[DE] Modul Person - Version 1.0 - IG
PatientIn (Patient)
Dieses Profil beschreibt eine PatientIn in der Medizininformatik-Initiative.
Es ist zu beachten, dass keinerlei Vorgaben zur Abbildung eines pseudonymisierten Patienten gemacht werden. In Zukunft können diesbezüglich durch andere Kerndatensatzmodule Vorgaben entstehen.
Name: "ProfilePatientPatientIn" (Simplifier Link)
Canonical:
https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient
Differential
| Patient | I | Patient | Element IdPatient Information about an individual or animal receiving health care services Alternate namesSubjectOfCare Client Resident DefinitionDemographics and other administrative information about an individual or animal receiving care or other health-related services.
| |
| id | S Σ | 0..1 | System.String | There are no (further) constraints on this element Element IdPatient.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. System.String |
| meta | S Σ | 0..1 | Meta | There are no (further) constraints on this element Element IdPatient.meta Metadata about the resource DefinitionThe 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.
|
| versionId | Σ | 0..1 | id | There are no (further) constraints on this element Element IdPatient.meta.versionId Version specific identifier DefinitionThe version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
|
| lastUpdated | Σ | 0..1 | instant | There are no (further) constraints on this element Element IdPatient.meta.lastUpdated When the resource version last changed DefinitionWhen the resource last changed - e.g. when the version changed. This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
|
| source | S Σ | 0..1 | uri | There are no (further) constraints on this element Element IdPatient.meta.source Identifies where the resource comes from DefinitionA 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.
|
| profile | S Σ | 0..* | canonical(StructureDefinition) | There are no (further) constraints on this element Element IdPatient.meta.profile Profiles this resource claims to conform to DefinitionA 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. canonical(StructureDefinition) Constraints
|
| security | Σ | 0..* | CodingBinding | There are no (further) constraints on this element Element IdPatient.meta.security Security Labels applied to this resource DefinitionSecurity 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. All Security Labels (extensible)Constraints
|
| tag | Σ | 0..* | Coding | There are no (further) constraints on this element Element IdPatient.meta.tag Tags applied to this resource DefinitionTags 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". CommonTags (example)Constraints
|
| identifier | S Σ | 1..* | Identifier | Element IdPatient.identifier An identifier for this patient DefinitionAn identifier for this patient. Patients are almost always assigned specific numerical identifiers. Unordered, Open, by $this(Pattern) Constraints
|
| versichertenId_GKV | S Σ | 0..1 | Identifier-Profil für die 10-stellige KrankenversichertennummerPattern | Element IdPatient.identifier:versichertenId_GKV An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Patients are almost always assigned specific numerical identifiers. Identifier-Profil für die 10-stellige Krankenversichertennummer Constraints
{
"type": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
"code": "GKV"
}
]
}
}
|
| use | Σ ?! | 0..1 | codeBindingFixed Value | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
official
|
| type | S Σ | 0..1 | CodeableConceptBindingPattern | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible)Constraints
{
"coding": [
{
"system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
"code": "GKV"
}
]
}
|
| system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
http://fhir.de/NamingSystem/gkv/kvid-10
|
| value | S Σ I | 1..1 | string | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
General 123456 Mappings
|
| period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
|
| assigner | S Σ I | 1..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
|
| reference | Σ I | 0..1 | string | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.assigner.reference Literal reference, Relative, internal or absolute URL DefinitionA reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
|
| type | Σ | 0..1 | uriBinding | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.assigner.type Type the reference refers to (e.g. "Patient") DefinitionThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible)Constraints
|
| identifier | S Σ | 1..1 | Identifier-Profil für die Abbildung eines Institutionskennzeichens (IKNR) | Element IdPatient.identifier:versichertenId_GKV.assigner.identifier An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). Identifier-Profil für die Abbildung eines Institutionskennzeichens (IKNR) Constraints
|
| use | Σ ?! | 0..1 | codeBindingFixed Value | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.assigner.identifier.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
official
|
| type | S Σ | 0..1 | CodeableConceptBindingPattern | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.assigner.identifier.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible)Constraints
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "XX"
}
]
}
|
| system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.assigner.identifier.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
http://fhir.de/NamingSystem/arge-ik/iknr
|
| value | S Σ I | 1..1 | string | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.assigner.identifier.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
General 123456 Mappings
|
| period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.assigner.identifier.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
|
| assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.assigner.identifier.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
|
| display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.assigner.display Text alternative for the resource DefinitionPlain text narrative that identifies the resource in addition to the resource reference. This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
|
| pid | S Σ | 0..* | Identifier-Profil für die Abbildung einer Patienten-IDPattern | Element IdPatient.identifier:pid An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Patients are almost always assigned specific numerical identifiers. Identifier-Profil für die Abbildung einer Patienten-ID Constraints
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR"
}
]
}
}
|
| use | Σ ?! | 0..1 | codeBindingFixed Value | There are no (further) constraints on this element Element IdPatient.identifier:pid.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
usual
|
| type | S Σ | 1..1 | CodeableConceptBindingPattern | There are no (further) constraints on this element Element IdPatient.identifier:pid.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible)Constraints
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR"
}
]
}
|
| system | S Σ | 1..1 | uri | There are no (further) constraints on this element Element IdPatient.identifier:pid.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
General http://www.acme.com/identifiers/patient Mappings
|
| value | S Σ | 1..1 | string | There are no (further) constraints on this element Element IdPatient.identifier:pid.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
General 123456 Mappings
|
| period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPatient.identifier:pid.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
|
| assigner | S Σ I | 0..1 | MII-Reference(Organization) | Element IdPatient.identifier:pid.assigner A reference from one resource to another DefinitionA reference from one resource to another. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
|
| reference | S Σ I | 0..1 | string | There are no (further) constraints on this element Element IdPatient.identifier:pid.assigner.reference Literal reference, Relative, internal or absolute URL DefinitionA reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
|
| type | Σ | 0..1 | uriBinding | There are no (further) constraints on this element Element IdPatient.identifier:pid.assigner.type Type the reference refers to (e.g. "Patient") DefinitionThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible)Constraints
|
| identifier | S Σ | 0..1 | Identifier | There are no (further) constraints on this element Element IdPatient.identifier:pid.assigner.identifier Logical reference, when literal reference is not known DefinitionAn identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
|
| use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPatient.identifier:pid.assigner.identifier.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
|
| type | S Σ | 0..1 | CodeableConceptBindingPattern | Element IdPatient.identifier:pid.assigner.identifier.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible)Constraints
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "XX"
}
]
}
|
| system | S Σ I | 1..1 | uri | Element IdPatient.identifier:pid.assigner.identifier.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
General http://www.acme.com/identifiers/patient Mappings
|
| value | S Σ | 1..1 | string | There are no (further) constraints on this element Element IdPatient.identifier:pid.assigner.identifier.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
General 123456 Mappings
|
| period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPatient.identifier:pid.assigner.identifier.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
|
| assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPatient.identifier:pid.assigner.identifier.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
|
| display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPatient.identifier:pid.assigner.display Text alternative for the resource DefinitionPlain text narrative that identifies the resource in addition to the resource reference. This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
|
| versichertennummer_pkv | S Σ | 0..1 | Identifier-Profil für die Abbildung einer PrivatversichertennummerPattern | Element IdPatient.identifier:versichertennummer_pkv An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Patients are almost always assigned specific numerical identifiers. Identifier-Profil für die Abbildung einer Privatversichertennummer Constraints
{
"type": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
"code": "PKV"
}
]
}
}
|
| use | S Σ ?! | 0..1 | codeBindingFixed Value | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
secondary
|
| type | S Σ | 0..1 | CodeableConceptBindingPattern | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible)Constraints
{
"coding": [
{
"system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
"code": "PKV"
}
]
}
|
| system | Σ | 0..1 | uri | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
General http://www.acme.com/identifiers/patient Mappings
|
| value | S Σ | 1..1 | string | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
General 123456 Mappings
|
| period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
|
| assigner | S Σ I | 1..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
|
| reference | Σ I | 0..1 | string | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.assigner.reference Literal reference, Relative, internal or absolute URL DefinitionA reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
|
| type | Σ | 0..1 | uriBinding | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.assigner.type Type the reference refers to (e.g. "Patient") DefinitionThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible)Constraints
|
| identifier | Σ | 0..1 | Identifier-Profil für die Abbildung eines Institutionskennzeichens (IKNR) | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.assigner.identifier An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). Identifier-Profil für die Abbildung eines Institutionskennzeichens (IKNR) Constraints
|
| use | Σ ?! | 0..1 | codeBindingFixed Value | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.assigner.identifier.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
official
|
| type | S Σ | 0..1 | CodeableConceptBindingPattern | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.assigner.identifier.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible)Constraints
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "XX"
}
]
}
|
| system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.assigner.identifier.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
http://fhir.de/NamingSystem/arge-ik/iknr
|
| value | S Σ I | 1..1 | string | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.assigner.identifier.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
General 123456 Mappings
|
| period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.assigner.identifier.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
|
| assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.assigner.identifier.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
|
| display | S Σ | 1..1 | string | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.assigner.display Text alternative for the resource DefinitionPlain text narrative that identifies the resource in addition to the resource reference. This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
|
