Identifier
Request Identifier
Motivation
Dieser Identifier wird in ServiceRequest.identifier[requestId] verwendet, um einen einzelnen ServiceRequest zu identifizieren.
Dieses Vorgehen soll Systeme dabei unterstützen Informationen zu Vorgängen korrekt zu referenzieren.
Profil
| ERPServiceRequestRequestIdentifier (Identifier) | | | Identifier | There are no (further) constraints on this element Element idShort description An identifier intended for computation Definition An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.
Identifier Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
- 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
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| id | | 0..1 | string | There are no (further) constraints on this element Element idShort 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.
string Mappings |
| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idShort 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.
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.
Extension Sliced: 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()
|
| use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idShort description usual | official | temp | secondary | old (If known) Definition The purpose of this identifier.
Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
code Binding Identifies the purpose for this identifier, if known .
- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
- rim: n/a
- v2: N/A
- rim: Role.code or implied by context
|
| type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idShort 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.
Allows users to make use of identifiers when the identifier system is not known.
This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
- rim: n/a
- v2: CE/CNE/CWE
- rim: CD
- orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
- v2: CX.5
- rim: Role.code or implied by context
|
| system | S Σ | 1..1 | uriPattern | Element idShort 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.
There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Identifier.system is always case sensitive.
uri Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
https://gematik.de/fhir/erp-servicerequest/sid/RequestIdentifier - rim: n/a
- v2: CX.4 / EI-2-4
- rim: II.root or Role.id.root
- servd: ./IdentifierType
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| value | S Σ | 1..1 | string | Element idShort description String that uniquely references the ServiceRequest. Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system.
It is recommended to use a UUID.
string Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Mappings- rim: n/a
- 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 | Σ I | 0..1 | Period | There are no (further) constraints on this element Element idShort description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use.
A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").
Period is not used for a duration (a measure of elapsed time). See Duration.
Period Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) - per-1: If present, start SHALL have a lower value than end
start.hasValue().not() or end.hasValue().not() or (start <= end)
- rim: n/a
- v2: DR
- rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
- v2: CX.7 + CX.8
- rim: Role.effectiveTime or implied by context
- servd: ./StartDate and ./EndDate
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| assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element idShort description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier.
The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Reference(Organization) 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'))
- rim: n/a
- rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
- 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
|
Folgende Felder sind entsprechend zu befüllen, bzw. können befüllt werden:
Vorgangs Identifier
Motivation
Dieser Identifier bildet eine Vorgangs-ID ab und wird unter ServiceRequest.requisition angegeben. Innerhalb eines Vorgangs können verschiedene Medikamente angefragt werden für die jeweils ein ServiceRequest erstellt wird. Diese Vorgangs-ID verknüpft nun alle ServiceRequests, die diesem Vorgang zugeordnet sind.
Diese Vorgangs-ID wird vom schreibenden System vergeben und ist von den anderen Sytemen, die den ServiceRequest bearbeiten nicht zu verändern!
Falls ein anderes System als das ursprünglich anfragende einen neuen ServiceRequest erstellt, ist die Vorgangs-ID von vorhandenen ServiceRequests zu übernehmen.
Profil
Command 'tree' could not render: File was not found for 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/identifier-procedure-identifier'
Folgende Felder sind entsprechend zu befüllen, bzw. können befüllt werden:
Festlegungen zu Identifiern
Generell sind die Identifier in den Profilen offen spezifiziert. Daher können beliebige Identifier vergeben werden.
WICHTIG: Wenn ein Objekt (z.B. ein ServiceRequest) bearbeitet, modifiziert und dann weitergeleitet wird sind alle Identifier, die unter ServiceRequest.identifier vergeben wurden zu kopieren und weiterzureichen.
Anwendungsfall Parenterale Zubereitung
Im Anwendungsfall
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sind folgende Identifier zu verwenden:
| Fachliche Beschreibung |
.identifier.system |
| Patienten-ID für die Verwendung in einer Taxierungssoftware |
"https://gematik.de/fhir/erp-servicerequest/sid/patient-id" |
| Fall-ID für die Verwendung in einer Taxierungssoftware |
"https://gematik.de/fhir/erp-servicerequest/sid/case-id" |
| Vorgangs-ID für die Verwendung in einer Taxierungssoftware, abweichend von .requisition |
"https://gematik.de/fhir/erp-servicerequest/sid/process-id" |
