MII-Initiative

MII IG Person v2025

Patient - Pseudonymisiert (Patient)

Beschreibung

Dieses Profil beschreibt eine pseudonymisierte Version des Profils für die Patient-Ressource in der Medizininformatik-Initiative.

Note
Warning Die genauen Regeln zur Pseudonymisierung innerhalb der Medizininformatik-Initiative werden derzeit erarbeitet. Es sind daher noch zu Änderungen an diesem Profil zu erwarten.
NameStatusVersionLizenzCanonicalBasis
MII_PR_Person_PatientPseudonymisiertactive2025.0.0CC-BY-4.0https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/PatientPseudonymisierthttp://hl7.org/fhir/StructureDefinition/Patient

Inhalt

idS Σ0..1string
id0..1string
extensionI0..*Extension
versionIdΣ0..1id
lastUpdatedΣ0..1instant
sourceΣ0..1uri
profileS Σ0..*canonical(StructureDefinition)
securityΣ0..*CodingBinding
tagΣ0..*Coding
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
PseudonymisierterIdentifierS Σ0..*IdentifierPattern
AnonymisierterIdentifierS Σ0..*IdentifierPattern
activeS Σ ?!0..1boolean
nameΣ0..*HumanName
telecomΣ I0..*ContactPoint
id0..1string
other-amtlichS I0..1Extension(Coding)
value0..1System.String
birthDateS Σ0..1date
deceasedBooleanboolean
deceasedDateTimeS Σ ?!0..1dateTime
id0..1string
StadtteilI0..1Extension(string)
useΣ ?!0..1codeBinding
typeS Σ1..1codeBindingPattern
textΣ0..1string
id0..1string
StrasseI0..1Extension(string)
HausnummerI0..1Extension(string)
AdresszusatzI0..1Extension(string)
PostfachI0..1Extension(string)
value0..1System.String
id0..1string
gemeindeschluesselS I0..1Extension(Coding)
value0..1System.String
districtΣ0..0string
stateΣ0..1stringBinding
postalCodeS Σ1..1string
countryS Σ1..1stringBinding
periodΣ I0..1Period
id0..1string
StadtteilI0..1Extension(string)
useΣ ?!0..1codeBinding
typeS Σ1..1codeBindingPattern
textΣ0..1string
id0..1string
StrasseI0..1Extension(string)
HausnummerI0..1Extension(string)
AdresszusatzI0..1Extension(string)
PostfachI0..1Extension(string)
value0..1System.String
id0..1string
gemeindeschluesselS I0..1Extension(Coding)
value0..1System.String
districtΣ0..0string
stateΣ0..1stringBinding
postalCodeS Σ1..1string
countryS Σ1..1stringBinding
periodΣ I0..1Period
maritalStatus0..1CodeableConceptBinding
multipleBirthBooleanboolean
multipleBirthIntegerinteger
photoI0..*Attachment
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
relationship0..*CodeableConceptBinding
name0..1HumanName
telecomI0..*ContactPoint
address0..1Address
gender0..1codeBinding
organizationI0..1Reference(Organization)
periodI0..1Period
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
language1..1CodeableConceptBinding
preferred0..1boolean
generalPractitionerI0..*Reference(Organization | Practitioner | PractitionerRole)
managingOrganizationΣ I0..1Reference(Organization)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
otherS Σ I1..1Reference(Patient | RelatedPerson)
typeS Σ1..1codeBinding

Dieses Profil beschreibt eine pseudonymisierte Patient*in in der Medizininformatik-Initiative.

