger Name der serverseitigen Version des Datensatzes", "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.", "comment": "Alle von einem Server bereitgestellten Ressourcen SOLLEN über eine `versionID` verfügen.\n Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine `versionID`verfügen.", "min": 0, "max": "1", "base": { "path": "Meta.versionId", "min": 0, "max": "1" }, "type": [ { "code": "id" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.meta.lastUpdated", "path": "QuestionnaireResponse.meta.lastUpdated", "short": "Zeitpunkt der letzten Änderung", "definition": "When the resource last changed - e.g. when the version changed.", "comment": "Alle von einem Server bereitgestellten Ressourcen SOLLEN über ein `lastUpdate` verfügen.\n Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über ein `lastUpdate`verfügen.", "min": 0, "max": "1", "base": { "path": "Meta.lastUpdated", "min": 0, "max": "1" }, "type": [ { "code": "instant" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.meta.source", "path": "QuestionnaireResponse.meta.source", "short": "Identifies where the resource comes from", "definition": "A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](provenance.html#) 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.", "comment": "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. \n\nThis 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.", "min": 0, "max": "1", "base": { "path": "Meta.source", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.meta.profile", "path": "QuestionnaireResponse.meta.profile", "short": "Profiles this resource claims to conform to", "definition": "A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url).", "comment": "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.", "min": 0, "max": "*", "base": { "path": "Meta.profile", "min": 0, "max": "*" }, "type": [ { "code": "canonical", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/StructureDefinition" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.meta.security", "path": "QuestionnaireResponse.meta.security", "short": "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.", "comment": "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.", "min": 0, "max": "*", "base": { "path": "Meta.security", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "SecurityLabels" } ], "strength": "extensible", "description": "Security Labels from the Healthcare Privacy and Security Classification System.", "valueSet": "http://hl7.org/fhir/ValueSet/security-labels" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" } ] }, { "id": "QuestionnaireResponse.meta.tag", "path": "QuestionnaireResponse.meta.tag", "short": "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.", "comment": "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.", "min": 0, "max": "*", "base": { "path": "Meta.tag", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Tags" } ], "strength": "example", "description": "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\".", "valueSet": "http://hl7.org/fhir/ValueSet/common-tags" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" } ] }, { "id": "QuestionnaireResponse.implicitRules", "path": "QuestionnaireResponse.implicitRules", "short": "Verweis auf die Regeln, nach denen die Ressource erstellt wurde", "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.", "comment": "Begründung Constraint: In ISiK existiert kein Use-Case für dieses Element. Da es sich um ein Modifying Element handelt, wird es daher ausgeschlossen.\n Darüber hinaus werden die Regeln als URI vorgehalten. Dies führt dazu, dass sich hinter der URI eine beliebige Menge an Regeln befinden kann; wodurch nicht sichergestellt werden kann, dass alle Clients die Regeln korrekt interpretieren können.", "min": 0, "max": "0", "base": { "path": "Resource.implicitRules", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.language", "path": "QuestionnaireResponse.language", "short": "Language of the resource content", "definition": "The base language in which the resource is written.", "comment": "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).", "min": 0, "max": "1", "base": { "path": "Resource.language", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Language" } ], "strength": "preferred", "description": "A human language.", "valueSet": "http://hl7.org/fhir/ValueSet/languages" }, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.text", "path": "QuestionnaireResponse.text", "short": "Menschlich lesbare Zusammenfassung der FormularDaten", "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.", "comment": "**Begründung MS:**\n Wird ein Formular nicht im Kontext der `Datenübermittlung aus Subsystemen` übertragen, wo ein Narrativ im Kontext der Composition gefordert wird, muss an dieser Stelle eine menschenlesbare Zusammenfassung der FormularDaten bereitgestellt werden, damit die Informationen auch ohne Zugriff auf die zugrunde liegende FormularDefinition