{ "resourceType": "StructureDefinition", "id": "TestAktin", "meta": { "lastUpdated": "2022-06-21T10:29:25.968+00:00" }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-category", "valueString": "Base.Individuals" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category", "valueCode": "patient" } ], "url": "https://example.org/fhir/StructureDefinition/AK_Patient", "name": "AKNPatient", "status": "draft", "experimental": true, "date": "2022-06-21T10:18:25.5533627+00:00", "description": "Dieses Profil beschreibt die Nutzung von administrativen Patientendaten in AKTIN", "fhirVersion": "4.0.1", "mapping": [ { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "cda", "uri": "http://hl7.org/v3/cda", "name": "CDA (R2)" }, { "identity": "w5", "uri": "http://hl7.org/fhir/fivews", "name": "FiveWs Pattern Mapping" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" }, { "identity": "loinc", "uri": "http://loinc.org", "name": "LOINC code for the element" } ], "kind": "resource", "abstract": false, "type": "Patient", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient", "derivation": "constraint", "differential": { "element": [ { "id": "Patient.id", "path": "Patient.id", "min": 1, "mustSupport": true }, { "id": "Patient.identifier", "path": "Patient.identifier", "slicing": { "discriminator": [ { "type": "pattern", "path": "$this" } ], "rules": "open" }, "min": 1, "mustSupport": true }, { "id": "Patient.identifier:Versichertennummer-GKV", "path": "Patient.identifier", "sliceName": "Versichertennummer-GKV", "max": "1", "type": [ { "code": "Identifier", "profile": [ "http://fhir.de/StructureDefinition/identifier-kvid-10" ] } ], "patternIdentifier": { "type": { "coding": [ { "system": "http://fhir.de/CodeSystem/identifier-type-de-basis", "code": "GKV" } ] } }, "mustSupport": true }, { "id": "Patient.identifier:Versichertennummer-GKV.type", "path": "Patient.identifier.type", "min": 1, "mustSupport": true }, { "id": "Patient.identifier:Versichertennummer-GKV.system", "path": "Patient.identifier.system", "mustSupport": true }, { "id": "Patient.identifier:Versichertennummer-GKV.value", "path": "Patient.identifier.value", "mustSupport": true }, { "id": "Patient.identifier:Patientennummer", "path": "Patient.identifier", "sliceName": "Patientennummer", "min": 1, "type": [ { "code": "Identifier", "profile": [ "http://fhir.de/StructureDefinition/identifier-pid" ] } ], "patternIdentifier": { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "MR" } ] } }, "mustSupport": true }, { "id": "Patient.identifier:Patientennummer.type", "path": "Patient.identifier.type", "mustSupport": true }, { "id": "Patient.identifier:Patientennummer.system", "path": "Patient.identifier.system", "mustSupport": true }, { "id": "Patient.identifier:Patientennummer.value", "path": "Patient.identifier.value", "mustSupport": true }, { "id": "Patient.identifier:Versichertennummer_PKV", "path": "Patient.identifier", "sliceName": "Versichertennummer_PKV", "max": "1", "type": [ { "code": "Identifier", "profile": [ "http://fhir.de/StructureDefinition/identifier-pkv" ] } ], "patternIdentifier": { "type": { "coding": [ { "system": "http://fhir.de/CodeSystem/identifier-type-de-basis", "code": "PKV" } ] } }, "mustSupport": false }, { "id": "Patient.identifier:Versichertennummer_PKV.use", "path": "Patient.identifier.use", "mustSupport": true }, { "id": "Patient.identifier:Versichertennummer_PKV.type", "path": "Patient.identifier.type", "min": 1, "mustSupport": true }, { "id": "Patient.identifier:Versichertennummer_PKV.value", "path": "Patient.identifier.value", "mustSupport": true }, { "id": "Patient.identifier:Versichertennummer_PKV.assigner", "path": "Patient.identifier.assigner", "mustSupport": true }, { "id": "Patient.identifier:Versichertennummer_PKV.assigner.identifier.system", "path": "Patient.identifier.assigner.identifier.system", "mustSupport": true }, { "id": "Patient.identifier:Versichertennummer_PKV.assigner.identifier.value", "path": "Patient.identifier.assigner.identifier.value", "mustSupport": true }, { "id": "Patient.identifier:Versichertennummer_PKV.assigner.display", "path": "Patient.identifier.assigner.display", "mustSupport": true }, { "id": "Patient.identifier:eGK-Nummer", "path": "Patient.identifier", "sliceName": "eGK-Nummer", "max": "1", "mustSupport": true }, { "id": "Patient.identifier:eGK-Nummer.type", "path": "Patient.identifier.type", "min": 1, "mustSupport": true }, { "id": "Patient.identifier:eGK-Nummer.system", "path": "Patient.identifier.system", "mustSupport": true }, { "id": "Patient.identifier:eGK-Nummer.value", "path": "Patient.identifier.value", "mustSupport": true }, { "id": "Patient.active", "path": "Patient.active", "mustSupport": true }, { "id": "Patient.name", "path": "Patient.name", "slicing": { "discriminator": [ { "type": "pattern", "path": "$this" } ], "rules": "open" }, "comment": "In order to maintain the differntiations of name parts as given in the VSDM dataset or qualify prefixes as academic titles, vendors can opt to support the extensions specified in the German HumanName Base Profile https://simplifier.net/basisprofil-de-r4/humannamedebasis\r\nThis is however not required within the scope of this specification.", "min": 1, "mustSupport": true }, { "id": "Patient.name:Name", "path": "Patient.name", "sliceName": "Name", "min": 1, "max": "1", "type": [ { "code": "HumanName", "profile": [ "http://fhir.de/StructureDefinition/humanname-de-basis" ] } ], "patternHumanName": { "use": "official" }, "mustSupport": true }, { "id": "Patient.name:Name.use", "path": "Patient.name.use", "min": 1, "mustSupport": true }, { "id": "Patient.name:Name.family", "path": "Patient.name.family", "min": 1, "mustSupport": true }, { "id": "Patient.name:Name.family.extension", "path": "Patient.name.family.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" }, "min": 0 }, { "id": "Patient.name:Name.family.extension:namenszusatz", "path": "Patient.name.family.extension", "sliceName": "namenszusatz", "min": 0, "mustSupport": true }, { "id": "Patient.name:Name.family.extension:nachname", "path": "Patient.name.family.extension", "sliceName": "nachname", "min": 0, "max": "1", "mustSupport": true }, { "id": "Patient.name:Name.family.extension:vorsatzwort", "path": "Patient.name.family.extension", "sliceName": "vorsatzwort", "min": 0, "max": "1", "mustSupport": true }, { "id": "Patient.name:Name.given", "path": "Patient.name.given", "min": 1, "mustSupport": true }, { "id": "Patient.name:Name.prefix", "path": "Patient.name.prefix", "mustSupport": true }, { "id": "Patient.name:Name.prefix.extension", "path": "Patient.name.prefix.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" }, "min": 0 }, { "id": "Patient.name:Name.prefix.extension:prefix-qualifier", "path": "Patient.name.prefix.extension", "sliceName": "prefix-qualifier", "min": 0, "max": "1", "mustSupport": true }, { "id": "Patient.name:Name.prefix.extension:prefix-qualifier.url", "path": "Patient.name.prefix.extension.url", "fixedUri": "prefix-qualifier" }, { "id": "Patient.name:Geburtsname", "path": "Patient.name", "sliceName": "Geburtsname", "max": "1", "type": [ { "code": "HumanName", "profile": [ "http://fhir.de/StructureDefinition/humanname-de-basis" ] } ], "patternHumanName": { "use": "maiden" }, "mustSupport": true }, { "id": "Patient.name:Geburtsname.use", "path": "Patient.name.use", "min": 1, "mustSupport": true }, { "id": "Patient.name:Geburtsname.family", "path": "Patient.name.family", "min": 1, "mustSupport": true }, { "id": "Patient.name:Geburtsname.family.extension", "path": "Patient.name.family.