FeldnameKurzbeschreibung
Patient.id
Patient.meta
Patient.meta.profile
Patient.identifierPatienten-Identifikator
Patient.identifier:PseudonymisierterIdentifier
Patient.identifier:AnonymisierterIdentifier
Patient.activeAktiv
Patient.genderAdministratives Geschlecht
Patient.gender.extension:other-amtlichExtension Administratives Geschlecht
Patient.birthDateGeburtsdatum
Patient.deceased[x]Verstorben
Patient.deceased[x]:deceasedDateTime
Patient.addressAdresse
Patient.address:StrassenanschriftStraßenanschrift
Patient.address:Strassenanschrift.type
Patient.address:Strassenanschrift.city.extension:gemeindeschluessel
Patient.address:Strassenanschrift.postalCode
Patient.address:Strassenanschrift.country
Patient.address:PostfachPostfach
Patient.address:Postfach.type
Patient.address:Postfach.city.extension:gemeindeschluessel
Patient.address:Postfach.postalCode
Patient.address:Postfach.country
Patient.linkVerweis
Patient.link.other
Patient.link.type
<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="mii-pr-person-patient-pseudonymisiert" />
    <extension url="https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable">
        <valueCodeableConcept>
            <coding>
                <system value="http://hl7.org/fhir/spdx-license" />
                <code value="CC-BY-4.0" />
                <display value="Creative Commons Attribution 4.0 International" />
            </coding>
        </valueCodeableConcept>
    </extension>
    <url value="https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/PatientPseudonymisiert" />
    <version value="2025.0.0" />
    <name value="MII_PR_Person_PatientPseudonymisiert" />
    <title value="MII PR Person Patient (Pseudonymisiert)">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="de-DE" />
            </extension>
            <extension url="content">
                <valueString value="Patient / Patientin pseudonymisiert" />
            </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="Patient pseudonymized" />
            </extension>
        </extension>
    </title>
    <status value="active" />
    <date value="2024-12-04" />
    <publisher value="Medizininformatik Initiative" />
    <contact>
        <telecom>
            <system value="url" />
            <value value="https://www.medizininformatik-initiative.de" />
        </telecom>
    </contact>
    <description value="Dieses Profil beschreibt eine pseudonymisierte Patient*in in der Medizininformatik-Initiative.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="de-DE" />
            </extension>
            <extension url="content">
                <valueString value="Demografische und andere administrative Informationen &#252;ber eine Patientin oder einen Patienten." />
            </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="Demographics and other administrative information about a patient." />
            </extension>
        </extension>
    </description>
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="Patient" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Patient" />
    <derivation value="constraint" />
    <differential>
        <element id="Patient">
            <path value="Patient" />
            <constraint>
                <key value="mii-pat-1" />
                <severity value="error" />
                <human value="Falls die Geschlechtsangabe &#39;other&#39; gew&#228;hlt wird, muss die amtliche Differenzierung per Extension angegeben werden" />
                <expression value="gender.exists() and gender=&#39;other&#39; implies gender.extension(&#39;http://fhir.de/StructureDefinition/gender-amtlich-de&#39;).exists()" />
                <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/PatientPseudonymisiert" />
            </constraint>
        </element>
        <element id="Patient.id">
            <path value="Patient.id" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.meta">
            <path value="Patient.meta" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.meta.profile">
            <path value="Patient.meta.profile" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.identifier">
            <path value="Patient.identifier" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <short value="Patienten-Identifikator">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Identifikator" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Identifier" />
                    </extension>
                </extension>
            </short>
            <definition value="Ein Identifikator f&#252;r den/die Patient*in">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Ein Identifikator f&#252;r den/die Patient*in" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="An identifier for this patient" />
                    </extension>
                </extension>
            </definition>
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.identifier:PseudonymisierterIdentifier">
            <path value="Patient.identifier" />
            <sliceName value="PseudonymisierterIdentifier" />
            <min value="0" />
            <max value="*" />
            <patternIdentifier>
                <type>
                    <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue" />
                        <code value="PSEUDED" />
                    </coding>
                </type>
            </patternIdentifier>
            <mustSupport value="true" />
        </element>
        <element id="Patient.identifier:AnonymisierterIdentifier">
            <path value="Patient.identifier" />
            <sliceName value="AnonymisierterIdentifier" />
            <min value="0" />
            <max value="*" />
            <patternIdentifier>
                <type>
                    <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue" />
                        <code value="ANONYED" />
                    </coding>
                </type>
            </patternIdentifier>
            <mustSupport value="true" />
        </element>
        <element id="Patient.active">
            <path value="Patient.active" />
            <short value="Aktiv">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Aktiv" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Active" />
                    </extension>
                </extension>
            </short>
            <definition value="Gibt an, ob diese Patient-Ressource aktiv verwendet wird.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Gibt an, ob diese Patient-Ressource aktiv verwendet wird." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Whether this patient&#39;s record is in active use" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Patient.gender">
            <path value="Patient.gender" />
            <short value="Administratives Geschlecht">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Administratives Geschlecht" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Administrative gender" />
                    </extension>
                </extension>
            </short>
            <definition value="m&#228;nnlich | weiblich | andere | unbekannt | unbestimmt | divers">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="m&#228;nnlich | weiblich | andere | unbekannt | unbestimmt | divers" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="male | female | other | unknown | undetermined | diverse" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Patient.gender.extension:other-amtlich">
            <path value="Patient.gender.extension" />
            <sliceName value="other-amtlich" />
            <short value="Extension Administratives Geschlecht">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Extension Administratives Geschlecht" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Extension administrative gender" />
                    </extension>
                </extension>
            </short>