und die strukturierte Darstellung der Formulardaten interpretiert werden können.", "alias": [ "narrative", "html", "xhtml", "display" ], "min": 0, "max": "1", "base": { "path": "DomainResource.text", "min": 0, "max": "1" }, "type": [ { "code": "Narrative" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" }, { "identity": "rim", "map": "Act.text?" } ] }, { "id": "QuestionnaireResponse.contained", "path": "QuestionnaireResponse.contained", "short": "Contained, inline 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.", "comment": "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.", "alias": [ "inline resources", "anonymous resources", "contained resources" ], "min": 0, "max": "*", "base": { "path": "DomainResource.contained", "min": 0, "max": "*" }, "type": [ { "code": "Resource" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.extension", "path": "QuestionnaireResponse.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "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.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.modifierExtension", "path": "QuestionnaireResponse.modifierExtension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "ordered": false, "rules": "open" }, "short": "Extensions that cannot be ignored", "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "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.", "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](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them", "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.modifierExtension:MpFormular", "path": "QuestionnaireResponse.modifierExtension", "sliceName": "MpFormular", "short": "Zurgrundeliegendes Formular wird in einem Medizinprodukt eingesetzt", "definition": "Optional Extension Element - found in all resources.", "comment": "**Begründung MS:**\n In dieser Extension wird die Zweckbestimmung angegeben, welche die FormularDefinition, auf der diese FormularDaten basieren, für die Verwendung innerhalb eines Medizinproduktes identifiziert hat. Sobald diese Extension vorhanden ist, sollten die Konsequenzen für die Anzeige und Verarbeitung der FormularDaten geprüft werden. Ein Formularrenderer, der sich nicht mit dem Thema MDR und Medizinprodukte auseinandergesetzt hat, sollte hier auf das im FHIR-Standard festgelegte Verhalten bei [modifierExtension](http://hl7.org/fhir/extensibility.html#modifierExtension) zurückgreifen.", "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](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "DomainResource.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "https://gematik.de/fhir/isik/StructureDefinition/ISiKMpFormularExtension" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mustSupport": true, "isModifier": true, "isModifierReason": "Ein Formularrenderer, der sich nicht mit dem Thema MDR und Medizinprodukte auseinandergesetzt hat, sollte hier auf das im FHIR-Standard festgelegte Verhalten bei [modifierExtension](http://hl7.org/fhir/extensibility.html#modifierExtension) zurückgreifen.", "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.modifierExtension:MpFormular.id", "path": "QuestionnaireResponse.modifierExtension.id", "representation": [ "xmlAttr" ], "short": "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.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.modifierExtension:MpFormular.extension", "path": "QuestionnaireResponse.modifierExtension.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "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.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "0", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.modifierExtension:MpFormular.url", "path": "QuestionnaireResponse.modifierExtension.url", "representation": [ "xmlAttr" ], "short": "identifies the meaning of the extension", "definition": "Source of the definition for the extension code - a logical name or a URL.", "comment": "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.", "min": 1, "max": "1", "base": { "path": "Extension.url", "min": 1, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "uri" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "fixedUri": "https://gematik.de/fhir/isik/StructureDefinition/ISiKMpFormularExtension", "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.modifierExtension:MpFormular.value[x]", "path": "QuestionnaireResponse.modifierExtension.value[x]", "short": "Zweckbestimmung", "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).", "min": 0, "max": "1", "base": { "path": "Extension.value[x]", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.identifier", "path": "QuestionnaireResponse.identifier", "short": "eindeutiger Identifier der FormularDaten", "definition": "A business identifier assigned to a particular completed (or partially completed) questionnaire.", "comment": "**Begründung MS:**\n Ein vom FormularRenderer vergebener, eindeutiger Identifier kann von weiterverarbeitenden