Implementierungsleitfaden ISiK-Basismodul (4.0.1)

ISiKAngehoeriger

Dieses Profil ermöglicht die Darstellung von Angehörigen in ISiK Szenarien.

Motivation

Der Angehörige wird vor allem im Zusammenhang mit Anwendungsszenarien verwendet, in denen das Versicherungsverhältnis eine Rolle spielt. Hier können Angehörige, bspw. der hauptversicherte Elternteil eines minderjährigen Kindes, in der Familienversicherung sein. In Selbstzahler-Szenarien können Angehörige die Zahler für eine im Krankenhaus erbrachte Leistung sein. In FHIR werden Angehörige von Patienten mit der RelatedPerson-Ressource repräsentiert.

Kompatibilität

Für das Profil ISiKAngehoeriger wurde bis zum Zeitpunkt der Veröffentlichung kein Abgleich der Kompatibilität zu anderen Profilen (der KBV und der Medizininformatik-Initiative) durchgeführt.

Hinweise zu Inkompatibilitäten können über die Portalseite gemeldet werden.

Bestätigungsrelevanz

Verbindlichkeit	SHALL

Metadaten

Canonical	https://gematik.de/fhir/isik/StructureDefinition/ISiKAngehoeriger
Status	active
Version	4.0.1
Basis	http://hl7.org/fhir/StructureDefinition/RelatedPerson

