HiGHmed - Infection Control - ImplementationGuide

Person - Patient

Bestehende Profile Kerndatensatz Medizininformatik-Initiative

Durch den Kerndatensatz der Medizininformatik Initative wird bereits das Konzept der "PatientIn" im Modul Person definiert. Diese Spezifikation wird im Rahmen dieses Moduls wiederverwendet.

Siehe Profil "Profile - MI-I - Patient - PatientIn".

Canonical URL: https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient

Es ist zu beachten, dass alle weiteren Vorgaben und Pflichtfelder des Kerndatensatz Moduls einzuhalten sind. Weitere Informationen finden sich im Abschnitt des ImplementationGuides - Modul Person.

Abbildung Person (Patient) - HiGHmed Use Case Infection Control

Beschreibung

Das vorliegende abgeleitete Profil beschreibt den Patient im HiGHmed Projekt, Infection Control.

Name	Canonical
Profile_HiGHmed_InfectionControl_Patient	http://highmed.org/fhir/StructureDefinition/ic/Patient

Differential

Profile_HiGHmed_InfectionControl_Patient (Patient)

ProfilePatientPatientIn

There are no (further) constraints on this element

Element id

Patient

Short description

Information about an individual or animal receiving health care services

Alternate names

SubjectOfCare Client Resident

Definition

Demographics and other administrative information about an individual or animal receiving care or other health-related services.

Data type

ProfilePatientPatientIn

Constraints

dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.empty()
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
contained.meta.security.empty()
dom-6: A resource should have narrative for robust management
text.`div`.exists()
pat-de-1: 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()

Mappings

rim: Entity. Role, or Act
rim: Patient[classCode=PAT]
cda: ClinicalDocument.recordTarget.patientRole

S Σ

0..1

string

There are no (further) constraints on this element

Element id

Patient.id

Short description

Logical id of this artifact

Definition

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

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

string

Meta

There are no (further) constraints on this element

Element id

Patient.meta

Short description

Metadata about the resource

Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Data type

Meta

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

0..1

string

There are no (further) constraints on this element

Element id

Patient.meta.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.meta.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

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.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

versionId

0..1

There are no (further) constraints on this element

Element id

Patient.meta.versionId

Short description

Version specific identifier

Definition

The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

Comments

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.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

lastUpdated

0..1

instant

There are no (further) constraints on this element

Element id

Patient.meta.lastUpdated

Short description

When the resource version last changed

Definition

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

Comments

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.

Data type

instant

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

source

S Σ

0..1

uri

There are no (further) constraints on this element

Element id

Patient.meta.source

Short description

Identifies where the resource comes from

Definition

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

Comments

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.

Data type

uri

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

profile

S Σ

0..*

canonical(StructureDefinition)

There are no (further) constraints on this element

Element id

Patient.meta.profile

Short description

Profiles this resource claims to conform to

Definition

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

Comments

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.

Data type

canonical(StructureDefinition)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

security

0..*

CodingBinding

There are no (further) constraints on this element

Element id

Patient.meta.security

Short description

Security Labels applied to this resource

Definition

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

Comments

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.

Data type

Coding

Binding

Security Labels from the Healthcare Privacy and Security Classification System.

All Security Labels (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

tag

0..*

Coding

There are no (further) constraints on this element

Element id

Patient.meta.tag

Short description

Tags applied to this resource

Definition

Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

Comments

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.

Data type

Coding

Binding

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

CommonTags (example)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

implicitRules

Σ ?!

0..1

uri

There are no (further) constraints on this element

Element id

Patient.implicitRules

Short description

A set of rules under which this content was created

Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Comments

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

Data type

uri

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

language

0..1

codeBinding

There are no (further) constraints on this element

Element id

Patient.language

Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Data type

code

Binding

A human language.

CommonLanguages (preferred)

Binding extensions

maxValueSet	AllLanguages

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

text

0..1

Narrative

There are no (further) constraints on this element

Element id

Patient.text

Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Comments

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

Data type

Narrative

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: Act.text?

contained

0..*

Resource

There are no (further) constraints on this element

Element id

Patient.contained

Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Data type

Resource

Mappings

rim: N/A

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

modifierExtension

?! C

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

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

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

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

identifier

S Σ

1..*

Identifier

There are no (further) constraints on this element

Element id

Patient.identifier

Short description

An identifier for this patient

Definition

An identifier for this patient.

Requirements

Patients are almost always assigned specific numerical identifiers.

Data type

Identifier

Slicing

Unordered, Open, by $this(Pattern)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.identifier
v2: PID-3
rim: id
cda: .id

versichertenId_GKV

S Σ

0..1

IdentifierKvid10Pattern

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV

Short description

An identifier intended for computation

Definition

An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.

Requirements

Patients are almost always assigned specific numerical identifiers.

Data type

IdentifierKvid10

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "type": {
    "coding": [
      {
        "system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
        "code": "GKV"
      }
    ]
  }
}

Mappings

w5: FiveWs.identifier
v2: PID-3
rim: id
cda: .id
rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

Σ ?!

0..1

codeBindingFixed Value

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.use

Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Fixed value

official

Mappings

v2: N/A
rim: Role.code or implied by context

type

S Σ

0..1

CodeableConceptBindingPattern

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.type

Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

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.

Data type

CodeableConcept

Binding

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

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "coding": [
    {
      "system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
      "code": "GKV"
    }
  ]
}

Mappings

v2: CX.5
rim: Role.code or implied by context

system

S Σ

1..1

uriFixed Value

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.system

Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

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.

Comments

Identifier.system is always case sensitive.

Data type

uri

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Fixed value

http://fhir.de/NamingSystem/gkv/kvid-10

Examples
General

http://www.acme.com/identifiers/patient

Mappings

v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

value

S Σ C

1..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.value

Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

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.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
kvid-1: Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen
matches('^[A-Z][0-9]{9}$')

Examples
General

Mappings

v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

period

0..1

Period

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.period

Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

assigner

S Σ

1..1

Reference(Organization)

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner

Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

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.

Data type

Reference(Organization)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

reference

Σ C

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.reference

Short description

Literal reference, Relative, internal or absolute URL

Definition

A 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.

Comments

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.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ref-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: N/A

type

0..1

uriBinding

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.type

Short description

Type the reference refers to (e.g. "Patient")

Definition

The 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).

Comments

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.

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: N/A

identifier

S Σ

1..1

IdentifierIknr

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.identifier

Short description

An identifier intended for computation

Definition

An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.

Comments

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).

Data type

IdentifierIknr

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .identifier
rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.identifier.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.identifier.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

Σ ?!

0..1

codeBindingFixed Value

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.identifier.use

Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Fixed value

official

Mappings

v2: N/A
rim: Role.code or implied by context

type

S Σ

0..1

CodeableConceptBindingPattern

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.identifier.type

Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

Data type

CodeableConcept

Binding

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

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "coding": [
    {
      "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
      "code": "XX"
    }
  ]
}

Mappings

v2: CX.5
rim: Role.code or implied by context

system

S Σ

1..1

uriFixed Value

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.identifier.system

Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

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.

Comments

Identifier.system is always case sensitive.

Data type

uri

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Fixed value

http://fhir.de/NamingSystem/arge-ik/iknr

Examples
General

http://www.acme.com/identifiers/patient

Mappings

v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

value

S Σ C

1..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.identifier.value

Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ik-1: Eine IK muss 8- (ohne Prüfziffer) oder 9-stellig (mit Prüfziffer) sein
matches('[0-9]{8,9}')

Examples
General

Mappings

v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

period

0..1

Period

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.identifier.period

Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

assigner

0..1

Reference(Organization)

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.identifier.assigner

Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

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.

Data type

Reference(Organization)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

display

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.display

Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

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.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: N/A

pid

S Σ

0..*

IdentifierPidPattern

There are no (further) constraints on this element

Element id

Patient.identifier:pid

Short description

An identifier intended for computation

Definition

An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.

Requirements

Patients are almost always assigned specific numerical identifiers.

Data type

IdentifierPid

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
        "code": "MR"
      }
    ]
  }
}

Mappings

w5: FiveWs.identifier
v2: PID-3
rim: id
cda: .id
rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:pid.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.identifier:pid.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

Σ ?!

0..1

codeBindingFixed Value

There are no (further) constraints on this element

Element id

Patient.identifier:pid.use

Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Fixed value

usual

Mappings

v2: N/A
rim: Role.code or implied by context

type

S Σ

1..1

CodeableConceptBindingPattern

There are no (further) constraints on this element

Element id

Patient.identifier:pid.type

Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

Data type

CodeableConcept

Binding

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

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "coding": [
    {
      "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
      "code": "MR"
    }
  ]
}

Mappings

v2: CX.5
rim: Role.code or implied by context

system

S Σ

1..1

uri

There are no (further) constraints on this element

Element id

Patient.identifier:pid.system

Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

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.

Comments

Identifier.system is always case sensitive.

Data type

uri

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

http://www.acme.com/identifiers/patient

Mappings

v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

value

S Σ

1..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:pid.value

Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

period

0..1

Period

There are no (further) constraints on this element

Element id

Patient.identifier:pid.period

Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

assigner

S Σ C

0..1

MII-Reference(Organization)

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner

Short description

A reference from one resource to another

Definition

A reference from one resource to another.

Comments

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.

Data type

MII-Reference(Organization)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
mii-reference-1: Either reference.reference OR reference.identifier exists
($this.reference.exists() or ($this.identifier.value.exists() and $this.identifier.system.exists())) xor $this.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

Mappings

v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority
rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

reference

S Σ C

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.reference

Short description

Literal reference, Relative, internal or absolute URL

Definition

Comments

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ref-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: N/A

type

0..1

uriBinding

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.type

Short description

Type the reference refers to (e.g. "Patient")

Definition

The 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.

Comments

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: N/A

identifier

S Σ

0..1

Identifier

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.identifier

Short description

Logical reference, when literal reference is not known

Definition

An 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.

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Data type

Identifier

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .identifier

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.identifier.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.identifier.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

Σ ?!

0..1

codeBinding

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.identifier.use

Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: N/A
rim: Role.code or implied by context

type

S Σ

0..1

CodeableConceptBindingPattern

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.identifier.type

Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

Data type

CodeableConcept

Binding

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

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "coding": [
    {
      "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
      "code": "XX"
    }
  ]
}

Mappings

v2: CX.5
rim: Role.code or implied by context

system

S Σ C

1..1

uri

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.identifier.system

Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

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.

Comments

Identifier.system is always case sensitive.

Data type

uri

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
mii-pat-1: 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'

Examples
General

http://www.acme.com/identifiers/patient

Mappings

v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

value

S Σ

1..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.identifier.value

Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

period

0..1

Period

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.identifier.period

Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

assigner

0..1

Reference(Organization)

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.identifier.assigner

Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

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.

Data type

Reference(Organization)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

display

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.display

Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

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.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: N/A

versichertennummer_pkv

S Σ

0..1

IdentifierPkvPattern

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv

Short description

An identifier intended for computation

Definition

An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.

Requirements

Patients are almost always assigned specific numerical identifiers.

Data type

IdentifierPkv

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "type": {
    "coding": [
      {
        "system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
        "code": "PKV"
      }
    ]
  }
}

Mappings

w5: FiveWs.identifier
v2: PID-3
rim: id
cda: .id
rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

S Σ ?!

0..1

codeBindingFixed Value

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.use

Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Fixed value

secondary

Mappings

v2: N/A
rim: Role.code or implied by context

type

S Σ

0..1

CodeableConceptBindingPattern

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.type

Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

Data type

CodeableConcept

Binding

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

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "coding": [
    {
      "system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
      "code": "PKV"
    }
  ]
}

Mappings

v2: CX.5
rim: Role.code or implied by context

system

0..1

uri

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.system

Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

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.

Comments

Identifier.system is always case sensitive.

Data type

uri

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

http://www.acme.com/identifiers/patient

Mappings

v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

value

S Σ

1..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.value

Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

period

0..1

Period

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.period

Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

assigner

S Σ

1..1

Reference(Organization)

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner

Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

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.

Data type

Reference(Organization)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

reference

Σ C

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.reference

Short description

Literal reference, Relative, internal or absolute URL

Definition

Comments

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ref-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: N/A

type

0..1

uriBinding

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.type

Short description

Type the reference refers to (e.g. "Patient")

Definition

The 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.

Comments

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: N/A

identifier

0..1

IdentifierIknr

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.identifier

Short description

An identifier intended for computation

Definition

An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Data type

IdentifierIknr

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .identifier
rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.identifier.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.identifier.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

Σ ?!

0..1

codeBindingFixed Value

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.identifier.use

Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Fixed value

official

Mappings

v2: N/A
rim: Role.code or implied by context

type

S Σ

0..1

CodeableConceptBindingPattern

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.identifier.type

Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

Data type

CodeableConcept

Binding

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

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "coding": [
    {
      "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
      "code": "XX"
    }
  ]
}

Mappings

v2: CX.5
rim: Role.code or implied by context

system

S Σ

1..1

uriFixed Value

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.identifier.system

Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

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.

Comments

Identifier.system is always case sensitive.

Data type

uri

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Fixed value

http://fhir.de/NamingSystem/arge-ik/iknr

Examples
General

http://www.acme.com/identifiers/patient

Mappings

v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

value

S Σ C

1..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.identifier.value

Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ik-1: Eine IK muss 8- (ohne Prüfziffer) oder 9-stellig (mit Prüfziffer) sein
matches('[0-9]{8,9}')

Examples
General

Mappings

v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

period

0..1

Period

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.identifier.period

Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

assigner

0..1

Reference(Organization)

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.identifier.assigner

Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

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.

Data type

Reference(Organization)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

display

S Σ

1..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.display

Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

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.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: N/A

active

Σ ?!

0..1

boolean

There are no (further) constraints on this element

Element id

Patient.active

Short description

Whether this patient's record is in active use

Definition

Whether 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.

Requirements

Need to be able to mark a patient record as not to be used because it was created in error.

Comments

If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.