Systemen genutzt werden, um Dubletten zu erkennen.", "requirements": "Used for tracking, registration and other business purposes.", "min": 0, "max": "1", "base": { "path": "QuestionnaireResponse.identifier", "min": 0, "max": "1" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "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]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "workflow", "map": "Event.identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "rim", "map": ".id" } ] }, { "id": "QuestionnaireResponse.basedOn", "path": "QuestionnaireResponse.basedOn", "short": "Request fulfilled by this QuestionnaireResponse", "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.", "comment": "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.", "requirements": "Supports traceability of responsibility for the action and allows linkage of an action to the recommendations acted upon.", "alias": [ "order" ], "min": 0, "max": "*", "base": { "path": "QuestionnaireResponse.basedOn", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/CarePlan", "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Event.basedOn" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=FLFS].target" } ] }, { "id": "QuestionnaireResponse.partOf", "path": "QuestionnaireResponse.partOf", "short": "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.", "comment": "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.", "min": 0, "max": "*", "base": { "path": "QuestionnaireResponse.partOf", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/Procedure" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Event.partOf" }, { "identity": "rim", "map": ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.questionnaire", "path": "QuestionnaireResponse.questionnaire", "short": "Bezug zur FormularDefinition inkl. Version", "definition": "The Questionnaire that defines and organizes the questions for which answers are being provided.", "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.", "requirements": "Needed to allow editing of the questionnaire response in a manner that enforces the constraints of the original form.", "alias": [ "Form" ], "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.questionnaire", "min": 0, "max": "1" }, "type": [ { "code": "canonical", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Questionnaire" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "workflow", "map": "Event.instantiates" }, { "identity": "rim", "map": "./outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]" } ] }, { "id": "QuestionnaireResponse.questionnaire.id", "path": "QuestionnaireResponse.questionnaire.id", "representation": [ "xmlAttr" ], "short": "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.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.questionnaire.extension", "path": "QuestionnaireResponse.questionnaire.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "ordered": false, "rules": "open" }, "short": "Additional content defined by implementations", "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.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 1, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.questionnaire.extension:questionnaireDisplay", "path": "QuestionnaireResponse.questionnaire.extension", "sliceName": "questionnaireDisplay", "short": "Titel/Überschrift der zugrunde liegenden FormularDefinition", "definition": "The title or other name to display when referencing a resource by canonical URL.", "comment": "Wird für die Darstellung und Auffindbarkeit der FormularDaten benötigt.", "alias": [ "extensions", "user content" ], "min": 1, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/display" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mustSupport": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.questionnaire.value", "path": "QuestionnaireResponse.questionnaire.value", "representation": [ "xmlAttr" ], "short": "Primitive value for canonical", "definition": "Primitive value for canonical", "min": 0, "max": "1", "base": { "path": "uri.value", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "canonical" }, { "url": "http://hl7.org/fhir/StructureDefinition/regex", "valueString": "\\S*" } ], "code": "http://hl7.org/fhirpath/System.String" } ] }, { "id": "QuestionnaireResponse.status", "path": "QuestionnaireResponse.status", "short": "Status", "definition": "The position of the questionnaire response within its overall lifecycle.", "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.", "requirements": "The information on Questionnaire resources may possibly be gathered during multiple sessions and altered after considered being finished.