            <definition value="Extension zur genaueren Differenzierung des administrativen Geschlechts">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Extension zur genaueren Differenzierung des administrativen Geschlechts" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Extension for detailed differentiation of administrative gender" />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://fhir.de/StructureDefinition/gender-amtlich-de" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Patient.birthDate">
            <path value="Patient.birthDate" />
            <short value="Geburtsdatum">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Geburtsdatum" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Date of birth" />
                    </extension>
                </extension>
            </short>
            <definition value="Das Geburtsdatum der Patientin oder des Patienten">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Das Geburtsdatum der Patientin oder des Patienten" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="The date of birth for the individual" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Patient.deceased[x]">
            <path value="Patient.deceased[x]" />
            <slicing>
                <discriminator>
                    <type value="type" />
                    <path value="$this" />
                </discriminator>
                <ordered value="false" />
                <rules value="open" />
            </slicing>
            <short value="Verstorben">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Verstorben" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Deceased" />
                    </extension>
                </extension>
            </short>
            <definition value="Gibt an, ob die Person verstorben ist oder nicht">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Gibt an, ob die Person verstorben ist oder nicht" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Indicates if the individual is deceased or not" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Patient.deceased[x]:deceasedDateTime">
            <path value="Patient.deceased[x]" />
            <sliceName value="deceasedDateTime" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="dateTime" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Patient.address">
            <path value="Patient.address" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <short value="Adresse">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Adresse" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Address" />
                    </extension>
                </extension>
            </short>
            <definition value="Eine Adresse der Patientin oder des Patienten">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Eine Adresse der Patientin oder des Patienten" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="An address for the individual" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Patient.address:Strassenanschrift">
            <path value="Patient.address" />
            <sliceName value="Strassenanschrift" />
            <short value="Stra&#223;enanschrift">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Stra&#223;enanschrift" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Street address" />
                    </extension>
                </extension>
            </short>
            <definition value="Eine Stra&#223;enanschrift der Patientin oder des Patienten">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Eine Stra&#223;enanschrift der Patientin oder des Patienten" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="A street address for the individual" />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="*" />
            <type>
                <code value="Address" />
                <profile value="http://fhir.de/StructureDefinition/address-de-basis" />
            </type>
            <patternAddress>
                <type value="both" />
            </patternAddress>
            <constraint>
                <key value="pat-cnt-2or3-char" />
                <severity value="warning" />
                <human value="The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2." />
                <expression value="country.empty() or (country.memberOf(&#39;http://hl7.org/fhir/ValueSet/iso3166-1-2&#39;) or country.memberOf(&#39;http://hl7.org/fhir/ValueSet/iso3166-1-3&#39;))" />
                <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/PatientPseudonymisiert" />
            </constraint>
            <mustSupport value="true" />
        </element>
        <element id="Patient.address:Strassenanschrift.type">
            <path value="Patient.address.type" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.address:Strassenanschrift.city.extension:gemeindeschluessel">
            <path value="Patient.address.city.extension" />
            <sliceName value="gemeindeschluessel" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://fhir.de/StructureDefinition/destatis/ags" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Patient.address:Strassenanschrift.postalCode">
            <path value="Patient.address.postalCode" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.address:Strassenanschrift.country">
            <path value="Patient.address.country" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.address:Postfach">
            <path value="Patient.address" />
            <sliceName value="Postfach" />
            <short value="Postfach">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Postfach" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Postbox" />
                    </extension>
                </extension>
            </short>
            <definition value="Eine Postfachanschrift der Patientin oder des Patienten">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Eine Postfachanschrift der Patientin oder des Patienten" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="A postbox address for the individual" />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="*" />
            <type>
                <code value="Address" />
                <profile value="http://fhir.de/StructureDefinition/address-de-basis" />
            </type>
            <patternAddress>
                <type value="postal" />
            </patternAddress>
            <constraint>
                <key value="pat-cnt-2or3-char" />
                <severity value="warning" />
                <human value="The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2." />
                <expression value="country.empty() or (country.memberOf(&#39;http://hl7.org/fhir/ValueSet/iso3166-1-2&#39;) or country.memberOf(&#39;http://hl7.org/fhir/ValueSet/iso3166-1-3&#39;))" />
                <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/PatientPseudonymisiert" />
            </constraint>
            <mustSupport value="true" />
        </element>
        <element id="Patient.address:Postfach.type">
            <path value="Patient.address.type" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.address:Postfach.city.extension:gemeindeschluessel">
            <path value="Patient.address.city.extension" />
            <sliceName value="gemeindeschluessel" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://fhir.de/StructureDefinition/destatis/ags" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Patient.address:Postfach.postalCode">
            <path value="Patient.address.postalCode" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.address:Postfach.country">
            <path value="Patient.address.country" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.link">
            <path value="Patient.link" />
            <short value="Verweis">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Verweis" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Link" />
                    </extension>