Meaning when missing

This resource is generally assumed to be active if no value is provided for the active element

Data type

boolean

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.status
rim: statusCode
cda: n/a

name

S Σ

1..*

HumanName

There are no (further) constraints on this element

Element id

Patient.name

Short description

A name associated with the patient

Definition

A name associated with the individual.

Requirements

Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

Comments

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.

Data type

HumanName

Slicing

Unordered, Open, by $this(Pattern)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-5, PID-9
rim: name
cda: .patient.name

name

S Σ C

1..1

HumannameDeBasisPattern

There are no (further) constraints on this element

Element id

Patient.name:name

Short description

Personenname

Definition

Personenname mit in Deutschland üblichen Erweiterungen

Requirements

Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

Comments

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.

Data type

HumannameDeBasis

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
hum-1: Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden
family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue()
hum-2: Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden
family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue()
hum-3: Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden
family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue()
hum-4: Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden
prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue())

Pattern

{
  "use": "official"
}

Mappings

v2: PID-5, PID-9
rim: name
cda: .patient.name
rim: n/a
v2: XPN
rim: EN (actually, PN)
servd: ProviderName

0..1

string

There are no (further) constraints on this element

Element id

Patient.name:name.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.name:name.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

S Σ ?!

1..1

codeBindingPattern

There are no (further) constraints on this element

Element id

Patient.name:name.use

Short description

Definition

Identifies the purpose for this name.

Requirements

Allows the appropriate name for a particular context of use to be selected from among a set of names.

Comments

Applications can assume that a name is current unless it explicitly says that it is temporary or old.

Data type

code

Binding

The use of a human name.

NameUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

official

Mappings

v2: XPN.7, but often indicated by which field contains the name
rim: unique(./use)
servd: ./NamePurpose
BDT: 1211 (in BDT als Freitext!)

text

0..1

string

There are no (further) constraints on this element

Element id

Patient.name:name.text

Short description

Text representation of the full name

Definition

Specifies 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.

Requirements

A renderable, unencoded form.

Comments

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.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: implied by XPN.11
rim: ./formatted

family

S Σ

1..1

string

There are no (further) constraints on this element

Element id

Patient.name:name.family

Short description

Familienname

Alternate names

surname

Definition

Der vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt.

Comments

Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XPN.1/FN.1
rim: ./part[partType = FAM]
servd: ./FamilyName
BDT: 3120 + 3100 + 3101
KVDT: 3120 + 3100 + 3101

0..1

string

There are no (further) constraints on this element

Element id

Patient.name:name.family.id

Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references)

Data type

string

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.name:name.family.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

namenszusatz

S C

0..1

Extension(string)

There are no (further) constraints on this element

Element id

Patient.name:name.family.extension:namenszusatz

Short description

Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")

Alternate names

extensions, user content

Definition

Namenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst

Comments

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.

Data type

Extension(string)

Extension URL

http://fhir.de/StructureDefinition/humanname-namenszusatz

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A
KVDT: 3100
BDT: 3100

nachname

S C

0..1

Extension(string)

There are no (further) constraints on this element

Element id

Patient.name:name.family.extension:nachname

Short description

Nachname ohne Vor- und Zusätze

Alternate names

extensions, user content

Definition

Nachname ohne Vor- und Zusätze. Dient z.B. der alphabetischen Einordnung des Namens.

Comments

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".

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/humanname-own-name

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

v2: FN.3
rim: ENXP where Qualifiers = (BR)
KVDT: 3101
BDT: 3101

vorsatzwort

S C

0..1

Extension(string)

There are no (further) constraints on this element

Element id

Patient.name:name.family.extension:vorsatzwort

Short description

Vorsatzwort

Alternate names

extensions, user content

Definition

Vorsatzwort wie z.B.: von, van, zu Vgl. auch VSDM-Spezifikation der Gematik (Versichertenstammdatenmanagement, "eGK")

Comments

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.

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/humanname-own-prefix

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

v2: FN.2
rim: ENXP where Qualifiers = (VV, R)
BDT: 3120
KVDT: 3120

value

0..1

System.String

There are no (further) constraints on this element

Element id

Patient.name:name.family.value

Short description

Primitive value for string

Definition

The actual value

Data type

System.String

Maximum string length

1048576

given

S Σ

1..*

string

There are no (further) constraints on this element

Element id

Patient.name:name.given

Short description

Vorname

Alternate names

first name, middle name

Definition

Vorname der Person

Comments

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.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XPN.2 + XPN.3
rim: ./part[partType = GIV]
servd: ./GivenNames
KVDT: 3102
BDT: 3102

prefix

S Σ

0..*

string

There are no (further) constraints on this element

Element id

Patient.name:name.prefix

Short description

Namensteile vor dem Vornamen

Definition

Namensteile vor dem Vornamen, z.B. akademischer Titel.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XPN.5
rim: ./part[partType = PFX]
servd: ./TitleCode
KVDT: 3104
BDT: 3104

0..1

string

There are no (further) constraints on this element

Element id

Patient.name:name.prefix.id

Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references)

Data type

string

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.name:name.prefix.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

prefix-qualifier

S C

0..1

Extension(code)

There are no (further) constraints on this element

Element id

Patient.name:name.prefix.extension:prefix-qualifier

Short description

LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV

Alternate names

extensions, user content

Definition

Spezialisierung der Art des Präfixes, z.B. "AC" für Akademische Titel

Comments

Used to indicate additional information about the name part and how it should be used.

Data type

Extension(code)

Extension URL

http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: ENXP.qualifier

value

0..1

System.String

There are no (further) constraints on this element

Element id

Patient.name:name.prefix.value

Short description

Primitive value for string

Definition

The actual value

Data type

System.String

Maximum string length

1048576

suffix

0..*

string

There are no (further) constraints on this element

Element id

Patient.name:name.suffix

Short description

Namensteile nach dem Nachnamen

Definition

Namensteile nach dem Nachnamen

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XPN/4
rim: ./part[partType = SFX]

period

0..1

Period

There are no (further) constraints on this element

Element id

Patient.name:name.period

Short description

Time period when name was/is in use

Definition

Indicates the period of time when this name was valid for the named person.

Requirements

Allows names to be placed in historical context.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XPN.13 + XPN.14
rim: ./usablePeriod[type="IVL<TS>"]
servd: ./StartDate and ./EndDate

geburtsname

S Σ C

0..1

HumannameDeBasisPattern

There are no (further) constraints on this element

Element id

Patient.name:geburtsname

Short description

Personenname

Definition

Personenname mit in Deutschland üblichen Erweiterungen

Requirements

Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

Comments

Data type

HumannameDeBasis

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
hum-1: Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden
family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue()
hum-2: Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden
family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue()
hum-3: Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden
family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue()
hum-4: Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden
prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue())

Pattern

{
  "use": "maiden"
}

Mappings

v2: PID-5, PID-9
rim: name
cda: .patient.name
rim: n/a
v2: XPN
rim: EN (actually, PN)
servd: ProviderName

0..1

string

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

S Σ ?!

1..1

codeBindingPattern

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.use

Short description

Definition

Identifies the purpose for this name.

Requirements

Allows the appropriate name for a particular context of use to be selected from among a set of names.

Comments

Applications can assume that a name is current unless it explicitly says that it is temporary or old.

Data type

code

Binding

The use of a human name.

NameUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

maiden

Mappings

v2: XPN.7, but often indicated by which field contains the name
rim: unique(./use)
servd: ./NamePurpose
BDT: 1211 (in BDT als Freitext!)

text

0..1

string

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.text

Short description

Text representation of the full name

Definition

Specifies 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.

Requirements

A renderable, unencoded form.

Comments

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.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: implied by XPN.11
rim: ./formatted

family

S Σ

1..1

string

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.family

Short description

Familienname

Alternate names

surname

Definition

Der vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt.

Comments

Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XPN.1/FN.1
rim: ./part[partType = FAM]
servd: ./FamilyName
BDT: 3120 + 3100 + 3101
KVDT: 3120 + 3100 + 3101

0..1

string

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.family.id

Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references)

Data type

string

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.family.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

namenszusatz

S C

0..1

Extension(string)

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.family.extension:namenszusatz

Short description

Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")

Alternate names

extensions, user content

Definition

Namenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst

Comments

Data type

Extension(string)

Extension URL

http://fhir.de/StructureDefinition/humanname-namenszusatz

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A
KVDT: 3100
BDT: 3100

nachname

S C

0..1

Extension(string)

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.family.extension:nachname

Short description

Nachname ohne Vor- und Zusätze

Alternate names

extensions, user content

Definition

Nachname ohne Vor- und Zusätze. Dient z.B. der alphabetischen Einordnung des Namens.

Comments

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/humanname-own-name

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

v2: FN.3
rim: ENXP where Qualifiers = (BR)
KVDT: 3101
BDT: 3101

vorsatzwort

S C

0..1

Extension(string)

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.family.extension:vorsatzwort

Short description

Vorsatzwort

Alternate names

extensions, user content

Definition

Vorsatzwort wie z.B.: von, van, zu Vgl. auch VSDM-Spezifikation der Gematik (Versichertenstammdatenmanagement, "eGK")

Comments

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.

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/humanname-own-prefix

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

v2: FN.2
rim: ENXP where Qualifiers = (VV, R)
BDT: 3120
KVDT: 3120

value

0..1

System.String

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.family.value

Short description

Primitive value for string

Definition

The actual value

Data type

System.String

Maximum string length

1048576

given

0..0

string

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.given

Short description

Vorname

Alternate names

first name, middle name

Definition

Vorname der Person

Comments

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XPN.2 + XPN.3
rim: ./part[partType = GIV]
servd: ./GivenNames
KVDT: 3102
BDT: 3102

prefix

0..0

string

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.prefix

Short description

Namensteile vor dem Vornamen

Definition

Namensteile vor dem Vornamen, z.B. akademischer Titel.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XPN.5
rim: ./part[partType = PFX]
servd: ./TitleCode
KVDT: 3104
BDT: 3104

suffix

0..*

string

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.suffix

Short description

Namensteile nach dem Nachnamen

Definition

Namensteile nach dem Nachnamen

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XPN/4
rim: ./part[partType = SFX]

period

0..1

Period

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.period

Short description

Time period when name was/is in use

Definition

Indicates the period of time when this name was valid for the named person.

Requirements

Allows names to be placed in historical context.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XPN.13 + XPN.14
rim: ./usablePeriod[type="IVL<TS>"]
servd: ./StartDate and ./EndDate

telecom

S Σ

0..*

ContactPoint

There are no (further) constraints on this element

Element id

Patient.telecom

Short description

A contact detail for the individual

Definition

A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.

Requirements

People have (primary) ways to contact them in some way such as phone, email.

Comments

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).

Data type

ContactPoint

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-13, PID-14, PID-40
rim: telecom
cda: .telecom

0..1

string

There are no (further) constraints on this element

Element id

Patient.telecom.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.telecom.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

system

S Σ C

1..1

codeBinding

There are no (further) constraints on this element

Element id

Patient.telecom.system

Short description

phone | fax | email | pager | url | sms | other

Definition

Telecommunications form for contact point - what communications system is required to make use of the contact.

Data type

code

Binding

Telecommunications form for contact point.

ContactPointSystem (required)

Conditions

The cardinality or value of this element may be affected by these constraints: cpt-2

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XTN.3
rim: ./scheme
servd: ./ContactPointType

value

S Σ

1..1

string

There are no (further) constraints on this element

Element id

Patient.telecom.value

Short description

The actual contact point details

Definition

The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

Requirements

Need to support legacy numbers that are not in a tightly controlled format.

Comments

Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XTN.1 (or XTN.12)
rim: ./url
servd: ./Value

use

Σ ?!

0..1

codeBinding

There are no (further) constraints on this element

Element id

Patient.telecom.use

Short description

home | work | temp | old | mobile - purpose of this contact point

Definition

Identifies the purpose for the contact point.

Requirements

Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

Comments

Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

Data type

code

Binding

Use of contact point.

ContactPointUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XTN.2 - but often indicated by field
rim: unique(./use)
servd: ./ContactPointPurpose

rank

S Σ

0..1

positiveInt

There are no (further) constraints on this element

Element id

Patient.telecom.rank

Short description

Specify preferred order of use (1 = highest)

Definition

Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

Comments

Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

Data type

positiveInt

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: n/a
rim: n/a

period

0..1

Period

There are no (further) constraints on this element

Element id

Patient.telecom.period

Short description

Time period when the contact point was/is in use

Definition

Time period when the contact point was/is in use.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: N/A
rim: ./usablePeriod[type="IVL<TS>"]
servd: ./StartDate and ./EndDate

gender

S Σ

1..1

codeBinding

There are no (further) constraints on this element

Element id

Patient.gender

Short description

male | female | other | unknown

Definition

Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.

Requirements

Needed for identification of the individual, in combination with (at least) name and birth date.

Comments

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.

Data type

code

Binding

The gender of a person used for administrative purposes.

AdministrativeGender (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-8
rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender
cda: .patient.administrativeGenderCode

0..1

string

There are no (further) constraints on this element

Element id

Patient.gender.id

Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references)

Data type

string

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.gender.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

other-amtlich

S C

0..1

Extension(Coding)

There are no (further) constraints on this element

Element id

Patient.gender.extension:other-amtlich

Short description

Optional Extensions Element

Alternate names

extensions, user content

Definition

Optional Extension Element - found in all resources.

Comments

Data type

Extension(Coding)

Extension URL

http://fhir.de/StructureDefinition/gender-amtlich-de

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

value

0..1

System.String

There are no (further) constraints on this element

Element id

Patient.gender.value

Short description

Primitive value for code

Definition

Primitive value for code

Data type

System.String

birthDate

S Σ

1..1

date

There are no (further) constraints on this element

Element id

Patient.birthDate

Short description

The date of birth for the individual

Definition

The date of birth for the individual.

Requirements

Age of the individual drives many clinical processes.

Comments

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).