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.status", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": true, "isModifierReason": "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "QuestionnaireResponseStatus" } ], "strength": "required", "description": "Lifecycle status of the questionnaire response.", "valueSet": "http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "workflow", "map": "Event.status" }, { "identity": "w5", "map": "FiveWs.status" }, { "identity": "rim", "map": ".statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish \"in-progress\" from \"published)" } ] }, { "id": "QuestionnaireResponse.subject", "path": "QuestionnaireResponse.subject", "short": "Subject (Patient), über das in diesem Formular berichtet wird.", "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.", "comment": "**Begründung Pflichtfeld:** \n Zur Vereinfachung des Workflows werden zunächst nur Formulare mit Patientenbezug zugelassen. \n Diese Anforderung kann in künftigen Ausbaustufen gelockert werden.\n \n **Hinweis:** In manchen Fällen kann eine Instanz nicht auf eine existierende Patient-Ressurces referenzieren. In diesen Fällen kann hier auch ein eindeutiger Identifier wie eine KVNR oder eine andere Patienten-ID angegeben werden, um die Zuordnung zu einem Patienten zu ermöglichen.", "requirements": "Allows linking the answers to the individual the answers describe. May also affect access control.", "alias": [ "Patient", "Focus" ], "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.subject", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Event.subject" }, { "identity": "w5", "map": "FiveWs.subject[x]" }, { "identity": "rim", "map": ".participation[typeCode=SBJ].role" }, { "identity": "w5", "map": "FiveWs.subject" } ] }, { "id": "QuestionnaireResponse.subject.id", "path": "QuestionnaireResponse.subject.id", "representation": [ "xmlAttr" ], "short": "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.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.subject.extension", "path": "QuestionnaireResponse.subject.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "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.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.subject.reference", "path": "QuestionnaireResponse.subject.reference", "short": "Patienten-Link", "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment": "**Begründung MS:** Die Verlinkung auf eine Patienten-Ressource dient der technischen Zuordnung der Dokumentation zu einem Patienten und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc.\nIm ISik Kontext MUSS die referenzierte Ressource konform zu [ISiKPatient](https://gematik.de/fhir/isik/StructureDefinition/ISiKPatient) sein.\nJenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden.", "min": 1, "max": "1", "base": { "path": "Reference.reference", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1", "ref-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.subject.type", "path": "QuestionnaireResponse.subject.type", "short": "Type the reference refers to (e.g. \"Patient\")", "definition": "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min": 0, "max": "1", "base": { "path": "Reference.type", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "FHIRResourceTypeExt" } ], "strength": "extensible", "description": "Aa resource (or, for logical models, the URI of the logical model).", "valueSet": "http://hl7.org/fhir/ValueSet/resource-types" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.subject.identifier", "path": "QuestionnaireResponse.subject.identifier", "short": "eindeutiger Patienten-Identifier (bspw. KVNR)", "definition": "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment": "**Begründung MS:** Ein eindeutiger Patienten-Identifier ermöglicht die Zuordnung der FormularDaten zu einem bestimmten Patienten, auch wenn keine direkte Referenz auf eine Patient-Ressource besteht.", "min": 0, "max": "1", "base": { "path": "Reference.identifier", "min": 0, "max": "1" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "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]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "rim", "map": ".identifier" } ] }, { "id": "QuestionnaireResponse.subject.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "QuestionnaireResponse.subject.display", "short": "Text alternative for the resource", "definition": "Plain text narrative that identifies the resource in addition to the resource reference.", "comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min": 0, "max": "1", "base": { "path": "Reference.