                </extension>
            </short>
            <definition value="Verweis auf eine andere Patientenressource, die die gleiche tats&#228;chliche Person betrifft">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Verweis auf eine andere Patientenressource, die die gleiche tats&#228;chliche Person betrifft" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Link to another patient resource that concerns the same actual person" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Patient.link.other">
            <path value="Patient.link.other" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.link.type">
            <path value="Patient.link.type" />
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "id": "mii-pr-person-patient-pseudonymisiert",
    "extension":  [
        {
            "url": "https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable",
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "code": "CC-BY-4.0",
                        "system": "http://hl7.org/fhir/spdx-license",
                        "display": "Creative Commons Attribution 4.0 International"
                    }
                ]
            }
        }
    ],
    "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/PatientPseudonymisiert",
    "version": "2025.0.0",
    "name": "MII_PR_Person_PatientPseudonymisiert",
    "title": "MII PR Person Patient (Pseudonymisiert)",
    "_title": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "de-DE"
                    },
                    {
                        "url": "content",
                        "valueString": "Patient / Patientin pseudonymisiert"
                    }
                ]
            },
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "Patient pseudonymized"
                    }
                ]
            }
        ]
    },
    "status": "active",
    "date": "2024-12-04",
    "publisher": "Medizininformatik Initiative",
    "contact":  [
        {
            "telecom":  [
                {
                    "system": "url",
                    "value": "https://www.medizininformatik-initiative.de"
                }
            ]
        }
    ],
    "description": "Dieses Profil beschreibt eine pseudonymisierte Patient*in in der Medizininformatik-Initiative.",
    "_description": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "de-DE"
                    },
                    {
                        "url": "content",
                        "valueString": "Demografische und andere administrative Informationen über eine Patientin oder einen Patienten."
                    }
                ]
            },
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "Demographics and other administrative information about a patient."
                    }
                ]
            }
        ]
    },
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "Patient",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Patient",
                "path": "Patient",
                "constraint":  [
                    {
                        "key": "mii-pat-1",
                        "severity": "error",
                        "human": "Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden",
                        "expression": "gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()",
                        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/PatientPseudonymisiert"
                    }
                ]
            },
            {
                "id": "Patient.id",
                "path": "Patient.id",
                "mustSupport": true
            },
            {
                "id": "Patient.meta",
                "path": "Patient.meta",
                "mustSupport": true
            },
            {
                "id": "Patient.meta.profile",
                "path": "Patient.meta.profile",
                "mustSupport": true
            },
            {
                "id": "Patient.identifier",
                "path": "Patient.identifier",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "short": "Patienten-Identifikator",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Identifikator"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Identifier"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Ein Identifikator für den/die Patient*in",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Ein Identifikator für den/die Patient*in"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "An identifier for this patient"
                                }
                            ]
                        }
                    ]
                },
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:PseudonymisierterIdentifier",
                "path": "Patient.identifier",
                "sliceName": "PseudonymisierterIdentifier",
                "min": 0,
                "max": "*",
                "patternIdentifier": {
                    "type": {
                        "coding":  [
                            {
                                "code": "PSEUDED",
                                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue"
                            }
                        ]
                    }
                },
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:AnonymisierterIdentifier",
                "path": "Patient.identifier",
                "sliceName": "AnonymisierterIdentifier",
                "min": 0,
                "max": "*",
                "patternIdentifier": {
                    "type": {
                        "coding":  [
                            {
                                "code": "ANONYED",
                                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue"
                            }
                        ]
                    }
                },
                "mustSupport": true
            },
            {
                "id": "Patient.active",
                "path": "Patient.active",
                "short": "Aktiv",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Aktiv"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Active"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Gibt an, ob diese Patient-Ressource aktiv verwendet wird.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Gibt an, ob diese Patient-Ressource aktiv verwendet wird."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Whether this patient's record is in active use"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Patient.gender",
                "path": "Patient.gender",
                "short": "Administratives Geschlecht",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Administratives Geschlecht"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Administrative gender"
                                }
                            ]
                        }
                    ]
                },
                "definition": "männlich | weiblich | andere | unbekannt | unbestimmt | divers",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "männlich | weiblich | andere | unbekannt | unbestimmt | divers"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "male | female | other | unknown | undetermined | diverse"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Patient.gender.extension:other-amtlich",
                "path": "Patient.gender.extension",
                "sliceName": "other-amtlich",
                "short": "Extension Administratives Geschlecht",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Extension Administratives Geschlecht"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Extension administrative gender"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Extension zur genaueren Differenzierung des administrativen Geschlechts",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Extension zur genaueren Differenzierung des administrativen Geschlechts"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Extension for detailed differentiation of administrative gender"
