ISiK Formularmodul Implementation Guide
Version 6.0.0-rc - ci-build

: Vorbelegung von Observations - XML Representation

Draft as of 2026-02-03

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<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="ExamplePrePopObservation"/>
  <meta>
    <profile
             value="https://gematik.de/fhir/isik/StructureDefinition/ISiKFormularDefinition"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Questionnaire ExamplePrePopObservation</b></p><a name="ExamplePrePopObservation"> </a><a name="hcExamplePrePopObservation"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ISiKFormularDefinition.html">ISiKFormularDefinition</a></p></div><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Cardinality</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Other attributes of the item">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Additional information about the item">Description &amp; Constraints</a><span style="float: right"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_q_root.gif" alt="." style="background-color: white; background-color: inherit" title="QuestionnaireRoot" class="hierarchy"/> ExamplePrePopObservation</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">### Beispiel-Questionnaire mit automatischer Vorbelegung von Observations  
Die Suche nach passenden Observations geschieht innerhlab des Patienten-Kontextes anhand des in `item-code`hinterlegten Codes.
Die Extension [SDC-ObservationLinkPeriod](https://build.fhir.org/ig/HL7/sdc/StructureDefinition-sdc-questionnaire-observationLinkPeriod.html) legt fest, wie alt  Observations maximal sein dürfen, um für die Vorbelegung herangezogen zu werden (hier: max. 1 Jahr)  
Die Extension [SDC-ObservationExtract](https://build.fhir.org/ig/HL7/sdc/StructureDefinition-sdc-questionnaire-observationExtract.html) legt fest, ob aus den Angaben des Questionnaires eine neue Observation extrahiert werden soll (hier: true)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">https://gematik.de/fhir/isik/Questionnaire/ExamplePrePopObservation#6.0.0-rc</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" id="item.3" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 3</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Pflegegrad</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)" id="item.3.1" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 3.1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Bitte geben Sie den Pflegegrad an:</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Value Set: <a href="ValueSet-ExamplePrePopObservation_pflegegrad-de.html">PflegegradDE ValueSet</a></td></tr>
<tr><td colspan="6" class="hierarchy"><br/><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table><h2>Contained Resources</h2><hr/><p class="res-header-id"><b>ValueSet #pflegegrad-de</b></p><a name="ExamplePrePopObservation/pflegegrad-de"> </a><a name="hcExamplePrePopObservation/pflegegrad-de"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/R4/shareablevalueset.html">Shareable ValueSet</a></p></div><p>This value set contains 6 concepts</p><table class="codes"><tr><td><b>System</b></td><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a name="ExamplePrePopObservation/pflegegrad-de-http://fhir.de/CodeSystem/bfarm/ops-9-984.6"> </a><code>http://fhir.de/CodeSystem/bfarm/ops</code></td><td style="white-space:nowrap">  9-984.6</td><td>Pflegebedürftigkeit: Pflegebedürftig nach Pflegegrad 1</td></tr><tr><td><a name="ExamplePrePopObservation/pflegegrad-de-http://fhir.de/CodeSystem/bfarm/ops-9-984.7"> </a><code>http://fhir.de/CodeSystem/bfarm/ops</code></td><td style="white-space:nowrap">  9-984.7</td><td>Pflegebedürftigkeit: Pflegebedürftig nach Pflegegrad 2</td></tr><tr><td><a name="ExamplePrePopObservation/pflegegrad-de-http://fhir.de/CodeSystem/bfarm/ops-9-984.8"> </a><code>http://fhir.de/CodeSystem/bfarm/ops</code></td><td style="white-space:nowrap">  9-984.8</td><td>Pflegebedürftigkeit: Pflegebedürftig nach Pflegegrad 3</td></tr><tr><td><a name="ExamplePrePopObservation/pflegegrad-de-http://fhir.de/CodeSystem/bfarm/ops-9-984.9"> </a><code>http://fhir.de/CodeSystem/bfarm/ops</code></td><td style="white-space:nowrap">  9-984.9</td><td>Pflegebedürftigkeit: Pflegebedürftig nach Pflegegrad 4</td></tr><tr><td><a name="ExamplePrePopObservation/pflegegrad-de-http://fhir.de/CodeSystem/bfarm/ops-9-984.a"> </a><code>http://fhir.de/CodeSystem/bfarm/ops</code></td><td style="white-space:nowrap">  9-984.a</td><td>Pflegebedürftigkeit: Pflegebedürftig nach Pflegegrad 5</td></tr><tr><td><a name="ExamplePrePopObservation/pflegegrad-de-http://fhir.de/CodeSystem/bfarm/ops-9-984.b"> </a><code>http://fhir.de/CodeSystem/bfarm/ops</code></td><td style="white-space:nowrap">  9-984.b</td><td>Pflegebedürftigkeit: Erfolgter Antrag auf Einstufung in einen Pflegegrad</td></tr></table></div>
  </text>
  <contained>
    <ValueSet>
      <id value="pflegegrad-de"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"/>
      </meta>
      <url value="http://fhir.de/ValueSet/pflegegrad-de"/>