| active | Σ ?! | 0..1 | boolean | There are no (further) constraints on this element Element IdPatient.active Whether this patient's record is in active use DefinitionWhether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death. Need to be able to mark a patient record as not to be used because it was created in error. If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient. This resource is generally assumed to be active if no value is provided for the active element
|
| name | S Σ | 1..* | HumanName | Element IdPatient.name A name associated with the patient DefinitionA name associated with the individual. Need to be able to track the patient by multiple names. Examples are your official name and a partner name. A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns. Unordered, Open, by $this(Pattern) Constraints
|
| name | S Σ I | 1..1 | HumanName, deutsches BasisprofilPattern | Element IdPatient.name:name Personenname DefinitionPersonenname mit in Deutschland üblichen Erweiterungen Need to be able to track the patient by multiple names. Examples are your official name and a partner name. Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts may or may not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely. HumanName, deutsches Basisprofil Constraints
{
"use": "official"
}
|
| use | S Σ ?! | 1..1 | codeBindingFixed Value | There are no (further) constraints on this element Element IdPatient.name:name.use usual | official | temp | nickname | anonymous | old | maiden DefinitionIdentifies the purpose for this name. Allows the appropriate name for a particular context of use to be selected from among a set of names. Applications can assume that a name is current unless it explicitly says that it is temporary or old. The use of a human name. NameUse (required)Constraints
official
|
| text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPatient.name:name.text Text representation of the full name DefinitionSpecifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts. A renderable, unencoded form. Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
|
| family | S Σ | 1..1 | string | There are no (further) constraints on this element Element IdPatient.name:name.family Familienname Alternate namessurname DefinitionDer vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt. Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
|
| extension | I | 0..* | Extension | Element IdPatient.name:name.family.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Constraints
|
| namenszusatz | S I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPatient.name:name.family.extension:namenszusatz Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") Alternate namesextensions, user content DefinitionNamenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst Die Extension wurde erstellt aufgrund der Anforderung, die auf der eGK vorhandenen Patientenstammdaten in FHIR abbilden zu können. Auf der eGK werden die Namensbestandteile "Namenszusatz" und "Vorsatzwort" getrennt vom Nachnamen gespeichert. Anhand der Liste der zulässigen Namenszusätze ist deutlich erkennbar, dass es sich hierbei sinngemäß um Adelstitel handelt. Das Vorsatzwort kann durch die Core-Extension http://build.fhir.org/extension-humanname-own-name.html abgebildet werden, für den Namenszusatz ergibt sich jedoch die Notwendikeit einer nationalen Extension, da in andern Ländern Adelstitel entweder gar nicht oder als reguläres Namenspräfix erfasst werden. http://fhir.de/StructureDefinition/humanname-namenszusatz Constraints
|
| nachname | S I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPatient.name:name.family.extension:nachname Nachname ohne Vor- und Zusätze Alternate namesextensions, user content DefinitionNachname ohne Vor- und Zusätze. Dient z.B. der alphabetischen Einordnung des Namens. If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's "maiden name". http://hl7.org/fhir/StructureDefinition/humanname-own-name Constraints
|
| vorsatzwort | S I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPatient.name:name.family.extension:vorsatzwort Vorsatzwort Alternate namesextensions, user content DefinitionVorsatzwort wie z.B.: von, van, zu Vgl. auch VSDM-Spezifikation der Gematik (Versichertenstammdatenmanagement, "eGK") An example of a voorvoegsel is the "van" in "Ludwig van Beethoven". Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to specify it as a separate sub-component. http://hl7.org/fhir/StructureDefinition/humanname-own-prefix Constraints
|
| given | S Σ | 1..* | string | There are no (further) constraints on this element Element IdPatient.name:name.given Vorname Alternate namesfirst name, middle name DefinitionVorname der Person If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
|
| prefix | S Σ | 0..* | string | There are no (further) constraints on this element Element IdPatient.name:name.prefix Namensteile vor dem Vornamen DefinitionNamensteile vor dem Vornamen, z.B. akademischer Titel. Note that FHIR strings SHALL NOT exceed 1MB in size
|
| extension | I | 0..* | Extension | Element IdPatient.name:name.prefix.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Constraints
|
| prefix-qualifier | S I | 0..1 | Extension(code) | There are no (further) constraints on this element Element IdPatient.name:name.prefix.extension:prefix-qualifier LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV Alternate namesextensions, user content DefinitionSpezialisierung der Art des Präfixes, z.B. "AC" für Akademische Titel Used to indicate additional information about the name part and how it should be used. http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier Constraints
|
| suffix | Σ | 0..* | string | There are no (further) constraints on this element Element IdPatient.name:name.suffix Namensteile nach dem Nachnamen DefinitionNamensteile nach dem Nachnamen Note that FHIR strings SHALL NOT exceed 1MB in size
|
| period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPatient.name:name.period Time period when name was/is in use DefinitionIndicates the period of time when this name was valid for the named person. Allows names to be placed in historical context. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
|
| geburtsname | S Σ I | 0..1 | HumanName, deutsches BasisprofilPattern | Element IdPatient.name:geburtsname Personenname DefinitionPersonenname mit in Deutschland üblichen Erweiterungen Need to be able to track the patient by multiple names. Examples are your official name and a partner name. Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts may or may not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely. HumanName, deutsches Basisprofil Constraints
{
"use": "maiden"
}
|
| use | S Σ ?! | 1..1 | codeBindingFixed Value | There are no (further) constraints on this element Element IdPatient.name:geburtsname.use usual | official | temp | nickname | anonymous | old | maiden DefinitionIdentifies the purpose for this name. Allows the appropriate name for a particular context of use to be selected from among a set of names. Applications can assume that a name is current unless it explicitly says that it is temporary or old. The use of a human name. NameUse (required)Constraints
maiden
|
| text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPatient.name:geburtsname.text Text representation of the full name DefinitionSpecifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts. A renderable, unencoded form. Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
|
| family | S Σ | 1..1 | string | There are no (further) constraints on this element Element IdPatient.name:geburtsname.family Familienname Alternate namessurname DefinitionDer vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt. Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
|
| extension | I | 0..* | Extension | Element IdPatient.name:geburtsname.family.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Constraints
|
| namenszusatz | S I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPatient.name:geburtsname.family.extension:namenszusatz Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") Alternate namesextensions, user content DefinitionNamenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst Die Extension wurde erstellt aufgrund der Anforderung, die auf der eGK vorhandenen Patientenstammdaten in FHIR abbilden zu können. Auf der eGK werden die Namensbestandteile "Namenszusatz" und "Vorsatzwort" getrennt vom Nachnamen gespeichert. Anhand der Liste der zulässigen Namenszusätze ist deutlich erkennbar, dass es sich hierbei sinngemäß um Adelstitel handelt. Das Vorsatzwort kann durch die Core-Extension http://build.fhir.org/extension-humanname-own-name.html abgebildet werden, für den Namenszusatz ergibt sich jedoch die Notwendikeit einer nationalen Extension, da in andern Ländern Adelstitel entweder gar nicht oder als reguläres Namenspräfix erfasst werden. http://fhir.de/StructureDefinition/humanname-namenszusatz Constraints
|
| nachname | S I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPatient.name:geburtsname.family.extension:nachname Nachname ohne Vor- und Zusätze Alternate namesextensions, user content DefinitionNachname ohne Vor- und Zusätze. Dient z.B. der alphabetischen Einordnung des Namens. If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's "maiden name". http://hl7.org/fhir/StructureDefinition/humanname-own-name Constraints
|
| vorsatzwort | S I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPatient.name:geburtsname.family.extension:vorsatzwort Vorsatzwort Alternate namesextensions, user content DefinitionVorsatzwort wie z.B.: von, van, zu Vgl. auch VSDM-Spezifikation der Gematik (Versichertenstammdatenmanagement, "eGK") An example of a voorvoegsel is the "van" in "Ludwig van Beethoven". Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to specify it as a separate sub-component. http://hl7.org/fhir/StructureDefinition/humanname-own-prefix Constraints
|
| given | Σ | 0..0 | string | There are no (further) constraints on this element Element IdPatient.name:geburtsname.given Vorname Alternate namesfirst name, middle name DefinitionVorname der Person If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
|
| prefix | Σ | 0..0 | string | There are no (further) constraints on this element Element IdPatient.name:geburtsname.prefix Namensteile vor dem Vornamen DefinitionNamensteile vor dem Vornamen, z.B. akademischer Titel. Note that FHIR strings SHALL NOT exceed 1MB in size
|
| suffix | Σ | 0..* | string | There are no (further) constraints on this element Element IdPatient.name:geburtsname.suffix Namensteile nach dem Nachnamen DefinitionNamensteile nach dem Nachnamen Note that FHIR strings SHALL NOT exceed 1MB in size
|
| period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPatient.name:geburtsname.period Time period when name was/is in use DefinitionIndicates the period of time when this name was valid for the named person. Allows names to be placed in historical context. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
|
| telecom | Σ I | 0..* | ContactPoint | There are no (further) constraints on this element Element IdPatient.telecom A contact detail for the individual DefinitionA contact detail (e.g. a telephone number or an email address) by which the individual may be contacted. People have (primary) ways to contact them in some way such as phone, email. A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).
|
| gender | S Σ | 1..1 | codeBinding | There are no (further) constraints on this element Element IdPatient.gender male | female | other | unknown DefinitionAdministrative Gender - the gender that the patient is considered to have for administration and record keeping purposes. Needed for identification of the individual, in combination with (at least) name and birth date. The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex. The gender of a person used for administrative purposes. AdministrativeGender (required)Constraints
|
| extension | I | 0..* | Extension | Element IdPatient.gender.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Constraints
|
| other-amtlich | S I | 0..1 | Extension(Coding) | Element IdPatient.gender.extension:other-amtlich Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. http://fhir.de/StructureDefinition/gender-amtlich-de Constraints
|
| birthDate | S Σ | 1..1 | date | There are no (further) constraints on this element Element IdPatient.birthDate The date of birth for the individual DefinitionThe date of birth for the individual. Age of the individual drives many clinical processes. At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).
|
| extension | I | 0..* | Extension | Element IdPatient.birthDate.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Constraints
|
| data-absent-reason | S I | 0..1 | Extension(code) | Element IdPatient.birthDate.extension:data-absent-reason unknown | asked | temp | notasked | masked | unsupported | astext | error Alternate namesextensions, user content DefinitionProvides a reason why the expected value or elements in the element that is extended are missing. 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. http://hl7.org/fhir/StructureDefinition/data-absent-reason Constraints
|
| deceased[x] | S Σ ?! | 0..1 | There are no (further) constraints on this element Element IdPatient.deceased[x] Indicates if the individual is deceased or not DefinitionIndicates if the individual is deceased or not. The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive. If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.
