Implementierungsleitfaden ISiK-Basismodul (4.0.1)

ISiKPatient

Dieses Profil spezifiziert die Minimalanforderungen für die Bereitstellung von administrativen Patientendaten im Rahmen des Bestätigungsverfahrens der gematik.

Motivation

Der Austausch administrativer Patientendaten ist eine der grundlegenden Funktionalitäten beim Datenaustausch in der klinischen Versorgung.
In FHIR werden sämtliche klinischen Ressourcen durch Verlinkung auf die Ressource 'Patient' in einen Patientenkontext gestellt.
Die Herstellung des korrekten Patientenkontextes durch Suchen der Patientenressource anhand von Eigenschaften wie Aufnahmenummer, Name oder Geburtsdatum, die Anzeige der zutreffenden Suchergebnisse und der Auswahl bzw. Bestätigung des richtigen Datensatzes durch den Anwender steht am Beginn der meisten klinischen Workflows.

Kompatibilität

Für das Profil ISIKPatient wird eine Kompatibilität mit folgenden Profilen angestrebt; allerdings kann nicht sichergestellt werden, dass Instanzen, die gegen ISIKPatient valide sind, auch valide sind gegen:

Hinweise zu Inkompatibilitäten können über die Portalseite gemeldet werden.

Bestätigungsrelevanz

Verbindlichkeit	SHALL

Metadaten

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

Inhalt

ISiKPatient (Patient)	I		Patient	Element id Patient Short description Information about an individual or animal receiving health care services Alternate names SubjectOfCare Client Resident Definition Demographics and other administrative information about an individual or animal receiving care or other health-related services. Data type Patient 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()` isik-pat-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: Patient[classCode=PAT] cda: ClinicalDocument.recordTarget.patientRole
id	Σ	0..1	string	There are no (further) constraints on this element Element id Patient.id Short description Logical id of this artifact Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Data type string
meta	Σ	0..1	Meta	There are no (further) constraints on this element Element id Patient.meta Short description Metadata about the resource Definition The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id Patient.implicitRules Short description A set of rules under which this content was created Definition A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Comments Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
language		0..1	codeBinding	There are no (further) constraints on this element Element id Patient.language Short description Language of the resource content Definition The base language in which the resource is written. Comments Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). Data type code Binding A human language. CommonLanguages (preferred) 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 Patient.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Comments Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A rim: Act.text?
contained		0..*	Resource	There are no (further) constraints on this element Element id Patient.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources Definition These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. Comments This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. Data type Resource Mappings rim: Entity. Role, or Act rim: N/A
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Patient.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments 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 Patient.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments 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	S Σ	1..*	Identifier	Element id Patient.identifier Short description An identifier for this patient Definition An identifier for this patient. Requirements Patients are almost always assigned specific numerical identifiers. Data type Identifier 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: 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: PID-3 rim: id cda: .id
VersichertenId	S Σ	0..1	IdentifierKvid10Pattern	Element id Patient.identifier:VersichertenId Short description Lebenslange Krankenversichertennummer Definition An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Requirements Patients are almost always assigned specific numerical identifiers. Comments Die als 'KVZ10' kodierte Versichertennummer ist der 10-stellige, unveränderbare Teil der Versichertennummer, der lesbar auf die Elektronische Gesundheitskarte aufgedruckt ist. Er gilt für alle Krankenversichertennummern, unabhängig davon, ob es sich um GKV, PKV oder Sonderkostenträger handelt. Weitere Hinweise: siehe Deutschen Basisprofile Data type IdentifierKvid10 Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "type": { "coding": [ { "system": "http://fhir.de/CodeSystem/identifier-type-de-basis", "code": "KVZ10" } ] } } 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: PID-3 rim: id cda: .id
id		0..1	string	There are no (further) constraints on this element Element id Patient.identifier:VersichertenId.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 Patient.identifier:VersichertenId.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	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id Patient.identifier:VersichertenId.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: N/A rim: Role.code or implied by context
type	S Σ I	1..1	CodeableConceptBindingPattern	Element id Patient.identifier:VersichertenId.type Short description Art des Identifiers Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments Hier ist stets der Code `KVZ10` aus dem CodeSystem `http://fhir.de/CodeSystem/identifier-type-de-basis` anzugeben. Begründung Pflichtfeld: `type` dient der Unterscheidung verschiedener Identifier-Typen Data type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. IdentifierTypeDeBasis (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` kvid-2: Als Type sollte der Code 'KVZ10' verwendet werden, die Codes 'GKV' und 'PKV' haben den Status 'retired' `($this.identifier.type.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='GKV') or $this.identifier.type.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='PKV')).not()` Pattern { "coding": [ { "system": "http://fhir.de/CodeSystem/identifier-type-de-basis", "code": "KVZ10" } ] } Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: CX.5 rim: Role.code or implied by context
