A structured set of questions intended to guide the collection of answers from end-users. Questionnaires provide detailed control over order, presentation, phraseology and grouping to allow coherent, consistent data collection.

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

bedingtes Pflichtfeld/bedingtes MS: Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine id verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine idverfügen.

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.

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

An Extension

An Extension

Begründung MS: In dieser Extension wird angegeben, dass die Formulardaten MDR-relevant sind. Für die Erhebung und/oder Darstellung müssen ggf. bestimmte Voraussetzungen erfüllt sein. Ist die Extension nicht vorhanden, liegt keine MDR-relevanmt vor.

An absolute URI that is used to identify this questionnaire when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this questionnaire is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the questionnaire is stored on different servers.

Weltweit eindeutiger Name des Formulars. Begründung Pflichtfeld: Wird für eindeutige Bezugnahme von FormularDaten auf FormularDefinition benötigt.

… This is the id that will be used to link a QuestionnaireResponse to the Questionnaire the response is for.

The identifier that is used to identify this version of the questionnaire when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the questionnaire author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.

Versionsnummer des Formulars. Sollte gem. semVer-Regeln inkrementiert werden, je nach Schweregrad der Änderungen. Begründung MS:
Wird benötigt, um FormularDefinitionen in unterschiedlichen Versionen zu differenzieren.

A short, descriptive, user-friendly title for the questionnaire.

Dem Anwender angezeigter Titel des Formulars.
Begründung MS:
Wird für die Darstellung und Auffindbarkeit der FormularDefinition benötigt.

The URL of a Questionnaire that this Questionnaire is based on.

Verweis auf ein Questionnaire, von dem abgeleitet wurde, welches erweitert wurde oder welches als Grundlage diente.

Allows a Questionnaire to be created based on another Questionnaire.

The status of this questionnaire. Enables tracking the life-cycle of the content.

Die im ISiK-Kontext bereitgestellten Formulare sollten final ausspezifiziert sein und daher den Status 'active' haben. Formulare, die zurückgezogen oder durch neuere Versionen ersetzt wurden, können mit 'retired' gekennzeichnet werden.

The lifecycle status of an artifact.

The types of subjects that can be the subject of responses created for the questionnaire.

Begründung Pflichtfeld:
Zur Vereinfachung des Workflows werden zunächst nur Formulare mit Patientenbezug zugelassen. Dabei ist stets davon auszugehen, dass der Patient, für den dieses Formular ausgefüllt wird, identisch ist, mit dem Patient, der im Launch-Kontext übergeben wird. Diese Anforderung kann in künftigen Ausbaustufen gelockert werden.

One of the resource types defined as part of this version of FHIR.

A free text natural language description of the questionnaire from a consumer's perspective.

Begründung Pflichtfeld:
Ausführliche Beschreibung des Formulars zur Verbesserung der Auffindbarkeit und Interpretation der Nutzung

A particular question, question grouping or display text that is part of the questionnaire.

Formularfeld oder Einstiegspunkt für eine Gruppe von Formularfeldern

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

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.

An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.

Begründung Pflichtfeld:
Erforderlich für die Verlinkung der Antworten in der QuestionnaireRespons mit der Definition des Formularfeldes.

QuestionnaireResponse does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.

A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

Begründung MS:
Zur eindeutigen Identifikation des Formularfeldes. Ohne Code ist Observation-based-extraction nicht möglich. Wenn kein Code zur Verfügung steht, besteht weiterhin die Möglichkeit ein Item ohne Code zu definieren.

Codes for questionnaires, groups and individual questions.

Allows linking of groups of questions to formal terminologies.

A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.

Begründung MS: Falls bspw. eine Gruppierung oder Nummerierung nicht über die Verschachtelung von Items erfolgt, kann über das Prefix eine solche erfolgen. Aus dem Grund MUSS es in der Darstellung beim Rendern mit verarbeitet werden.

Separating the label from the question text allows improved rendering. Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.

The name of a section, the text of a question or text content for a display item.

Begründung MS:
Je nach 'type' des items: Fragestellung, Anzeigetext oder Gruppenname

The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).

Time is handled using "string". File is handled using Attachment. (Content can be sent as a contained binary).

Distinguishes groups from questions and display text and indicates data type for questions.

Defines the format in which the user is to be prompted for the answer.

A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.

Begründung MS: Bedingungen, die erfüllt sein müssen, damit das Item dargestellt wird. Dieses Feld ist ein modifier-Element, weshalb MS obligatorisch ist, es muss interpretiert werden.

Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history. Also allows conditional display of instructions or groups of questions.

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

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.

The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.

LinkId der Frage, bei der die Bedingung zu erfüllen ist.

Specifies the criteria by which the question is enabled.

Operator, mittels dem die Value der .question mit dem in answer[x] angegeben Element vergleichen wird.

The criteria by which a question is enabled.

A value that the referenced question is tested using the specified operator in order for the item to be enabled.

Rechter Wert des Bedingungsvergleich

Allowed values to answer questions.

An indication, if true, that the item must be present in a "completed" QuestionnaireResponse. If false, the item may be skipped when answering the questionnaire.

Begründung MS:
FormularRenderer sollen sicherstellen können, dass Formulare vom Anwender vollständig ausgefüllt werden.

An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.

Begründung MS: FormularRenderer sollen in der Lage sein zwischen Einfach- und Mehrfachangaben unterscheiden zu können.

Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.

An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.

Antwort wird automatisch vorbelegt/berechnet und darf nicht vom Anwender editiert/überschrieben werden. Begründung MS: Automatisch vorbelegte Items sollen gegen Veränderung durch den Benutzer geschützt werden können (z.B. für Patientenstammdaten).

Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it. May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.

The maximum number of characters that are permitted in the answer to be considered a "valid" QuestionnaireResponse.

Maximale Anzahl zulässiger Zeichen für die Beantwortung der Frage.

A reference to a value set containing a list of codes representing permitted answers for a "choice" or "open-choice" question.

Begründung MS: Wo geeignete ValueSets vorhanden sind, die die Antwortmöglichkeiten hinreichend repräsentieren, sollte auf diese verwiesen werden.

One of the permitted answers for a "choice" or "open-choice" question.

Begründung MS: Wo keine geeignete ValueSets vorhanden sind, die die Antwortmöglichkeiten hinreichen repräsentieren, können Antworten alternativ in der FormularDefinition explizit aufgezählt werden..

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

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.

A potential answer that's allowed as the answer to this question.

The data type of the value must agree with the item.type.

Allowed values to answer questions.

One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.

The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created. Note that initial values can influence results. The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.

In some workflows, having defaults saves time.

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

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.

The actual value to for an initial answer.

The type of the initial value must be consistent with the type of the item.

Allowed values to answer questions.

Text, questions and other groups to be nested beneath a question or group.

Begründung MS:
Items können beliebig verschachtelt und zu Gruppen zusammengefasst werden, um komplexere und umfangreichere Formulare zu strukturieren.

Reports can consist of complex nested groups.

bedingtes Pflichtfeld/bedingtes MS: Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine id verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine idverfügen.

Alle von einem Server bereitgestellten Ressourcen SOLLEN über eine versionID verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine versionIDverfügen.

Alle von einem Server bereitgestellten Ressourcen SOLLEN über ein lastUpdate verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über ein lastUpdateverfügen.

Begründung MS: In dieser Extension wird angegeben, dass die Formulardaten MDR-relevant sind. Für die Erhebung und/oder Darstellung müssen ggf. bestimmte Voraussetzungen erfüllt sein. Ist die Extension nicht vorhanden, liegt keine MDR-relevanmt vor.

Weltweit eindeutiger Name des Formulars. Begründung Pflichtfeld: Wird für eindeutige Bezugnahme von FormularDaten auf FormularDefinition benötigt.

Versionsnummer des Formulars. Sollte gem. semVer-Regeln inkrementiert werden, je nach Schweregrad der Änderungen. Begründung MS:
Wird benötigt, um FormularDefinitionen in unterschiedlichen Versionen zu differenzieren.

Dem Anwender angezeigter Titel des Formulars.
Begründung MS:
Wird für die Darstellung und Auffindbarkeit der FormularDefinition benötigt.

Verweis auf ein Questionnaire, von dem abgeleitet wurde, welches erweitert wurde oder welches als Grundlage diente.

Die im ISiK-Kontext bereitgestellten Formulare sollten final ausspezifiziert sein und daher den Status 'active' haben. Formulare, die zurückgezogen oder durch neuere Versionen ersetzt wurden, können mit 'retired' gekennzeichnet werden.

Begründung Pflichtfeld:
Zur Vereinfachung des Workflows werden zunächst nur Formulare mit Patientenbezug zugelassen. Dabei ist stets davon auszugehen, dass der Patient, für den dieses Formular ausgefüllt wird, identisch ist, mit dem Patient, der im Launch-Kontext übergeben wird. Diese Anforderung kann in künftigen Ausbaustufen gelockert werden.