| |
| deceasedBoolean | boolean | There are no (further) constraints on this element Data Type | ||
| deceasedDateTime | dateTime | There are no (further) constraints on this element Data Type | ||
| address | S Σ | 1..* | Address | Element IdPatient.address An address for the individual DefinitionAn address for the individual. May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. Patient may have multiple addresses with different uses or applicable periods. Unordered, Open, by $this(Pattern) Constraints
|
| Strassenanschrift | S Σ I | 0..* | Adresse, deutsches BasisprofilPattern | Element IdPatient.address:Strassenanschrift Eine Adresse gemäß postalischer Konventionen DefinitionEine Adresse gemäß postalischer Konventionen (im Gegensatz zu bspw. GPS-Koordinaten). Die Adresse kann sowohl zur Zustellung von Postsendungen oder zum Aufsuchen von Orten, die keine gültige Postadresse haben, verwendet werden. Die verwendeten Extensions in diesem Profil bilden die Struktur der Adresse ab, wie sie im VSDM-Format der elektronischen Versichertenkarte verwendet wird. Insbesondere bei ausländischen Adresse oder Adressen, die nicht durch Einlesen einer elektronischen Versichertenkarte erfasst wurden, sind abweichende Strukturen möglich. Die Verwendung der Extensions ist nicht verpflichtend. May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource). Adresse, deutsches Basisprofil Constraints
{
"type": "both"
}
|
| extension | I | 0..* | Extension | Element IdPatient.address:Strassenanschrift.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Constraints
|
| Stadtteil | S I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.extension:Stadtteil Stadt- oder Ortsteil Alternate namesextensions, user content DefinitionA subsection of a municipality. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct Constraints
|
| use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.use home | work | temp | old | billing - purpose of this address DefinitionThe purpose of this address. Allows an appropriate address to be chosen from a list of many. Applications can assume that an address is current unless it explicitly says that it is temporary or old. The use of an address. AddressUse (required)Constraints
General home Mappings
|
| type | S Σ | 1..1 | codeBindingFixed Value | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.type postal | physical | both DefinitionDistinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both. The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource). The type of an address (physical / postal). AddressType (required)Constraints
both
|
| text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.text Text representation of the address DefinitionSpecifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts. A renderable, unencoded form. Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
General 137 Nowhere Street, Erewhon 9132 Mappings
|
| line | S Σ | 1..3 | string | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.line Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung DefinitionDiese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, Postfach, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden. Bei Verwendung der Extensions, um Straße, Hausnnummer und Postleitzahl strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können. Note that FHIR strings SHALL NOT exceed 1MB in size
General 137 Nowhere Street Beipiel für Adresszeile mit Extensions für Straße und Hausnummer Musterweg 42 Mappings
|
| extension | I | 0..* | Extension | Element IdPatient.address:Strassenanschrift.line.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Constraints
|
| Strasse | S I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.line.extension:Strasse Strassenname (ohne Hausnummer) Alternate namesextensions, user content DefinitionStrassenname (ohne Hausnummer) Bei Angabe einer Strasse in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName Constraints
|
| Hausnummer | S I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.line.extension:Hausnummer Hausnummer Alternate namesextensions, user content DefinitionHausnummer, sowie Zusätze (Appartmentnummer, Etage...) Bei Angabe einer Hausnummer in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber Constraints
|
| Adresszusatz | S I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.line.extension:Adresszusatz Adresszusatz Alternate namesextensions, user content DefinitionZusätzliche Informationen, wie z.B. "3. Etage", "Appartment C" Bei Angabe einer Zusatzinformation in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator Constraints
|
| Postfach | I | 0..0 | Extension(string) | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.line.extension:Postfach Postfach Alternate namesextensions, user content DefinitionPostfach-Adresse. Bei Angabe eines Postfaches in dieser Extension muss das Postfach auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. Eine Postfach-Adresse darf nicht in Verbindung mit Address.type "physical" oder "both" verwendet werden. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox Constraints
|
| city | S Σ | 1..1 | string | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.city Name of city, town etc. Alternate namesMunicpality DefinitionThe name of the city, town, suburb, village or other community or delivery center. Note that FHIR strings SHALL NOT exceed 1MB in size
General Erewhon Mappings
|
| extension | I | 0..* | Extension | Element IdPatient.address:Strassenanschrift.city.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Constraints
|
| gemeindeschluessel | S I | 0..1 | Extension(Coding) | Element IdPatient.address:Strassenanschrift.city.extension:gemeindeschluessel Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. http://fhir.de/StructureDefinition/destatis/ags Constraints
|
| district | Σ | 0..0 | string | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.district District name (aka county) Alternate namesCounty DefinitionThe name of the administrative area (county). District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.
General Madison Mappings
|
| state | Σ | 0..1 | stringBinding | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.state Bundesland Alternate namesProvince, Territory DefinitionName (oder Kürzel) des Bundeslandes. Note that FHIR strings SHALL NOT exceed 1MB in size
|
| postalCode | S Σ | 1..1 | string | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.postalCode Postleitzahl Alternate namesZip DefinitionPostleitzahl gemäß der im jeweiligen Land gültigen Konventionen Note that FHIR strings SHALL NOT exceed 1MB in size
General 9132 Mappings
|
| country | S Σ I | 1..1 | stringBinding | Element IdPatient.address:Strassenanschrift.country Staat DefinitionStaat (vorzugsweise als 2-Stelliger ISO-Ländercode). Es obliegt abgeleiteten Profilen, hier die Verwendung der ISO-Ländercodes verbindlich vorzuschreiben ISO 3166 3 letter codes can be used in place of a human readable country name.
|
| period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.period Time period when address was/is in use DefinitionTime period when address was/is in use. Allows addresses to be placed in historical context. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
General {
"start": "2010-03-23",
"end": "2010-07-01"
}Mappings
|
| start | Σ I | 0..1 | dateTime | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.period.start Starting time with inclusive boundary DefinitionThe start of the period. The boundary is inclusive. If the low element is missing, the meaning is that the low boundary is not known.
|
| end | Σ I | 0..1 | dateTime | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.period.end End time with inclusive boundary, if not ongoing DefinitionThe end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time. The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. If the end of the period is missing, it means that the period is ongoing
|
| Postfach | S Σ I | 0..* | Adresse, deutsches BasisprofilPattern | Element IdPatient.address:Postfach Eine Adresse gemäß postalischer Konventionen DefinitionEine Adresse gemäß postalischer Konventionen (im Gegensatz zu bspw. GPS-Koordinaten). Die Adresse kann sowohl zur Zustellung von Postsendungen oder zum Aufsuchen von Orten, die keine gültige Postadresse haben, verwendet werden. Die verwendeten Extensions in diesem Profil bilden die Struktur der Adresse ab, wie sie im VSDM-Format der elektronischen Versichertenkarte verwendet wird. Insbesondere bei ausländischen Adresse oder Adressen, die nicht durch Einlesen einer elektronischen Versichertenkarte erfasst wurden, sind abweichende Strukturen möglich. Die Verwendung der Extensions ist nicht verpflichtend. May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource). Adresse, deutsches Basisprofil Constraints
{
"type": "postal"
}
|
| extension | I | 0..* | Extension | Element IdPatient.address:Postfach.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Constraints
|
| Stadtteil | S I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPatient.address:Postfach.extension:Stadtteil Stadt- oder Ortsteil Alternate namesextensions, user content DefinitionA subsection of a municipality. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct Constraints
|
| use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPatient.address:Postfach.use home | work | temp | old | billing - purpose of this address DefinitionThe purpose of this address. Allows an appropriate address to be chosen from a list of many. Applications can assume that an address is current unless it explicitly says that it is temporary or old. The use of an address. AddressUse (required)Constraints
General home Mappings
|
| type | S Σ | 1..1 | codeBindingFixed Value | There are no (further) constraints on this element Element IdPatient.address:Postfach.type postal | physical | both DefinitionDistinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both. The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource). The type of an address (physical / postal). AddressType (required)Constraints
postal
|
| text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPatient.address:Postfach.text Text representation of the address DefinitionSpecifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts. A renderable, unencoded form. Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
General 137 Nowhere Street, Erewhon 9132 Mappings
|
| line | S Σ | 1..3 | string | There are no (further) constraints on this element Element IdPatient.address:Postfach.line Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung DefinitionDiese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, Postfach, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden. Bei Verwendung der Extensions, um Straße, Hausnnummer und Postleitzahl strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können. Note that FHIR strings SHALL NOT exceed 1MB in size
General 137 Nowhere Street Beipiel für Adresszeile mit Extensions für Straße und Hausnummer Musterweg 42 Mappings
|
| extension | I | 0..* | Extension | Element IdPatient.address:Postfach.line.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Constraints
|
| Strasse | I | 0..0 | Extension(string) | There are no (further) constraints on this element Element IdPatient.address:Postfach.line.extension:Strasse Strassenname (ohne Hausnummer) Alternate namesextensions, user content DefinitionStrassenname (ohne Hausnummer) Bei Angabe einer Strasse in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName Constraints
|
| Hausnummer | I | 0..0 | Extension(string) | There are no (further) constraints on this element Element IdPatient.address:Postfach.line.extension:Hausnummer Hausnummer Alternate namesextensions, user content DefinitionHausnummer, sowie Zusätze (Appartmentnummer, Etage...) Bei Angabe einer Hausnummer in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber Constraints
|
| Adresszusatz | I | 0..0 | Extension(string) | There are no (further) constraints on this element Element IdPatient.address:Postfach.line.extension:Adresszusatz Adresszusatz Alternate namesextensions, user content DefinitionZusätzliche Informationen, wie z.B. "3. Etage", "Appartment C" Bei Angabe einer Zusatzinformation in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator Constraints
|
| Postfach | S I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPatient.address:Postfach.line.extension:Postfach Postfach Alternate namesextensions, user content DefinitionPostfach-Adresse. Bei Angabe eines Postfaches in dieser Extension muss das Postfach auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. Eine Postfach-Adresse darf nicht in Verbindung mit Address.type "physical" oder "both" verwendet werden. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox Constraints
|
| city | S Σ | 1..1 | string | There are no (further) constraints on this element Element IdPatient.address:Postfach.city Name of city, town etc. Alternate namesMunicpality DefinitionThe name of the city, town, suburb, village or other community or delivery center. Note that FHIR strings SHALL NOT exceed 1MB in size
General Erewhon Mappings
|
| extension | I | 0..* | Extension | Element IdPatient.address:Postfach.city.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Constraints
|
| gemeindeschluessel | S I | 0..1 | Extension(Coding) | Element IdPatient.address:Postfach.city.extension:gemeindeschluessel Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. http://fhir.de/StructureDefinition/destatis/ags Constraints
|
| district | Σ | 0..0 | string | There are no (further) constraints on this element Element IdPatient.address:Postfach.district District name (aka county) Alternate namesCounty DefinitionThe name of the administrative area (county). District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.