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/gender-amtlich-de"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Patient.birthDate",
                "path": "Patient.birthDate",
                "short": "Geburtsdatum",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Geburtsdatum"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Date of birth"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Das Geburtsdatum der Patientin oder des Patienten",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Das Geburtsdatum der Patientin oder des Patienten"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "The date of birth for the individual"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Patient.deceased[x]",
                "path": "Patient.deceased[x]",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "type",
                            "path": "$this"
                        }
                    ],
                    "ordered": false,
                    "rules": "open"
                },
                "short": "Verstorben",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Verstorben"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Deceased"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Gibt an, ob die Person verstorben ist oder nicht",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Gibt an, ob die Person verstorben ist oder nicht"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Indicates if the individual is deceased or not"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Patient.deceased[x]:deceasedDateTime",
                "path": "Patient.deceased[x]",
                "sliceName": "deceasedDateTime",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "dateTime"
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Patient.address",
                "path": "Patient.address",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "short": "Adresse",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Adresse"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Address"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Eine Adresse der Patientin oder des Patienten",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Eine Adresse der Patientin oder des Patienten"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "An address for the individual"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Patient.address:Strassenanschrift",
                "path": "Patient.address",
                "sliceName": "Strassenanschrift",
                "short": "Straßenanschrift",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Straßenanschrift"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Street address"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Eine Straßenanschrift der Patientin oder des Patienten",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Eine Straßenanschrift der Patientin oder des Patienten"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "A street address for the individual"
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "*",
                "type":  [
                    {
                        "code": "Address",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/address-de-basis"
                        ]
                    }
                ],
                "patternAddress": {
                    "type": "both"
                },
                "constraint":  [
                    {
                        "key": "pat-cnt-2or3-char",
                        "severity": "warning",
                        "human": "The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2.",
                        "expression": "country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))",
                        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/PatientPseudonymisiert"
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Patient.address:Strassenanschrift.type",
                "path": "Patient.address.type",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.address:Strassenanschrift.city.extension:gemeindeschluessel",
                "path": "Patient.address.city.extension",
                "sliceName": "gemeindeschluessel",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/destatis/ags"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Patient.address:Strassenanschrift.postalCode",
                "path": "Patient.address.postalCode",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.address:Strassenanschrift.country",
                "path": "Patient.address.country",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.address:Postfach",
                "path": "Patient.address",
                "sliceName": "Postfach",
                "short": "Postfach",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Postfach"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Postbox"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Eine Postfachanschrift der Patientin oder des Patienten",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Eine Postfachanschrift der Patientin oder des Patienten"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "A postbox address for the individual"
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "*",
                "type":  [
                    {
                        "code": "Address",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/address-de-basis"
                        ]
                    }
                ],
                "patternAddress": {
                    "type": "postal"
                },
                "constraint":  [
                    {
                        "key": "pat-cnt-2or3-char",
                        "severity": "warning",
                        "human": "The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2.",
                        "expression": "country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))",
                        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/PatientPseudonymisiert"
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Patient.address:Postfach.type",
                "path": "Patient.address.type",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.address:Postfach.city.extension:gemeindeschluessel",
                "path": "Patient.address.city.extension",
                "sliceName": "gemeindeschluessel",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/destatis/ags"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Patient.address:Postfach.postalCode",
                "path": "Patient.address.postalCode",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.address:Postfach.country",
                "path": "Patient.address.country",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.link",
                "path": "Patient.link",
                "short": "Verweis",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Verweis"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Link"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Verweis auf eine andere Patientenressource, die die gleiche tatsächliche Person betrifft",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Verweis auf eine andere Patientenressource, die die gleiche tatsächliche Person betrifft"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Link to another patient resource that concerns the same actual person"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Patient.link.other",
                "path": "Patient.link.other",
                "mustSupport": true
            },
            {
                "id": "Patient.link.type",
                "path": "Patient.link.type",
                "mustSupport": true
            }
        ]
    }
}
MII PR Person Patient (Pseudonymisiert)