Data type

date

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-7
rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime
cda: .patient.birthTime
loinc: 21112-8

0..1

string

There are no (further) constraints on this element

Element id

Patient.birthDate.id

Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references)

Data type

string

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.birthDate.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

data-absent-reason

S C

0..1

Extension(code)

There are no (further) constraints on this element

Element id

Patient.birthDate.extension:data-absent-reason

Short description

Alternate names

extensions, user content

Definition

Provides a reason why the expected value or elements in the element that is extended are missing.

Comments

Data type

Extension(code)

Extension URL

http://hl7.org/fhir/StructureDefinition/data-absent-reason

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: ANY.nullFlavor

value

0..1

System.Date

There are no (further) constraints on this element

Element id

Patient.birthDate.value

Short description

Primitive value for date

Definition

The actual value

Data type

System.Date

deceased[x]

S Σ ?!

0..1

There are no (further) constraints on this element

Element id

Patient.deceased[x]

Short description

Indicates if the individual is deceased or not

Definition

Indicates if the individual is deceased or not.

Requirements

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.

Comments

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.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-30 (bool) and PID-29 (datetime)
rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime
cda: n/a

deceasedBoolean

boolean

There are no (further) constraints on this element

Data type

boolean

deceasedDateTime

dateTime

There are no (further) constraints on this element

Data type

dateTime

address

S Σ

1..*

Address

There are no (further) constraints on this element

Element id

Patient.address

Short description

An address for the individual

Definition

An address for the individual.

Requirements

May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

Comments

Patient may have multiple addresses with different uses or applicable periods.

Data type

Address

Slicing

Unordered, Open, by $this(Pattern)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-11
rim: addr
cda: .addr

Strassenanschrift

S Σ C

0..*

AddressDeBasisPattern

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift

Short description

Eine Adresse gemäß postalischer Konventionen

Definition

Eine 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.

Requirements

May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

Comments

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).

Data type

AddressDeBasis

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
add-1: Wenn die Extension 'Hausnummer' verwendet wird, muss auch Address.line gefüllt werden
line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty() or $this.hasValue())
add-2: Wenn die Extension 'Strasse' verwendet wird, muss auch Address.line gefüllt werden
line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() or $this.hasValue())
add-3: Wenn die Extension 'Postfach' verwendet wird, muss auch Address.line gefüllt werden
line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue())
add-4: Eine Postfach-Adresse darf nicht vom Type "physical" oder "both" sein.
line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()) or type='postal' or type.empty()
add-5: Wenn die Extension 'Adresszusatz' verwendet wird, muss auch Address.line gefüllt werden
line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty() or $this.hasValue())
add-6: Wenn die Extension 'Postfach' verwendet wird, dürfen die Extensions 'Strasse' und 'Hausnummer' nicht verwendet werden
line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty()))
add-7: Wenn die Extension 'Precinct' (Stadtteil) verwendet wird, dann muss diese Information auch als separates line-item abgebildet sein.
extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').empty() or line.where(extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').valueString=$this).exists()

Pattern

{
  "type": "both"
}

Examples
Beispiel für einfache Adresse

{
  "use": "home",
  "type": "postal",
  "line": [
    "Musterweg 42"
  ],
  "city": "Musterhausen",
  "postalCode": "99999"
}

Mappings

v2: PID-11
rim: addr
cda: .addr
rim: n/a
v2: XAD
rim: AD
servd: Address

0..1

string

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

Stadtteil

S C

0..1

Extension(string)

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.extension:Stadtteil

Short description

Stadt- oder Ortsteil

Alternate names

extensions, user content

Definition

A subsection of a municipality.

Comments

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: ADXP[partType=PRE]

use

Σ ?!

0..1

codeBinding

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.use

Short description

home | work | temp | old | billing - purpose of this address

Definition

The purpose of this address.

Requirements

Allows an appropriate address to be chosen from a list of many.

Comments

Applications can assume that an address is current unless it explicitly says that it is temporary or old.

Data type

code

Binding

The use of an address.

AddressUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

home

Mappings

v2: XAD.7
rim: unique(./use)
servd: ./AddressPurpose

type

S Σ

1..1

codeBindingPattern

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.type

Short description

postal | physical | both

Definition

Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

Comments

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).

Data type

code

Binding

The type of an address (physical / postal).

AddressType (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

both

Examples
General

both

Mappings

v2: XAD.18
rim: unique(./use)
vcard: address type parameter
BDT: 1202 (1=physical, 2=postal)

text

0..1

string

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.text

Short description

Text representation of the address

Definition

Specifies 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.

Requirements

A renderable, unencoded form.

Comments

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.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

137 Nowhere Street, Erewhon 9132

Mappings

v2: XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6
rim: ./formatted
vcard: address label parameter

line

S Σ

1..3

string

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.line

Short description

Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung

Definition

Diese 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.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

137 Nowhere Street

Beipiel für Adresszeile mit Extensions für Straße und Hausnummer

Musterweg 42

Mappings

v2: XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)
rim: AD.part[parttype = AL]
vcard: street
servd: ./StreetAddress (newline delimitted)
KVDT: 3107 + 3109 + 3115 oder 3123
BDT: 3107 + 3109 + 3115 oder 3123

0..1

string

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.line.id

Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references)

Data type

string

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.line.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Strasse

S C

0..1

Extension(string)

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.line.extension:Strasse

Short description

Strassenname (ohne Hausnummer)

Alternate names

extensions, user content

Definition

Strassenname (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.

Comments

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: ADXP[partType=STR]
KVDT: 3107
BDT: 3107

Hausnummer

S C

0..1

Extension(string)

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.line.extension:Hausnummer

Short description

Hausnummer

Alternate names

extensions, user content

Definition

Hausnummer, 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.

Comments

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: ADXP[partType=BNR]
KVDT: 3109
BDT: 3109

Adresszusatz

S C

0..1

Extension(string)

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.line.extension:Adresszusatz

Short description

Adresszusatz

Alternate names

extensions, user content

Definition

Zusätzliche 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.

Comments

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: ADXP[partType=ADL]
KVDT: 3115
BDT: 3115

Postfach

0..0

Extension(string)

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.line.extension:Postfach

Short description

Postfach

Alternate names

extensions, user content

Definition

Postfach-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.

Comments

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: ADXP[partType=POB]
KVDT: 3123
BDT: 3123

value

0..1

System.String

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.line.value

Short description

Primitive value for string

Definition

The actual value

Data type

System.String

Maximum string length

1048576

city

S Σ

1..1

string

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.city

Short description

Name of city, town etc.

Alternate names

Municpality

Definition

The name of the city, town, suburb, village or other community or delivery center.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Erewhon

Mappings

v2: XAD.3
rim: AD.part[parttype = CTY]
vcard: locality
servd: ./Jurisdiction
BDT: 3113 oder 3122 (Postfach)
KVDT: 3113 oder 3122 (Postfach)

0..1

string

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.city.id

Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references)

Data type

string

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.city.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

gemeindeschluessel

S C

0..1

Extension(Coding)

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.city.extension:gemeindeschluessel

Short description

Optional Extensions Element

Alternate names

extensions, user content

Definition

Optional Extension Element - found in all resources.

Comments

Data type

Extension(Coding)

Extension URL

http://fhir.de/StructureDefinition/destatis/ags

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

value

0..1

System.String

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.city.value

Short description

Primitive value for string

Definition

The actual value

Data type

System.String

Maximum string length

1048576

district

0..0

string

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.district

Short description

District name (aka county)

Alternate names

County

Definition

The name of the administrative area (county).

Comments

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.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Madison

Mappings

v2: XAD.9
rim: AD.part[parttype = CNT | CPA]

state

0..1

stringBinding

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.state

Short description

Bundesland

Alternate names

Province, Territory

Definition

Name (oder Kürzel) des Bundeslandes.

Data type

string

Binding

ISO31662DE (preferred)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XAD.4
rim: AD.part[parttype = STA]
vcard: region
servd: ./Region

postalCode

S Σ

1..1

string

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.postalCode

Short description

Postleitzahl

Alternate names

Zip

Definition

Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

v2: XAD.5
rim: AD.part[parttype = ZIP]
vcard: code
servd: ./PostalIdentificationCode
BDT: 3112 oder 3121 (Postfach)
KVDT: 3112 oder 3121 (Postfach)

country

S Σ C

1..1

stringBinding

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.country

Short description

Staat

Definition

Staat (vorzugsweise als 2-Stelliger ISO-Ländercode). Es obliegt abgeleiteten Profilen, hier die Verwendung der ISO-Ländercodes verbindlich vorzuschreiben

Comments

ISO 3166 3 letter codes can be used in place of a human readable country name.

Data type

string

Binding

Iso3166-1-2 (preferred)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
pat-cnt-2or3-char: 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'))

Mappings

v2: XAD.6
rim: AD.part[parttype = CNT]
vcard: country
servd: ./Country
BDT: 3114 oder 3124 (Postfach), abweichendes CodeSystem
KVDT: 3114 oder 3124 (Postfach), abweichendes CodeSystem

period

0..1

Period

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.period

Short description

Time period when address was/is in use

Definition

Time period when address was/is in use.

Requirements

Allows addresses to be placed in historical context.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

{
  "start": "2010-03-23",
  "end": "2010-07-01"
}

Mappings

v2: XAD.12 / XAD.13 + XAD.14
rim: ./usablePeriod[type="IVL<TS>"]
servd: ./StartDate and ./EndDate

0..1

string

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.period.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.period.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

start

Σ C

0..1

dateTime

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.period.start

Short description

Starting time with inclusive boundary

Definition

The start of the period. The boundary is inclusive.

Comments

If the low element is missing, the meaning is that the low boundary is not known.

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: per-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: DR.1
rim: ./low
BDT: 8226

end

Σ C

0..1

dateTime

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.period.end

Short description

End time with inclusive boundary, if not ongoing

Definition

The 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.

Comments

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.

Meaning when missing

If the end of the period is missing, it means that the period is ongoing

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: per-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: DR.2
rim: ./high
BDT: 8227

Postfach

S Σ C

0..*

AddressDeBasisPattern

There are no (further) constraints on this element

Element id

Patient.address:Postfach

Short description

Eine Adresse gemäß postalischer Konventionen

Definition

Die verwendeten Extensions in diesem Profil bilden die Struktur der Adresse ab, wie sie im VSDM-Format der elektronischen Versichertenkarte verwendet wird.

Requirements

May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

Comments

Data type

AddressDeBasis

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
add-1: Wenn die Extension 'Hausnummer' verwendet wird, muss auch Address.line gefüllt werden
line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty() or $this.hasValue())
add-2: Wenn die Extension 'Strasse' verwendet wird, muss auch Address.line gefüllt werden
line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() or $this.hasValue())
add-3: Wenn die Extension 'Postfach' verwendet wird, muss auch Address.line gefüllt werden
line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue())
add-4: Eine Postfach-Adresse darf nicht vom Type "physical" oder "both" sein.
line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()) or type='postal' or type.empty()
add-5: Wenn die Extension 'Adresszusatz' verwendet wird, muss auch Address.line gefüllt werden
line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty() or $this.hasValue())
add-6: Wenn die Extension 'Postfach' verwendet wird, dürfen die Extensions 'Strasse' und 'Hausnummer' nicht verwendet werden
line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty()))
add-7: Wenn die Extension 'Precinct' (Stadtteil) verwendet wird, dann muss diese Information auch als separates line-item abgebildet sein.
extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').empty() or line.where(extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').valueString=$this).exists()

Pattern

{
  "type": "postal"
}

Examples
Beispiel für einfache Adresse

{
  "use": "home",
  "type": "postal",
  "line": [
    "Musterweg 42"
  ],
  "city": "Musterhausen",
  "postalCode": "99999"
}

Mappings

v2: PID-11
rim: addr
cda: .addr
rim: n/a
v2: XAD
rim: AD
servd: Address

0..1

string

There are no (further) constraints on this element

Element id

Patient.address:Postfach.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.address:Postfach.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

Stadtteil

S C

0..1

Extension(string)

There are no (further) constraints on this element

Element id

Patient.address:Postfach.extension:Stadtteil

Short description

Stadt- oder Ortsteil

Alternate names

extensions, user content

Definition

A subsection of a municipality.

Comments

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: ADXP[partType=PRE]

use

Σ ?!

0..1

codeBinding

There are no (further) constraints on this element

Element id

Patient.address:Postfach.use

Short description

home | work | temp | old | billing - purpose of this address

Definition

The purpose of this address.

Requirements

Allows an appropriate address to be chosen from a list of many.

Comments

Applications can assume that an address is current unless it explicitly says that it is temporary or old.

Data type

code

Binding

The use of an address.

AddressUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

home

Mappings

v2: XAD.7
rim: unique(./use)
servd: ./AddressPurpose

type

S Σ

1..1

codeBindingPattern

There are no (further) constraints on this element

Element id

Patient.address:Postfach.type

Short description

postal | physical | both

Definition

Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

Comments

Data type

code

Binding

The type of an address (physical / postal).

AddressType (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

postal

Examples
General

both

Mappings

v2: XAD.18
rim: unique(./use)
vcard: address type parameter
BDT: 1202 (1=physical, 2=postal)

text

0..1

string

There are no (further) constraints on this element

Element id

Patient.address:Postfach.text

Short description

Text representation of the address

Definition

Specifies 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.

Requirements

A renderable, unencoded form.