General Madison Mappings
|
| state | Σ | 0..1 | stringBinding | There are no (further) constraints on this element Element IdPatient.address:Postfach.state Bundesland Alternate namesProvince, Territory DefinitionName (oder Kürzel) des Bundeslandes. Note that FHIR strings SHALL NOT exceed 1MB in size
|
| postalCode | S Σ | 1..1 | string | There are no (further) constraints on this element Element IdPatient.address:Postfach.postalCode Postleitzahl Alternate namesZip DefinitionPostleitzahl gemäß der im jeweiligen Land gültigen Konventionen Note that FHIR strings SHALL NOT exceed 1MB in size
General 9132 Mappings
|
| country | S Σ I | 1..1 | stringBinding | Element IdPatient.address:Postfach.country Staat DefinitionStaat (vorzugsweise als 2-Stelliger ISO-Ländercode). Es obliegt abgeleiteten Profilen, hier die Verwendung der ISO-Ländercodes verbindlich vorzuschreiben ISO 3166 3 letter codes can be used in place of a human readable country name.
|
| period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPatient.address:Postfach.period Time period when address was/is in use DefinitionTime period when address was/is in use. Allows addresses to be placed in historical context. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
General {
"start": "2010-03-23",
"end": "2010-07-01"
}Mappings
|
| start | Σ I | 0..1 | dateTime | There are no (further) constraints on this element Element IdPatient.address:Postfach.period.start Starting time with inclusive boundary DefinitionThe start of the period. The boundary is inclusive. If the low element is missing, the meaning is that the low boundary is not known.
|
| end | Σ I | 0..1 | dateTime | There are no (further) constraints on this element Element IdPatient.address:Postfach.period.end End time with inclusive boundary, if not ongoing DefinitionThe end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time. The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. If the end of the period is missing, it means that the period is ongoing
|
| maritalStatus | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element IdPatient.maritalStatus Marital (civil) status of a patient DefinitionThis field contains a patient's most recent marital (civil) status. Most, if not all systems capture it. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. The domestic partnership status of a person. Marital Status Codes (extensible)Constraints
| |
| multipleBirth[x] | 0..1 | There are no (further) constraints on this element Element IdPatient.multipleBirth[x] Whether patient is part of a multiple birth DefinitionIndicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer). For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs. Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).
| ||
| multipleBirthBoolean | boolean | There are no (further) constraints on this element Data Type | ||
| multipleBirthInteger | integer | There are no (further) constraints on this element Data Type | ||
| photo | I | 0..* | Attachment | There are no (further) constraints on this element Element IdPatient.photo Image of the patient DefinitionImage of the patient. Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too. Guidelines:
|
| contact | I | 0..* | BackboneElement | There are no (further) constraints on this element Element IdPatient.contact A contact party (e.g. guardian, partner, friend) for the patient DefinitionA contact party (e.g. guardian, partner, friend) for the patient. Need to track people you can contact about the patient. Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.
|
| relationship | 0..* | CodeableConceptBinding | There are no (further) constraints on this element Element IdPatient.contact.relationship The kind of relationship DefinitionThe nature of the relationship between the patient and the contact person. Used to determine which contact person is the most relevant to approach, depending on circumstances. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. The nature of the relationship between a patient and a contact person for that patient. PatientContactRelationship (extensible)Constraints
| |
| name | 0..1 | HumanName | There are no (further) constraints on this element Element IdPatient.contact.name A name associated with the contact person DefinitionA name associated with the contact person. Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person. Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts might or might not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.
| |
| telecom | I | 0..* | ContactPoint | There are no (further) constraints on this element Element IdPatient.contact.telecom A contact detail for the person DefinitionA contact detail for the person, e.g. a telephone number or an email address. People have (primary) ways to contact them in some way such as phone, email. Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.
|
| address | 0..1 | Address | There are no (further) constraints on this element Element IdPatient.contact.address Address for the contact person DefinitionAddress for the contact person. Need to keep track where the contact person can be contacted per postal mail or visited. Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource).
| |
| gender | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPatient.contact.gender male | female | other | unknown DefinitionAdministrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes. Needed to address the person correctly. Note that FHIR strings SHALL NOT exceed 1MB in size The gender of a person used for administrative purposes. AdministrativeGender (required)Constraints
| |
| organization | I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPatient.contact.organization Organization that is associated with the contact DefinitionOrganization on behalf of which the contact is acting or for which the contact is working. For guardians or business related contacts, the organization is relevant. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
|
| period | I | 0..1 | Period | There are no (further) constraints on this element Element IdPatient.contact.period The period during which this contact person or organization is valid to be contacted relating to this patient DefinitionThe period during which this contact person or organization is valid to be contacted relating to this patient. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
|
| communication | 0..* | BackboneElement | There are no (further) constraints on this element Element IdPatient.communication A language which may be used to communicate with the patient about his or her health DefinitionA language which may be used to communicate with the patient about his or her health. If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest. If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.
| |
| language | 1..1 | CodeableConceptBinding | There are no (further) constraints on this element Element IdPatient.communication.language The language which can be used to communicate with the patient about his or her health DefinitionThe ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English. Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect. The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type. A human language. CommonLanguages (preferred)Constraints
| |
| preferred | 0..1 | boolean | There are no (further) constraints on this element Element IdPatient.communication.preferred Language preference indicator DefinitionIndicates whether or not the patient prefers this language (over other languages he masters up a certain level). People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method. This language is specifically identified for communicating healthcare information.
| |
| generalPractitioner | I | 0..* | Reference(Organization | Practitioner | PractitionerRole) | There are no (further) constraints on this element Element IdPatient.generalPractitioner Patient's nominated primary care provider Alternate namescareProvider DefinitionPatient's nominated care provider. This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues. Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type. Reference(Organization | Practitioner | PractitionerRole) Constraints
|
| managingOrganization | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPatient.managingOrganization Organization that is the custodian of the patient record DefinitionOrganization that is the custodian of the patient record. Need to know who recognizes this patient record, manages and updates it. There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).
|
| link | S Σ ?! | 0..* | BackboneElement | There are no (further) constraints on this element Element IdPatient.link Link to another patient resource that concerns the same actual person DefinitionLink to another patient resource that concerns the same actual patient. There are multiple use cases:
There is no assumption that linked patient records have mutual links.
|
| other | S Σ I | 1..1 | MII-Reference(Patient | RelatedPerson) | Element IdPatient.link.other A reference from one resource to another DefinitionA reference from one resource to another. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. MII-Reference(Patient | RelatedPerson) Constraints
|
| type | S Σ | 1..1 | codeBinding | There are no (further) constraints on this element Element IdPatient.link.type replaced-by | replaces | refer | seealso DefinitionThe type of link between this patient resource and another patient resource. Note that FHIR strings SHALL NOT exceed 1MB in size The type of link between this patient resource and another patient resource. LinkType (required)Constraints
|
| FHIR-Element | Erklärung |
|---|---|
| Patient.id | Must-support, jedoch optional |
| Patient.meta | Must-support, jedoch optional |
| Patient.identifier:versichertenId_GKV | Siehe Basisprofil - Gesetzliche Krankenversichertennummer (10-stellige KVID). Es sei darauf hingewiesen, dass im 'Assigner'-Element die IKNR der ausgebenden Instiution eingetragen werden muss. Es handelt sich stets um die aktuelle Versicherungsnummer der PatientIn. |
| Patient.identifier:versicherungsnummer_pkv | Siehe Basisprofil - Private Krankenversichertennummer. Es handelt sich stets um die aktuelle Versicherungsnummer der PatientIn. |
| Patient.identifier:pid | Siehe Basisprofil Organisationsinterner Patienten-Identifier (PID). Führende (MPI) ID der PatientIn. In Patient.identifier:pid.assigner ist eine Referenz auf die ausgebende Organization notwendig. Logische Referenz per IK-Nummer oder IHE Affinity Domain OID ist zulässig. Es kann desweiteren folgendes CodeSystem aller MII Standorte verwendet werden: Core-Location-Identifier. |
| Patient.identifier | Jegliche weiteren Identifier, falls GKV/PKV/PID nicht zutreffend ist. |
| Patient.name | Siehe Basis-Profil für Datentyp HumanName. Es sei darauf hingewiesen, dass die Aufteilung des vollständigen Namens in seine Bestandteile (z.B. Vorsatzworte, Namenszusatz, Nachname) nur durchgeführt werden sollte, falls diese Informationen explizit in dieser Granulatität zur Verfügung stehen (z.B. durch einen direkten Import auf Basis eines VSDM-Datensatzes). Es ist zu berücksichtigen, dass der Geburtsname per allgemeiner Konvention nur den Familiennamen enthält. |
| Patient.gender | Siehe Basis-Profil Geschlecht |
| Patient.birthDate | Siehe Basisprofil - Geburtsdatum |
| Patient.deceased[x] | deceasedBoolean ist wo möglich durch deceasedDateTime zu ersetzen, wenn PatientIn verstorben ist. |
| Patient.address | Siehe Basisprofil - Adresse. Mehrfach-Adressen sind erlaubt. Systeme sind angehalten ehemalige Adressen als solche zu kennzeichnen, sodass die aktuelle Adresse der PatientIn erkennbar ist. |
| Patient.link | Notwendig zur Verlinkung mehrer Patient-Ressourcen, z.B. im Kontext eines Patienten-Matching. Die vorliegende Spezifikation enthält keine Vorgaben diesbezüglich, weitere Ausgestaltung notwendig. |
| FHIR Element | Logischer Datensatz |
|---|---|
| Patient.identifier:versichertenId_GKV | Person.Patient.Versicherung.Versichertennummer.VersichertenID-GKV |
| Patient.identifier:versicherungsnummer_pkv | Person.Patient.Versicherung.Versichertennummer.VersichertenID-PKV |
| Patient.identifier:default | Person.Patient.Versicherung, falls keine Versicherung (GKV / PKV) vorliegt |
| Patient.identifier:pid | Person.Patient.Patienten-Identifikator |
| Patient.name | Person.Name |
| Patient.name.given | Person.Name.Vorname |
| Patient.name.family | Person.Name.Familienname |
| Patient.name.family.extension.nachname | Person.Name.Nachname |
| Patient.name.family.extension.vorsatzwort | Person.Name.Vorsatzwort |
| Patient.name.family.extension.namenszusatz | Person.Name.Namenszusatz |
| Patient.name.prefix | Person.Name.Präfix |
| Patient.name.prefix.extension-prefix-qualifier | Person.Name.ArtDesPräfix |
| Patient.name.use | Person.Name.Geburtsname |
| Patient.gender | Person.Demographie.AdministrativesGeschlecht |
| Patient.birthDate | Person.Demographie.Geburtsdatum |
| Patient.deceased[x] | Person.Demographie.VitalStatus.PatientVerstorben / Todeszeitpunkt |
| Patient.address | Person.Demographie.Adresse |
| Patient.address.country | Person.Demographie.Adresse.Land |
| Patient.address.postalCode | Person.Demographie.Adresse.PLZ |
| Patient.address.City + Patient.address.extension.Stadtteil (Bei Stadtstaaten) |
Person.Demographie.Adresse.Wohnort. Hinweis: Der Stadtteil ist nicht Bestandteil des VSDM-Datensatzes der Gematik. Andere Quellen konform zu §21 KHEntgG müssen eventuell hinzugezogen werden. |
| Patient.address.line | Person.Demographie.Adresse.Staße |
Folgende Invarianten müssen bei der Implementierung des Profils beachtet werden:
Constraints:
| key | severity | human | expression |
|---|---|---|---|
| pat-de-1 | error | Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist | gender='other' or gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').empty() |
| mii-pat-1 | error | Entweder IKNR oder MII Core Location Identifier soll verwendet werden | $this = 'http://fhir.de/NamingSystem/arge-ik/iknr' or $this = 'https://www.medizininformatik-initiative.de/fhir/core/CodeSystem/core-location-identifier' |
| pat-cnt-2or3-char | warning | 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. | 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-char | warning | 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. | 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.