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" }, "min": 0 }, { "id": "Patient.name:Geburtsname.family.extension:namenszusatz", "path": "Patient.name.family.extension", "sliceName": "namenszusatz", "min": 0, "mustSupport": true }, { "id": "Patient.name:Geburtsname.family.extension:nachname", "path": "Patient.name.family.extension", "sliceName": "nachname", "min": 0, "max": "1", "mustSupport": true }, { "id": "Patient.name:Geburtsname.family.extension:vorsatzwort", "path": "Patient.name.family.extension", "sliceName": "vorsatzwort", "min": 0, "max": "1", "mustSupport": true }, { "id": "Patient.name:Geburtsname.given", "path": "Patient.name.given", "max": "0" }, { "id": "Patient.name:Geburtsname.prefix", "path": "Patient.name.prefix", "max": "0" }, { "id": "Patient.telecom.system", "path": "Patient.telecom.system", "min": 1 }, { "id": "Patient.telecom.value", "path": "Patient.telecom.value", "min": 1 }, { "id": "Patient.gender", "path": "Patient.gender", "min": 1, "mustSupport": true }, { "id": "Patient.gender.extension", "path": "Patient.gender.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" }, "min": 0 }, { "id": "Patient.gender.extension:Geschlecht-Administrativ", "path": "Patient.gender.extension", "sliceName": "Geschlecht-Administrativ", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "http://fhir.de/StructureDefinition/gender-amtlich-de" ] } ], "mustSupport": true }, { "id": "Patient.birthDate", "path": "Patient.birthDate", "min": 1, "mustSupport": true }, { "id": "Patient.birthDate.extension", "path": "Patient.birthDate.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" }, "min": 0 }, { "id": "Patient.birthDate.extension:Alter-in-Jahren", "path": "Patient.birthDate.extension", "sliceName": "Alter-in-Jahren", "min": 1, "max": "1", "type": [ { "code": "Extension", "profile": [ "https://example.org/fhir/StructureDefinition/Extension-alter-in-jahren" ] } ], "isModifier": false }, { "id": "Patient.birthDate.extension:Geburtsjahr", "path": "Patient.birthDate.extension", "sliceName": "Geburtsjahr", "min": 1, "max": "1", "type": [ { "code": "Extension", "profile": [ "https://example.org/fhir/StructureDefinition/Extension-geburtsjahr" ] } ], "isModifier": false }, { "id": "Patient.deceased[x]", "path": "Patient.deceased[x]", "max": "0" }, { "id": "Patient.address", "path": "Patient.address", "slicing": { "discriminator": [ { "type": "pattern", "path": "$this" } ], "rules": "open" }, "comment": "In order to differentiate between post box addresses and physical addresses, street names and house numbers, and to add city district names, vendors can opt to support the extensions as suggested in the German Address Base Profile http://fhir.de/StructureDefinition/address-de-basis.\r\nSuch differentiations are however not required within the scope of this specification.", "mustSupport": true }, { "id": "Patient.address:Strassenanschrift", "path": "Patient.address", "sliceName": "Strassenanschrift", "type": [ { "code": "Address", "profile": [ "http://fhir.de/StructureDefinition/address-de-basis" ] } ], "patternAddress": { "type": "both" }, "mustSupport": true }, { "id": "Patient.address:Strassenanschrift.type", "path": "Patient.address.type", "min": 1, "mustSupport": true }, { "id": "Patient.address:Strassenanschrift.line", "path": "Patient.address.line", "min": 1, "mustSupport": true }, { "id": "Patient.address:Strassenanschrift.line.extension", "path": "Patient.address.line.