system	S Σ	1..1	uriFixed Value	Element id Patient.identifier:VersichertenId.system Short description Namensraum der Versichertennummer Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Comments Hier ist stets der Wert `http://fhir.de/sid/gkv/kvid-10` anzugeben. Begründung Pflichtfeld: `system` stellt in Kombination mit `value` die Eindeutigkeit eines Identifiers sicher. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value http://fhir.de/sid/gkv/kvid-10 Mappings rim: n/a v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType
value	S Σ I	1..1	string	Element id Patient.identifier:VersichertenId.value Short description Lebenslange Krankenversichertennummer Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments Der 10-stellige, unveränderbare Teil der Versichertennummer. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` kvid-1: Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen `matches('^[A-Z][0-9]{9}$')` Examples General 123456 Mappings rim: n/a v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element id Patient.identifier:VersichertenId.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for 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: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element id Patient.identifier:VersichertenId.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` 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: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
VersichertenId-GKV	S Σ	0..1	IdentifierKvid10Pattern	Element id Patient.identifier:VersichertenId-GKV Short description Gesetzliche Krankenversichertennummer Definition An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Requirements Patients are almost always assigned specific numerical identifiers. Comments WARNUNG: Die Verwendung der 'GKV'-Kodierung einer Versichertennummer ist abgekündigt, da die lebenslangen Versichertennummer ab 2024 auch für PKV oder Sonderkostenträger eingeführt wird. Bitte statt dessen künftig den 'VersichertenId'-Slice verwenden. Data type IdentifierKvid10 Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "type": { "coding": [ { "system": "http://fhir.de/CodeSystem/identifier-type-de-basis", "code": "GKV" } ] } } Mappings 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: PID-3 rim: id cda: .id
id		0..1	string	There are no (further) constraints on this element Element id Patient.identifier:VersichertenId-GKV.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Patient.identifier:VersichertenId-GKV.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id Patient.identifier:VersichertenId-GKV.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: N/A rim: Role.code or implied by context
type	S Σ I	1..1	CodeableConceptBindingPattern	Element id Patient.identifier:VersichertenId-GKV.type Short description Art des Identifiers Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments Hier ist stets der Code `GKV` aus dem CodeSystem `http://fhir.de/CodeSystem/identifier-type-de-basis` anzugeben. Begründung Pflichtfeld: `type` dient der Unterscheidung verschiedener Identifier-Typen Data type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. IdentifierTypeDeBasis (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` kvid-2: Als Type sollte der Code 'KVZ10' verwendet werden, die Codes 'GKV' und 'PKV' haben den Status 'retired' `($this.identifier.type.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='GKV') or $this.identifier.type.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='PKV')).not()` Pattern { "coding": [ { "system": "http://fhir.de/CodeSystem/identifier-type-de-basis", "code": "KVZ10" } ] } Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: CX.5 rim: Role.code or implied by context
system	S Σ	1..1	uriFixed Value	Element id Patient.identifier:VersichertenId-GKV.system Short description Namensraum der Versichertennummer Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Comments Hier ist stets der Wert `http://fhir.de/sid/gkv/kvid-10` anzugeben. Begründung Pflichtfeld: `system` stellt in Kombination mit `value` die Eindeutigkeit eines Identifiers sicher. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value http://fhir.de/sid/gkv/kvid-10 Mappings rim: n/a v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType
value	S Σ I	1..1	string	Element id Patient.identifier:VersichertenId-GKV.value Short description The value that is unique Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments Enthält den eigentlichen Wert des Identifiers. Begründung Pflichtfeld: Ist der Wert nicht bekannt, sollte der gesamte Slice weggelassen werden. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` kvid-1: Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen `matches('^[A-Z][0-9]{9}$')` Examples General 123456 Mappings rim: n/a v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element id Patient.identifier:VersichertenId-GKV.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. 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: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element id Patient.identifier:VersichertenId-GKV.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` 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: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
Patientennummer	S Σ	1..*	IdentifierPidPattern	Element id Patient.identifier:Patientennummer Short description Organisationsinterner Patienten-Identifier (PID) Definition An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Requirements Patients are almost always assigned specific numerical identifiers. Comments Organisationsintere Patienten-Identifier werden von z.B. von KIS-Systemen vergeben und dienen innerhalb einer Einreichtung meist als primäres Identifikationsmerkmal für Patienten, u.A. in der HL7 V2-Kommunikation. Weitere Hinweise: siehe Deutschen Basisprofile Data type IdentifierPid Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "MR" } ] } } Mappings 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: PID-3 rim: id cda: .id
id		0..1	string	There are no (further) constraints on this element Element id Patient.identifier:Patientennummer.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 Patient.identifier:Patientennummer.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	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id Patient.identifier:Patientennummer.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: N/A rim: Role.code or implied by context
type	S Σ	1..1	CodeableConceptBindingPattern	Element id Patient.identifier:Patientennummer.type Short description Art des Identifiers Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments Hier ist stets der Code `MR` aus dem CodeSystem `http://terminology.hl7.org/CodeSystem/v2-0203` anzugeben. Begründung Pflichtfeld: `type` dient der Unterscheidung verschiedener Identifier-Typen Data type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. IdentifierTypeDeBasis (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "MR" } ] } Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: CX.5 rim: Role.code or implied by context