Snapshot
| Patient | I | Patient | Element IdPatient Information about an individual or animal receiving health care services Alternate namesSubjectOfCare Client Resident DefinitionDemographics and other administrative information about an individual or animal receiving care or other health-related services.
| |
| id | S Σ | 0..1 | System.String | There are no (further) constraints on this element Element IdPatient.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. System.String |
| meta | S Σ | 0..1 | Meta | There are no (further) constraints on this element Element IdPatient.meta Metadata about the resource DefinitionThe 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.
|
| versionId | Σ | 0..1 | id | There are no (further) constraints on this element Element IdPatient.meta.versionId Version specific identifier DefinitionThe version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
|
| lastUpdated | Σ | 0..1 | instant | There are no (further) constraints on this element Element IdPatient.meta.lastUpdated When the resource version last changed DefinitionWhen the resource last changed - e.g. when the version changed. This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
|
| source | S Σ | 0..1 | uri | There are no (further) constraints on this element Element IdPatient.meta.source Identifies where the resource comes from DefinitionA 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.
|
| profile | S Σ | 0..* | canonical(StructureDefinition) | There are no (further) constraints on this element Element IdPatient.meta.profile Profiles this resource claims to conform to DefinitionA 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. canonical(StructureDefinition) Constraints
|
| security | Σ | 0..* | CodingBinding | There are no (further) constraints on this element Element IdPatient.meta.security Security Labels applied to this resource DefinitionSecurity 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. All Security Labels (extensible)Constraints
|
| tag | Σ | 0..* | Coding | There are no (further) constraints on this element Element IdPatient.meta.tag Tags applied to this resource DefinitionTags 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". CommonTags (example)Constraints
|
| identifier | S Σ | 1..* | Identifier | Element IdPatient.identifier An identifier for this patient DefinitionAn identifier for this patient. Patients are almost always assigned specific numerical identifiers. Unordered, Open, by $this(Pattern) Constraints
|
| versichertenId_GKV | S Σ | 0..1 | Identifier-Profil für die 10-stellige KrankenversichertennummerPattern | Element IdPatient.identifier:versichertenId_GKV An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Patients are almost always assigned specific numerical identifiers. Identifier-Profil für die 10-stellige Krankenversichertennummer Constraints
{
"type": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
"code": "GKV"
}
]
}
}
|
| use | Σ ?! | 0..1 | codeBindingFixed Value | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
official
|
| type | S Σ | 0..1 | CodeableConceptBindingPattern | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible)Constraints
{
"coding": [
{
"system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
"code": "GKV"
}
]
}
|
| system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
http://fhir.de/NamingSystem/gkv/kvid-10
|
| value | S Σ I | 1..1 | string | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
General 123456 Mappings
|
| period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
|
| assigner | S Σ I | 1..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
|
| reference | Σ I | 0..1 | string | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.assigner.reference Literal reference, Relative, internal or absolute URL DefinitionA reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
|
| type | Σ | 0..1 | uriBinding | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.assigner.type Type the reference refers to (e.g. "Patient") DefinitionThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible)Constraints
|
| identifier | S Σ | 1..1 | Identifier-Profil für die Abbildung eines Institutionskennzeichens (IKNR) | Element IdPatient.identifier:versichertenId_GKV.assigner.identifier An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). Identifier-Profil für die Abbildung eines Institutionskennzeichens (IKNR) Constraints
|
| use | Σ ?! | 0..1 | codeBindingFixed Value | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.assigner.identifier.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
official
|
| type | S Σ | 0..1 | CodeableConceptBindingPattern | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.assigner.identifier.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible)Constraints
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "XX"
}
]
}
|
| system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.assigner.identifier.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
http://fhir.de/NamingSystem/arge-ik/iknr
|
| value | S Σ I | 1..1 | string | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.assigner.identifier.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
General 123456 Mappings
|
| period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.assigner.identifier.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
|
| assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.assigner.identifier.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
|
| display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPatient.identifier:versichertenId_GKV.assigner.display Text alternative for the resource DefinitionPlain text narrative that identifies the resource in addition to the resource reference. This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
|
| pid | S Σ | 0..* | Identifier-Profil für die Abbildung einer Patienten-IDPattern | Element IdPatient.identifier:pid An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Patients are almost always assigned specific numerical identifiers. Identifier-Profil für die Abbildung einer Patienten-ID Constraints
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR"
}
]
}
}
|
| use | Σ ?! | 0..1 | codeBindingFixed Value | There are no (further) constraints on this element Element IdPatient.identifier:pid.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
usual
|
| type | S Σ | 1..1 | CodeableConceptBindingPattern | There are no (further) constraints on this element Element IdPatient.identifier:pid.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible)Constraints
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR"
}
]
}
|
| system | S Σ | 1..1 | uri | There are no (further) constraints on this element Element IdPatient.identifier:pid.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
General http://www.acme.com/identifiers/patient Mappings
|
| value | S Σ | 1..1 | string | There are no (further) constraints on this element Element IdPatient.identifier:pid.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
General 123456 Mappings
|
| period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPatient.identifier:pid.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
|
| assigner | S Σ I | 0..1 | MII-Reference(Organization) | Element IdPatient.identifier:pid.assigner A reference from one resource to another DefinitionA reference from one resource to another. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
|
| reference | S Σ I | 0..1 | string | There are no (further) constraints on this element Element IdPatient.identifier:pid.assigner.reference Literal reference, Relative, internal or absolute URL DefinitionA reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
|
| type | Σ | 0..1 | uriBinding | There are no (further) constraints on this element Element IdPatient.identifier:pid.assigner.type Type the reference refers to (e.g. "Patient") DefinitionThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible)Constraints
|
| identifier | S Σ | 0..1 | Identifier | There are no (further) constraints on this element Element IdPatient.identifier:pid.assigner.identifier Logical reference, when literal reference is not known DefinitionAn identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
|
| use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPatient.identifier:pid.assigner.identifier.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
|
| type | S Σ | 0..1 | CodeableConceptBindingPattern | Element IdPatient.identifier:pid.assigner.identifier.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible)Constraints
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "XX"
}
]
}
|
| system | S Σ I | 1..1 | uri | Element IdPatient.identifier:pid.assigner.identifier.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
General http://www.acme.com/identifiers/patient Mappings
|
| value | S Σ | 1..1 | string | There are no (further) constraints on this element Element IdPatient.identifier:pid.assigner.identifier.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
General 123456 Mappings
|
| period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPatient.identifier:pid.assigner.identifier.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
|
| assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPatient.identifier:pid.assigner.identifier.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
|
| display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPatient.identifier:pid.assigner.display Text alternative for the resource DefinitionPlain text narrative that identifies the resource in addition to the resource reference. This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
|
| versichertennummer_pkv | S Σ | 0..1 | Identifier-Profil für die Abbildung einer PrivatversichertennummerPattern | Element IdPatient.identifier:versichertennummer_pkv An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Patients are almost always assigned specific numerical identifiers. Identifier-Profil für die Abbildung einer Privatversichertennummer Constraints
{
"type": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
"code": "PKV"
}
]
}
}
|
| use | S Σ ?! | 0..1 | codeBindingFixed Value | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
secondary
|
| type | S Σ | 0..1 | CodeableConceptBindingPattern | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible)Constraints
{
"coding": [
{
"system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
"code": "PKV"
}
]
}
|
| system | Σ | 0..1 | uri | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
General http://www.acme.com/identifiers/patient Mappings
|
| value | S Σ | 1..1 | string | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
General 123456 Mappings
|
| period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
|
| assigner | S Σ I | 1..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
|
| reference | Σ I | 0..1 | string | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.assigner.reference Literal reference, Relative, internal or absolute URL DefinitionA reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
|
| type | Σ | 0..1 | uriBinding | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.assigner.type Type the reference refers to (e.g. "Patient") DefinitionThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible)Constraints
|
| identifier | Σ | 0..1 | Identifier-Profil für die Abbildung eines Institutionskennzeichens (IKNR) | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.assigner.identifier An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). Identifier-Profil für die Abbildung eines Institutionskennzeichens (IKNR) Constraints
|
| use | Σ ?! | 0..1 | codeBindingFixed Value | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.assigner.identifier.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
official
|
| type | S Σ | 0..1 | CodeableConceptBindingPattern | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.assigner.identifier.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible)Constraints
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "XX"
}
]
}
|
| system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.assigner.identifier.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
http://fhir.de/NamingSystem/arge-ik/iknr
|
| value | S Σ I | 1..1 | string | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.assigner.identifier.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
General 123456 Mappings
|
| period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.assigner.identifier.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
|
| assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.assigner.identifier.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
|
| display | S Σ | 1..1 | string | There are no (further) constraints on this element Element IdPatient.identifier:versichertennummer_pkv.assigner.display Text alternative for the resource DefinitionPlain text narrative that identifies the resource in addition to the resource reference. This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
|
| active | Σ ?! | 0..1 | boolean | There are no (further) constraints on this element Element IdPatient.active Whether this patient's record is in active use DefinitionWhether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death. Need to be able to mark a patient record as not to be used because it was created in error. If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient. This resource is generally assumed to be active if no value is provided for the active element