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.encounter", "path": "QuestionnaireResponse.encounter", "short": "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.", "comment": "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.", "requirements": "Provides context for the information that was captured. May also affect access control.", "min": 0, "max": "1", "base": { "path": "QuestionnaireResponse.encounter", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Event.encounter" }, { "identity": "w5", "map": "FiveWs.context" }, { "identity": "rim", "map": ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.authored", "path": "QuestionnaireResponse.authored", "short": "Datum der FormularDaten", "definition": "The date and/or time that this set of answers were last changed.", "comment": "**Begründung Pflichtfeld:** \n Relevant für die Suche und zeitliche Einordnung der FormularDaten", "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.", "alias": [ "Date Created", "Date published", "Date Issued", "Date updated" ], "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.authored", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "workflow", "map": "Event.occurrence[x]" }, { "identity": "w5", "map": "FiveWs.recorded" }, { "identity": "rim", "map": ".participation[typeCode=AUT].time" } ] }, { "id": "QuestionnaireResponse.author", "path": "QuestionnaireResponse.author", "short": "Ersteller des Fromulars", "definition": "Person who received the answers to the questions in the QuestionnaireResponse and recorded them in the system.", "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.", "requirements": "Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers.", "alias": [ "Laboratory", "Service", "Practitioner", "Department", "Company", "Performer" ], "min": 0, "max": "1", "base": { "path": "QuestionnaireResponse.author", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Event.performer" }, { "identity": "w5", "map": "FiveWs.author" }, { "identity": "rim", "map": ".participation[typeCode=AUT].role" } ] }, { "id": "QuestionnaireResponse.source", "path": "QuestionnaireResponse.source", "short": "The person who answered the questions", "definition": "The person who answered the questions about the subject.", "comment": "If not specified, no inference can be made about who provided the data.", "requirements": "When answering questions about a subject that is minor, incapable of answering or an animal, another human source may answer the questions.", "min": 0, "max": "1", "base": { "path": "QuestionnaireResponse.source", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "w5", "map": "FiveWs.source" }, { "identity": "rim", "map": ".participation[typeCode=INF].role" } ] }, { "id": "QuestionnaireResponse.item", "path": "QuestionnaireResponse.item", "short": "Formularelement", "definition": "A group or question item from the original questionnaire for which answers are provided.", "comment": "**Begründung MS:** Es können beliebig viele Formularelemente hier abgebildet werden.", "min": 0, "max": "*", "base": { "path": "QuestionnaireResponse.item", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "qrs-1", "severity": "error", "human": "Nested item can't be beneath both item and answer", "expression": "(answer.exists() and item.exists()).not()", "xpath": "not(exists(f:answer) and exists(f:item))", "source": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" } ], "mustSupport": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item.id", "path": "QuestionnaireResponse.item.id", "representation": [ "xmlAttr" ], "short": "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.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item.extension", "path": "QuestionnaireResponse.item.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "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.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item.modifierExtension", "path": "QuestionnaireResponse.item.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "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.", "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](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item.linkId", "path": "QuestionnaireResponse.item.linkId", "short": "Eindeutige ID des Formularelement", "definition": "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.", "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.", "requirements": "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.", "min": 1, "max": "1", "base": { "path": "QuestionnaireResponse.item.linkId", "min": 1, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id" } ] }, { "id": "QuestionnaireResponse.item.definition", "path": "QuestionnaireResponse.item.definition", "short": "ElementDefinition - details for the item", "definition": "A reference to an [ElementDefinition](elementdefinition.html) that provides the details for the item.", "comment": "The ElementDefinition must be in a [StructureDefinition](structuredefinition.html#), 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].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.", "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.", "min": 0, "max": "1", "base": { "path": "QuestionnaireResponse.item.definition", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code" } ] }, { "id": "QuestionnaireResponse.item.text", "path": "QuestionnaireResponse.item.text", "short": "Frage, die beantwortet wurde", "definition": "Text that is displayed above the contents of the group or as the text of the question being answered.", "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.", "requirements": "Allows the questionnaire response to be read without access to the questionnaire.", "min": 0, "max": "1", "base": { "path": "QuestionnaireResponse.item.