Begründung Pflichtfeld:
Ausführliche Beschreibung des Formulars zur Verbesserung der Auffindbarkeit und Interpretation der Nutzung

Formularfeld oder Einstiegspunkt für eine Gruppe von Formularfeldern

Begründung Pflichtfeld:
Erforderlich für die Verlinkung der Antworten in der QuestionnaireRespons mit der Definition des Formularfeldes.

Begründung MS:
Zur eindeutigen Identifikation des Formularfeldes. Ohne Code ist Observation-based-extraction nicht möglich. Wenn kein Code zur Verfügung steht, besteht weiterhin die Möglichkeit ein Item ohne Code zu definieren.

Begründung MS: Falls bspw. eine Gruppierung oder Nummerierung nicht über die Verschachtelung von Items erfolgt, kann über das Prefix eine solche erfolgen. Aus dem Grund MUSS es in der Darstellung beim Rendern mit verarbeitet werden.

Begründung MS:
Je nach 'type' des items: Fragestellung, Anzeigetext oder Gruppenname

Time is handled using "string". File is handled using Attachment. (Content can be sent as a contained binary).

Begründung MS: Bedingungen, die erfüllt sein müssen, damit das Item dargestellt wird. Dieses Feld ist ein modifier-Element, weshalb MS obligatorisch ist, es muss interpretiert werden.

LinkId der Frage, bei der die Bedingung zu erfüllen ist.

Operator, mittels dem die Value der .question mit dem in answer[x] angegeben Element vergleichen wird.

Rechter Wert des Bedingungsvergleich

Begründung MS:
FormularRenderer sollen sicherstellen können, dass Formulare vom Anwender vollständig ausgefüllt werden.

Begründung MS: FormularRenderer sollen in der Lage sein zwischen Einfach- und Mehrfachangaben unterscheiden zu können.

Antwort wird automatisch vorbelegt/berechnet und darf nicht vom Anwender editiert/überschrieben werden. Begründung MS: Automatisch vorbelegte Items sollen gegen Veränderung durch den Benutzer geschützt werden können (z.B. für Patientenstammdaten).

Maximale Anzahl zulässiger Zeichen für die Beantwortung der Frage.

Begründung MS: Wo geeignete ValueSets vorhanden sind, die die Antwortmöglichkeiten hinreichend repräsentieren, sollte auf diese verwiesen werden.

Begründung MS: Wo keine geeignete ValueSets vorhanden sind, die die Antwortmöglichkeiten hinreichen repräsentieren, können Antworten alternativ in der FormularDefinition explizit aufgezählt werden..

Begründung MS:
Items können beliebig verschachtelt und zu Gruppen zusammengefasst werden, um komplexere und umfangreichere Formulare zu strukturieren.

A structured set of questions intended to guide the collection of answers from end-users. Questionnaires provide detailed control over order, presentation, phraseology and grouping to allow coherent, consistent data collection.

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

bedingtes Pflichtfeld/bedingtes MS: Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine id verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine idverfügen.

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.

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

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.

Alle von einem Server bereitgestellten Ressourcen SOLLEN über eine versionID verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine versionIDverfügen.

When the resource last changed - e.g. when the version changed.

Alle von einem Server bereitgestellten Ressourcen SOLLEN über ein lastUpdate verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über ein lastUpdateverfügen.

A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

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.

Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

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.

Security Labels from the Healthcare Privacy and Security Classification System.

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.

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.

Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

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.

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

The base language in which the resource is written.

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).

A human language.

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.

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

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.

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.

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.

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.

An Extension

An Extension

Begründung MS: In dieser Extension wird angegeben, dass die Formulardaten MDR-relevant sind. Für die Erhebung und/oder Darstellung müssen ggf. bestimmte Voraussetzungen erfüllt sein. Ist die Extension nicht vorhanden, liegt keine MDR-relevanmt vor.

An absolute URI that is used to identify this questionnaire when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this questionnaire is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the questionnaire is stored on different servers.

Weltweit eindeutiger Name des Formulars. Begründung Pflichtfeld: Wird für eindeutige Bezugnahme von FormularDaten auf FormularDefinition benötigt.

… This is the id that will be used to link a QuestionnaireResponse to the Questionnaire the response is for.

A formal identifier that is used to identify this questionnaire when it is represented in other formats, or referenced in a specification, model, design or an instance.

Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this questionnaire outside of FHIR, where it is not possible to use the logical URI.