|
| name | S Σ | 1..* | HumanName | Element IdPatient.name A name associated with the patient DefinitionA name associated with the individual. Need to be able to track the patient by multiple names. Examples are your official name and a partner name. A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns. Unordered, Open, by $this(Pattern) Constraints
|
| name | S Σ I | 1..1 | HumanName, deutsches BasisprofilPattern | Element IdPatient.name:name Personenname DefinitionPersonenname mit in Deutschland üblichen Erweiterungen Need to be able to track the patient by multiple names. Examples are your official name and a partner name. Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts may or may not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely. HumanName, deutsches Basisprofil Constraints
{
"use": "official"
}
|
| use | S Σ ?! | 1..1 | codeBindingFixed Value | There are no (further) constraints on this element Element IdPatient.name:name.use usual | official | temp | nickname | anonymous | old | maiden DefinitionIdentifies the purpose for this name. Allows the appropriate name for a particular context of use to be selected from among a set of names. Applications can assume that a name is current unless it explicitly says that it is temporary or old. The use of a human name. NameUse (required)Constraints
official
|
| text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPatient.name:name.text Text representation of the full name DefinitionSpecifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts. A renderable, unencoded form. Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
|
| family | S Σ | 1..1 | string | There are no (further) constraints on this element Element IdPatient.name:name.family Familienname Alternate namessurname DefinitionDer vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt. Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
|
| extension | I | 0..* | Extension | Element IdPatient.name:name.family.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Constraints
|
| namenszusatz | S I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPatient.name:name.family.extension:namenszusatz Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") Alternate namesextensions, user content DefinitionNamenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst Die Extension wurde erstellt aufgrund der Anforderung, die auf der eGK vorhandenen Patientenstammdaten in FHIR abbilden zu können. Auf der eGK werden die Namensbestandteile "Namenszusatz" und "Vorsatzwort" getrennt vom Nachnamen gespeichert. Anhand der Liste der zulässigen Namenszusätze ist deutlich erkennbar, dass es sich hierbei sinngemäß um Adelstitel handelt. Das Vorsatzwort kann durch die Core-Extension http://build.fhir.org/extension-humanname-own-name.html abgebildet werden, für den Namenszusatz ergibt sich jedoch die Notwendikeit einer nationalen Extension, da in andern Ländern Adelstitel entweder gar nicht oder als reguläres Namenspräfix erfasst werden. http://fhir.de/StructureDefinition/humanname-namenszusatz Constraints
|
| nachname | S I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPatient.name:name.family.extension:nachname Nachname ohne Vor- und Zusätze Alternate namesextensions, user content DefinitionNachname ohne Vor- und Zusätze. Dient z.B. der alphabetischen Einordnung des Namens. If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's "maiden name". http://hl7.org/fhir/StructureDefinition/humanname-own-name Constraints
|
| vorsatzwort | S I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPatient.name:name.family.extension:vorsatzwort Vorsatzwort Alternate namesextensions, user content DefinitionVorsatzwort wie z.B.: von, van, zu Vgl. auch VSDM-Spezifikation der Gematik (Versichertenstammdatenmanagement, "eGK") An example of a voorvoegsel is the "van" in "Ludwig van Beethoven". Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to specify it as a separate sub-component. http://hl7.org/fhir/StructureDefinition/humanname-own-prefix Constraints
|
| given | S Σ | 1..* | string | There are no (further) constraints on this element Element IdPatient.name:name.given Vorname Alternate namesfirst name, middle name DefinitionVorname der Person If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
|
| prefix | S Σ | 0..* | string | There are no (further) constraints on this element Element IdPatient.name:name.prefix Namensteile vor dem Vornamen DefinitionNamensteile vor dem Vornamen, z.B. akademischer Titel. Note that FHIR strings SHALL NOT exceed 1MB in size
|
| extension | I | 0..* | Extension | Element IdPatient.name:name.prefix.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Constraints
|
| prefix-qualifier | S I | 0..1 | Extension(code) | There are no (further) constraints on this element Element IdPatient.name:name.prefix.extension:prefix-qualifier LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV Alternate namesextensions, user content DefinitionSpezialisierung der Art des Präfixes, z.B. "AC" für Akademische Titel Used to indicate additional information about the name part and how it should be used. http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier Constraints
|
| suffix | Σ | 0..* | string | There are no (further) constraints on this element Element IdPatient.name:name.suffix Namensteile nach dem Nachnamen DefinitionNamensteile nach dem Nachnamen Note that FHIR strings SHALL NOT exceed 1MB in size
|
| period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPatient.name:name.period Time period when name was/is in use DefinitionIndicates the period of time when this name was valid for the named person. Allows names to be placed in historical context. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
|
| geburtsname | S Σ I | 0..1 | HumanName, deutsches BasisprofilPattern | Element IdPatient.name:geburtsname Personenname DefinitionPersonenname mit in Deutschland üblichen Erweiterungen Need to be able to track the patient by multiple names. Examples are your official name and a partner name. Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts may or may not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely. HumanName, deutsches Basisprofil Constraints
{
"use": "maiden"
}
|
| use | S Σ ?! | 1..1 | codeBindingFixed Value | There are no (further) constraints on this element Element IdPatient.name:geburtsname.use usual | official | temp | nickname | anonymous | old | maiden DefinitionIdentifies the purpose for this name. Allows the appropriate name for a particular context of use to be selected from among a set of names. Applications can assume that a name is current unless it explicitly says that it is temporary or old. The use of a human name. NameUse (required)Constraints
maiden
|
| text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPatient.name:geburtsname.text Text representation of the full name DefinitionSpecifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts. A renderable, unencoded form. Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
|
| family | S Σ | 1..1 | string | There are no (further) constraints on this element Element IdPatient.name:geburtsname.family Familienname Alternate namessurname DefinitionDer vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt. Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
|
| extension | I | 0..* | Extension | Element IdPatient.name:geburtsname.family.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Constraints
|
| namenszusatz | S I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPatient.name:geburtsname.family.extension:namenszusatz Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") Alternate namesextensions, user content DefinitionNamenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst Die Extension wurde erstellt aufgrund der Anforderung, die auf der eGK vorhandenen Patientenstammdaten in FHIR abbilden zu können. Auf der eGK werden die Namensbestandteile "Namenszusatz" und "Vorsatzwort" getrennt vom Nachnamen gespeichert. Anhand der Liste der zulässigen Namenszusätze ist deutlich erkennbar, dass es sich hierbei sinngemäß um Adelstitel handelt. Das Vorsatzwort kann durch die Core-Extension http://build.fhir.org/extension-humanname-own-name.html abgebildet werden, für den Namenszusatz ergibt sich jedoch die Notwendikeit einer nationalen Extension, da in andern Ländern Adelstitel entweder gar nicht oder als reguläres Namenspräfix erfasst werden. http://fhir.de/StructureDefinition/humanname-namenszusatz Constraints
|
| nachname | S I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPatient.name:geburtsname.family.extension:nachname Nachname ohne Vor- und Zusätze Alternate namesextensions, user content DefinitionNachname ohne Vor- und Zusätze. Dient z.B. der alphabetischen Einordnung des Namens. If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's "maiden name". http://hl7.org/fhir/StructureDefinition/humanname-own-name Constraints
|
| vorsatzwort | S I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPatient.name:geburtsname.family.extension:vorsatzwort Vorsatzwort Alternate namesextensions, user content DefinitionVorsatzwort wie z.B.: von, van, zu Vgl. auch VSDM-Spezifikation der Gematik (Versichertenstammdatenmanagement, "eGK") An example of a voorvoegsel is the "van" in "Ludwig van Beethoven". Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to specify it as a separate sub-component. http://hl7.org/fhir/StructureDefinition/humanname-own-prefix Constraints
|
| given | Σ | 0..0 | string | There are no (further) constraints on this element Element IdPatient.name:geburtsname.given Vorname Alternate namesfirst name, middle name DefinitionVorname der Person If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
|
| prefix | Σ | 0..0 | string | There are no (further) constraints on this element Element IdPatient.name:geburtsname.prefix Namensteile vor dem Vornamen DefinitionNamensteile vor dem Vornamen, z.B. akademischer Titel. Note that FHIR strings SHALL NOT exceed 1MB in size
|
| suffix | Σ | 0..* | string | There are no (further) constraints on this element Element IdPatient.name:geburtsname.suffix Namensteile nach dem Nachnamen DefinitionNamensteile nach dem Nachnamen Note that FHIR strings SHALL NOT exceed 1MB in size
|
| period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPatient.name:geburtsname.period Time period when name was/is in use DefinitionIndicates the period of time when this name was valid for the named person. Allows names to be placed in historical context. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
|
| telecom | Σ I | 0..* | ContactPoint | There are no (further) constraints on this element Element IdPatient.telecom A contact detail for the individual DefinitionA contact detail (e.g. a telephone number or an email address) by which the individual may be contacted. People have (primary) ways to contact them in some way such as phone, email. A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).
|
| gender | S Σ | 1..1 | codeBinding | There are no (further) constraints on this element Element IdPatient.gender male | female | other | unknown DefinitionAdministrative Gender - the gender that the patient is considered to have for administration and record keeping purposes. Needed for identification of the individual, in combination with (at least) name and birth date. The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex. The gender of a person used for administrative purposes. AdministrativeGender (required)Constraints
|
| extension | I | 0..* | Extension | Element IdPatient.gender.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Constraints
|
| other-amtlich | S I | 0..1 | Extension(Coding) | Element IdPatient.gender.extension:other-amtlich Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. http://fhir.de/StructureDefinition/gender-amtlich-de Constraints
|
| birthDate | S Σ | 1..1 | date | There are no (further) constraints on this element Element IdPatient.birthDate The date of birth for the individual DefinitionThe date of birth for the individual. Age of the individual drives many clinical processes. At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).
|
| extension | I | 0..* | Extension | Element IdPatient.birthDate.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Constraints
|
| data-absent-reason | S I | 0..1 | Extension(code) | Element IdPatient.birthDate.extension:data-absent-reason unknown | asked | temp | notasked | masked | unsupported | astext | error Alternate namesextensions, user content DefinitionProvides a reason why the expected value or elements in the element that is extended are missing. 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. http://hl7.org/fhir/StructureDefinition/data-absent-reason Constraints
|
| deceased[x] | S Σ ?! | 0..1 | There are no (further) constraints on this element Element IdPatient.deceased[x] Indicates if the individual is deceased or not DefinitionIndicates if the individual is deceased or not. The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive. If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.