Inhalt

ISiKAngehoeriger (RelatedPerson)	I		RelatedPerson	Element id RelatedPerson Short description A person that is related to a patient, but who is not a direct target of care Definition Information about a person that is involved in the care for a patient, but who is not the target of healthcare, nor has a formal responsibility in the care process. Data type RelatedPerson Constraints dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.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-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-6: A resource should have narrative for robust management text.`div`.exists() dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` relatedp-de-1: Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden `gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()` Mappings rim: Entity. Role, or Act rim: role
id	Σ	0..1	string	There are no (further) constraints on this element Element id RelatedPerson.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	Σ	0..1	Meta	There are no (further) constraints on this element Element id RelatedPerson.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())` Mappings rim: n/a rim: N/A
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id RelatedPerson.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())` Mappings rim: n/a
language		0..1	codeBinding	There are no (further) constraints on this element Element id RelatedPerson.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) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
text		0..1	Narrative	There are no (further) constraints on this element Element id RelatedPerson.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: n/a rim: N/A rim: Act.text?
contained		0..*	Resource	There are no (further) constraints on this element Element id RelatedPerson.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: Entity. Role, or Act rim: N/A
extension	I	0..*	Extension	There are no (further) constraints on this element Element id RelatedPerson.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 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 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()` Mappings rim: n/a rim: N/A
modifierExtension	?! I	0..*	Extension	There are no (further) constraints on this element Element id RelatedPerson.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 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 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()` Mappings rim: n/a rim: N/A
identifier	Σ	0..*	Identifier	There are no (further) constraints on this element Element id RelatedPerson.identifier Short description A human identifier for this person Definition Identifier for a person within a particular scope. Requirements People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier. Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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 w5: FiveWs.identifier v2: NK1-33 rim: .id
active	Σ ?!	0..1	boolean	There are no (further) constraints on this element Element id RelatedPerson.active Short description Whether this related person's record is in active use Definition Whether this related person record is in active use. Requirements Need to be able to mark a related person record as not to be used, such as if it was created in error. Comments This element is labeled as a modifier because it may be used to mark that the resource was created in error. 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 rim: n/a w5: FiveWs.status rim: .statusCode
patient	S Σ I	1..1	Reference(Patient)	Element id RelatedPerson.patient Short description Patientenbezug Definition The patient this person is related to. Requirements We need to know which patient this RelatedPerson is related to. 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 Reference(Patient) 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'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2: PID-3 rim: scoper[classCode=PSN\|ANM and determinerCode='INSTANCE']/playedRole[classCode='PAT']/id
id		0..1	string	There are no (further) constraints on this element Element id RelatedPerson.patient.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	I	0..*	Extension	There are no (further) constraints on this element Element id RelatedPerson.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 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 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()` Mappings rim: n/a rim: N/A
reference	S Σ I	1..1	string	Element id RelatedPerson.patient.reference Short description Patienten-Link 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 Begründung Pflichtfeld: Die Verlinkung auf eine Patienten-Ressource dient der technischen Zuordnung der Information zu einem Patienten und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. 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 rim: N/A
type	Σ	0..1	uriBinding	There are no (further) constraints on this element Element id RelatedPerson.patient.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 rim: N/A
identifier	Σ	0..1	Identifier	There are no (further) constraints on this element Element id RelatedPerson.patient.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 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 Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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 rim: .identifier
display	Σ	0..1	string	There are no (further) constraints on this element Element id RelatedPerson.patient.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 rim: N/A
relationship	S Σ	0..*	CodeableConceptBinding	Element id RelatedPerson.relationship Short description Verwandtschaftsverhältnis Definition The nature of the relationship between a patient and the related person. Requirements We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person. Comments Begründung MS: Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson) Data type CodeableConcept Binding The nature of the relationship between a patient and the related person. PatientRelationshipType (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD w5: FiveWs.class v2: NK1-3 rim: code
name	S Σ I	1..*	HumannameDeBasis	Element id RelatedPerson.name Short description Offizieller Name der angehörigen Person Definition Personenname mit in Deutschland üblichen Erweiterungen Requirements Related persons need to be identified by name, but it is uncommon to need details about multiple other names for that person. Comments Aufgrund der primären Nutzung von Angehörigen-Informationen im ISiK-Kontext als Brief- und Rechnungsempfänger, ist die Angabe des offiziellen Namens relevant. Wenn kein Name vorliegt, MUSS die data-absent-reason-Extension eingesetzt werden. Weitere Hinweise: siehe Deutsche Basisprofile Data type HumannameDeBasis Sliced: Unordered, Open, by $this(Pattern) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` hum-1: Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden `family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue()` hum-2: Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden `family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue()` hum-3: Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden `family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue()` hum-4: Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden `prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue())` Mappings rim: n/a v2: XPN rim: EN (actually, PN) servd: ProviderName v2: NK1-2 rim: name
Name	S Σ	1..1	HumanName	There are no (further) constraints on this element Element id RelatedPerson.name:Name Short description A name associated with the person Definition A name associated with the person. Requirements Related persons need to be identified by name, but it is uncommon to need details about multiple other names for that person. 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 might or might not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely. Data type HumanName Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XPN rim: EN (actually, PN) servd: ProviderName v2: NK1-2 rim: name
id		0..1	string	There are no (further) constraints on this element Element id RelatedPerson.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	I	0..*	Extension	There are no (further) constraints on this element Element id RelatedPerson.name:Name.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 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()` Mappings rim: n/a rim: N/A
use	S Σ ?!	0..1	codeBinding	Element id RelatedPerson.name:Name.use Short description Verwendungszweck 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 Verwendungszweck des Namens. Der präferierte Namen für die Brief- und Rechnungszustellung SOLLTE als `official` gekennzeichnet werden und mindestens über einen Vor- und Nachnamen verfügen. Begründung MS: Dient als Unterscheidungs- und Auswahlkriterium 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())` Mappings rim: n/a v2: XPN.7, but often indicated by which field contains the name rim: unique(./use) servd: ./NamePurpose
text	Σ	0..1	string	There are no (further) constraints on this element Element id RelatedPerson.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 rim: n/a v2: implied by XPN.11 rim: ./formatted
family	S Σ	0..1	string	Element id RelatedPerson.name:Name.family Short description Nachname Alternate names surname Definition The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father. Comments Vollständiger Nachname bzw. Familienname der Person, einschließlich Vor- und Zusätze. Begründung Pflichtfeld: Ein offizieller Name ist nur zulässig, wenn der Nachname und mindestens ein Vorname angegeben sind. 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 v2: XPN.1/FN.1 rim: ./part[partType = FAM] servd: ./FamilyName
given	S Σ	0..*	string	Element id RelatedPerson.name:Name.given Short description Vorname Alternate names first name, middle name Definition Given name. Comments Kann mehrfach verwendet werden, um den Rufnamen sowie weitere Vornamen, Mittelnamen oder Mittel-Initialen abzubilden. Begründung Pflichtfeld: Ein offizieller Name ist nur zulässig, wenn der Nachname und mindestens ein Vorname angegeben sind. 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 v2: XPN.2 + XPN.3 rim: ./part[partType = GIV] servd: ./GivenNames
prefix	S Σ	0..*	string	Element id RelatedPerson.name:Name.prefix Short description Präfix Definition Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name. Comments Präfix, z.B. akademischer Titel od. militärischer Rang 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 v2: XPN.5 rim: ./part[partType = PFX] servd: ./TitleCode
suffix	Σ	0..*	string	There are no (further) constraints on this element Element id RelatedPerson.name:Name.suffix Short description Parts that come after the name Definition Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name. Comments Note that FHIR strings SHALL NOT exceed 1MB in size 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 v2: XPN/4 rim: ./part[partType = SFX]
period	Σ I	0..1	Period	There are no (further) constraints on this element Element id RelatedPerson.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. Comments 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. Data type 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)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2: XPN.13 + XPN.14 rim: ./usablePeriod[type="IVL<TS>"] servd: ./StartDate and ./EndDate