Hinweise

FHIR-Element Erklärung
Patient.id Must-support, jedoch optional
Patient.meta Must-support, jedoch optional
Patient.meta.profile VERPFLICHTEND für die Abfrage im DIZ-Repsoitory inkl Versionsnummer des Profils. Siehe CapabilityStatement. In allen anderen Fällen optional.
Patient.identifier:PseudonymisierterIdentifier Falls der Identifier ein abgeleitetes Pseudonym ist, MUSS der Identifier entsprechend typisiert werden.
Patient.identifier:AnonymisierterIdentifier Ein anonymisierter Identifier SOLLTE nur als solcher angegeben werden, falls keinerlei Rückschlüsse auf den originalen Datemsatz möglich sind.
Patient.gender Ohne Einschränkung verwendbar.
Patient.birthDate
Patient.deceased[x]
Patient.address
Patient.link Eine Verlinkung zu einer nicht-pseudonymisierten Version des Patienten DARF NICHT existieren.

Mapping

FHIR Element Logischer Datensatz
Patient.identifier:versichertenId_GKV Person.PatientInPseudonym.Pseudonym
Patient.identifier:versicherungsnummer_pkv Person.PatientInPseudonym.GeburtsdatumQuartal
Patient.identifier:default Person.PatientInPseudonym.Todesdatum
Patient.identifier:pid Person.PatientInPseudonym.VergroebertePLZ

Constraints

Folgende Invarianten müssen bei der Implementierung des Profils beachtet werden:

Constraints:

keyseverityhumanexpression
mii-pat-1errorFalls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werdengender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
pat-cnt-2or3-charwarningThe content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2.country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
pat-cnt-2or3-charwarningThe content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2.country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))

Weitere Vorgaben werden durch die Profile für die Datentypen HumanName und Address durch die Deutschen Basisprofile gemacht.

Suchparameter

Folgende Suchparameter sind für das Modul Person relevant, auch in Kombination:

  1. Der Suchparameter "_id" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Patient?_id=103270

    Anwendungshinweise: Weitere Informationen zur Suche nach "_id" finden sich in der FHIR-Basisspezifikation - Abschnitt "Parameters for all resources".

  2. Der Suchparameter "_profile" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Patient?_profile=https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/PatientPseudonymisiert

    Anwendungshinweise: Weitere Informationen zur Suche nach "_profile" finden sich in der FHIR-Basisspezifikation - Abschnitt "Parameters for all resources".