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".text" } ] }, { "id": "QuestionnaireResponse.item.answer", "path": "QuestionnaireResponse.item.answer", "short": "Antwort", "definition": "The respondent's answer(s) to the question.", "comment": "**Begründung MS:**\n Die erfasste Antwort MUSS stets vorhanden sein.", "min": 0, "max": "*", "base": { "path": "QuestionnaireResponse.item.answer", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".value[type=LIST_ANY]" } ] }, { "id": "QuestionnaireResponse.item.answer.id", "path": "QuestionnaireResponse.item.answer.id", "representation": [ "xmlAttr" ], "short": "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.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "QuestionnaireResponse.item.answer.extension", "path": "QuestionnaireResponse.item.answer.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "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.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item.answer.modifierExtension", "path": "QuestionnaireResponse.item.answer.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "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.", "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](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "QuestionnaireResponse.item.answer.value[x]", "path": "QuestionnaireResponse.item.answer.value[x]", "short": "Inhalt der Antwort", "definition": "The answer (or one of the answers) provided by the respondent to the question.", "comment": "**Begründung MS:**\n Der Inhalt der jeweilig erfassten Antwort MUSS stehts vorhanden sein.", "requirements": "Ability to retain a single-valued answer to a question.", "min": 0, "max": "1", "base": { "path": "QuestionnaireResponse.item.answer.value[x]", "min": 0, "max": "1" }, "type": [ { "code": "boolean" }, { "code": "decimal" }, { "code": "integer" }, { "code": "date" }, { "code": "dateTime" }, { "code": "time" }, { "code": "string" }, { "code": "uri" }, { "code": "Attachment" }, { "code": "Coding" }, { "code": "Quantity" }, { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "QuestionnaireAnswer" } ], "strength": "example", "description": "Code indicating the response provided for a question.", "valueSet": "http://hl7.org/fhir/ValueSet/questionnaire-answers" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".item" } ] }, { "id": "QuestionnaireResponse.item.answer.item", "path": "QuestionnaireResponse.item.answer.item", "short": "Untergeordnetes Item", "definition": "Nested groups and/or questions found within this particular answer.", "comment": "**Begründung MS:** \n Items können beliebig verschachtelt und zu Gruppen zusammengefasst werden, um komplexere und umfangreichere Formulare zu strukturieren.", "requirements": "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.", "min": 0, "max": "*", "base": { "path": "QuestionnaireResponse.item.answer.item", "min": 0, "max": "*" }, "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item", "mustSupport": true, "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "QuestionnaireResponse.item.item", "path": "QuestionnaireResponse.item.item", "short": "Untergeordnetes Item", "definition": "Questions or sub-groups nested beneath a question or group.", "comment": "**Begründung MS:** \n Items können beliebig verschachtelt und zu Gruppen zusammengefasst werden, um komplexere und umfangreichere Formulare zu strukturieren.", "requirements": "Reports can consist of complex nested groups.", "min": 0, "max": "*", "base": { "path": "QuestionnaireResponse.item.item", "min": 0, "max": "*" }, "contentReference": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item", "mustSupport": true, "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]" } ] } ] }, "differential": { "element": [ { "id": "QuestionnaireResponse", "path": "QuestionnaireResponse", "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean": true } ], "key": "sdcqr-1", "severity": "warning", "human": "Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject.", "expression": "subject.exists()", "xpath": "exists(f:subject)", "source": "https://gematik.de/fhir/isik/StructureDefinition/ISiKFormularDaten" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean": true } ], "key": "sdcqr-2", "severity": "error", "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.", "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]))", "source": "https://gematik.de/fhir/isik/StructureDefinition/ISiKFormularDaten" } ] }, { "id": "QuestionnaireResponse.id", "path": "QuestionnaireResponse.id", "short": "serverseitige, interne ID des Datensatzes", "comment": "**bedingtes Pflichtfeld/bedingtes MS:** Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine `id` verfügen.