telecom	S Σ I	0..*	ContactPoint	Element id RelatedPerson.telecom Short description Telekommunikationsverbindung 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 Telekommunikationsverbindung (z.B. Telefonnummer, eMail-Adresse) Begründung MS: Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson) Data type ContactPoint Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpt-2: A system is required if a value is provided. `value.empty() or system.exists()` Mappings rim: n/a v2: XTN rim: TEL servd: ContactPoint v2: NK1-5 / NK1-6 / NK1-40 rim: telecom
id		0..1	string	There are no (further) constraints on this element Element id RelatedPerson.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	I	0..*	Extension	There are no (further) constraints on this element Element id RelatedPerson.telecom.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 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()` Mappings rim: n/a rim: N/A
system	S Σ I	1..1	codeBinding	Element id RelatedPerson.telecom.system Short description Art der Telekommunikationsverbindung Definition Telecommunications form for contact point - what communications system is required to make use of the contact. Comments Begründung Pflichtfeld: Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson) Data type code Binding Telecommunications form for contact point. ContactPointSystem (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XTN.3 rim: ./scheme servd: ./ContactPointType
value	S Σ	1..1	string	Element id RelatedPerson.telecom.value Short description Telekommunikations-Endpunkt 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 Begründung Pflichtfeld: Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson) 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 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 RelatedPerson.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 rim: n/a v2: XTN.2 - but often indicated by field rim: unique(./use) servd: ./ContactPointPurpose
rank	Σ	0..1	positiveInt	There are no (further) constraints on this element Element id RelatedPerson.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 rim: n/a v2: n/a
period	Σ I	0..1	Period	There are no (further) constraints on this element Element id RelatedPerson.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. Comments 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. Data type 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)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2: N/A rim: ./usablePeriod[type="IVL<TS>"] servd: ./StartDate and ./EndDate
gender	Σ	0..1	codeBinding	There are no (further) constraints on this element Element id RelatedPerson.gender Short description male \| female \| other \| unknown Definition Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes. Requirements Needed for identification of the person, in combination with (at least) name and birth date. Comments Note that FHIR strings SHALL NOT exceed 1MB in size 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 rim: n/a v2: NK1-15 rim: administrativeGender
birthDate	Σ	0..1	date	There are no (further) constraints on this element Element id RelatedPerson.birthDate Short description The date on which the related person was born Definition The date on which the related person was born. Data type date Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: player.birthTime
address	S Σ	0..*	Address	Element id RelatedPerson.address Short description Address where the related person can be contacted or visited Definition Address where the related person can be contacted or visited. Requirements Need to keep track where the related person can be contacted per postal mail or visited. Comments In order to differentiate between post box addresses and physical addresses, street names and house numbers, and to add city district names, vendors can opt to support the extensions as suggested in the German Address Base Profile http://fhir.de/StructureDefinition/address-de-basis. Such differentiations are however not required within the scope of this specification. Data type Address Sliced: Unordered, Open, by $this(Pattern) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XAD rim: AD servd: Address v2: NK1-4 rim: addr
Strassenanschrift	S Σ I	0..*	AddressDeBasisPattern	Element id RelatedPerson.address:Strassenanschrift Short description Straßenanschrift Definition Eine Adresse gemäß postalischer Konventionen (im Gegensatz zu bspw. GPS-Koordinaten). Die Adresse kann sowohl zur Zustellung von Postsendungen oder zum Aufsuchen von Orten, die keine gültige Postadresse haben, verwendet werden. Die verwendeten Extensions in diesem Profil bilden die Struktur der Adresse ab, wie sie im VSDM-Format der elektronischen Versichertenkarte verwendet wird. Insbesondere bei ausländischen Adresse oder Adressen, die nicht durch Einlesen einer elektronischen Versichertenkarte erfasst wurden, sind abweichende Strukturen möglich. Die Verwendung der Extensions ist nicht verpflichtend. Requirements Need to keep track where the related person can be contacted per postal mail or visited. Comments Wohn- oder Aufenthaltsort des Angehörigen Data type AddressDeBasis Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` add-1: Wenn die Extension 'Hausnummer' verwendet wird, muss auch Address.line gefüllt werden `line.all($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 all(line contains extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').value.ofType(string))` address-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'))` Pattern { "type": "both" } Mappings rim: n/a v2: XAD rim: AD servd: Address v2: NK1-4 rim: addr
id		0..1	string	There are no (further) constraints on this element Element id RelatedPerson.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	I	0..*	Extension	There are no (further) constraints on this element Element id RelatedPerson.address:Strassenanschrift.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 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()` Mappings rim: n/a rim: N/A
Stadtteil	S I	0..1	Extension(string)	Element id RelatedPerson.address:Strassenanschrift.extension:Stadtteil Short description Stadt- oder Ortsteil Alternate names extensions, user content Definition A subsection of a municipality. 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(string) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct 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 rim: ADXP[partType=PRE]
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id RelatedPerson.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 rim: n/a v2: XAD.7 rim: unique(./use) servd: ./AddressPurpose
type	S Σ	1..1	codeBindingPattern	Element id RelatedPerson.address:Strassenanschrift.type Short description Adresstyp 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 Hier ist stets der Wert `both` anzugeben. Begründung Pflichtfeld: Dient als Unterscheidungs- und Auswahlkriterium 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 Mappings rim: n/a v2: XAD.18 rim: unique(./use) vcard: address type parameter
text	Σ	0..1	string	There are no (further) constraints on this element Element id RelatedPerson.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 rim: n/a 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	Element id RelatedPerson.address:Strassenanschrift.line Short description Adresszeile 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. Comments Diese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, 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. Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar. Begründung für Reduktion der max. Kardinalität: Die maximale Kardinalität wurde in Übereinstimmung mit der DIN-Norm 5008 (Schreib- und Gestaltungsregeln für die Text- und Informationsverarbeitung) auf 3 beschränkt. 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 rim: n/a 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)
id		0..1	string	There are no (further) constraints on this element Element id RelatedPerson.address:Strassenanschrift.line.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	I	0..*	Extension	There are no (further) constraints on this element Element id RelatedPerson.address:Strassenanschrift.line.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 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()` Mappings rim: n/a rim: N/A
Strasse	I	0..1	Extension(string)	Element id RelatedPerson.address:Strassenanschrift.line.extension:Strasse Short description Strassenname 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 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. Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten. Data type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName 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 rim: ADXP[partType=STR]
Hausnummer	I	0..1	Extension(string)	Element id RelatedPerson.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 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. Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten. Data type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber 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 rim: ADXP[partType=BNR]
Adresszusatz	I	0..1	Extension(string)	Element id RelatedPerson.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 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. Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten. Data type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator 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 rim: ADXP[partType=ADL]
Postfach	I	0..0	Extension(string)	Element id RelatedPerson.address:Strassenanschrift.line.extension:Postfach Short description Postfachnummer 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 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. Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten. Data type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox 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 rim: ADXP[partType=POB]
value		0..1	System.String	There are no (further) constraints on this element Element id RelatedPerson.address:Strassenanschrift.line.value Short description Primitive value for string Definition Primitive value for string Data type System.String Maximum string length 1048576
city	S Σ	1..1	string	Element id RelatedPerson.address:Strassenanschrift.city Short description Stadt Alternate names Municpality Definition The name of the city, town, suburb, village or other community or delivery center. Comments Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar. 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 rim: n/a v2: XAD.3 rim: AD.part[parttype = CTY] vcard: locality servd: ./Jurisdiction
district	Σ	0..0	string	There are no (further) constraints on this element Element id RelatedPerson.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 rim: n/a v2: XAD.9 rim: AD.part[parttype = CNT \| CPA]
state	Σ	0..1	stringBinding	There are no (further) constraints on this element Element id RelatedPerson.address:Strassenanschrift.state Short description Bundesland Alternate names Province, Territory Definition Name (oder Kürzel) des Bundeslandes. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Binding ValueSetISO31662DE (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XAD.4 rim: AD.part[parttype = STA] vcard: region servd: ./Region
postalCode	S Σ	1..1	string	Element id RelatedPerson.address:Strassenanschrift.postalCode Short description Postleitzahl Alternate names Zip Definition Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen Comments Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 9132 Mappings rim: n/a v2: XAD.5 rim: AD.part[parttype = ZIP] vcard: code servd: ./PostalIdentificationCode