  3. Der Suchparameter "identifier" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Patient?identifier=http://example.org/fhir/sid/pseudonym|1032702

    GET [base]/Patient?identifier=1032702

    Anwendungshinweise: Weitere Informationen zur Suche nach "Patient.identifier" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".

  4. Der Suchparameter "gender" MUSS unterstützt werden:

    Beispiele

    GET [base]/Patient?gender=female

    Anwendungshinweise: Weitere Informationen zur Suche nach "Patient.gender" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".

  5. Der Suchparameter "other-amtlich" MUSS unterstützt werden:

    Beispiele

    GET [base]/Patient?other-amtlich=http://fhir.de/CodeSystem/gender-amtlich-de|D

    Anwendungshinweise: Weitere Informationen zur Suche nach "Patient.gender.extension:other-amtlich" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".

  6. Der Suchparameter "birthdate" MUSS unterstützt werden:

    Beispiele

    GET [base]/Patient?birthdate=1964-12-08

    Anwendungshinweise: Weitere Informationen zur Suche nach "Patient.birthDate" finden sich in der FHIR-Basisspezifikation - Abschnitt "Date Search".

  7. Der Suchparameter "death-date" MUSS unterstützt werden:

    Beispiele

    GET [base]/Patient?death-date=2022-01-01

    Anwendungshinweise: Weitere Informationen zur Suche nach "Patient.deceased" finden sich in der FHIR-Basisspezifikation - Abschnitt "Date Search".

  8. Der Suchparameter "deceased" MUSS unterstützt werden:

    Beispiele

    GET [base]/Patient?deceased=true

    Anwendungshinweise: Weitere Informationen zur Suche nach "Patient.deceased" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".

  9. Der Suchparameter "address-postalcode" MUSS unterstützt werden:

    Beispiele

    GET [base]/Patient?address-postalcode=10117

    Anwendungshinweise: Weitere Informationen zur Suche nach "Patient.address.postalCode" finden sich in der FHIR-Basisspezifikation - Abschnitt "String Search".

  10. Der Suchparameter "address-country" MUSS unterstützt werden:

    Beispiele

    GET [base]/Patient?address-country=DE

    Anwendungshinweise: Weitere Informationen zur Suche nach "Patient.address.country" finden sich in der FHIR-Basisspezifikation - Abschnitt "String Search".

  11. Der Suchparameter "gemeindeschluessel" MUSS unterstützt werden:

    Beispiele

    GET [base]/Patient?gemeindeschluessel=http://fhir.de/sid/destatis/ags|11000000

    Anwendungshinweise: Weitere Informationen zur Suche nach "Patient.address.city.extension:gemeindeschluessel" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".

  12. Der Suchparameter "link" MUSS unterstützt werden:

    Beispiele

    GET [base]/Patient?link=Patient/VerknuepftePatientIn

    Anwendungshinweise: Weitere Informationen zur Suche nach "Patient.link.other" finden sich in der FHIR-Basisspezifikation - Abschnitt "reference".

Beispiele

{
    "resourceType": "Patient",
    "id": "mii-exa-person-patient-pseudonymisiert",
    "meta": {
        "security":  [
            {
                "code": "HTEST",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "test health data"
            }
        ],
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/PatientPseudonymisiert|2025.0.0"
        ]
    },
    "identifier":  [
        {
            "use": "usual",
            "type": {
                "coding":  [
                    {
                        "code": "PSEUDED",
                        "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue"
                    }
                ]
            },
            "system": "https://www.medizininformatik-initiative.de/fhir/sid/pseudonym",
            "value": "1234567890"
        }
    ],
    "deceasedBoolean": false,
    "address":  [
        {
            "type": "both",
            "postalCode": "50",
            "country": "DE"
        }
    ],
    "gender": "other",
    "_gender": {
        "extension":  [
            {
                "url": "http://fhir.de/StructureDefinition/gender-amtlich-de",
                "valueCoding": {
                    "code": "D",
                    "system": "http://fhir.de/CodeSystem/gender-amtlich-de",
                    "display": "divers"
                }
            }
        ]
    },
    "birthDate": "2022-04",
    "managingOrganization": {
        "reference": "Organization/Charite-Universitaetsmedizin-Berlin"
    }
}

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