Comments

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

137 Nowhere Street, Erewhon 9132

Mappings

v2: XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6
rim: ./formatted
vcard: address label parameter

line

S Σ

1..3

string

There are no (further) constraints on this element

Element id

Patient.address:Postfach.line

Short description

Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung

Definition

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

137 Nowhere Street

Beipiel für Adresszeile mit Extensions für Straße und Hausnummer

Musterweg 42

Mappings

v2: XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)
rim: AD.part[parttype = AL]
vcard: street
servd: ./StreetAddress (newline delimitted)
KVDT: 3107 + 3109 + 3115 oder 3123
BDT: 3107 + 3109 + 3115 oder 3123

0..1

string

There are no (further) constraints on this element

Element id

Patient.address:Postfach.line.id

Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references)

Data type

string

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.address:Postfach.line.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Strasse

0..0

Extension(string)

There are no (further) constraints on this element

Element id

Patient.address:Postfach.line.extension:Strasse

Short description

Strassenname (ohne Hausnummer)

Alternate names

extensions, user content

Definition

Comments

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: ADXP[partType=STR]
KVDT: 3107
BDT: 3107

Hausnummer

0..0

Extension(string)

There are no (further) constraints on this element

Element id

Patient.address:Postfach.line.extension:Hausnummer

Short description

Hausnummer

Alternate names

extensions, user content

Definition

Comments

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: ADXP[partType=BNR]
KVDT: 3109
BDT: 3109

Adresszusatz

0..0

Extension(string)

There are no (further) constraints on this element

Element id

Patient.address:Postfach.line.extension:Adresszusatz

Short description

Adresszusatz

Alternate names

extensions, user content

Definition

Comments

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: ADXP[partType=ADL]
KVDT: 3115
BDT: 3115

Postfach

S C

0..1

Extension(string)

There are no (further) constraints on this element

Element id

Patient.address:Postfach.line.extension:Postfach

Short description

Postfach

Alternate names

extensions, user content

Definition

Comments

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: ADXP[partType=POB]
KVDT: 3123
BDT: 3123

value

0..1

System.String

There are no (further) constraints on this element

Element id

Patient.address:Postfach.line.value

Short description

Primitive value for string

Definition

The actual value

Data type

System.String

Maximum string length

1048576

city

S Σ

1..1

string

There are no (further) constraints on this element

Element id

Patient.address:Postfach.city

Short description

Name of city, town etc.

Alternate names

Municpality

Definition

The name of the city, town, suburb, village or other community or delivery center.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Erewhon

Mappings

v2: XAD.3
rim: AD.part[parttype = CTY]
vcard: locality
servd: ./Jurisdiction
BDT: 3113 oder 3122 (Postfach)
KVDT: 3113 oder 3122 (Postfach)

0..1

string

There are no (further) constraints on this element

Element id

Patient.address:Postfach.city.id

Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references)

Data type

string

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.address:Postfach.city.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

gemeindeschluessel

S C

0..1

Extension(Coding)

There are no (further) constraints on this element

Element id

Patient.address:Postfach.city.extension:gemeindeschluessel

Short description

Optional Extensions Element

Alternate names

extensions, user content

Definition

Optional Extension Element - found in all resources.

Comments

Data type

Extension(Coding)

Extension URL

http://fhir.de/StructureDefinition/destatis/ags

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

value

0..1

System.String

There are no (further) constraints on this element

Element id

Patient.address:Postfach.city.value

Short description

Primitive value for string

Definition

The actual value

Data type

System.String

Maximum string length

1048576

district

0..0

string

There are no (further) constraints on this element

Element id

Patient.address:Postfach.district

Short description

District name (aka county)

Alternate names

County

Definition

The name of the administrative area (county).

Comments

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.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Madison

Mappings

v2: XAD.9
rim: AD.part[parttype = CNT | CPA]

state

0..1

stringBinding

There are no (further) constraints on this element

Element id

Patient.address:Postfach.state

Short description

Bundesland

Alternate names

Province, Territory

Definition

Name (oder Kürzel) des Bundeslandes.

Data type

string

Binding

ISO31662DE (preferred)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XAD.4
rim: AD.part[parttype = STA]
vcard: region
servd: ./Region

postalCode

S Σ

1..1

string

There are no (further) constraints on this element

Element id

Patient.address:Postfach.postalCode

Short description

Postleitzahl

Alternate names

Zip

Definition

Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

v2: XAD.5
rim: AD.part[parttype = ZIP]
vcard: code
servd: ./PostalIdentificationCode
BDT: 3112 oder 3121 (Postfach)
KVDT: 3112 oder 3121 (Postfach)

country

S Σ C

1..1

stringBinding

There are no (further) constraints on this element

Element id

Patient.address:Postfach.country

Short description

Staat

Definition

Staat (vorzugsweise als 2-Stelliger ISO-Ländercode). Es obliegt abgeleiteten Profilen, hier die Verwendung der ISO-Ländercodes verbindlich vorzuschreiben

Comments

ISO 3166 3 letter codes can be used in place of a human readable country name.

Data type

string

Binding

Iso3166-1-2 (preferred)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
pat-cnt-2or3-char: 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'))

Mappings

v2: XAD.6
rim: AD.part[parttype = CNT]
vcard: country
servd: ./Country
BDT: 3114 oder 3124 (Postfach), abweichendes CodeSystem
KVDT: 3114 oder 3124 (Postfach), abweichendes CodeSystem

period

0..1

Period

There are no (further) constraints on this element

Element id

Patient.address:Postfach.period

Short description

Time period when address was/is in use

Definition

Time period when address was/is in use.

Requirements

Allows addresses to be placed in historical context.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

{
  "start": "2010-03-23",
  "end": "2010-07-01"
}

Mappings

v2: XAD.12 / XAD.13 + XAD.14
rim: ./usablePeriod[type="IVL<TS>"]
servd: ./StartDate and ./EndDate

0..1

string

There are no (further) constraints on this element

Element id

Patient.address:Postfach.period.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.address:Postfach.period.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

start

Σ C

0..1

dateTime

There are no (further) constraints on this element

Element id

Patient.address:Postfach.period.start

Short description

Starting time with inclusive boundary

Definition

The start of the period. The boundary is inclusive.

Comments

If the low element is missing, the meaning is that the low boundary is not known.

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: per-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: DR.1
rim: ./low
BDT: 8226

end

Σ C

0..1

dateTime

There are no (further) constraints on this element

Element id

Patient.address:Postfach.period.end

Short description

End time with inclusive boundary, if not ongoing

Definition

Comments

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.

Meaning when missing

If the end of the period is missing, it means that the period is ongoing

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: per-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: DR.2
rim: ./high
BDT: 8227

maritalStatus

0..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Patient.maritalStatus

Short description

Marital (civil) status of a patient

Definition

This field contains a patient's most recent marital (civil) status.

Requirements

Most, if not all systems capture it.

Data type

CodeableConcept

Binding

The domestic partnership status of a person.

Marital Status Codes (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-16
rim: player[classCode=PSN]/maritalStatusCode
cda: .patient.maritalStatusCode

multipleBirth[x]

0..1

There are no (further) constraints on this element

Element id

Patient.multipleBirth[x]

Short description

Whether patient is part of a multiple birth

Definition

Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).

Requirements

For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.

Comments

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).

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-24 (bool), PID-25 (integer)
rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber
cda: n/a

multipleBirthBoolean

boolean

There are no (further) constraints on this element

Data type

boolean

multipleBirthInteger

integer

There are no (further) constraints on this element

Data type

integer

photo

0..*

Attachment

There are no (further) constraints on this element

Element id

Patient.photo

Short description

Image of the patient

Definition

Image of the patient.

Requirements

Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.

Comments

Guidelines:

Use id photos, not clinical photos.
Limit dimensions to thumbnail.
Keep byte count low to ease resource updates.

Data type

Attachment

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBX-5 - needs a profile
rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc
cda: n/a

contact

0..*

BackboneElement

There are no (further) constraints on this element

Element id

Patient.contact

Short description

A contact party (e.g. guardian, partner, friend) for the patient

Definition

A contact party (e.g. guardian, partner, friend) for the patient.

Requirements

Need to track people you can contact about the patient.

Comments

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.

Data type

BackboneElement

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
pat-1: SHALL at least contain a contact's details or a reference to an organization
name.exists() or telecom.exists() or address.exists() or organization.exists()

Mappings

rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]
cda: n/a

0..1

string

There are no (further) constraints on this element

Element id

Patient.contact.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.contact.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.contact.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

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

Requirements

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

relationship

0..*

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Patient.contact.relationship

Short description

The kind of relationship

Definition

The nature of the relationship between the patient and the contact person.

Requirements

Used to determine which contact person is the most relevant to approach, depending on circumstances.

Data type

CodeableConcept

Binding

The nature of the relationship between a patient and a contact person for that patient.

PatientContactRelationship (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: NK1-7, NK1-3
rim: code
cda: n/a

name

0..1

HumanName

There are no (further) constraints on this element

Element id

Patient.contact.name

Short description

A name associated with the contact person

Definition

A name associated with the contact person.

Requirements

Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.

Data type

HumanName

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: NK1-2
rim: name
cda: n/a

telecom

0..*

ContactPoint

There are no (further) constraints on this element

Element id

Patient.contact.telecom

Short description

A contact detail for the person

Definition

A contact detail for the person, e.g. a telephone number or an email address.

Requirements

People have (primary) ways to contact them in some way such as phone, email.

Comments

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.

Data type

ContactPoint

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: NK1-5, NK1-6, NK1-40
rim: telecom
cda: n/a

address

0..1

Address

There are no (further) constraints on this element

Element id

Patient.contact.address

Short description

Address for the contact person

Definition

Address for the contact person.

Requirements

Need to keep track where the contact person can be contacted per postal mail or visited.

Data type

Address

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: NK1-4
rim: addr
cda: n/a

gender

0..1

codeBinding

There are no (further) constraints on this element

Element id

Patient.contact.gender

Short description

male | female | other | unknown

Definition

Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.

Requirements

Needed to address the person correctly.

Data type

code

Binding

The gender of a person used for administrative purposes.

AdministrativeGender (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: NK1-15
rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender
cda: n/a

organization

0..1

Reference(Organization)

There are no (further) constraints on this element

Element id

Patient.contact.organization

Short description

Organization that is associated with the contact

Definition

Organization on behalf of which the contact is acting or for which the contact is working.

Requirements

For guardians or business related contacts, the organization is relevant.

Data type

Reference(Organization)

Conditions

The cardinality or value of this element may be affected by these constraints: pat-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: NK1-13, NK1-30, NK1-31, NK1-32, NK1-41
rim: scoper
cda: n/a

period

0..1

Period

There are no (further) constraints on this element

Element id

Patient.contact.period

Short description

The period during which this contact person or organization is valid to be contacted relating to this patient

Definition

The period during which this contact person or organization is valid to be contacted relating to this patient.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: effectiveTime
cda: n/a

communication

0..*

BackboneElement

There are no (further) constraints on this element

Element id

Patient.communication

Short description

A language which may be used to communicate with the patient about his or her health

Definition

A language which may be used to communicate with the patient about his or her health.

Requirements

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.

Comments

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.

Data type

BackboneElement

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: LanguageCommunication
cda: patient.languageCommunication

0..1

string

There are no (further) constraints on this element

Element id

Patient.communication.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.communication.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.communication.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

Requirements

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

language

1..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Patient.communication.language

Short description

The language which can be used to communicate with the patient about his or her health

Definition

The 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.

Requirements

Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.

Comments

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.

Data type

CodeableConcept

Binding

A human language.

CommonLanguages (preferred)

Binding extensions

maxValueSet	AllLanguages

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-15, LAN-2
rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code
cda: .languageCode

preferred

0..1

boolean

There are no (further) constraints on this element

Element id

Patient.communication.preferred

Short description

Language preference indicator

Definition

Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).

Requirements

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.

Comments

This language is specifically identified for communicating healthcare information.

Data type

boolean

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-15
rim: preferenceInd
cda: .preferenceInd

generalPractitioner

0..*

Reference(Organization | Practitioner | PractitionerRole)

There are no (further) constraints on this element

Element id

Patient.generalPractitioner

Short description

Patient's nominated primary care provider

Alternate names

careProvider

Definition

Patient's nominated care provider.

Comments

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.

Data type

Reference(Organization | Practitioner | PractitionerRole)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PD1-4
rim: subjectOf.CareEvent.performer.AssignedEntity
cda: n/a

managingOrganization

0..1

Reference(Organization)

There are no (further) constraints on this element

Element id

Patient.managingOrganization

Short description

Organization that is the custodian of the patient record

Definition

Organization that is the custodian of the patient record.

Requirements

Need to know who recognizes this patient record, manages and updates it.

Comments

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).

Data type

Reference(Organization)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: scoper
cda: .providerOrganization

link

S Σ ?!

0..*

BackboneElement

There are no (further) constraints on this element

Element id

Patient.link

Short description

Link to another patient resource that concerns the same actual person

Definition

Link to another patient resource that concerns the same actual patient.

Requirements

There are multiple use cases:

Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and
Distribution of patient information across multiple servers.

Comments

There is no assumption that linked patient records have mutual links.

Data type

BackboneElement

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: outboundLink
cda: n/a

0..1

string

There are no (further) constraints on this element

Element id

Patient.link.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.link.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.link.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

Requirements

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

other

S Σ C

1..1

MII-Reference(Patient | RelatedPerson)

There are no (further) constraints on this element

Element id

Patient.link.other

Short description

A reference from one resource to another

Definition

A reference from one resource to another.

Comments

Data type

MII-Reference(Patient | RelatedPerson)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
mii-reference-1: Either reference.reference OR reference.identifier exists
($this.reference.exists() or ($this.identifier.value.exists() and $this.identifier.system.exists())) xor $this.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

Mappings

v2: PID-3, MRG-1
rim: id
cda: n/a
rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

type

S Σ

1..1

codeBinding

There are no (further) constraints on this element

Element id

Patient.link.type

Short description

replaced-by | replaces | refer | seealso

Definition

The type of link between this patient resource and another patient resource.

Data type

code

Binding

The type of link between this patient resource and another patient resource.