country	S Σ	1..1	stringBinding	Element id RelatedPerson.address:Strassenanschrift.country Short description Land Definition Staat (vorzugsweise als 2-Stelliger ISO-Ländercode). Es obliegt abgeleiteten Profilen, hier die Verwendung der ISO-Ländercodes verbindlich vorzuschreiben Comments Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar. 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())` Mappings rim: n/a v2: XAD.6 rim: AD.part[parttype = CNT] vcard: country servd: ./Country
period	Σ I	0..1	Period	There are no (further) constraints on this element Element id RelatedPerson.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. Comments 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. Data type 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)` Examples General { "start": "2010-03-23", "end": "2010-07-01" } Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2: XAD.12 / XAD.13 + XAD.14 rim: ./usablePeriod[type="IVL<TS>"] servd: ./StartDate and ./EndDate
Postfach	S Σ I	0..*	AddressDeBasisPattern	Element id RelatedPerson.address:Postfach Short description Postfachadresse 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 Need to keep track where the related person can be contacted per postal mail or visited. Comments Adresse, die nur für postalische Zustellung genutzt werden kann. Data type AddressDeBasis 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 all(line contains extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').value.ofType(string))` address-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'))` Pattern { "type": "postal" } Mappings rim: n/a v2: XAD rim: AD servd: Address v2: NK1-4 rim: addr
id		0..1	string	There are no (further) constraints on this element Element id RelatedPerson.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	I	0..*	Extension	There are no (further) constraints on this element Element id RelatedPerson.address:Postfach.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 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()` Mappings rim: n/a rim: N/A
Stadtteil	I	0..1	Extension(string)	There are no (further) constraints on this element Element id RelatedPerson.address:Postfach.extension:Stadtteil Short description Stadt- oder Ortsteil Alternate names extensions, user content Definition A subsection of a municipality. 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(string) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct 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 rim: ADXP[partType=PRE]
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id RelatedPerson.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 rim: n/a v2: XAD.7 rim: unique(./use) servd: ./AddressPurpose
type	S Σ	1..1	codeBindingPattern	Element id RelatedPerson.address:Postfach.type Short description Adresstyp 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 Hier ist stets der Wert `postal` anzugeben. Begründung Pflichtfeld: Dient als Unterscheidungs- und Auswahlkriterium 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 Mappings rim: n/a v2: XAD.18 rim: unique(./use) vcard: address type parameter
text	Σ	0..1	string	There are no (further) constraints on this element Element id RelatedPerson.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 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 rim: n/a 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	Element id RelatedPerson.address:Postfach.line Short description Adresszeile 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. Comments Diese Komponente enthält die Postfachadresse als String der Form 'Postfach: 12345'. Bei Verwendung der Postfach-Extension, um die Postfachnummer 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. Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar. Begründung für Reduktion der max. Kardinalität: Die maximale Kardinalität wurde in Übereinstimmung mit der DIN-Norm 5008 (Schreib- und Gestaltungsregeln für die Text- und Informationsverarbeitung) auf 3 beschränkt. 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 rim: n/a 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)
id		0..1	string	There are no (further) constraints on this element Element id RelatedPerson.address:Postfach.line.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	I	0..*	Extension	There are no (further) constraints on this element Element id RelatedPerson.address:Postfach.line.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 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()` Mappings rim: n/a rim: N/A
Strasse	I	0..0	Extension(string)	Element id RelatedPerson.address:Postfach.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 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(string) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName 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 rim: ADXP[partType=STR]
Hausnummer	I	0..0	Extension(string)	Element id RelatedPerson.address:Postfach.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 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(string) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber 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 rim: ADXP[partType=BNR]
Adresszusatz	I	0..0	Extension(string)	Element id RelatedPerson.address:Postfach.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 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(string) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator 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 rim: ADXP[partType=ADL]
Postfach	I	0..1	Extension(string)	Element id RelatedPerson.address:Postfach.line.extension:Postfach Short description Postfachnummer 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 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. Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten. Data type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox 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 rim: ADXP[partType=POB]
value		0..1	System.String	There are no (further) constraints on this element Element id RelatedPerson.address:Postfach.line.value Short description Primitive value for string Definition Primitive value for string Data type System.String Maximum string length 1048576
city	S Σ	1..1	string	Element id RelatedPerson.address:Postfach.city Short description Stadt Alternate names Municpality Definition The name of the city, town, suburb, village or other community or delivery center. Comments Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar. 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 rim: n/a v2: XAD.3 rim: AD.part[parttype = CTY] vcard: locality servd: ./Jurisdiction
district	Σ	0..0	string	There are no (further) constraints on this element Element id RelatedPerson.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 rim: n/a v2: XAD.9 rim: AD.part[parttype = CNT \| CPA]
state	Σ	0..1	stringBinding	There are no (further) constraints on this element Element id RelatedPerson.address:Postfach.state Short description Bundesland Alternate names Province, Territory Definition Name (oder Kürzel) des Bundeslandes. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Binding ValueSetISO31662DE (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XAD.4 rim: AD.part[parttype = STA] vcard: region servd: ./Region
postalCode	S Σ	1..1	string	Element id RelatedPerson.address:Postfach.postalCode Short description Postleitzahl Alternate names Zip Definition Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen Comments Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 9132 Mappings rim: n/a v2: XAD.5 rim: AD.part[parttype = ZIP] vcard: code servd: ./PostalIdentificationCode
country	S Σ	1..1	stringBinding	Element id RelatedPerson.address:Postfach.country Short description Land Definition Staat (vorzugsweise als 2-Stelliger ISO-Ländercode). Es obliegt abgeleiteten Profilen, hier die Verwendung der ISO-Ländercodes verbindlich vorzuschreiben Comments Begründung Pflichtfeld: Ohne diese Angabe ist die Adresse nicht zustellbar. 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())` Mappings rim: n/a v2: XAD.6 rim: AD.part[parttype = CNT] vcard: country servd: ./Country
period	Σ I	0..1	Period	There are no (further) constraints on this element Element id RelatedPerson.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. Comments 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. Data type 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)` Examples General { "start": "2010-03-23", "end": "2010-07-01" } Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2: XAD.12 / XAD.13 + XAD.14 rim: ./usablePeriod[type="IVL<TS>"] servd: ./StartDate and ./EndDate
photo	I	0..*	Attachment	There are no (further) constraints on this element Element id RelatedPerson.photo Short description Image of the person Definition Image of the person. Requirements Many EHR systems have the capability to capture an image of persons. Fits with newer social media usage too. Comments When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as "Signed Procedure Consent". Data type Attachment Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` att-1: If the Attachment has data, it SHALL have a contentType `data.empty() or contentType.exists()` Mappings rim: n/a v2: ED/RP rim: ED v2: OBX-5 - needs a profile rim: player[classCode='PSN' and determinerCode='INSTANCE']/desc
period	I	0..1	Period	There are no (further) constraints on this element Element id RelatedPerson.period Short description Period of time that this relationship is considered valid Definition The period of time during which this relationship is or was active. If there are no dates defined, then the interval is unknown. Comments 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. Data type 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)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] w5: FiveWs.done[x] rim: .effectiveTime
communication		0..*	BackboneElement	There are no (further) constraints on this element Element id RelatedPerson.communication Short description A language which may be used to communicate with about the patient's health Definition A language which may be used to communicate with about the patient's health. Requirements If a related person does not speak the local language, interpreters may be required, so languages spoken and proficiency is an 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 RelatedPerson.Communication associations. If the RelatedPerson 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: n/a rim: LanguageCommunication
id		0..1	string	There are no (further) constraints on this element Element id RelatedPerson.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	I	0..*	Extension	There are no (further) constraints on this element Element id RelatedPerson.communication.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 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()` Mappings rim: n/a rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id RelatedPerson.communication.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 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 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 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
language		1..1	CodeableConceptBinding	There are no (further) constraints on this element Element id RelatedPerson.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) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD rim: player[classCode=PSN\|ANM and determinerCode=INSTANCE]/languageCommunication/code
preferred		0..1	boolean	There are no (further) constraints on this element Element id RelatedPerson.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 rim: n/a rim: preferenceInd