| |
| deceasedBoolean | boolean | There are no (further) constraints on this element Data Type | ||
| deceasedDateTime | dateTime | There are no (further) constraints on this element Data Type | ||
| address | S Σ | 1..* | Address | Element IdPatient.address An address for the individual DefinitionAn address for the individual. May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. Patient may have multiple addresses with different uses or applicable periods. Unordered, Open, by $this(Pattern) Constraints
|
| Strassenanschrift | S Σ I | 0..* | Adresse, deutsches BasisprofilPattern | Element IdPatient.address:Strassenanschrift Eine Adresse gemäß postalischer Konventionen DefinitionEine Adresse gemäß postalischer Konventionen (im Gegensatz zu bspw. GPS-Koordinaten). Die Adresse kann sowohl zur Zustellung von Postsendungen oder zum Aufsuchen von Orten, die keine gültige Postadresse haben, verwendet werden. Die verwendeten Extensions in diesem Profil bilden die Struktur der Adresse ab, wie sie im VSDM-Format der elektronischen Versichertenkarte verwendet wird. Insbesondere bei ausländischen Adresse oder Adressen, die nicht durch Einlesen einer elektronischen Versichertenkarte erfasst wurden, sind abweichende Strukturen möglich. Die Verwendung der Extensions ist nicht verpflichtend. May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource). Adresse, deutsches Basisprofil Constraints
{
"type": "both"
}
|
| extension | I | 0..* | Extension | Element IdPatient.address:Strassenanschrift.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Constraints
|
| Stadtteil | S I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.extension:Stadtteil Stadt- oder Ortsteil Alternate namesextensions, user content DefinitionA subsection of a municipality. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct Constraints
|
| use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.use home | work | temp | old | billing - purpose of this address DefinitionThe purpose of this address. Allows an appropriate address to be chosen from a list of many. Applications can assume that an address is current unless it explicitly says that it is temporary or old. The use of an address. AddressUse (required)Constraints
General home Mappings
|
| type | S Σ | 1..1 | codeBindingFixed Value | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.type postal | physical | both DefinitionDistinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both. The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource). The type of an address (physical / postal). AddressType (required)Constraints
both
|
| text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.text Text representation of the address DefinitionSpecifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts. A renderable, unencoded form. Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
General 137 Nowhere Street, Erewhon 9132 Mappings
|
| line | S Σ | 1..3 | string | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.line Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung DefinitionDiese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, Postfach, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden. Bei Verwendung der Extensions, um Straße, Hausnnummer und Postleitzahl strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können. Note that FHIR strings SHALL NOT exceed 1MB in size
General 137 Nowhere Street Beipiel für Adresszeile mit Extensions für Straße und Hausnummer Musterweg 42 Mappings
|
| extension | I | 0..* | Extension | Element IdPatient.address:Strassenanschrift.line.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Constraints
|
| Strasse | S I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.line.extension:Strasse Strassenname (ohne Hausnummer) Alternate namesextensions, user content DefinitionStrassenname (ohne Hausnummer) Bei Angabe einer Strasse in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName Constraints
|
| Hausnummer | S I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.line.extension:Hausnummer Hausnummer Alternate namesextensions, user content DefinitionHausnummer, sowie Zusätze (Appartmentnummer, Etage...) Bei Angabe einer Hausnummer in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber Constraints
|
| Adresszusatz | S I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.line.extension:Adresszusatz Adresszusatz Alternate namesextensions, user content DefinitionZusätzliche Informationen, wie z.B. "3. Etage", "Appartment C" Bei Angabe einer Zusatzinformation in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator Constraints
|
| Postfach | I | 0..0 | Extension(string) | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.line.extension:Postfach Postfach Alternate namesextensions, user content DefinitionPostfach-Adresse. Bei Angabe eines Postfaches in dieser Extension muss das Postfach auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. Eine Postfach-Adresse darf nicht in Verbindung mit Address.type "physical" oder "both" verwendet werden. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox Constraints
|
| city | S Σ | 1..1 | string | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.city Name of city, town etc. Alternate namesMunicpality DefinitionThe name of the city, town, suburb, village or other community or delivery center. Note that FHIR strings SHALL NOT exceed 1MB in size
General Erewhon Mappings
|
| extension | I | 0..* | Extension | Element IdPatient.address:Strassenanschrift.city.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Constraints
|
| gemeindeschluessel | S I | 0..1 | Extension(Coding) | Element IdPatient.address:Strassenanschrift.city.extension:gemeindeschluessel Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. http://fhir.de/StructureDefinition/destatis/ags Constraints
|
| district | Σ | 0..0 | string | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.district District name (aka county) Alternate namesCounty DefinitionThe name of the administrative area (county). District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.
General Madison Mappings
|
| state | Σ | 0..1 | stringBinding | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.state Bundesland Alternate namesProvince, Territory DefinitionName (oder Kürzel) des Bundeslandes. Note that FHIR strings SHALL NOT exceed 1MB in size
|
| postalCode | S Σ | 1..1 | string | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.postalCode Postleitzahl Alternate namesZip DefinitionPostleitzahl gemäß der im jeweiligen Land gültigen Konventionen Note that FHIR strings SHALL NOT exceed 1MB in size
General 9132 Mappings
|
| country | S Σ I | 1..1 | stringBinding | Element IdPatient.address:Strassenanschrift.country Staat DefinitionStaat (vorzugsweise als 2-Stelliger ISO-Ländercode). Es obliegt abgeleiteten Profilen, hier die Verwendung der ISO-Ländercodes verbindlich vorzuschreiben ISO 3166 3 letter codes can be used in place of a human readable country name.
|
| period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.period Time period when address was/is in use DefinitionTime period when address was/is in use. Allows addresses to be placed in historical context. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
General {
"start": "2010-03-23",
"end": "2010-07-01"
}Mappings
|
| start | Σ I | 0..1 | dateTime | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.period.start Starting time with inclusive boundary DefinitionThe start of the period. The boundary is inclusive. If the low element is missing, the meaning is that the low boundary is not known.
|
| end | Σ I | 0..1 | dateTime | There are no (further) constraints on this element Element IdPatient.address:Strassenanschrift.period.end End time with inclusive boundary, if not ongoing DefinitionThe end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time. The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. If the end of the period is missing, it means that the period is ongoing
|
| Postfach | S Σ I | 0..* | Adresse, deutsches BasisprofilPattern | Element IdPatient.address:Postfach Eine Adresse gemäß postalischer Konventionen DefinitionEine Adresse gemäß postalischer Konventionen (im Gegensatz zu bspw. GPS-Koordinaten). Die Adresse kann sowohl zur Zustellung von Postsendungen oder zum Aufsuchen von Orten, die keine gültige Postadresse haben, verwendet werden. Die verwendeten Extensions in diesem Profil bilden die Struktur der Adresse ab, wie sie im VSDM-Format der elektronischen Versichertenkarte verwendet wird. Insbesondere bei ausländischen Adresse oder Adressen, die nicht durch Einlesen einer elektronischen Versichertenkarte erfasst wurden, sind abweichende Strukturen möglich. Die Verwendung der Extensions ist nicht verpflichtend. May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource). Adresse, deutsches Basisprofil Constraints
{
"type": "postal"
}
|
| extension | I | 0..* | Extension | Element IdPatient.address:Postfach.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Constraints
|
| Stadtteil | S I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPatient.address:Postfach.extension:Stadtteil Stadt- oder Ortsteil Alternate namesextensions, user content DefinitionA subsection of a municipality. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct Constraints
|
| use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPatient.address:Postfach.use home | work | temp | old | billing - purpose of this address DefinitionThe purpose of this address. Allows an appropriate address to be chosen from a list of many. Applications can assume that an address is current unless it explicitly says that it is temporary or old. The use of an address. AddressUse (required)Constraints
General home Mappings
|
| type | S Σ | 1..1 | codeBindingFixed Value | There are no (further) constraints on this element Element IdPatient.address:Postfach.type postal | physical | both DefinitionDistinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both. The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource). The type of an address (physical / postal). AddressType (required)Constraints
postal
|
| text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdPatient.address:Postfach.text Text representation of the address DefinitionSpecifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts. A renderable, unencoded form. Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
General 137 Nowhere Street, Erewhon 9132 Mappings
|
| line | S Σ | 1..3 | string | There are no (further) constraints on this element Element IdPatient.address:Postfach.line Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung DefinitionDiese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, Postfach, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden. Bei Verwendung der Extensions, um Straße, Hausnnummer und Postleitzahl strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können. Note that FHIR strings SHALL NOT exceed 1MB in size
General 137 Nowhere Street Beipiel für Adresszeile mit Extensions für Straße und Hausnummer Musterweg 42 Mappings
|
| extension | I | 0..* | Extension | Element IdPatient.address:Postfach.line.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Constraints
|
| Strasse | I | 0..0 | Extension(string) | There are no (further) constraints on this element Element IdPatient.address:Postfach.line.extension:Strasse Strassenname (ohne Hausnummer) Alternate namesextensions, user content DefinitionStrassenname (ohne Hausnummer) Bei Angabe einer Strasse in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName Constraints
|
| Hausnummer | I | 0..0 | Extension(string) | There are no (further) constraints on this element Element IdPatient.address:Postfach.line.extension:Hausnummer Hausnummer Alternate namesextensions, user content DefinitionHausnummer, sowie Zusätze (Appartmentnummer, Etage...) Bei Angabe einer Hausnummer in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber Constraints
|
| Adresszusatz | I | 0..0 | Extension(string) | There are no (further) constraints on this element Element IdPatient.address:Postfach.line.extension:Adresszusatz Adresszusatz Alternate namesextensions, user content DefinitionZusätzliche Informationen, wie z.B. "3. Etage", "Appartment C" Bei Angabe einer Zusatzinformation in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator Constraints
|
| Postfach | S I | 0..1 | Extension(string) | There are no (further) constraints on this element Element IdPatient.address:Postfach.line.extension:Postfach Postfach Alternate namesextensions, user content DefinitionPostfach-Adresse. Bei Angabe eines Postfaches in dieser Extension muss das Postfach auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. Eine Postfach-Adresse darf nicht in Verbindung mit Address.type "physical" oder "both" verwendet werden. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox Constraints
|
| city | S Σ | 1..1 | string | There are no (further) constraints on this element Element IdPatient.address:Postfach.city Name of city, town etc. Alternate namesMunicpality DefinitionThe name of the city, town, suburb, village or other community or delivery center. Note that FHIR strings SHALL NOT exceed 1MB in size
General Erewhon Mappings
|
| extension | I | 0..* | Extension | Element IdPatient.address:Postfach.city.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Constraints
|
| gemeindeschluessel | S I | 0..1 | Extension(Coding) | Element IdPatient.address:Postfach.city.extension:gemeindeschluessel Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. http://fhir.de/StructureDefinition/destatis/ags Constraints
|
| district | Σ | 0..0 | string | There are no (further) constraints on this element Element IdPatient.address:Postfach.district District name (aka county) Alternate namesCounty DefinitionThe name of the administrative area (county). District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.