LinkType (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: typeCode
cda: n/a

Mapping

Alle Elemente für das Konzept Person des Use Case - Infection Control lassen sich durch das oben genannte Profil wie folgt abbilden:

Logischer Datensatz	FHIR Element
Person.PersonenID	Patient.identifier:pid
Person.ArtderPerson	Implizite Entscheidung, das vorliegende Profil definiert eine Person als Patient. Siehe Abschnitt Person - Heilberufler für die Abbildung von Mitarbeiterinformationen.
Person.Titel	Patient.name:name.prefix
Person.Vorname	Patient.name:name.given
Person.WeitererVorname	Patient.name:name.given
Person.Nachname	Patient.name:name.family
Person.Suffix	Patient.name:name.suffix
Person.Geburtsdatum	Patient.name:geburtsname
Person.Adresse-Zeile	Patient.address:Strassenanschrift.line
Person.Adresse-Stadt	Patient.address:Strassenanschrift.city
Person.Adresse-Postleitzahl	Patient.address:Strassenanschrift.postalCode
Person.Kontaktart	Patient.contact.telecom.system
Person.Kontaktdaten	Patient.contact.telecom.value

Snapshot

Profile_HiGHmed_InfectionControl_Patient (Patient)

ProfilePatientPatientIn

There are no (further) constraints on this element

Element id

Patient

Short description

Information about an individual or animal receiving health care services

Alternate names

SubjectOfCare Client Resident

Definition

Demographics and other administrative information about an individual or animal receiving care or other health-related services.

Data type

ProfilePatientPatientIn

Constraints

dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.empty()
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
contained.meta.security.empty()
dom-6: A resource should have narrative for robust management
text.`div`.exists()
pat-de-1: 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()

Mappings

rim: Entity. Role, or Act
rim: Patient[classCode=PAT]
cda: ClinicalDocument.recordTarget.patientRole

S Σ

0..1

string

There are no (further) constraints on this element

Element id

Patient.id

Short description

Logical id of this artifact

Definition

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

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

string

Meta

There are no (further) constraints on this element

Element id

Patient.meta

Short description

Metadata about the resource

Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Data type

Meta

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

0..1

string

There are no (further) constraints on this element

Element id

Patient.meta.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.meta.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

versionId

0..1

There are no (further) constraints on this element

Element id

Patient.meta.versionId

Short description

Version specific identifier

Definition

The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

Comments

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.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

lastUpdated

0..1

instant

There are no (further) constraints on this element

Element id

Patient.meta.lastUpdated

Short description

When the resource version last changed

Definition

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

Comments

Data type

instant

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

source

S Σ

0..1

uri

There are no (further) constraints on this element

Element id

Patient.meta.source

Short description

Identifies where the resource comes from

Definition

Comments

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.

Data type

uri

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

profile

S Σ

0..*

canonical(StructureDefinition)

There are no (further) constraints on this element

Element id

Patient.meta.profile

Short description

Profiles this resource claims to conform to

Definition

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

Comments

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.

Data type

canonical(StructureDefinition)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

security

0..*

CodingBinding

There are no (further) constraints on this element

Element id

Patient.meta.security

Short description

Security Labels applied to this resource

Definition

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

Comments

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.

Data type

Coding

Binding

Security Labels from the Healthcare Privacy and Security Classification System.

All Security Labels (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

tag

0..*

Coding

There are no (further) constraints on this element

Element id

Patient.meta.tag

Short description

Tags applied to this resource

Definition

Comments

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.

Data type

Coding

Binding

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

CommonTags (example)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

implicitRules

Σ ?!

0..1

uri

There are no (further) constraints on this element

Element id

Patient.implicitRules

Short description

A set of rules under which this content was created

Definition

Comments

Data type

uri

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

language

0..1

codeBinding

There are no (further) constraints on this element

Element id

Patient.language

Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

Data type

code

Binding

A human language.

CommonLanguages (preferred)

Binding extensions

maxValueSet	AllLanguages

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

text

0..1

Narrative

There are no (further) constraints on this element

Element id

Patient.text

Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

Comments

Data type

Narrative

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: Act.text?

contained

0..*

Resource

There are no (further) constraints on this element

Element id

Patient.contained

Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

Comments

Data type

Resource

Mappings

rim: N/A

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

modifierExtension

?! C

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

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

Requirements

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

identifier

S Σ

1..*

Identifier

There are no (further) constraints on this element

Element id

Patient.identifier

Short description

An identifier for this patient

Definition

An identifier for this patient.

Requirements

Patients are almost always assigned specific numerical identifiers.

Data type

Identifier

Slicing

Unordered, Open, by $this(Pattern)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.identifier
v2: PID-3
rim: id
cda: .id

versichertenId_GKV

S Σ

0..1

IdentifierKvid10Pattern

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV

Short description

An identifier intended for computation

Definition

An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.

Requirements

Patients are almost always assigned specific numerical identifiers.

Data type

IdentifierKvid10

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "type": {
    "coding": [
      {
        "system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
        "code": "GKV"
      }
    ]
  }
}

Mappings

w5: FiveWs.identifier
v2: PID-3
rim: id
cda: .id
rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

Σ ?!

0..1

codeBindingFixed Value

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.use

Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Fixed value

official

Mappings

v2: N/A
rim: Role.code or implied by context

type

S Σ

0..1

CodeableConceptBindingPattern

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.type

Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

Data type

CodeableConcept

Binding

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

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "coding": [
    {
      "system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
      "code": "GKV"
    }
  ]
}

Mappings

v2: CX.5
rim: Role.code or implied by context

system

S Σ

1..1

uriFixed Value

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.system

Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

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.

Comments

Identifier.system is always case sensitive.

Data type

uri

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Fixed value

http://fhir.de/NamingSystem/gkv/kvid-10

Examples
General

http://www.acme.com/identifiers/patient

Mappings

v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

value

S Σ C

1..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.value

Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
kvid-1: Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen
matches('^[A-Z][0-9]{9}$')

Examples
General

Mappings

v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

period

0..1

Period

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.period

Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

assigner

S Σ

1..1

Reference(Organization)

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner

Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

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.

Data type

Reference(Organization)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

reference

Σ C

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.reference

Short description

Literal reference, Relative, internal or absolute URL

Definition

Comments

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ref-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: N/A

type

0..1

uriBinding

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.type

Short description

Type the reference refers to (e.g. "Patient")

Definition

The 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.

Comments

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: N/A

identifier

S Σ

1..1

IdentifierIknr

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.identifier

Short description

An identifier intended for computation

Definition

An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Data type

IdentifierIknr

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .identifier
rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.identifier.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.identifier.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

Σ ?!

0..1

codeBindingFixed Value

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.identifier.use

Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Fixed value

official

Mappings

v2: N/A
rim: Role.code or implied by context

type

S Σ

0..1

CodeableConceptBindingPattern

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.identifier.type

Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

Data type

CodeableConcept

Binding

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

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "coding": [
    {
      "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
      "code": "XX"
    }
  ]
}

Mappings

v2: CX.5
rim: Role.code or implied by context

system

S Σ

1..1

uriFixed Value

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.identifier.system

Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

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.

Comments

Identifier.system is always case sensitive.

Data type

uri

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Fixed value

http://fhir.de/NamingSystem/arge-ik/iknr

Examples
General

http://www.acme.com/identifiers/patient

Mappings

v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

value

S Σ C

1..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.identifier.value

Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ik-1: Eine IK muss 8- (ohne Prüfziffer) oder 9-stellig (mit Prüfziffer) sein
matches('[0-9]{8,9}')

Examples
General

Mappings

v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

period

0..1

Period

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.identifier.period

Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

assigner

0..1

Reference(Organization)

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.identifier.assigner

Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

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.

Data type

Reference(Organization)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

display

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertenId_GKV.assigner.display

Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

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.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: N/A

pid

S Σ

0..*

IdentifierPidPattern

There are no (further) constraints on this element

Element id

Patient.identifier:pid

Short description

An identifier intended for computation

Definition

An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.

Requirements

Patients are almost always assigned specific numerical identifiers.

Data type

IdentifierPid

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
        "code": "MR"
      }
    ]
  }
}

Mappings

w5: FiveWs.identifier
v2: PID-3
rim: id
cda: .id
rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:pid.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.identifier:pid.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

Σ ?!

0..1

codeBindingFixed Value

There are no (further) constraints on this element

Element id

Patient.identifier:pid.use

Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Fixed value

usual

Mappings

v2: N/A
rim: Role.code or implied by context

type

S Σ

1..1

CodeableConceptBindingPattern

There are no (further) constraints on this element

Element id

Patient.identifier:pid.type

Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

Data type

CodeableConcept

Binding

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

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "coding": [
    {
      "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
      "code": "MR"
    }
  ]
}

Mappings

v2: CX.5
rim: Role.code or implied by context

system

S Σ

1..1

uri

There are no (further) constraints on this element

Element id

Patient.identifier:pid.system

Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

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.

Comments

Identifier.system is always case sensitive.

Data type

uri

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

http://www.acme.com/identifiers/patient

Mappings

v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

value

S Σ

1..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:pid.value

Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

period

0..1

Period

There are no (further) constraints on this element

Element id

Patient.identifier:pid.period

Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

assigner

S Σ C

0..1

MII-Reference(Organization)

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner

Short description

A reference from one resource to another

Definition

A reference from one resource to another.

Comments

Data type

MII-Reference(Organization)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
mii-reference-1: Either reference.reference OR reference.identifier exists
($this.reference.exists() or ($this.identifier.value.exists() and $this.identifier.system.exists())) xor $this.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

Mappings

v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority
rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

reference

S Σ C

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.reference

Short description

Literal reference, Relative, internal or absolute URL

Definition

Comments

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ref-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: N/A

type

0..1

uriBinding

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.type

Short description

Type the reference refers to (e.g. "Patient")

Definition

The 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.

Comments

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: N/A

identifier

S Σ

0..1

Identifier

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.identifier

Short description

Logical reference, when literal reference is not known

Definition

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Data type

Identifier

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .identifier

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.identifier.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.identifier.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

Σ ?!

0..1

codeBinding

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.identifier.use

Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: N/A
rim: Role.code or implied by context

type

S Σ

0..1

CodeableConceptBindingPattern

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.identifier.type

Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

Data type

CodeableConcept

Binding

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

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "coding": [
    {
      "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
      "code": "XX"
    }
  ]
}

Mappings

v2: CX.5
rim: Role.code or implied by context

system

S Σ C

1..1

uri

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.identifier.system

Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

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.

Comments

Identifier.system is always case sensitive.

Data type

uri

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
mii-pat-1: 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'

Examples
General

http://www.acme.com/identifiers/patient

Mappings

v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

value

S Σ

1..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.identifier.value

Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

period

0..1

Period

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.identifier.period

Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

assigner

0..1

Reference(Organization)

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.identifier.assigner

Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

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.

Data type

Reference(Organization)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

display

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:pid.assigner.display

Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

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.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: N/A

versichertennummer_pkv

S Σ

0..1

IdentifierPkvPattern

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv

Short description

An identifier intended for computation

Definition

An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.

Requirements

Patients are almost always assigned specific numerical identifiers.

Data type

IdentifierPkv

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "type": {
    "coding": [
      {
        "system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
        "code": "PKV"
      }
    ]
  }
}

Mappings

w5: FiveWs.identifier
v2: PID-3
rim: id
cda: .id
rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

S Σ ?!

0..1

codeBindingFixed Value

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.use

Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Fixed value

secondary

Mappings

v2: N/A
rim: Role.code or implied by context

type

S Σ

0..1

CodeableConceptBindingPattern

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.type

Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

Data type

CodeableConcept

Binding

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

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "coding": [
    {
      "system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
      "code": "PKV"
    }
  ]
}

Mappings

v2: CX.5
rim: Role.code or implied by context

system

0..1

uri

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.system

Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

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.

Comments

Identifier.system is always case sensitive.

Data type

uri

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

http://www.acme.com/identifiers/patient

Mappings

v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

value

S Σ

1..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.value

Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

period

0..1

Period

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.period

Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

assigner

S Σ

1..1

Reference(Organization)

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner

Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

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.

Data type

Reference(Organization)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

reference

Σ C

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.reference

Short description

Literal reference, Relative, internal or absolute URL

Definition

Comments

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ref-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: N/A

type

0..1

uriBinding

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.type

Short description

Type the reference refers to (e.g. "Patient")

Definition

The 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.

Comments

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: N/A

identifier

0..1

IdentifierIknr

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.identifier

Short description

An identifier intended for computation

Definition

An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Data type

IdentifierIknr

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .identifier
rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier

0..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.identifier.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.identifier.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

Σ ?!

0..1

codeBindingFixed Value

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.identifier.use

Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Fixed value

official

Mappings

v2: N/A
rim: Role.code or implied by context

type

S Σ

0..1

CodeableConceptBindingPattern

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.identifier.type

Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

Data type

CodeableConcept

Binding

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

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "coding": [
    {
      "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
      "code": "XX"
    }
  ]
}

Mappings

v2: CX.5
rim: Role.code or implied by context

system

S Σ

1..1

uriFixed Value

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.identifier.system

Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

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.

Comments

Identifier.system is always case sensitive.

Data type

uri

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Fixed value

http://fhir.de/NamingSystem/arge-ik/iknr

Examples
General

http://www.acme.com/identifiers/patient

Mappings

v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

value

S Σ C

1..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.identifier.value

Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ik-1: Eine IK muss 8- (ohne Prüfziffer) oder 9-stellig (mit Prüfziffer) sein
matches('[0-9]{8,9}')

Examples
General

Mappings

v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

period

0..1

Period

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.identifier.period

Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

assigner

0..1

Reference(Organization)

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.identifier.assigner

Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

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.

Data type

Reference(Organization)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

display

S Σ

1..1

string

There are no (further) constraints on this element

Element id

Patient.identifier:versichertennummer_pkv.assigner.display

Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

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.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: N/A

active

Σ ?!

0..1

boolean

There are no (further) constraints on this element

Element id

Patient.active

Short description

Whether this patient's record is in active use

Definition

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.

Requirements

Need to be able to mark a patient record as not to be used because it was created in error.

Comments

If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.

Meaning when missing

This resource is generally assumed to be active if no value is provided for the active element

Data type

boolean

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.status
rim: statusCode
cda: n/a

name

S Σ

1..*

HumanName

There are no (further) constraints on this element

Element id

Patient.name

Short description

A name associated with the patient

Definition

A name associated with the individual.