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="ISiKAngehoeriger" />
    <url value="https://gematik.de/fhir/isik/StructureDefinition/ISiKAngehoeriger" />
    <version value="4.0.1" />
    <name value="ISiKAngehoeriger" />
    <status value="active" />
    <experimental value="false" />
    <date value="2024-11-25" />
    <publisher value="gematik GmbH" />
    <description value="Dieses Profil erm&#246;glicht die Darstellung von Angeh&#246;rigen in ISiK Szenarien.  \n### Motivation\nDer Angeh&#246;rige wird vor allem im Zusammenhang mit Anwendungsszenarien verwendet,\n in denen das Versicherungsverh&#228;ltnis eine Rolle spielt. \n Hier k&#246;nnen Angeh&#246;rige, bspw. der hauptversicherte Elternteil \n eines minderj&#228;hrigen Kindes, in der Familienversicherung sein. \n In Selbstzahler-Szenarien k&#246;nnen Angeh&#246;rige die Zahler f&#252;r eine \n im Krankenhaus erbrachte Leistung sein.\nIn FHIR werden Angeh&#246;rige von Patienten mit der RelatedPerson-Ressource repr&#228;sentiert.\n\n### Kompatibilit&#228;t\nF&#252;r das Profil ISiKAngehoeriger wurde bis zum Zeitpunkt der Ver&#246;ffentlichung kein Abgleich der Kompatibilit&#228;t zu anderen Profilen (der KBV und der Medizininformatik-Initiative) durchgef&#252;hrt.\n\nHinweise zu Inkompatibilit&#228;ten k&#246;nnen &#252;ber die [Portalseite](https://service.gematik.de/servicedesk/customer/portal/16) gemeldet werden." />
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="RelatedPerson" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" />
    <derivation value="constraint" />
    <differential>
        <element id="RelatedPerson">
            <path value="RelatedPerson" />
            <constraint>
                <key value="relatedp-de-1" />
                <severity value="error" />
                <human value="Falls die Geschlechtsangabe &#39;other&#39; gew&#228;hlt wird, muss die amtliche Differenzierung per Extension angegeben werden" />
                <expression value="gender.exists() and gender=&#39;other&#39; implies gender.extension(&#39;http://fhir.de/StructureDefinition/gender-amtlich-de&#39;).exists()" />
                <source value="https://gematik.de/fhir/isik/StructureDefinition/ISiKAngehoeriger" />
            </constraint>
        </element>
        <element id="RelatedPerson.patient">
            <path value="RelatedPerson.patient" />
            <short value="Patientenbezug" />
            <mustSupport value="true" />
        </element>
        <element id="RelatedPerson.patient.reference">
            <path value="RelatedPerson.patient.reference" />
            <short value="Patienten-Link" />
            <comment value="**Begr&#252;ndung Pflichtfeld:** Die Verlinkung auf eine Patienten-Ressource dient der technischen Zuordnung der Information zu einem Patienten \n  und erm&#246;glicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc." />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RelatedPerson.relationship">
            <path value="RelatedPerson.relationship" />
            <short value="Verwandtschaftsverh&#228;ltnis" />
            <comment value="**Begr&#252;ndung MS:** Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson)" />
            <mustSupport value="true" />
        </element>
        <element id="RelatedPerson.name">
            <path value="RelatedPerson.name" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <short value="Offizieller Name der angeh&#246;rigen Person" />
            <comment value="Aufgrund der prim&#228;ren Nutzung von Angeh&#246;rigen-Informationen im ISiK-Kontext als Brief- und Rechnungsempf&#228;nger, \n  ist die Angabe des offiziellen Namens relevant.\n  Wenn kein Name vorliegt, MUSS die [data-absent-reason-Extension](https://www.hl7.org/fhir/R4/extension-data-absent-reason.html) eingesetzt werden.   \n  **Weitere Hinweise:** siehe [Deutsche Basisprofile](https://simplifier.net/guide/leitfaden-de-basis-r4/ig-markdown-Ressourcen-Patient?version=current#ig-markdown-Ressourcen-Patient-Name)" />
            <min value="1" />
            <type>
                <code value="HumanName" />
                <profile value="http://fhir.de/StructureDefinition/humanname-de-basis" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="RelatedPerson.name:Name">
            <path value="RelatedPerson.name" />
            <sliceName value="Name" />
            <min value="1" />
            <max value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RelatedPerson.name:Name.use">
            <path value="RelatedPerson.name.use" />
            <short value="Verwendungszweck" />
            <comment value="Verwendungszweck des Namens. Der pr&#228;ferierte Namen f&#252;r die Brief- und Rechnungszustellung SOLLTE als `official`\n    gekennzeichnet werden und mindestens &#252;ber einen Vor- und Nachnamen verf&#252;gen.    \n    **Begr&#252;ndung MS:** Dient als Unterscheidungs- und Auswahlkriterium" />
            <mustSupport value="true" />
        </element>
        <element id="RelatedPerson.name:Name.family">
            <path value="RelatedPerson.name.family" />
            <short value="Nachname" />
            <comment value="Vollst&#228;ndiger Nachname bzw. Familienname der Person, einschlie&#223;lich Vor- und Zus&#228;tze.  \n      **Begr&#252;ndung Pflichtfeld:** Ein offizieller Name ist nur zul&#228;ssig, wenn der Nachname und mindestens ein Vorname angegeben sind." />
            <mustSupport value="true" />
        </element>
        <element id="RelatedPerson.name:Name.given">
            <path value="RelatedPerson.name.given" />
            <short value="Vorname" />
            <comment value="Kann mehrfach verwendet werden, um den Rufnamen sowie weitere Vornamen, Mittelnamen oder Mittel-Initialen abzubilden.\n      **Begr&#252;ndung Pflichtfeld:** Ein offizieller Name ist nur zul&#228;ssig, wenn der Nachname und mindestens ein Vorname angegeben sind." />
            <mustSupport value="true" />
        </element>
        <element id="RelatedPerson.name:Name.prefix">
            <path value="RelatedPerson.name.prefix" />
            <short value="Pr&#228;fix" />
            <comment value="Pr&#228;fix, z.B. akademischer Titel od. milit&#228;rischer Rang" />
            <mustSupport value="true" />
        </element>
        <element id="RelatedPerson.telecom">
            <path value="RelatedPerson.telecom" />
            <short value="Telekommunikationsverbindung" />
            <comment value="Telekommunikationsverbindung (z.B. Telefonnummer, eMail-Adresse)  \n  **Begr&#252;ndung MS:** Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson)" />
            <mustSupport value="true" />
        </element>
        <element id="RelatedPerson.telecom.system">
            <path value="RelatedPerson.telecom.system" />
            <short value="Art der Telekommunikationsverbindung" />
            <comment value="**Begr&#252;ndung Pflichtfeld:** Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson)" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RelatedPerson.telecom.value">
            <path value="RelatedPerson.telecom.value" />
            <short value="Telekommunikations-Endpunkt" />
            <comment value="**Begr&#252;ndung Pflichtfeld:** Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson)" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RelatedPerson.address">
            <path value="RelatedPerson.address" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <comment value="In order to differentiate between post box addresses and physical addresses, street names and house numbers, and to add city district names, vendors can opt to support the extensions as suggested in the German Address Base Profile http://fhir.de/StructureDefinition/address-de-basis.\nSuch differentiations are however not required within the scope of this specification." />
            <mustSupport value="true" />
        </element>
        <element id="RelatedPerson.address:Strassenanschrift">
            <path value="RelatedPerson.address" />
            <sliceName value="Strassenanschrift" />
            <short value="Stra&#223;enanschrift" />
            <comment value="Wohn- oder Aufenthaltsort des Angeh&#246;rigen" />
            <min value="0" />
            <max value="*" />
            <type>
                <code value="Address" />
                <profile value="http://fhir.de/StructureDefinition/address-de-basis" />
            </type>
            <patternAddress>
                <type value="both" />
            </patternAddress>
            <constraint>
                <key value="address-cnt-2or3-char" />
                <severity value="warning" />
                <human value="The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2." />
                <expression value="country.empty() or (country.memberOf(&#39;http://hl7.org/fhir/ValueSet/iso3166-1-2&#39;) or country.memberOf(&#39;http://hl7.org/fhir/ValueSet/iso3166-1-3&#39;))" />
                <source value="https://gematik.de/fhir/isik/StructureDefinition/ISiKAngehoeriger" />
            </constraint>
            <mustSupport value="true" />
        </element>
        <element id="RelatedPerson.address:Strassenanschrift.extension:Stadtteil">
            <path value="RelatedPerson.address.extension" />
            <sliceName value="Stadtteil" />
            <mustSupport value="true" />
        </element>
        <element id="RelatedPerson.address:Strassenanschrift.type">
            <path value="RelatedPerson.address.type" />
            <short value="Adresstyp" />