General Madison Mappings
|
| state | Σ | 0..1 | stringBinding | There are no (further) constraints on this element Element IdPatient.address:Postfach.state Bundesland Alternate namesProvince, Territory DefinitionName (oder Kürzel) des Bundeslandes. Note that FHIR strings SHALL NOT exceed 1MB in size
|
| postalCode | S Σ | 1..1 | string | There are no (further) constraints on this element Element IdPatient.address:Postfach.postalCode Postleitzahl Alternate namesZip DefinitionPostleitzahl gemäß der im jeweiligen Land gültigen Konventionen Note that FHIR strings SHALL NOT exceed 1MB in size
General 9132 Mappings
|
| country | S Σ I | 1..1 | stringBinding | Element IdPatient.address:Postfach.country Staat DefinitionStaat (vorzugsweise als 2-Stelliger ISO-Ländercode). Es obliegt abgeleiteten Profilen, hier die Verwendung der ISO-Ländercodes verbindlich vorzuschreiben ISO 3166 3 letter codes can be used in place of a human readable country name.
|
| period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element IdPatient.address:Postfach.period Time period when address was/is in use DefinitionTime period when address was/is in use. Allows addresses to be placed in historical context. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
General {
"start": "2010-03-23",
"end": "2010-07-01"
}Mappings
|
| start | Σ I | 0..1 | dateTime | There are no (further) constraints on this element Element IdPatient.address:Postfach.period.start Starting time with inclusive boundary DefinitionThe start of the period. The boundary is inclusive. If the low element is missing, the meaning is that the low boundary is not known.
|
| end | Σ I | 0..1 | dateTime | There are no (further) constraints on this element Element IdPatient.address:Postfach.period.end End time with inclusive boundary, if not ongoing DefinitionThe end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time. The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. If the end of the period is missing, it means that the period is ongoing
|
| maritalStatus | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element IdPatient.maritalStatus Marital (civil) status of a patient DefinitionThis field contains a patient's most recent marital (civil) status. Most, if not all systems capture it. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. The domestic partnership status of a person. Marital Status Codes (extensible)Constraints
| |
| multipleBirth[x] | 0..1 | There are no (further) constraints on this element Element IdPatient.multipleBirth[x] Whether patient is part of a multiple birth DefinitionIndicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer). For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs. Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).
| ||
| multipleBirthBoolean | boolean | There are no (further) constraints on this element Data Type | ||
| multipleBirthInteger | integer | There are no (further) constraints on this element Data Type | ||
| photo | I | 0..* | Attachment | There are no (further) constraints on this element Element IdPatient.photo Image of the patient DefinitionImage of the patient. Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too. Guidelines:
|
| contact | I | 0..* | BackboneElement | There are no (further) constraints on this element Element IdPatient.contact A contact party (e.g. guardian, partner, friend) for the patient DefinitionA contact party (e.g. guardian, partner, friend) for the patient. Need to track people you can contact about the patient. Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.
|
| relationship | 0..* | CodeableConceptBinding | There are no (further) constraints on this element Element IdPatient.contact.relationship The kind of relationship DefinitionThe nature of the relationship between the patient and the contact person. Used to determine which contact person is the most relevant to approach, depending on circumstances. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. The nature of the relationship between a patient and a contact person for that patient. PatientContactRelationship (extensible)Constraints
| |
| name | 0..1 | HumanName | There are no (further) constraints on this element Element IdPatient.contact.name A name associated with the contact person DefinitionA name associated with the contact person. Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person. Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts might or might not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.
| |
| telecom | I | 0..* | ContactPoint | There are no (further) constraints on this element Element IdPatient.contact.telecom A contact detail for the person DefinitionA contact detail for the person, e.g. a telephone number or an email address. People have (primary) ways to contact them in some way such as phone, email. Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.
|
| address | 0..1 | Address | There are no (further) constraints on this element Element IdPatient.contact.address Address for the contact person DefinitionAddress for the contact person. Need to keep track where the contact person can be contacted per postal mail or visited. Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource).
| |
| gender | 0..1 | codeBinding | There are no (further) constraints on this element Element IdPatient.contact.gender male | female | other | unknown DefinitionAdministrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes. Needed to address the person correctly. Note that FHIR strings SHALL NOT exceed 1MB in size The gender of a person used for administrative purposes. AdministrativeGender (required)Constraints
| |
| organization | I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPatient.contact.organization Organization that is associated with the contact DefinitionOrganization on behalf of which the contact is acting or for which the contact is working. For guardians or business related contacts, the organization is relevant. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
|
| period | I | 0..1 | Period | There are no (further) constraints on this element Element IdPatient.contact.period The period during which this contact person or organization is valid to be contacted relating to this patient DefinitionThe period during which this contact person or organization is valid to be contacted relating to this patient. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
|
| communication | 0..* | BackboneElement | There are no (further) constraints on this element Element IdPatient.communication A language which may be used to communicate with the patient about his or her health DefinitionA language which may be used to communicate with the patient about his or her health. If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest. If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.
| |
| language | 1..1 | CodeableConceptBinding | There are no (further) constraints on this element Element IdPatient.communication.language The language which can be used to communicate with the patient about his or her health DefinitionThe ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English. Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect. The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type. A human language. CommonLanguages (preferred)Constraints
| |
| preferred | 0..1 | boolean | There are no (further) constraints on this element Element IdPatient.communication.preferred Language preference indicator DefinitionIndicates whether or not the patient prefers this language (over other languages he masters up a certain level). People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method. This language is specifically identified for communicating healthcare information.
| |
| generalPractitioner | I | 0..* | Reference(Organization | Practitioner | PractitionerRole) | There are no (further) constraints on this element Element IdPatient.generalPractitioner Patient's nominated primary care provider Alternate namescareProvider DefinitionPatient's nominated care provider. This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues. Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type. Reference(Organization | Practitioner | PractitionerRole) Constraints
|
| managingOrganization | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element IdPatient.managingOrganization Organization that is the custodian of the patient record DefinitionOrganization that is the custodian of the patient record. Need to know who recognizes this patient record, manages and updates it. There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).
|
| link | S Σ ?! | 0..* | BackboneElement | There are no (further) constraints on this element Element IdPatient.link Link to another patient resource that concerns the same actual person DefinitionLink to another patient resource that concerns the same actual patient. There are multiple use cases:
There is no assumption that linked patient records have mutual links.
|
| other | S Σ I | 1..1 | MII-Reference(Patient | RelatedPerson) | Element IdPatient.link.other A reference from one resource to another DefinitionA reference from one resource to another. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. MII-Reference(Patient | RelatedPerson) Constraints
|
| type | S Σ | 1..1 | codeBinding | There are no (further) constraints on this element Element IdPatient.link.type replaced-by | replaces | refer | seealso DefinitionThe type of link between this patient resource and another patient resource. Note that FHIR strings SHALL NOT exceed 1MB in size The type of link between this patient resource and another patient resource. LinkType (required)Constraints
|
Beispiele
Beispiel (minimal):
{ "resourceType": "Patient", "id": "ExamplePatientPatientMinimal", "meta": { "profile": [ "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient" ] }, "identifier": [ { "use": "usual", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "MR" } ] }, "system": "https://www.example.org/fhir/sid/patienten", "value": "42285243", "assigner": { "display": "Charité – Universitätsmedizin Berlin", "identifier": { "system": "http://fhir.de/NamingSystem/arge-ik/iknr", "value": "261101015" } } }, { "use": "official", "type": { "coding": [ { "system": "http://fhir.de/CodeSystem/identifier-type-de-basis", "code": "GKV" } ] }, "system": "http://fhir.de/NamingSystem/gkv/kvid-10", "value": "A999999999", "assigner": { "identifier": { "use": "official", "system": "http://fhir.de/NamingSystem/arge-ik/iknr", "value": "260326822" } } } ], "name": [ { "use": "official", "family": "Van-der-Dussen", "given": [ "Maja", "Julia" ] } ], "address": [ { "type": "both", "line": [ "Teststraße 2" ], "city": "Köln", "postalCode": "50823", "country": "DE" } ], "gender": "other", "_gender": { "extension": [ { "url": "http://fhir.de/StructureDefinition/gender-amtlich-de", "valueCoding": { "system": "http://fhir.de/CodeSystem/gender-amtlich-de", "code": "D", "display": "divers" } } ] }, "birthDate": "1998-09-19", "managingOrganization": { "reference": "Organization/Charite-Universitaetsmedizin-Berlin" } }
Beispiel (vollständig):
{ "resourceType": "Patient", "id": "ExamplePatientPatientFull", "meta": { "profile": [ "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient" ] }, "identifier": [ { "use": "usual", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "MR" } ] }, "system": "https://www.example.org/fhir/sid/patienten", "value": "42285243", "assigner": { "display": "Charité – Universitätsmedizin Berlin", "identifier": { "system": "https://www.medizininformatik-initiative.de/fhir/core/CodeSystem/core-location-identifier", "value": "Charité" } } }, { "use": "official", "type": { "coding": [ { "system": "http://fhir.de/CodeSystem/identifier-type-de-basis", "code": "GKV" } ] }, "system": "http://fhir.de/NamingSystem/gkv/kvid-10", "value": "Z234567890", "assigner": { "identifier": { "use": "official", "value": "109519005", "system": "http://fhir.de/NamingSystem/arge-ik/iknr" } } }, { "use": "secondary", "type": { "coding": [ { "system": "http://fhir.de/CodeSystem/identifier-type-de-basis", "code": "PKV" } ] }, "value": "123456", "assigner": { "display": "Signal Iduna" } } ], "name": [ { "use": "official", "family": "Van-der-Dussen", "_family": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name", "valueString": "Van-der-Dussen" } ] }, "given": [ "Maja", "Julia" ], "prefix": [ "Prof. Dr. med." ], "_prefix": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier", "valueCode": "AC" } ] } ] }, { "use": "maiden", "family": "Haffer" } ], "gender": "other", "_gender": { "extension": [ { "url": "http://fhir.de/StructureDefinition/gender-amtlich-de", "valueCoding": { "system": "http://fhir.de/CodeSystem/gender-amtlich-de", "code": "D", "display": "divers" } } ] }, "birthDate": "1998-09-19", "deceasedBoolean": false, "address": [ { "type": "both", "line": [ "Anna-Louisa-Karsch Str. 2" ], "city": "Berlin", "_city": { "extension": [ { "url": "http://fhir.de/StructureDefinition/destatis/ags", "valueCoding": { "system": "http://fhir.de/NamingSystem/destatis/ags", "code": "11000000" } } ] }, "state": "DE-BE", "postalCode": "10178", "country": "DE" } ], "managingOrganization": { "reference": "Organization/Charite-Universitaetsmedizin-Berlin" } }
Powered by SIMPLIFIER.NET