Allows externally provided and/or usable business identifiers to be easily associated with the module.

The identifier that is used to identify this version of the questionnaire when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the questionnaire author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.

Versionsnummer des Formulars. Sollte gem. semVer-Regeln inkrementiert werden, je nach Schweregrad der Änderungen. Begründung MS:
Wird benötigt, um FormularDefinitionen in unterschiedlichen Versionen zu differenzieren.

A natural language name identifying the questionnaire. This name should be usable as an identifier for the module by machine processing applications such as code generation.

The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.

Support human navigation and code generation.

A short, descriptive, user-friendly title for the questionnaire.

Dem Anwender angezeigter Titel des Formulars.
Begründung MS:
Wird für die Darstellung und Auffindbarkeit der FormularDefinition benötigt.

The URL of a Questionnaire that this Questionnaire is based on.

Verweis auf ein Questionnaire, von dem abgeleitet wurde, welches erweitert wurde oder welches als Grundlage diente.

Allows a Questionnaire to be created based on another Questionnaire.

The status of this questionnaire. Enables tracking the life-cycle of the content.

Die im ISiK-Kontext bereitgestellten Formulare sollten final ausspezifiziert sein und daher den Status 'active' haben. Formulare, die zurückgezogen oder durch neuere Versionen ersetzt wurden, können mit 'retired' gekennzeichnet werden.

The lifecycle status of an artifact.

A Boolean value to indicate that this questionnaire is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.

Allows filtering of questionnaires that are appropriate for use versus not.

Enables experimental content to be developed following the same lifecycle that would be used for a production-level questionnaire.

The types of subjects that can be the subject of responses created for the questionnaire.

Begründung Pflichtfeld:
Zur Vereinfachung des Workflows werden zunächst nur Formulare mit Patientenbezug zugelassen. Dabei ist stets davon auszugehen, dass der Patient, für den dieses Formular ausgefüllt wird, identisch ist, mit dem Patient, der im Launch-Kontext übergeben wird. Diese Anforderung kann in künftigen Ausbaustufen gelockert werden.

One of the resource types defined as part of this version of FHIR.

The date (and optionally time) when the questionnaire was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the questionnaire changes.

Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the questionnaire. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

The name of the organization or individual that published the questionnaire.

Usually an organization but may be an individual. The publisher (or steward) of the questionnaire is the organization or individual primarily responsible for the maintenance and upkeep of the questionnaire. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the questionnaire. This item SHOULD be populated unless the information is available from context.

Helps establish the "authority/credibility" of the questionnaire. May also allow for contact.

Contact details to assist a user in finding and communicating with the publisher.

May be a web site, an email address, a telephone number, etc.

A free text natural language description of the questionnaire from a consumer's perspective.

Begründung Pflichtfeld:
Ausführliche Beschreibung des Formulars zur Verbesserung der Auffindbarkeit und Interpretation der Nutzung

The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate questionnaire instances.

When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

Assist in searching for appropriate content.

A legal or geographic region in which the questionnaire is intended to be used.

It may be possible for the questionnaire to be used in jurisdictions other than those for which it was originally designed or intended.

Countries and regions within which this artifact is targeted for use.

Explanation of why this questionnaire is needed and why it has been designed as it has.

This element does not describe the usage of the questionnaire. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this questionnaire.

A copyright statement relating to the questionnaire and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the questionnaire.

Consumers must be able to determine any legal restrictions on the use of the questionnaire and/or its content.

The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.

The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.

The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.

If specified, this date follows the original approval date.

Gives a sense of how "current" the content is. Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.

The period during which the questionnaire content was or is planned to be in active use.

The effective period for a questionnaire determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.

Allows establishing a transition before a resource comes into effect and also allows for a sunsetting process when new versions of the questionnaire are or are expected to be used instead.

An identifier for this question or group of questions in a particular terminology such as LOINC.

Codes for questionnaires, groups and individual questions.

Allows linking of the complete Questionnaire resources to formal terminologies. It's common for "panels" of questions to be identified by a code.

A particular question, question grouping or display text that is part of the questionnaire.

Formularfeld oder Einstiegspunkt für eine Gruppe von Formularfeldern

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

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.

An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.

Begründung Pflichtfeld:
Erforderlich für die Verlinkung der Antworten in der QuestionnaireRespons mit der Definition des Formularfeldes.

QuestionnaireResponse does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.