Requirements

Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

Comments

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.

Data type

HumanName

Slicing

Unordered, Open, by $this(Pattern)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-5, PID-9
rim: name
cda: .patient.name

name

S Σ C

1..1

HumannameDeBasisPattern

There are no (further) constraints on this element

Element id

Patient.name:name

Short description

Personenname

Definition

Personenname mit in Deutschland üblichen Erweiterungen

Requirements

Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

Comments

Data type

HumannameDeBasis

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
hum-1: Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden
family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue()
hum-2: Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden
family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue()
hum-3: Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden
family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue()
hum-4: Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden
prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue())

Pattern

{
  "use": "official"
}

Mappings

v2: PID-5, PID-9
rim: name
cda: .patient.name
rim: n/a
v2: XPN
rim: EN (actually, PN)
servd: ProviderName

0..1

string

There are no (further) constraints on this element

Element id

Patient.name:name.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.name:name.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

S Σ ?!

1..1

codeBindingPattern

There are no (further) constraints on this element

Element id

Patient.name:name.use

Short description

Definition

Identifies the purpose for this name.

Requirements

Allows the appropriate name for a particular context of use to be selected from among a set of names.

Comments

Applications can assume that a name is current unless it explicitly says that it is temporary or old.

Data type

code

Binding

The use of a human name.

NameUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

official

Mappings

v2: XPN.7, but often indicated by which field contains the name
rim: unique(./use)
servd: ./NamePurpose
BDT: 1211 (in BDT als Freitext!)

text

0..1

string

There are no (further) constraints on this element

Element id

Patient.name:name.text

Short description

Text representation of the full name

Definition

Specifies 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.

Requirements

A renderable, unencoded form.

Comments

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.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: implied by XPN.11
rim: ./formatted

family

S Σ

1..1

string

There are no (further) constraints on this element

Element id

Patient.name:name.family

Short description

Familienname

Alternate names

surname

Definition

Der vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt.

Comments

Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XPN.1/FN.1
rim: ./part[partType = FAM]
servd: ./FamilyName
BDT: 3120 + 3100 + 3101
KVDT: 3120 + 3100 + 3101

0..1

string

There are no (further) constraints on this element

Element id

Patient.name:name.family.id

Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references)

Data type

string

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.name:name.family.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

namenszusatz

S C

0..1

Extension(string)

There are no (further) constraints on this element

Element id

Patient.name:name.family.extension:namenszusatz

Short description

Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")

Alternate names

extensions, user content

Definition

Namenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst

Comments

Data type

Extension(string)

Extension URL

http://fhir.de/StructureDefinition/humanname-namenszusatz

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A
KVDT: 3100
BDT: 3100

nachname

S C

0..1

Extension(string)

There are no (further) constraints on this element

Element id

Patient.name:name.family.extension:nachname

Short description

Nachname ohne Vor- und Zusätze

Alternate names

extensions, user content

Definition

Nachname ohne Vor- und Zusätze. Dient z.B. der alphabetischen Einordnung des Namens.

Comments

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/humanname-own-name

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

v2: FN.3
rim: ENXP where Qualifiers = (BR)
KVDT: 3101
BDT: 3101

vorsatzwort

S C

0..1

Extension(string)

There are no (further) constraints on this element

Element id

Patient.name:name.family.extension:vorsatzwort

Short description

Vorsatzwort

Alternate names

extensions, user content

Definition

Vorsatzwort wie z.B.: von, van, zu Vgl. auch VSDM-Spezifikation der Gematik (Versichertenstammdatenmanagement, "eGK")

Comments

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.

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/humanname-own-prefix

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

v2: FN.2
rim: ENXP where Qualifiers = (VV, R)
BDT: 3120
KVDT: 3120

value

0..1

System.String

There are no (further) constraints on this element

Element id

Patient.name:name.family.value

Short description

Primitive value for string

Definition

The actual value

Data type

System.String

Maximum string length

1048576

given

S Σ

1..*

string

There are no (further) constraints on this element

Element id

Patient.name:name.given

Short description

Vorname

Alternate names

first name, middle name

Definition

Vorname der Person

Comments

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XPN.2 + XPN.3
rim: ./part[partType = GIV]
servd: ./GivenNames
KVDT: 3102
BDT: 3102

prefix

S Σ

0..*

string

There are no (further) constraints on this element

Element id

Patient.name:name.prefix

Short description

Namensteile vor dem Vornamen

Definition

Namensteile vor dem Vornamen, z.B. akademischer Titel.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XPN.5
rim: ./part[partType = PFX]
servd: ./TitleCode
KVDT: 3104
BDT: 3104

0..1

string

There are no (further) constraints on this element

Element id

Patient.name:name.prefix.id

Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references)

Data type

string

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.name:name.prefix.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

prefix-qualifier

S C

0..1

Extension(code)

There are no (further) constraints on this element

Element id

Patient.name:name.prefix.extension:prefix-qualifier

Short description

LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV

Alternate names

extensions, user content

Definition

Spezialisierung der Art des Präfixes, z.B. "AC" für Akademische Titel

Comments

Used to indicate additional information about the name part and how it should be used.

Data type

Extension(code)

Extension URL

http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: ENXP.qualifier

value

0..1

System.String

There are no (further) constraints on this element

Element id

Patient.name:name.prefix.value

Short description

Primitive value for string

Definition

The actual value

Data type

System.String

Maximum string length

1048576

suffix

0..*

string

There are no (further) constraints on this element

Element id

Patient.name:name.suffix

Short description

Namensteile nach dem Nachnamen

Definition

Namensteile nach dem Nachnamen

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XPN/4
rim: ./part[partType = SFX]

period

0..1

Period

There are no (further) constraints on this element

Element id

Patient.name:name.period

Short description

Time period when name was/is in use

Definition

Indicates the period of time when this name was valid for the named person.

Requirements

Allows names to be placed in historical context.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XPN.13 + XPN.14
rim: ./usablePeriod[type="IVL<TS>"]
servd: ./StartDate and ./EndDate

geburtsname

S Σ C

0..1

HumannameDeBasisPattern

There are no (further) constraints on this element

Element id

Patient.name:geburtsname

Short description

Personenname

Definition

Personenname mit in Deutschland üblichen Erweiterungen

Requirements

Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

Comments

Data type

HumannameDeBasis

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
hum-1: Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden
family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue()
hum-2: Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden
family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue()
hum-3: Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden
family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue()
hum-4: Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden
prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue())

Pattern

{
  "use": "maiden"
}

Mappings

v2: PID-5, PID-9
rim: name
cda: .patient.name
rim: n/a
v2: XPN
rim: EN (actually, PN)
servd: ProviderName

0..1

string

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

S Σ ?!

1..1

codeBindingPattern

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.use

Short description

Definition

Identifies the purpose for this name.

Requirements

Allows the appropriate name for a particular context of use to be selected from among a set of names.

Comments

Applications can assume that a name is current unless it explicitly says that it is temporary or old.

Data type

code

Binding

The use of a human name.

NameUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

maiden

Mappings

v2: XPN.7, but often indicated by which field contains the name
rim: unique(./use)
servd: ./NamePurpose
BDT: 1211 (in BDT als Freitext!)

text

0..1

string

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.text

Short description

Text representation of the full name

Definition

Specifies 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.

Requirements

A renderable, unencoded form.

Comments

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.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: implied by XPN.11
rim: ./formatted

family

S Σ

1..1

string

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.family

Short description

Familienname

Alternate names

surname

Definition

Der vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt.

Comments

Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XPN.1/FN.1
rim: ./part[partType = FAM]
servd: ./FamilyName
BDT: 3120 + 3100 + 3101
KVDT: 3120 + 3100 + 3101

0..1

string

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.family.id

Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references)

Data type

string

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.family.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

namenszusatz

S C

0..1

Extension(string)

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.family.extension:namenszusatz

Short description

Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK")

Alternate names

extensions, user content

Definition

Namenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst

Comments

Data type

Extension(string)

Extension URL

http://fhir.de/StructureDefinition/humanname-namenszusatz

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A
KVDT: 3100
BDT: 3100

nachname

S C

0..1

Extension(string)

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.family.extension:nachname

Short description

Nachname ohne Vor- und Zusätze

Alternate names

extensions, user content

Definition

Nachname ohne Vor- und Zusätze. Dient z.B. der alphabetischen Einordnung des Namens.

Comments

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/humanname-own-name

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

v2: FN.3
rim: ENXP where Qualifiers = (BR)
KVDT: 3101
BDT: 3101

vorsatzwort

S C

0..1

Extension(string)

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.family.extension:vorsatzwort

Short description

Vorsatzwort

Alternate names

extensions, user content

Definition

Vorsatzwort wie z.B.: von, van, zu Vgl. auch VSDM-Spezifikation der Gematik (Versichertenstammdatenmanagement, "eGK")

Comments

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.

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/humanname-own-prefix

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

v2: FN.2
rim: ENXP where Qualifiers = (VV, R)
BDT: 3120
KVDT: 3120

value

0..1

System.String

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.family.value

Short description

Primitive value for string

Definition

The actual value

Data type

System.String

Maximum string length

1048576

given

0..0

string

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.given

Short description

Vorname

Alternate names

first name, middle name

Definition

Vorname der Person

Comments

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XPN.2 + XPN.3
rim: ./part[partType = GIV]
servd: ./GivenNames
KVDT: 3102
BDT: 3102

prefix

0..0

string

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.prefix

Short description

Namensteile vor dem Vornamen

Definition

Namensteile vor dem Vornamen, z.B. akademischer Titel.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XPN.5
rim: ./part[partType = PFX]
servd: ./TitleCode
KVDT: 3104
BDT: 3104

suffix

0..*

string

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.suffix

Short description

Namensteile nach dem Nachnamen

Definition

Namensteile nach dem Nachnamen

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XPN/4
rim: ./part[partType = SFX]

period

0..1

Period

There are no (further) constraints on this element

Element id

Patient.name:geburtsname.period

Short description

Time period when name was/is in use

Definition

Indicates the period of time when this name was valid for the named person.

Requirements

Allows names to be placed in historical context.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XPN.13 + XPN.14
rim: ./usablePeriod[type="IVL<TS>"]
servd: ./StartDate and ./EndDate

telecom

S Σ

0..*

ContactPoint

There are no (further) constraints on this element

Element id

Patient.telecom

Short description

A contact detail for the individual

Definition

A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.

Requirements

People have (primary) ways to contact them in some way such as phone, email.

Comments

Data type

ContactPoint

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-13, PID-14, PID-40
rim: telecom
cda: .telecom

0..1

string

There are no (further) constraints on this element

Element id

Patient.telecom.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.telecom.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

system

S Σ C

1..1

codeBinding

There are no (further) constraints on this element

Element id

Patient.telecom.system

Short description

phone | fax | email | pager | url | sms | other

Definition

Telecommunications form for contact point - what communications system is required to make use of the contact.

Data type

code

Binding

Telecommunications form for contact point.

ContactPointSystem (required)

Conditions

The cardinality or value of this element may be affected by these constraints: cpt-2

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XTN.3
rim: ./scheme
servd: ./ContactPointType

value

S Σ

1..1

string

There are no (further) constraints on this element

Element id

Patient.telecom.value

Short description

The actual contact point details

Definition

The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

Requirements

Need to support legacy numbers that are not in a tightly controlled format.

Comments

Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XTN.1 (or XTN.12)
rim: ./url
servd: ./Value

use

Σ ?!

0..1

codeBinding

There are no (further) constraints on this element

Element id

Patient.telecom.use

Short description

home | work | temp | old | mobile - purpose of this contact point

Definition

Identifies the purpose for the contact point.

Requirements

Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

Comments

Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

Data type

code

Binding

Use of contact point.

ContactPointUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XTN.2 - but often indicated by field
rim: unique(./use)
servd: ./ContactPointPurpose

rank

S Σ

0..1

positiveInt

There are no (further) constraints on this element

Element id

Patient.telecom.rank

Short description

Specify preferred order of use (1 = highest)

Definition

Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

Comments

Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

Data type

positiveInt

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: n/a
rim: n/a

period

0..1

Period

There are no (further) constraints on this element

Element id

Patient.telecom.period

Short description

Time period when the contact point was/is in use

Definition

Time period when the contact point was/is in use.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: N/A
rim: ./usablePeriod[type="IVL<TS>"]
servd: ./StartDate and ./EndDate

gender

S Σ

1..1

codeBinding

There are no (further) constraints on this element

Element id

Patient.gender

Short description

male | female | other | unknown

Definition

Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.

Requirements

Needed for identification of the individual, in combination with (at least) name and birth date.

Comments

Data type

code

Binding

The gender of a person used for administrative purposes.

AdministrativeGender (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-8
rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender
cda: .patient.administrativeGenderCode

0..1

string

There are no (further) constraints on this element

Element id

Patient.gender.id

Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references)

Data type

string

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.gender.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

other-amtlich

S C

0..1

Extension(Coding)

There are no (further) constraints on this element

Element id

Patient.gender.extension:other-amtlich

Short description

Optional Extensions Element

Alternate names

extensions, user content

Definition

Optional Extension Element - found in all resources.

Comments

Data type

Extension(Coding)

Extension URL

http://fhir.de/StructureDefinition/gender-amtlich-de

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

value

0..1

System.String

There are no (further) constraints on this element

Element id

Patient.gender.value

Short description

Primitive value for code

Definition

Primitive value for code

Data type

System.String

birthDate

S Σ

1..1

date

There are no (further) constraints on this element

Element id

Patient.birthDate

Short description

The date of birth for the individual

Definition

The date of birth for the individual.

Requirements

Age of the individual drives many clinical processes.