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" }, "min": 0 }, { "id": "Patient.address:Strassenanschrift.line.extension:Strasse", "path": "Patient.address.line.extension", "sliceName": "Strasse", "min": 0, "mustSupport": true }, { "id": "Patient.address:Strassenanschrift.line.extension:Hausnummer", "path": "Patient.address.line.extension", "sliceName": "Hausnummer", "min": 0, "mustSupport": true }, { "id": "Patient.address:Strassenanschrift.line.extension:Adresszusatz", "path": "Patient.address.line.extension", "sliceName": "Adresszusatz", "min": 0, "mustSupport": true }, { "id": "Patient.address:Strassenanschrift.line.extension:Postfach", "path": "Patient.address.line.extension", "sliceName": "Postfach", "min": 0, "max": "0" }, { "id": "Patient.address:Strassenanschrift.city", "path": "Patient.address.city", "min": 1, "mustSupport": true }, { "id": "Patient.address:Strassenanschrift.postalCode", "path": "Patient.address.postalCode", "slicing": { "description": "PLZ / 3-stellige PLZ", "rules": "open" }, "min": 1, "mustSupport": true }, { "id": "Patient.address:Strassenanschrift.postalCode:Postleitzahl_dreistellig", "path": "Patient.address.postalCode", "sliceName": "Postleitzahl_dreistellig", "min": 1, "maxLength": 3, "mustSupport": true }, { "id": "Patient.address:Strassenanschrift.country", "path": "Patient.address.country", "min": 1, "constraint": [ { "key": "address-cnt-2or3-char", "severity": "warning", "human": "The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2.", "expression": "country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))", "source": "https://gematik.de/fhir/ISiK/v2/StructureDefinition/ISiKPatient" } ], "mustSupport": true }, { "id": "Patient.address:Strassenanschrift.period", "path": "Patient.address.period", "max": "0" }, { "id": "Patient.address:Postfach", "path": "Patient.address", "sliceName": "Postfach", "type": [ { "code": "Address", "profile": [ "http://fhir.de/StructureDefinition/address-de-basis" ] } ], "patternAddress": { "type": "postal" }, "mustSupport": true }, { "id": "Patient.address:Postfach.type", "path": "Patient.address.type", "min": 1, "mustSupport": true }, { "id": "Patient.address:Postfach.line", "path": "Patient.address.line", "min": 1, "mustSupport": true }, { "id": "Patient.address:Postfach.line.extension", "path": "Patient.address.line.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" }, "min": 0 }, { "id": "Patient.address:Postfach.line.extension:Strasse", "path": "Patient.address.line.extension", "sliceName": "Strasse", "min": 0, "max": "0" }, { "id": "Patient.address:Postfach.line.extension:Hausnummer", "path": "Patient.address.line.extension", "sliceName": "Hausnummer", "min": 0, "max": "0" }, { "id": "Patient.address:Postfach.line.extension:Adresszusatz", "path": "Patient.address.line.extension", "sliceName": "Adresszusatz", "min": 0, "max": "0" }, { "id": "Patient.address:Postfach.line.extension:Postfach", "path": "Patient.address.line.extension", "sliceName": "Postfach", "min": 0, "mustSupport": true }, { "id": "Patient.address:Postfach.city", "path": "Patient.address.city", "min": 1, "mustSupport": true }, { "id": "Patient.address:Postfach.postalCode", "path": "Patient.address.postalCode", "min": 1, "mustSupport": true }, { "id": "Patient.address:Postfach.country", "path": "Patient.address.country", "min": 1, "constraint": [ { "key": "address-cnt-2or3-char", "severity": "warning", "human": "The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2.", "expression": "country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))", "source": "https://gematik.de/fhir/ISiK/v2/StructureDefinition/ISiKPatient" } ], "mustSupport": true }, { "id": "Patient.maritalStatus", "path": "Patient.maritalStatus", "max": "0" }, { "id": "Patient.multipleBirth[x]", "path": "Patient.multipleBirth[x]", "max": "0" }, { "id": "Patient.photo", "path": "Patient.photo", "max": "0" }, { "id": "Patient.generalPractitioner.identifier.system", "path": "Patient.generalPractitioner.identifier.system", "min": 1, "fixedUri": "http://fhir.de/StructureDefinition/identifier-lanr" } ] } }