            <comment value="Hier ist stets der Wert `both` anzugeben.  \n    **Begr&#252;ndung Pflichtfeld:** Dient als Unterscheidungs- und Auswahlkriterium" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RelatedPerson.address:Strassenanschrift.line">
            <path value="RelatedPerson.address.line" />
            <short value="Adresszeile" />
            <comment value="Diese Komponente kann Stra&#223;ennamen, Hausnummer, Appartmentnummer, c/o \n    sowie weitere Zustellungshinweise enthalten. \n    Die Informationen k&#246;nnen in mehrere line-Komponenten aufgeteilt werden. \n    Bei Verwendung der Extensions, um Stra&#223;e, Hausnnummer und Postleitzahl strukturiert zu &#252;bermitteln, \n    m&#252;ssen diese Informationen stets vollst&#228;ndig auch in der line-Komponente, \n    die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu erm&#246;glichen, \n    auf diese Informationen zugreifen zu k&#246;nnen.  \n    **Begr&#252;ndung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar.  \n    **Begr&#252;ndung f&#252;r Reduktion der max. Kardinalit&#228;t:** Die maximale Kardinalit&#228;t wurde in &#220;bereinstimmung mit der \n    DIN-Norm 5008 (Schreib- und Gestaltungsregeln f&#252;r die Text- und Informationsverarbeitung) auf 3 beschr&#228;nkt." />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RelatedPerson.address:Strassenanschrift.line.extension:Strasse">
            <path value="RelatedPerson.address.line.extension" />
            <sliceName value="Strasse" />
            <short value="Strassenname" />
            <comment value="Strassenname (ohne Hausnummer).\n        Bei Angabe einer Strasse in dieser Extension muss diese auch in Address.line angegeben werden,\n        um die Interoperabilit&#228;t mit Systemen zu gew&#228;hrleisten, die diese Extension nicht verwenden.  \n        **Begr&#252;ndung MS:** Erforderlich f&#252;r die verlustfreie Kommunikation von VSDM-Daten." />
        </element>
        <element id="RelatedPerson.address:Strassenanschrift.line.extension:Hausnummer">
            <path value="RelatedPerson.address.line.extension" />
            <sliceName value="Hausnummer" />
            <short value="Hausnummer" />
            <comment value="Hausnummer, sowie Zus&#228;tze (Appartmentnummer, Etage...). \n        Bei Angabe einer Hausnummer in dieser Extension muss diese auch in Address.line angegeben werden,\n        um die Interoperabilit&#228;t mit Systemen zu gew&#228;hrleisten, die diese Extension nicht verwenden.   \n        **Begr&#252;ndung MS:** Erforderlich f&#252;r die verlustfreie Kommunikation von VSDM-Daten." />
        </element>
        <element id="RelatedPerson.address:Strassenanschrift.line.extension:Adresszusatz">
            <path value="RelatedPerson.address.line.extension" />
            <sliceName value="Adresszusatz" />
            <short value="Adresszusatz" />
            <comment value="Zus&#228;tzliche Informationen, wie z.B. &#39;3. Etage&#39;, &#39;Appartment C&#39;.\n        Bei Angabe einer Zusatzinformation in dieser Extension muss diese auch in Address.line angegeben werden,\n        um die Interoperabilit&#228;t mit Systemen zu gew&#228;hrleisten, die diese Extension nicht verwenden.  \n        **Begr&#252;ndung MS:** Erforderlich f&#252;r die verlustfreie Kommunikation von VSDM-Daten." />
        </element>
        <element id="RelatedPerson.address:Strassenanschrift.line.extension:Postfach">
            <path value="RelatedPerson.address.line.extension" />
            <sliceName value="Postfach" />
            <short value="Postfachnummer" />
            <comment value="Postfach-Adresse. Bei Angabe eines Postfaches in dieser Extension muss das Postfach auch in Address.line angegeben werden,\n        um die Interoperabilit&#228;t mit Systemen zu gew&#228;hrleisten, die diese Extension nicht verwenden. \n        Eine Postfach-Adresse darf nicht in Verbindung mit Address.type `physical` oder `both` verwendet werden.  \n        **Begr&#252;ndung MS:** Erforderlich f&#252;r die verlustfreie Kommunikation von VSDM-Daten." />
            <max value="0" />
        </element>
        <element id="RelatedPerson.address:Strassenanschrift.city">
            <path value="RelatedPerson.address.city" />
            <short value="Stadt" />
            <comment value="**Begr&#252;ndung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar." />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RelatedPerson.address:Strassenanschrift.postalCode">
            <path value="RelatedPerson.address.postalCode" />
            <short value="Postleitzahl" />
            <comment value="**Begr&#252;ndung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar." />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RelatedPerson.address:Strassenanschrift.country">
            <path value="RelatedPerson.address.country" />
            <short value="Land" />
            <comment value="**Begr&#252;ndung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar." />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RelatedPerson.address:Postfach">
            <path value="RelatedPerson.address" />
            <sliceName value="Postfach" />
            <short value="Postfachadresse" />
            <comment value="Adresse, die nur f&#252;r postalische Zustellung genutzt werden kann." />
            <min value="0" />
            <max value="*" />
            <type>
                <code value="Address" />
                <profile value="http://fhir.de/StructureDefinition/address-de-basis" />
            </type>
            <patternAddress>
                <type value="postal" />
            </patternAddress>
            <constraint>
                <key value="address-cnt-2or3-char" />
                <severity value="warning" />
                <human value="The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2." />
                <expression value="country.empty() or (country.memberOf(&#39;http://hl7.org/fhir/ValueSet/iso3166-1-2&#39;) or country.memberOf(&#39;http://hl7.org/fhir/ValueSet/iso3166-1-3&#39;))" />
                <source value="https://gematik.de/fhir/isik/StructureDefinition/ISiKAngehoeriger" />
            </constraint>
            <mustSupport value="true" />
        </element>
        <element id="RelatedPerson.address:Postfach.type">
            <path value="RelatedPerson.address.type" />
            <short value="Adresstyp" />
            <comment value="Hier ist stets der Wert `postal` anzugeben.  \n    **Begr&#252;ndung Pflichtfeld:** Dient als Unterscheidungs- und Auswahlkriterium" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RelatedPerson.address:Postfach.line">
            <path value="RelatedPerson.address.line" />
            <short value="Adresszeile" />
            <comment value="Diese Komponente enth&#228;lt die Postfachadresse als String der Form &#39;Postfach: 12345&#39;.\n    Bei Verwendung der Postfach-Extension, um die Postfachnummer strukturiert zu &#252;bermitteln, \n    m&#252;ssen diese Informationen stets vollst&#228;ndig auch in der line-Komponente, \n    die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu erm&#246;glichen, \n    auf diese Informationen zugreifen zu k&#246;nnen.  \n    **Begr&#252;ndung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar.  \n    **Begr&#252;ndung f&#252;r Reduktion der max. Kardinalit&#228;t:** Die maximale Kardinalit&#228;t wurde in &#220;bereinstimmung mit der \n    DIN-Norm 5008 (Schreib- und Gestaltungsregeln f&#252;r die Text- und Informationsverarbeitung) auf 3 beschr&#228;nkt." />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RelatedPerson.address:Postfach.line.extension:Strasse">
            <path value="RelatedPerson.address.line.extension" />
            <sliceName value="Strasse" />
            <max value="0" />
        </element>
        <element id="RelatedPerson.address:Postfach.line.extension:Hausnummer">
            <path value="RelatedPerson.address.line.extension" />
            <sliceName value="Hausnummer" />
            <max value="0" />
        </element>
        <element id="RelatedPerson.address:Postfach.line.extension:Adresszusatz">
            <path value="RelatedPerson.address.line.extension" />
            <sliceName value="Adresszusatz" />
            <max value="0" />
        </element>
        <element id="RelatedPerson.address:Postfach.line.extension:Postfach">
            <path value="RelatedPerson.address.line.extension" />
            <sliceName value="Postfach" />
            <short value="Postfachnummer" />
            <comment value="Postfach-Adresse. Bei Angabe eines Postfaches in dieser Extension muss das Postfach auch in Address.line angegeben werden,\n        um die Interoperabilit&#228;t mit Systemen zu gew&#228;hrleisten, die diese Extension nicht verwenden. \n        Eine Postfach-Adresse darf nicht in Verbindung mit Address.type `physical` oder `both` verwendet werden.  \n        **Begr&#252;ndung MS:** Erforderlich f&#252;r die verlustfreie Kommunikation von VSDM-Daten." />
        </element>
        <element id="RelatedPerson.address:Postfach.city">
            <path value="RelatedPerson.address.city" />
            <short value="Stadt" />
            <comment value="**Begr&#252;ndung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar." />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RelatedPerson.address:Postfach.postalCode">
            <path value="RelatedPerson.address.postalCode" />
            <short value="Postleitzahl" />
            <comment value="**Begr&#252;ndung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar." />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RelatedPerson.address:Postfach.country">