Comments

Data type

date

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-7
rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime
cda: .patient.birthTime
loinc: 21112-8

0..1

string

There are no (further) constraints on this element

Element id

Patient.birthDate.id

Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references)

Data type

string

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.birthDate.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

data-absent-reason

S C

0..1

Extension(code)

There are no (further) constraints on this element

Element id

Patient.birthDate.extension:data-absent-reason

Short description

Alternate names

extensions, user content

Definition

Provides a reason why the expected value or elements in the element that is extended are missing.

Comments

Data type

Extension(code)

Extension URL

http://hl7.org/fhir/StructureDefinition/data-absent-reason

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: ANY.nullFlavor

value

0..1

System.Date

There are no (further) constraints on this element

Element id

Patient.birthDate.value

Short description

Primitive value for date

Definition

The actual value

Data type

System.Date

deceased[x]

S Σ ?!

0..1

There are no (further) constraints on this element

Element id

Patient.deceased[x]

Short description

Indicates if the individual is deceased or not

Definition

Indicates if the individual is deceased or not.

Requirements

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.

Comments

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-30 (bool) and PID-29 (datetime)
rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime
cda: n/a

deceasedBoolean

boolean

There are no (further) constraints on this element

Data type

boolean

deceasedDateTime

dateTime

There are no (further) constraints on this element

Data type

dateTime

address

S Σ

1..*

Address

There are no (further) constraints on this element

Element id

Patient.address

Short description

An address for the individual

Definition

An address for the individual.

Requirements

May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

Comments

Patient may have multiple addresses with different uses or applicable periods.

Data type

Address

Slicing

Unordered, Open, by $this(Pattern)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-11
rim: addr
cda: .addr

Strassenanschrift

S Σ C

0..*

AddressDeBasisPattern

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift

Short description

Eine Adresse gemäß postalischer Konventionen

Definition

Die verwendeten Extensions in diesem Profil bilden die Struktur der Adresse ab, wie sie im VSDM-Format der elektronischen Versichertenkarte verwendet wird.

Requirements

May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

Comments

Data type

AddressDeBasis

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
add-1: Wenn die Extension 'Hausnummer' verwendet wird, muss auch Address.line gefüllt werden
line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty() or $this.hasValue())
add-2: Wenn die Extension 'Strasse' verwendet wird, muss auch Address.line gefüllt werden
line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() or $this.hasValue())
add-3: Wenn die Extension 'Postfach' verwendet wird, muss auch Address.line gefüllt werden
line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue())
add-4: Eine Postfach-Adresse darf nicht vom Type "physical" oder "both" sein.
line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()) or type='postal' or type.empty()
add-5: Wenn die Extension 'Adresszusatz' verwendet wird, muss auch Address.line gefüllt werden
line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty() or $this.hasValue())
add-6: Wenn die Extension 'Postfach' verwendet wird, dürfen die Extensions 'Strasse' und 'Hausnummer' nicht verwendet werden
line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty()))
add-7: Wenn die Extension 'Precinct' (Stadtteil) verwendet wird, dann muss diese Information auch als separates line-item abgebildet sein.
extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').empty() or line.where(extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').valueString=$this).exists()

Pattern

{
  "type": "both"
}

Examples
Beispiel für einfache Adresse

{
  "use": "home",
  "type": "postal",
  "line": [
    "Musterweg 42"
  ],
  "city": "Musterhausen",
  "postalCode": "99999"
}

Mappings

v2: PID-11
rim: addr
cda: .addr
rim: n/a
v2: XAD
rim: AD
servd: Address

0..1

string

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

Stadtteil

S C

0..1

Extension(string)

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.extension:Stadtteil

Short description

Stadt- oder Ortsteil

Alternate names

extensions, user content

Definition

A subsection of a municipality.

Comments

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: ADXP[partType=PRE]

use

Σ ?!

0..1

codeBinding

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.use

Short description

home | work | temp | old | billing - purpose of this address

Definition

The purpose of this address.

Requirements

Allows an appropriate address to be chosen from a list of many.

Comments

Applications can assume that an address is current unless it explicitly says that it is temporary or old.

Data type

code

Binding

The use of an address.

AddressUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

home

Mappings

v2: XAD.7
rim: unique(./use)
servd: ./AddressPurpose

type

S Σ

1..1

codeBindingPattern

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.type

Short description

postal | physical | both

Definition

Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

Comments

Data type

code

Binding

The type of an address (physical / postal).

AddressType (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

both

Examples
General

both

Mappings

v2: XAD.18
rim: unique(./use)
vcard: address type parameter
BDT: 1202 (1=physical, 2=postal)

text

0..1

string

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.text

Short description

Text representation of the address

Definition

Specifies 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.

Requirements

A renderable, unencoded form.

Comments

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

137 Nowhere Street, Erewhon 9132

Mappings

v2: XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6
rim: ./formatted
vcard: address label parameter

line

S Σ

1..3

string

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.line

Short description

Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung

Definition

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

137 Nowhere Street

Beipiel für Adresszeile mit Extensions für Straße und Hausnummer

Musterweg 42

Mappings

v2: XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)
rim: AD.part[parttype = AL]
vcard: street
servd: ./StreetAddress (newline delimitted)
KVDT: 3107 + 3109 + 3115 oder 3123
BDT: 3107 + 3109 + 3115 oder 3123

0..1

string

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.line.id

Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references)

Data type

string

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.line.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Strasse

S C

0..1

Extension(string)

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.line.extension:Strasse

Short description

Strassenname (ohne Hausnummer)

Alternate names

extensions, user content

Definition

Comments

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: ADXP[partType=STR]
KVDT: 3107
BDT: 3107

Hausnummer

S C

0..1

Extension(string)

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.line.extension:Hausnummer

Short description

Hausnummer

Alternate names

extensions, user content

Definition

Comments

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: ADXP[partType=BNR]
KVDT: 3109
BDT: 3109

Adresszusatz

S C

0..1

Extension(string)

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.line.extension:Adresszusatz

Short description

Adresszusatz

Alternate names

extensions, user content

Definition

Comments

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: ADXP[partType=ADL]
KVDT: 3115
BDT: 3115

Postfach

0..0

Extension(string)

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.line.extension:Postfach

Short description

Postfach

Alternate names

extensions, user content

Definition

Comments

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: ADXP[partType=POB]
KVDT: 3123
BDT: 3123

value

0..1

System.String

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.line.value

Short description

Primitive value for string

Definition

The actual value

Data type

System.String

Maximum string length

1048576

city

S Σ

1..1

string

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.city

Short description

Name of city, town etc.

Alternate names

Municpality

Definition

The name of the city, town, suburb, village or other community or delivery center.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Erewhon

Mappings

v2: XAD.3
rim: AD.part[parttype = CTY]
vcard: locality
servd: ./Jurisdiction
BDT: 3113 oder 3122 (Postfach)
KVDT: 3113 oder 3122 (Postfach)

0..1

string

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.city.id

Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references)

Data type

string

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.city.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

gemeindeschluessel

S C

0..1

Extension(Coding)

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.city.extension:gemeindeschluessel

Short description

Optional Extensions Element

Alternate names

extensions, user content

Definition

Optional Extension Element - found in all resources.

Comments

Data type

Extension(Coding)

Extension URL

http://fhir.de/StructureDefinition/destatis/ags

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

value

0..1

System.String

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.city.value

Short description

Primitive value for string

Definition

The actual value

Data type

System.String

Maximum string length

1048576

district

0..0

string

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.district

Short description

District name (aka county)

Alternate names

County

Definition

The name of the administrative area (county).

Comments

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.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Madison

Mappings

v2: XAD.9
rim: AD.part[parttype = CNT | CPA]

state

0..1

stringBinding

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.state

Short description

Bundesland

Alternate names

Province, Territory

Definition

Name (oder Kürzel) des Bundeslandes.

Data type

string

Binding

ISO31662DE (preferred)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XAD.4
rim: AD.part[parttype = STA]
vcard: region
servd: ./Region

postalCode

S Σ

1..1

string

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.postalCode

Short description

Postleitzahl

Alternate names

Zip

Definition

Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

v2: XAD.5
rim: AD.part[parttype = ZIP]
vcard: code
servd: ./PostalIdentificationCode
BDT: 3112 oder 3121 (Postfach)
KVDT: 3112 oder 3121 (Postfach)

country

S Σ C

1..1

stringBinding

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.country

Short description

Staat

Definition

Staat (vorzugsweise als 2-Stelliger ISO-Ländercode). Es obliegt abgeleiteten Profilen, hier die Verwendung der ISO-Ländercodes verbindlich vorzuschreiben

Comments

ISO 3166 3 letter codes can be used in place of a human readable country name.

Data type

string

Binding

Iso3166-1-2 (preferred)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
pat-cnt-2or3-char: 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'))

Mappings

v2: XAD.6
rim: AD.part[parttype = CNT]
vcard: country
servd: ./Country
BDT: 3114 oder 3124 (Postfach), abweichendes CodeSystem
KVDT: 3114 oder 3124 (Postfach), abweichendes CodeSystem

period

0..1

Period

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.period

Short description

Time period when address was/is in use

Definition

Time period when address was/is in use.

Requirements

Allows addresses to be placed in historical context.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

{
  "start": "2010-03-23",
  "end": "2010-07-01"
}

Mappings

v2: XAD.12 / XAD.13 + XAD.14
rim: ./usablePeriod[type="IVL<TS>"]
servd: ./StartDate and ./EndDate

0..1

string

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.period.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.period.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

start

Σ C

0..1

dateTime

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.period.start

Short description

Starting time with inclusive boundary

Definition

The start of the period. The boundary is inclusive.

Comments

If the low element is missing, the meaning is that the low boundary is not known.

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: per-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: DR.1
rim: ./low
BDT: 8226

end

Σ C

0..1

dateTime

There are no (further) constraints on this element

Element id

Patient.address:Strassenanschrift.period.end

Short description

End time with inclusive boundary, if not ongoing

Definition

Comments

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.

Meaning when missing

If the end of the period is missing, it means that the period is ongoing

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: per-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: DR.2
rim: ./high
BDT: 8227

Postfach

S Σ C

0..*

AddressDeBasisPattern

There are no (further) constraints on this element

Element id

Patient.address:Postfach

Short description

Eine Adresse gemäß postalischer Konventionen

Definition

Die verwendeten Extensions in diesem Profil bilden die Struktur der Adresse ab, wie sie im VSDM-Format der elektronischen Versichertenkarte verwendet wird.

Requirements

May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

Comments

Data type

AddressDeBasis

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
add-1: Wenn die Extension 'Hausnummer' verwendet wird, muss auch Address.line gefüllt werden
line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty() or $this.hasValue())
add-2: Wenn die Extension 'Strasse' verwendet wird, muss auch Address.line gefüllt werden
line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() or $this.hasValue())
add-3: Wenn die Extension 'Postfach' verwendet wird, muss auch Address.line gefüllt werden
line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue())
add-4: Eine Postfach-Adresse darf nicht vom Type "physical" oder "both" sein.
line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()) or type='postal' or type.empty()
add-5: Wenn die Extension 'Adresszusatz' verwendet wird, muss auch Address.line gefüllt werden
line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty() or $this.hasValue())
add-6: Wenn die Extension 'Postfach' verwendet wird, dürfen die Extensions 'Strasse' und 'Hausnummer' nicht verwendet werden
line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty()))
add-7: Wenn die Extension 'Precinct' (Stadtteil) verwendet wird, dann muss diese Information auch als separates line-item abgebildet sein.
extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').empty() or line.where(extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').valueString=$this).exists()

Pattern

{
  "type": "postal"
}

Examples
Beispiel für einfache Adresse

{
  "use": "home",
  "type": "postal",
  "line": [
    "Musterweg 42"
  ],
  "city": "Musterhausen",
  "postalCode": "99999"
}

Mappings

v2: PID-11
rim: addr
cda: .addr
rim: n/a
v2: XAD
rim: AD
servd: Address

0..1

string

There are no (further) constraints on this element

Element id

Patient.address:Postfach.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.address:Postfach.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

Stadtteil

S C

0..1

Extension(string)

There are no (further) constraints on this element

Element id

Patient.address:Postfach.extension:Stadtteil

Short description

Stadt- oder Ortsteil

Alternate names

extensions, user content

Definition

A subsection of a municipality.

Comments

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: ADXP[partType=PRE]

use

Σ ?!

0..1

codeBinding

There are no (further) constraints on this element

Element id

Patient.address:Postfach.use

Short description

home | work | temp | old | billing - purpose of this address

Definition

The purpose of this address.

Requirements

Allows an appropriate address to be chosen from a list of many.

Comments

Applications can assume that an address is current unless it explicitly says that it is temporary or old.

Data type

code

Binding

The use of an address.

AddressUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

home

Mappings

v2: XAD.7
rim: unique(./use)
servd: ./AddressPurpose

type

S Σ

1..1

codeBindingPattern

There are no (further) constraints on this element

Element id

Patient.address:Postfach.type

Short description

postal | physical | both

Definition

Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

Comments

Data type

code

Binding

The type of an address (physical / postal).

AddressType (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

postal

Examples
General

both

Mappings

v2: XAD.18
rim: unique(./use)
vcard: address type parameter
BDT: 1202 (1=physical, 2=postal)

text

0..1

string

There are no (further) constraints on this element

Element id

Patient.address:Postfach.text

Short description

Text representation of the address

Definition

Specifies 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.

Requirements

A renderable, unencoded form.