This element is a URI that refers to an ElementDefinition that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:

• code (ElementDefinition.code)
• type (ElementDefinition.type)
• required (ElementDefinition.min)
• repeats (ElementDefinition.max)
• maxLength (ElementDefinition.maxLength)
• answerValueSet (ElementDefinition.binding)
• options (ElementDefinition.binding).

The uri refers to an ElementDefinition in a StructureDefinition and always starts with the canonical URL for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id Element.id. E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.

A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.

A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).

Begründung MS:
Zur eindeutigen Identifikation des Formularfeldes. Ohne Code ist Observation-based-extraction nicht möglich. Wenn kein Code zur Verfügung steht, besteht weiterhin die Möglichkeit ein Item ohne Code zu definieren.

Codes for questionnaires, groups and individual questions.

Allows linking of groups of questions to formal terminologies.

A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.

Begründung MS: Falls bspw. eine Gruppierung oder Nummerierung nicht über die Verschachtelung von Items erfolgt, kann über das Prefix eine solche erfolgen. Aus dem Grund MUSS es in der Darstellung beim Rendern mit verarbeitet werden.

Separating the label from the question text allows improved rendering. Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.

The name of a section, the text of a question or text content for a display item.

Begründung MS:
Je nach 'type' des items: Fragestellung, Anzeigetext oder Gruppenname

The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).

Time is handled using "string". File is handled using Attachment. (Content can be sent as a contained binary).

Distinguishes groups from questions and display text and indicates data type for questions.

Defines the format in which the user is to be prompted for the answer.

A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.

Begründung MS: Bedingungen, die erfüllt sein müssen, damit das Item dargestellt wird. Dieses Feld ist ein modifier-Element, weshalb MS obligatorisch ist, es muss interpretiert werden.

Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history. Also allows conditional display of instructions or groups of questions.

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

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.

The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.

LinkId der Frage, bei der die Bedingung zu erfüllen ist.

Specifies the criteria by which the question is enabled.

Operator, mittels dem die Value der .question mit dem in answer[x] angegeben Element vergleichen wird.

The criteria by which a question is enabled.

A value that the referenced question is tested using the specified operator in order for the item to be enabled.

Rechter Wert des Bedingungsvergleich

Allowed values to answer questions.

Controls how multiple enableWhen values are interpreted - whether all or any must be true.

This element must be specified if more than one enableWhen value is provided.

Controls how multiple enableWhen values are interpreted - whether all or any must be true.

An indication, if true, that the item must be present in a "completed" QuestionnaireResponse. If false, the item may be skipped when answering the questionnaire.

Begründung MS:
FormularRenderer sollen sicherstellen können, dass Formulare vom Anwender vollständig ausgefüllt werden.

An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.

Begründung MS: FormularRenderer sollen in der Lage sein zwischen Einfach- und Mehrfachangaben unterscheiden zu können.

Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.

An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.

Antwort wird automatisch vorbelegt/berechnet und darf nicht vom Anwender editiert/überschrieben werden. Begründung MS: Automatisch vorbelegte Items sollen gegen Veränderung durch den Benutzer geschützt werden können (z.B. für Patientenstammdaten).

Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it. May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.

The maximum number of characters that are permitted in the answer to be considered a "valid" QuestionnaireResponse.

Maximale Anzahl zulässiger Zeichen für die Beantwortung der Frage.

A reference to a value set containing a list of codes representing permitted answers for a "choice" or "open-choice" question.

Begründung MS: Wo geeignete ValueSets vorhanden sind, die die Antwortmöglichkeiten hinreichend repräsentieren, sollte auf diese verwiesen werden.

One of the permitted answers for a "choice" or "open-choice" question.

Begründung MS: Wo keine geeignete ValueSets vorhanden sind, die die Antwortmöglichkeiten hinreichen repräsentieren, können Antworten alternativ in der FormularDefinition explizit aufgezählt werden..

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

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.

A potential answer that's allowed as the answer to this question.

The data type of the value must agree with the item.type.

Allowed values to answer questions.

Indicates whether the answer value is selected when the list of possible answers is initially shown.

Use this instead of initial[v] if answerValueSet is present.

One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.

The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created. Note that initial values can influence results. The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.

In some workflows, having defaults saves time.

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

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.

The actual value to for an initial answer.

The type of the initial value must be consistent with the type of the item.

Allowed values to answer questions.

Text, questions and other groups to be nested beneath a question or group.

Begründung MS:
Items können beliebig verschachtelt und zu Gruppen zusammengefasst werden, um komplexere und umfangreichere Formulare zu strukturieren.

Reports can consist of complex nested groups.