      <version value="1.5.4"/>
      <name value="PflegegradDE"/>
      <title value="PflegegradDE ValueSet"/>
      <status value="active"/>
      <experimental value="false"/>
      <date value="2025-06-16"/>
      <publisher value="HL7 Deutschland e.V. (Technisches Komitee FHIR)"/>
      <contact>
        <telecom>
          <system value="url"/>
          <value value="http://hl7.de/technische-komitees/fhir/"/>
        </telecom>
      </contact>
      <description
                   value="Codes zur genaueren Differenzierung des Pflegegrads."/>
      <compose>
        <include>
          <system value="http://fhir.de/CodeSystem/bfarm/ops"/>
          <filter>
            <property value="parent"/>
            <op value="="/>
            <value value="9-984"/>
          </filter>
        </include>
      </compose>
      <expansion>
        <identifier value="440c50b5-7272-4184-9ddd-95a75d8207f8"/>
        <timestamp value="2019-07-06"/>
        <total value="6"/>
        <contains>
          <system value="http://fhir.de/CodeSystem/bfarm/ops"/>
          <code value="9-984.6"/>
          <display
                   value="Pflegebedürftigkeit: Pflegebedürftig nach Pflegegrad 1"/>
        </contains>
        <contains>
          <system value="http://fhir.de/CodeSystem/bfarm/ops"/>
          <code value="9-984.7"/>
          <display
                   value="Pflegebedürftigkeit: Pflegebedürftig nach Pflegegrad 2"/>
        </contains>
        <contains>
          <system value="http://fhir.de/CodeSystem/bfarm/ops"/>
          <code value="9-984.8"/>
          <display
                   value="Pflegebedürftigkeit: Pflegebedürftig nach Pflegegrad 3"/>
        </contains>
        <contains>
          <system value="http://fhir.de/CodeSystem/bfarm/ops"/>
          <code value="9-984.9"/>
          <display
                   value="Pflegebedürftigkeit: Pflegebedürftig nach Pflegegrad 4"/>
        </contains>
        <contains>
          <system value="http://fhir.de/CodeSystem/bfarm/ops"/>
          <code value="9-984.a"/>
          <display
                   value="Pflegebedürftigkeit: Pflegebedürftig nach Pflegegrad 5"/>
        </contains>
        <contains>
          <system value="http://fhir.de/CodeSystem/bfarm/ops"/>
          <code value="9-984.b"/>
          <display
                   value="Pflegebedürftigkeit: Erfolgter Antrag auf Einstufung in einen Pflegegrad"/>
        </contains>
      </expansion>
    </ValueSet>
  </contained>
  <extension
             url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext">
    <extension url="name">
      <valueCoding>
        <system value="http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext"/>
        <code value="patient"/>
      </valueCoding>
    </extension>
    <extension url="type">
      <valueCode value="Patient"/>
    </extension>
    <extension url="description">
      <valueString value="Patientenkontext"/>
    </extension>
  </extension>
  <url
       value="https://gematik.de/fhir/isik/Questionnaire/ExamplePrePopObservation"/>
  <version value="6.0.0-rc"/>
  <name value="ExamplePrePopObservation"/>
  <title value="Vorbelegung von Observations"/>
  <status value="draft"/>
  <experimental value="false"/>
  <subjectType value="Patient"/>
  <date value="2026-02-03T16:08:38+00:00"/>
  <publisher value="gematik GmbH"/>
  <contact>
    <name value="gematik GmbH"/>
    <telecom>
      <system value="url"/>
      <value value="https://gematik.de"/>
    </telecom>
  </contact>
  <description
               value="### Beispiel-Questionnaire mit automatischer Vorbelegung von Observations  
Die Suche nach passenden Observations geschieht innerhlab des Patienten-Kontextes anhand des in `item-code`hinterlegten Codes.
Die Extension [SDC-ObservationLinkPeriod](https://build.fhir.org/ig/HL7/sdc/StructureDefinition-sdc-questionnaire-observationLinkPeriod.html) legt fest, wie alt  Observations maximal sein dürfen, um für die Vorbelegung herangezogen zu werden (hier: max. 1 Jahr)  
Die Extension [SDC-ObservationExtract](https://build.fhir.org/ig/HL7/sdc/StructureDefinition-sdc-questionnaire-observationExtract.html) legt fest, ob aus den Angaben des Questionnaires eine neue Observation extrahiert werden soll (hier: true)"/>
  <item>
    <linkId value="3"/>
    <text value="Pflegegrad"/>
    <type value="group"/>
    <required value="true"/>
    <item>
      <extension
                 url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod">
        <valueDuration>
          <value value="1"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="a"/>
        </valueDuration>
      </extension>
      <extension
                 url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
        <valueBoolean value="true"/>
      </extension>
      <linkId value="3.1"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="80391-6"/>
      </code>
      <text value="Bitte geben Sie den Pflegegrad an:"/>
      <type value="choice"/>
      <answerValueSet value="#pflegegrad-de"/>
    </item>
  </item>
</Questionnaire>