Comments

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

137 Nowhere Street, Erewhon 9132

Mappings

v2: XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6
rim: ./formatted
vcard: address label parameter

line

S Σ

1..3

string

There are no (further) constraints on this element

Element id

Patient.address:Postfach.line

Short description

Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung

Definition

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

137 Nowhere Street

Beipiel für Adresszeile mit Extensions für Straße und Hausnummer

Musterweg 42

Mappings

v2: XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)
rim: AD.part[parttype = AL]
vcard: street
servd: ./StreetAddress (newline delimitted)
KVDT: 3107 + 3109 + 3115 oder 3123
BDT: 3107 + 3109 + 3115 oder 3123

0..1

string

There are no (further) constraints on this element

Element id

Patient.address:Postfach.line.id

Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references)

Data type

string

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.address:Postfach.line.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Strasse

0..0

Extension(string)

There are no (further) constraints on this element

Element id

Patient.address:Postfach.line.extension:Strasse

Short description

Strassenname (ohne Hausnummer)

Alternate names

extensions, user content

Definition

Comments

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: ADXP[partType=STR]
KVDT: 3107
BDT: 3107

Hausnummer

0..0

Extension(string)

There are no (further) constraints on this element

Element id

Patient.address:Postfach.line.extension:Hausnummer

Short description

Hausnummer

Alternate names

extensions, user content

Definition

Comments

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: ADXP[partType=BNR]
KVDT: 3109
BDT: 3109

Adresszusatz

0..0

Extension(string)

There are no (further) constraints on this element

Element id

Patient.address:Postfach.line.extension:Adresszusatz

Short description

Adresszusatz

Alternate names

extensions, user content

Definition

Comments

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: ADXP[partType=ADL]
KVDT: 3115
BDT: 3115

Postfach

S C

0..1

Extension(string)

There are no (further) constraints on this element

Element id

Patient.address:Postfach.line.extension:Postfach

Short description

Postfach

Alternate names

extensions, user content

Definition

Comments

Data type

Extension(string)

Extension URL

http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: ADXP[partType=POB]
KVDT: 3123
BDT: 3123

value

0..1

System.String

There are no (further) constraints on this element

Element id

Patient.address:Postfach.line.value

Short description

Primitive value for string

Definition

The actual value

Data type

System.String

Maximum string length

1048576

city

S Σ

1..1

string

There are no (further) constraints on this element

Element id

Patient.address:Postfach.city

Short description

Name of city, town etc.

Alternate names

Municpality

Definition

The name of the city, town, suburb, village or other community or delivery center.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Erewhon

Mappings

v2: XAD.3
rim: AD.part[parttype = CTY]
vcard: locality
servd: ./Jurisdiction
BDT: 3113 oder 3122 (Postfach)
KVDT: 3113 oder 3122 (Postfach)

0..1

string

There are no (further) constraints on this element

Element id

Patient.address:Postfach.city.id

Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references)

Data type

string

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.address:Postfach.city.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

gemeindeschluessel

S C

0..1

Extension(Coding)

There are no (further) constraints on this element

Element id

Patient.address:Postfach.city.extension:gemeindeschluessel

Short description

Optional Extensions Element

Alternate names

extensions, user content

Definition

Optional Extension Element - found in all resources.

Comments

Data type

Extension(Coding)

Extension URL

http://fhir.de/StructureDefinition/destatis/ags

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

value

0..1

System.String

There are no (further) constraints on this element

Element id

Patient.address:Postfach.city.value

Short description

Primitive value for string

Definition

The actual value

Data type

System.String

Maximum string length

1048576

district

0..0

string

There are no (further) constraints on this element

Element id

Patient.address:Postfach.district

Short description

District name (aka county)

Alternate names

County

Definition

The name of the administrative area (county).

Comments

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.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Madison

Mappings

v2: XAD.9
rim: AD.part[parttype = CNT | CPA]

state

0..1

stringBinding

There are no (further) constraints on this element

Element id

Patient.address:Postfach.state

Short description

Bundesland

Alternate names

Province, Territory

Definition

Name (oder Kürzel) des Bundeslandes.

Data type

string

Binding

ISO31662DE (preferred)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XAD.4
rim: AD.part[parttype = STA]
vcard: region
servd: ./Region

postalCode

S Σ

1..1

string

There are no (further) constraints on this element

Element id

Patient.address:Postfach.postalCode

Short description

Postleitzahl

Alternate names

Zip

Definition

Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

v2: XAD.5
rim: AD.part[parttype = ZIP]
vcard: code
servd: ./PostalIdentificationCode
BDT: 3112 oder 3121 (Postfach)
KVDT: 3112 oder 3121 (Postfach)

country

S Σ C

1..1

stringBinding

There are no (further) constraints on this element

Element id

Patient.address:Postfach.country

Short description

Staat

Definition

Staat (vorzugsweise als 2-Stelliger ISO-Ländercode). Es obliegt abgeleiteten Profilen, hier die Verwendung der ISO-Ländercodes verbindlich vorzuschreiben

Comments

ISO 3166 3 letter codes can be used in place of a human readable country name.

Data type

string

Binding

Iso3166-1-2 (preferred)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
pat-cnt-2or3-char: 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'))

Mappings

v2: XAD.6
rim: AD.part[parttype = CNT]
vcard: country
servd: ./Country
BDT: 3114 oder 3124 (Postfach), abweichendes CodeSystem
KVDT: 3114 oder 3124 (Postfach), abweichendes CodeSystem

period

0..1

Period

There are no (further) constraints on this element

Element id

Patient.address:Postfach.period

Short description

Time period when address was/is in use

Definition

Time period when address was/is in use.

Requirements

Allows addresses to be placed in historical context.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

{
  "start": "2010-03-23",
  "end": "2010-07-01"
}

Mappings

v2: XAD.12 / XAD.13 + XAD.14
rim: ./usablePeriod[type="IVL<TS>"]
servd: ./StartDate and ./EndDate

0..1

string

There are no (further) constraints on this element

Element id

Patient.address:Postfach.period.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.address:Postfach.period.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

start

Σ C

0..1

dateTime

There are no (further) constraints on this element

Element id

Patient.address:Postfach.period.start

Short description

Starting time with inclusive boundary

Definition

The start of the period. The boundary is inclusive.

Comments

If the low element is missing, the meaning is that the low boundary is not known.

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: per-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: DR.1
rim: ./low
BDT: 8226

end

Σ C

0..1

dateTime

There are no (further) constraints on this element

Element id

Patient.address:Postfach.period.end

Short description

End time with inclusive boundary, if not ongoing

Definition

Comments

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.

Meaning when missing

If the end of the period is missing, it means that the period is ongoing

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: per-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: DR.2
rim: ./high
BDT: 8227

maritalStatus

0..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Patient.maritalStatus

Short description

Marital (civil) status of a patient

Definition

This field contains a patient's most recent marital (civil) status.

Requirements

Most, if not all systems capture it.

Data type

CodeableConcept

Binding

The domestic partnership status of a person.

Marital Status Codes (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-16
rim: player[classCode=PSN]/maritalStatusCode
cda: .patient.maritalStatusCode

multipleBirth[x]

0..1

There are no (further) constraints on this element

Element id

Patient.multipleBirth[x]

Short description

Whether patient is part of a multiple birth

Definition

Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).

Requirements

For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.

Comments

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-24 (bool), PID-25 (integer)
rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber
cda: n/a

multipleBirthBoolean

boolean

There are no (further) constraints on this element

Data type

boolean

multipleBirthInteger

integer

There are no (further) constraints on this element

Data type

integer

photo

0..*

Attachment

There are no (further) constraints on this element

Element id

Patient.photo

Short description

Image of the patient

Definition

Image of the patient.

Requirements

Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.

Comments

Guidelines:

Use id photos, not clinical photos.
Limit dimensions to thumbnail.
Keep byte count low to ease resource updates.

Data type

Attachment

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBX-5 - needs a profile
rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc
cda: n/a

contact

0..*

BackboneElement

There are no (further) constraints on this element

Element id

Patient.contact

Short description

A contact party (e.g. guardian, partner, friend) for the patient

Definition

A contact party (e.g. guardian, partner, friend) for the patient.

Requirements

Need to track people you can contact about the patient.

Comments

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.

Data type

BackboneElement

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
pat-1: SHALL at least contain a contact's details or a reference to an organization
name.exists() or telecom.exists() or address.exists() or organization.exists()

Mappings

rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]
cda: n/a

0..1

string

There are no (further) constraints on this element

Element id

Patient.contact.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.contact.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.contact.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

Requirements

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

relationship

0..*

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Patient.contact.relationship

Short description

The kind of relationship

Definition

The nature of the relationship between the patient and the contact person.

Requirements

Used to determine which contact person is the most relevant to approach, depending on circumstances.

Data type

CodeableConcept

Binding

The nature of the relationship between a patient and a contact person for that patient.

PatientContactRelationship (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: NK1-7, NK1-3
rim: code
cda: n/a

name

0..1

HumanName

There are no (further) constraints on this element

Element id

Patient.contact.name

Short description

A name associated with the contact person

Definition

A name associated with the contact person.

Requirements

Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.

Data type

HumanName

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: NK1-2
rim: name
cda: n/a

telecom

0..*

ContactPoint

There are no (further) constraints on this element

Element id

Patient.contact.telecom

Short description

A contact detail for the person

Definition

A contact detail for the person, e.g. a telephone number or an email address.

Requirements

People have (primary) ways to contact them in some way such as phone, email.

Comments

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.

Data type

ContactPoint

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: NK1-5, NK1-6, NK1-40
rim: telecom
cda: n/a

address

0..1

Address

There are no (further) constraints on this element

Element id

Patient.contact.address

Short description

Address for the contact person

Definition

Address for the contact person.

Requirements

Need to keep track where the contact person can be contacted per postal mail or visited.

Data type

Address

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: NK1-4
rim: addr
cda: n/a

gender

0..1

codeBinding

There are no (further) constraints on this element

Element id

Patient.contact.gender

Short description

male | female | other | unknown

Definition

Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.

Requirements

Needed to address the person correctly.

Data type

code

Binding

The gender of a person used for administrative purposes.

AdministrativeGender (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: NK1-15
rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender
cda: n/a

organization

0..1

Reference(Organization)

There are no (further) constraints on this element

Element id

Patient.contact.organization

Short description

Organization that is associated with the contact

Definition

Organization on behalf of which the contact is acting or for which the contact is working.

Requirements

For guardians or business related contacts, the organization is relevant.

Data type

Reference(Organization)

Conditions

The cardinality or value of this element may be affected by these constraints: pat-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: NK1-13, NK1-30, NK1-31, NK1-32, NK1-41
rim: scoper
cda: n/a

period

0..1

Period

There are no (further) constraints on this element

Element id

Patient.contact.period

Short description

The period during which this contact person or organization is valid to be contacted relating to this patient

Definition

The period during which this contact person or organization is valid to be contacted relating to this patient.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: effectiveTime
cda: n/a

communication

0..*

BackboneElement

There are no (further) constraints on this element

Element id

Patient.communication

Short description

A language which may be used to communicate with the patient about his or her health

Definition

A language which may be used to communicate with the patient about his or her health.

Requirements

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.

Comments

Data type

BackboneElement

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: LanguageCommunication
cda: patient.languageCommunication

0..1

string

There are no (further) constraints on this element

Element id

Patient.communication.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.communication.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.communication.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

Requirements

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

language

1..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Patient.communication.language

Short description

The language which can be used to communicate with the patient about his or her health

Definition

Requirements

Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.

Comments

Data type

CodeableConcept

Binding

A human language.

CommonLanguages (preferred)

Binding extensions

maxValueSet	AllLanguages

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-15, LAN-2
rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code
cda: .languageCode

preferred

0..1

boolean

There are no (further) constraints on this element

Element id

Patient.communication.preferred

Short description

Language preference indicator

Definition

Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).

Requirements

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.

Comments

This language is specifically identified for communicating healthcare information.

Data type

boolean

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-15
rim: preferenceInd
cda: .preferenceInd

generalPractitioner

0..*

Reference(Organization | Practitioner | PractitionerRole)

There are no (further) constraints on this element

Element id

Patient.generalPractitioner

Short description

Patient's nominated primary care provider

Alternate names

careProvider

Definition

Patient's nominated care provider.

Comments

Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.

Data type

Reference(Organization | Practitioner | PractitionerRole)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PD1-4
rim: subjectOf.CareEvent.performer.AssignedEntity
cda: n/a

managingOrganization

0..1

Reference(Organization)

There are no (further) constraints on this element

Element id

Patient.managingOrganization

Short description

Organization that is the custodian of the patient record

Definition

Organization that is the custodian of the patient record.

Requirements

Need to know who recognizes this patient record, manages and updates it.

Comments

Data type

Reference(Organization)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: scoper
cda: .providerOrganization

link

S Σ ?!

0..*

BackboneElement

There are no (further) constraints on this element

Element id

Patient.link

Short description

Link to another patient resource that concerns the same actual person

Definition

Link to another patient resource that concerns the same actual patient.

Requirements

There are multiple use cases:

Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and
Distribution of patient information across multiple servers.

Comments

There is no assumption that linked patient records have mutual links.

Data type

BackboneElement

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: outboundLink
cda: n/a

0..1

string

There are no (further) constraints on this element

Element id

Patient.link.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.link.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

Patient.link.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

Requirements

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

other

S Σ C

1..1

MII-Reference(Patient | RelatedPerson)

There are no (further) constraints on this element

Element id

Patient.link.other

Short description

A reference from one resource to another

Definition

A reference from one resource to another.

Comments

Data type

MII-Reference(Patient | RelatedPerson)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
mii-reference-1: Either reference.reference OR reference.identifier exists
($this.reference.exists() or ($this.identifier.value.exists() and $this.identifier.system.exists())) xor $this.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

Mappings

v2: PID-3, MRG-1
rim: id
cda: n/a
rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

type

S Σ

1..1

codeBinding

There are no (further) constraints on this element

Element id

Patient.link.type

Short description

replaced-by | replaces | refer | seealso

Definition

The type of link between this patient resource and another patient resource.

Data type

code

Binding

The type of link between this patient resource and another patient resource.

LinkType (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: typeCode
cda: n/a

Beispiele

{

"resourceType": "Patient",

"id": "ExampleHiGHmedInfectionControlPatient",

"meta": {

"profile": [

"http://highmed.org/fhir/StructureDefinition/ic/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"

}

"telecom": [

{

"system": "phone",

"value": "+49 1234 567890"

}

"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/ExampleHiGHmedInfectionControlOrganization"

}