            <path value="RelatedPerson.address.country" />
            <short value="Land" />
            <comment value="**Begr&#252;ndung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar." />
            <min value="1" />
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "id": "ISiKAngehoeriger",
    "url": "https://gematik.de/fhir/isik/StructureDefinition/ISiKAngehoeriger",
    "version": "4.0.1",
    "name": "ISiKAngehoeriger",
    "status": "active",
    "experimental": false,
    "date": "2024-11-25",
    "publisher": "gematik GmbH",
    "description": "Dieses Profil ermöglicht die Darstellung von Angehörigen in ISiK Szenarien.  \n### Motivation\nDer Angehörige wird vor allem im Zusammenhang mit Anwendungsszenarien verwendet,\n in denen das Versicherungsverhältnis eine Rolle spielt. \n Hier können Angehörige, bspw. der hauptversicherte Elternteil \n eines minderjährigen Kindes, in der Familienversicherung sein. \n In Selbstzahler-Szenarien können Angehörige die Zahler für eine \n im Krankenhaus erbrachte Leistung sein.\nIn FHIR werden Angehörige von Patienten mit der RelatedPerson-Ressource repräsentiert.\n\n### Kompatibilität\nFür das Profil ISiKAngehoeriger wurde bis zum Zeitpunkt der Veröffentlichung kein Abgleich der Kompatibilität zu anderen Profilen (der KBV und der Medizininformatik-Initiative) durchgeführt.\n\nHinweise zu Inkompatibilitäten können über die [Portalseite](https://service.gematik.de/servicedesk/customer/portal/16) gemeldet werden.",
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "RelatedPerson",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "RelatedPerson",
                "path": "RelatedPerson",
                "constraint":  [
                    {
                        "key": "relatedp-de-1",
                        "severity": "error",
                        "human": "Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden",
                        "expression": "gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()",
                        "source": "https://gematik.de/fhir/isik/StructureDefinition/ISiKAngehoeriger"
                    }
                ]
            },
            {
                "id": "RelatedPerson.patient",
                "path": "RelatedPerson.patient",
                "short": "Patientenbezug",
                "mustSupport": true
            },
            {
                "id": "RelatedPerson.patient.reference",
                "path": "RelatedPerson.patient.reference",
                "short": "Patienten-Link",
                "comment": "**Begründung Pflichtfeld:** Die Verlinkung auf eine Patienten-Ressource dient der technischen Zuordnung der Information zu einem Patienten \n  und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc.",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RelatedPerson.relationship",
                "path": "RelatedPerson.relationship",
                "short": "Verwandtschaftsverhältnis",
                "comment": "**Begründung MS:** Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson)",
                "mustSupport": true
            },
            {
                "id": "RelatedPerson.name",
                "path": "RelatedPerson.name",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "short": "Offizieller Name der angehörigen Person",
                "comment": "Aufgrund der primären Nutzung von Angehörigen-Informationen im ISiK-Kontext als Brief- und Rechnungsempfänger, \n  ist die Angabe des offiziellen Namens relevant.\n  Wenn kein Name vorliegt, MUSS die [data-absent-reason-Extension](https://www.hl7.org/fhir/R4/extension-data-absent-reason.html) eingesetzt werden.   \n  **Weitere Hinweise:** siehe [Deutsche Basisprofile](https://simplifier.net/guide/leitfaden-de-basis-r4/ig-markdown-Ressourcen-Patient?version=current#ig-markdown-Ressourcen-Patient-Name)",
                "min": 1,
                "type":  [
                    {
                        "code": "HumanName",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/humanname-de-basis"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "RelatedPerson.name:Name",
                "path": "RelatedPerson.name",
                "sliceName": "Name",
                "min": 1,
                "max": "1",
                "mustSupport": true
            },
            {
                "id": "RelatedPerson.name:Name.use",
                "path": "RelatedPerson.name.use",
                "short": "Verwendungszweck",
                "comment": "Verwendungszweck des Namens. Der präferierte Namen für die Brief- und Rechnungszustellung SOLLTE als `official`\n    gekennzeichnet werden und mindestens über einen Vor- und Nachnamen verfügen.    \n    **Begründung MS:** Dient als Unterscheidungs- und Auswahlkriterium",
                "mustSupport": true
            },
            {
                "id": "RelatedPerson.name:Name.family",
                "path": "RelatedPerson.name.family",
                "short": "Nachname",
                "comment": "Vollständiger Nachname bzw. Familienname der Person, einschließlich Vor- und Zusätze.  \n      **Begründung Pflichtfeld:** Ein offizieller Name ist nur zulässig, wenn der Nachname und mindestens ein Vorname angegeben sind.",
                "mustSupport": true
            },
            {
                "id": "RelatedPerson.name:Name.given",
                "path": "RelatedPerson.name.given",
                "short": "Vorname ",
                "comment": "Kann mehrfach verwendet werden, um den Rufnamen sowie weitere Vornamen, Mittelnamen oder Mittel-Initialen abzubilden.\n      **Begründung Pflichtfeld:** Ein offizieller Name ist nur zulässig, wenn der Nachname und mindestens ein Vorname angegeben sind.",
                "mustSupport": true
            },
            {
                "id": "RelatedPerson.name:Name.prefix",
                "path": "RelatedPerson.name.prefix",
                "short": "Präfix",
                "comment": "Präfix, z.B. akademischer Titel od. militärischer Rang",
                "mustSupport": true
            },
            {
                "id": "RelatedPerson.telecom",
                "path": "RelatedPerson.telecom",
                "short": "Telekommunikationsverbindung",
                "comment": "Telekommunikationsverbindung (z.B. Telefonnummer, eMail-Adresse)  \n  **Begründung MS:** Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson)",
                "mustSupport": true
            },
            {
                "id": "RelatedPerson.telecom.system",
                "path": "RelatedPerson.telecom.system",
                "short": "Art der Telekommunikationsverbindung",
                "comment": "**Begründung Pflichtfeld:** Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson)",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RelatedPerson.telecom.value",
                "path": "RelatedPerson.telecom.value",
                "short": "Telekommunikations-Endpunkt",
                "comment": "**Begründung Pflichtfeld:** Harmonisierung mit KBV (KBV_PR_Base_RelatedPerson)",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RelatedPerson.address",
                "path": "RelatedPerson.address",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "comment": "In order to differentiate between post box addresses and physical addresses, street names and house numbers, and to add city district names, vendors can opt to support the extensions as suggested in the German Address Base Profile http://fhir.de/StructureDefinition/address-de-basis.\nSuch differentiations are however not required within the scope of this specification.",
                "mustSupport": true
            },
            {
                "id": "RelatedPerson.address:Strassenanschrift",
                "path": "RelatedPerson.address",
                "sliceName": "Strassenanschrift",
                "short": "Straßenanschrift",
                "comment": "Wohn- oder Aufenthaltsort des Angehörigen",
                "min": 0,
                "max": "*",
                "type":  [
                    {
                        "code": "Address",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/address-de-basis"
                        ]
                    }
                ],
                "patternAddress": {
                    "type": "both"
                },
                "constraint":  [
                    {
                        "key": "address-cnt-2or3-char",
                        "severity": "warning",
                        "human": "The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2.",
                        "expression": "country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))",
                        "source": "https://gematik.de/fhir/isik/StructureDefinition/ISiKAngehoeriger"
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "RelatedPerson.address:Strassenanschrift.extension:Stadtteil",
                "path": "RelatedPerson.address.extension",
                "sliceName": "Stadtteil",
                "mustSupport": true
            },
            {
                "id": "RelatedPerson.address:Strassenanschrift.type",
                "path": "RelatedPerson.address.type",
                "short": "Adresstyp",
                "comment": "Hier ist stets der Wert `both` anzugeben.  \n    **Begründung Pflichtfeld:** Dient als Unterscheidungs- und Auswahlkriterium",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RelatedPerson.address:Strassenanschrift.line",
                "path": "RelatedPerson.address.line",
                "short": "Adresszeile",