\n Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine `id`verfügen.", "mustSupport": true }, { "id": "QuestionnaireResponse.meta.versionId", "path": "QuestionnaireResponse.meta.versionId", "short": "Eindeutiger Name der serverseitigen Version des Datensatzes", "comment": "Alle von einem Server bereitgestellten Ressourcen SOLLEN über eine `versionID` verfügen.\n Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine `versionID`verfügen." }, { "id": "QuestionnaireResponse.meta.lastUpdated", "path": "QuestionnaireResponse.meta.lastUpdated", "short": "Zeitpunkt der letzten Änderung", "comment": "Alle von einem Server bereitgestellten Ressourcen SOLLEN über ein `lastUpdate` verfügen.\n Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über ein `lastUpdate`verfügen." }, { "id": "QuestionnaireResponse.implicitRules", "path": "QuestionnaireResponse.implicitRules", "short": "Verweis auf die Regeln, nach denen die Ressource erstellt wurde", "comment": "Begründung Constraint: In ISiK existiert kein Use-Case für dieses Element. Da es sich um ein Modifying Element handelt, wird es daher ausgeschlossen.\n Darüber hinaus werden die Regeln als URI vorgehalten. Dies führt dazu, dass sich hinter der URI eine beliebige Menge an Regeln befinden kann; wodurch nicht sichergestellt werden kann, dass alle Clients die Regeln korrekt interpretieren können.", "max": "0" }, { "id": "QuestionnaireResponse.text", "path": "QuestionnaireResponse.text", "short": "Menschlich lesbare Zusammenfassung der FormularDaten", "comment": "**Begründung MS:**\n Wird ein Formular nicht im Kontext der `Datenübermittlung aus Subsystemen` übertragen, wo ein Narrativ im Kontext der Composition gefordert wird, muss an dieser Stelle eine menschenlesbare Zusammenfassung der FormularDaten bereitgestellt werden, damit die Informationen auch ohne Zugriff auf die zugrunde liegende FormularDefinition und die strukturierte Darstellung der Formulardaten interpretiert werden können.", "mustSupport": true }, { "id": "QuestionnaireResponse.modifierExtension", "path": "QuestionnaireResponse.modifierExtension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "ordered": false, "rules": "open" } }, { "id": "QuestionnaireResponse.modifierExtension:MpFormular", "path": "QuestionnaireResponse.modifierExtension", "sliceName": "MpFormular", "short": "Zurgrundeliegendes Formular wird in einem Medizinprodukt eingesetzt", "comment": "**Begründung MS:**\n In dieser Extension wird die Zweckbestimmung angegeben, welche die FormularDefinition, auf der diese FormularDaten basieren, für die Verwendung innerhalb eines Medizinproduktes identifiziert hat. Sobald diese Extension vorhanden ist, sollten die Konsequenzen für die Anzeige und Verarbeitung der FormularDaten geprüft werden. Ein Formularrenderer, der sich nicht mit dem Thema MDR und Medizinprodukte auseinandergesetzt hat, sollte hier auf das im FHIR-Standard festgelegte Verhalten bei [modifierExtension](http://hl7.org/fhir/extensibility.html#modifierExtension) zurückgreifen.", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "https://gematik.de/fhir/isik/StructureDefinition/ISiKMpFormularExtension" ] } ], "mustSupport": true }, { "id": "QuestionnaireResponse.modifierExtension:MpFormular.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", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "ordered": false, "rules": "open" }, "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.\n \n **Hinweis:** In manchen Fällen kann eine Instanz nicht auf eine existierende Patient-Ressurces referenzieren. In diesen Fällen kann hier auch ein eindeutiger Identifier wie eine KVNR oder eine andere Patienten-ID angegeben werden, um die Zuordnung zu einem Patienten zu ermöglichen.", "min": 1, "mustSupport": true }, { "id": "QuestionnaireResponse.subject.reference", "path": "QuestionnaireResponse.subject.reference", "short": "Patienten-Link", "comment": "**Begründung MS:** Die Verlinkung auf eine Patienten-Ressource dient der technischen Zuordnung der Dokumentation zu einem Patienten und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc.\nIm ISik Kontext MUSS die referenzierte Ressource konform zu [ISiKPatient](https://gematik.de/fhir/isik/StructureDefinition/ISiKPatient) sein.\nJenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden.", "min": 1, "mustSupport": true }, { "id": "QuestionnaireResponse.subject.identifier", "path": "QuestionnaireResponse.subject.identifier", "short": "eindeutiger Patienten-Identifier (bspw. KVNR)", "comment": "**Begründung MS:** Ein eindeutiger Patienten-Identifier ermöglicht die Zuordnung der FormularDaten zu einem bestimmten Patienten, auch wenn keine direkte Referenz auf eine Patient-Ressource besteht.", "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", "short": "Formularelement", "comment": "**Begründung MS:** Es können beliebig viele Formularelemente hier abgebildet werden.", "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 } ] } }