                "comment": "Diese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, c/o \n    sowie weitere Zustellungshinweise enthalten. \n    Die Informationen können in mehrere line-Komponenten aufgeteilt werden. \n    Bei Verwendung der Extensions, um Straße, Hausnnummer und Postleitzahl strukturiert zu übermitteln, \n    müssen diese Informationen stets vollständig auch in der line-Komponente, \n    die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, \n    auf diese Informationen zugreifen zu können.  \n    **Begründung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar.  \n    **Begründung für Reduktion der max. Kardinalität:** Die maximale Kardinalität wurde in Übereinstimmung mit der \n    DIN-Norm 5008 (Schreib- und Gestaltungsregeln für die Text- und Informationsverarbeitung) auf 3 beschränkt.",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RelatedPerson.address:Strassenanschrift.line.extension:Strasse",
                "path": "RelatedPerson.address.line.extension",
                "sliceName": "Strasse",
                "short": "Strassenname ",
                "comment": "Strassenname (ohne Hausnummer).\n        Bei Angabe einer Strasse in dieser Extension muss diese auch in Address.line angegeben werden,\n        um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.  \n        **Begründung MS:** Erforderlich für die verlustfreie Kommunikation von VSDM-Daten."
            },
            {
                "id": "RelatedPerson.address:Strassenanschrift.line.extension:Hausnummer",
                "path": "RelatedPerson.address.line.extension",
                "sliceName": "Hausnummer",
                "short": "Hausnummer ",
                "comment": "Hausnummer, sowie Zusätze (Appartmentnummer, Etage...). \n        Bei Angabe einer Hausnummer in dieser Extension muss diese auch in Address.line angegeben werden,\n        um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.   \n        **Begründung MS:** Erforderlich für die verlustfreie Kommunikation von VSDM-Daten."
            },
            {
                "id": "RelatedPerson.address:Strassenanschrift.line.extension:Adresszusatz",
                "path": "RelatedPerson.address.line.extension",
                "sliceName": "Adresszusatz",
                "short": "Adresszusatz ",
                "comment": "Zusätzliche Informationen, wie z.B. '3. Etage', 'Appartment C'.\n        Bei Angabe einer Zusatzinformation in dieser Extension muss diese auch in Address.line angegeben werden,\n        um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.  \n        **Begründung MS:** Erforderlich für die verlustfreie Kommunikation von VSDM-Daten."
            },
            {
                "id": "RelatedPerson.address:Strassenanschrift.line.extension:Postfach",
                "path": "RelatedPerson.address.line.extension",
                "sliceName": "Postfach",
                "short": "Postfachnummer",
                "comment": "Postfach-Adresse. Bei Angabe eines Postfaches in dieser Extension muss das Postfach auch in Address.line angegeben werden,\n        um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. \n        Eine Postfach-Adresse darf nicht in Verbindung mit Address.type `physical` oder `both` verwendet werden.  \n        **Begründung MS:** Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.",
                "max": "0"
            },
            {
                "id": "RelatedPerson.address:Strassenanschrift.city",
                "path": "RelatedPerson.address.city",
                "short": "Stadt",
                "comment": "**Begründung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar.",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RelatedPerson.address:Strassenanschrift.postalCode",
                "path": "RelatedPerson.address.postalCode",
                "short": "Postleitzahl ",
                "comment": "**Begründung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar.",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RelatedPerson.address:Strassenanschrift.country",
                "path": "RelatedPerson.address.country",
                "short": "Land",
                "comment": "**Begründung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar.",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RelatedPerson.address:Postfach",
                "path": "RelatedPerson.address",
                "sliceName": "Postfach",
                "short": "Postfachadresse",
                "comment": "Adresse, die nur für postalische Zustellung genutzt werden kann.",
                "min": 0,
                "max": "*",
                "type":  [
                    {
                        "code": "Address",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/address-de-basis"
                        ]
                    }
                ],
                "patternAddress": {
                    "type": "postal"
                },
                "constraint":  [
                    {
                        "key": "address-cnt-2or3-char",
                        "severity": "warning",
                        "human": "The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2.",
                        "expression": "country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))",
                        "source": "https://gematik.de/fhir/isik/StructureDefinition/ISiKAngehoeriger"
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "RelatedPerson.address:Postfach.type",
                "path": "RelatedPerson.address.type",
                "short": "Adresstyp",
                "comment": "Hier ist stets der Wert `postal` anzugeben.  \n    **Begründung Pflichtfeld:** Dient als Unterscheidungs- und Auswahlkriterium",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RelatedPerson.address:Postfach.line",
                "path": "RelatedPerson.address.line",
                "short": "Adresszeile",
                "comment": "Diese Komponente enthält die Postfachadresse als String der Form 'Postfach: 12345'.\n    Bei Verwendung der Postfach-Extension, um die Postfachnummer strukturiert zu übermitteln, \n    müssen diese Informationen stets vollständig auch in der line-Komponente, \n    die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, \n    auf diese Informationen zugreifen zu können.  \n    **Begründung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar.  \n    **Begründung für Reduktion der max. Kardinalität:** Die maximale Kardinalität wurde in Übereinstimmung mit der \n    DIN-Norm 5008 (Schreib- und Gestaltungsregeln für die Text- und Informationsverarbeitung) auf 3 beschränkt.",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RelatedPerson.address:Postfach.line.extension:Strasse",
                "path": "RelatedPerson.address.line.extension",
                "sliceName": "Strasse",
                "max": "0"
            },
            {
                "id": "RelatedPerson.address:Postfach.line.extension:Hausnummer",
                "path": "RelatedPerson.address.line.extension",
                "sliceName": "Hausnummer",
                "max": "0"
            },
            {
                "id": "RelatedPerson.address:Postfach.line.extension:Adresszusatz",
                "path": "RelatedPerson.address.line.extension",
                "sliceName": "Adresszusatz",
                "max": "0"
            },
            {
                "id": "RelatedPerson.address:Postfach.line.extension:Postfach",
                "path": "RelatedPerson.address.line.extension",
                "sliceName": "Postfach",
                "short": "Postfachnummer",
                "comment": "Postfach-Adresse. Bei Angabe eines Postfaches in dieser Extension muss das Postfach auch in Address.line angegeben werden,\n        um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. \n        Eine Postfach-Adresse darf nicht in Verbindung mit Address.type `physical` oder `both` verwendet werden.  \n        **Begründung MS:** Erforderlich für die verlustfreie Kommunikation von VSDM-Daten."
            },
            {
                "id": "RelatedPerson.address:Postfach.city",
                "path": "RelatedPerson.address.city",
                "short": "Stadt",
                "comment": "**Begründung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar.",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RelatedPerson.address:Postfach.postalCode",
                "path": "RelatedPerson.address.postalCode",
                "short": "Postleitzahl ",
                "comment": "**Begründung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar.",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RelatedPerson.address:Postfach.country",
                "path": "RelatedPerson.address.country",
                "short": "Land",
                "comment": "**Begründung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar.",
                "min": 1,
                "mustSupport": true
            }
        ]
    }
}

ISiKAngehoeriger

Constraints/Invarianten

Name	Schweregrad	Beschreibung	Ausdruck
relatedp-de-1	error	Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden	gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
address-cnt-2or3-char	warning	The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2.	country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
address-cnt-2or3-char	warning	The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2.	country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))

ISiKAngehoeriger

Motivation

Kompatibilität

Bestätigungsrelevanz

Metadaten

Inhalt

Constraints/Invarianten

Terminology-Bindings