system	S Σ	1..1	uri	Element id Patient.identifier:Patientennummer.system Short description Namensraum des Identifiers Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Comments Hier ist stets der eindeutige Name (URL) des Namensraums anzugeben, aus dem der Identifier stammt. Hinweise zur Festlegung der URLs für lokale Namensräume sind in den Deutschen Basisprofilen beschrieben. Begründung Pflichtfeld: `system` stellt in Kombination mit `value` die Eindeutigkeit eines Identifiers sicher. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General http://www.acme.com/identifiers/patient Mappings rim: n/a v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType
value	S Σ	1..1	string	Element id Patient.identifier:Patientennummer.value Short description The value that is unique Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments Enthält den eigentlichen Wert des Identifiers. Begründung Pflichtfeld: Ist der Wert nicht bekannt, sollte der gesamte Slice weggelassen werden. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim: n/a v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element id Patient.identifier:Patientennummer.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for 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: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element id Patient.identifier:Patientennummer.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` 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: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
Versichertennummer_PKV	Σ	0..1	IdentifierPkvPattern	Element id Patient.identifier:Versichertennummer_PKV Short description Private Krankenversichertennummer Definition An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Requirements Patients are almost always assigned specific numerical identifiers. Comments Für Privatpatienten, die noch nicht über eine lebenslange, unveränderliche Krankenversichertennummer (KVNR) verfügen, können bis auf weiteres noch die versicherungsspezifischen PKV-Nummern angegeben werden. Da bei diesen der Bezeichner des vom Kostenträger verwendeten Namensraums mest nicht ermittelt werden kann, ist statt dessen der Name des Kostenträgers in `assigner` anzugeben. Weitere Hinweise: siehe Deutsche Basisprofile Data type IdentifierPkv Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "type": { "coding": [ { "system": "http://fhir.de/CodeSystem/identifier-type-de-basis", "code": "PKV" } ] } } Mappings 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: PID-3 rim: id cda: .id
id		0..1	string	There are no (further) constraints on this element Element id Patient.identifier:Versichertennummer_PKV.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Patient.identifier:Versichertennummer_PKV.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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	codeBindingFixed Value	Element id Patient.identifier:Versichertennummer_PKV.use Short description Verwendungszeck des Identifiers Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Hier ist stets der Wert `secondary` anzugeben. Data type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value secondary Mappings rim: n/a v2: N/A rim: Role.code or implied by context
type	S Σ	1..1	CodeableConceptBindingPattern	Element id Patient.identifier:Versichertennummer_PKV.type Short description Art des Identifiers Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments Hier ist stets der Code `PKV` aus dem CodeSystem `http://fhir.de/CodeSystem/identifier-type-de-basis` anzugeben. Begründung Pflichtfeld: `type` dient der Unterscheidung verschiedener Identifier-Typen Data type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. IdentifierTypeDeBasis (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "coding": [ { "system": "http://fhir.de/CodeSystem/identifier-type-de-basis", "code": "PKV" } ] } Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: CX.5 rim: Role.code or implied by context
system	Σ	0..1	uri	There are no (further) constraints on this element Element id Patient.identifier:Versichertennummer_PKV.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Comments Identifier.system is always case sensitive. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General http://www.acme.com/identifiers/patient Mappings rim: n/a v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType
value	S Σ	1..1	string	Element id Patient.identifier:Versichertennummer_PKV.value Short description Private Krankenversichertennummer Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments Enthält den eigentlichen Wert des Identifiers. Begründung Pflichtfeld: Ist der Wert nicht bekannt, sollte der gesamte Slice weggelassen werden. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim: n/a v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element id Patient.identifier:Versichertennummer_PKV.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. 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: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	S Σ I	1..1	Reference(Organization)	There are no (further) constraints on this element Element id Patient.identifier:Versichertennummer_PKV.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` 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: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
id		0..1	string	There are no (further) constraints on this element Element id Patient.identifier:Versichertennummer_PKV.assigner.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Patient.identifier:Versichertennummer_PKV.assigner.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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	Σ I	0..1	string	There are no (further) constraints on this element Element id Patient.identifier:Versichertennummer_PKV.assigner.reference Short description Literal reference, Relative, internal or absolute URL Definition A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Comments Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. Data type string 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 Patient.identifier:Versichertennummer_PKV.assigner.type Short description Type the reference refers to (e.g. "Patient") Definition The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. 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	IdentifierIknr	There are no (further) constraints on this element Element id Patient.identifier:Versichertennummer_PKV.assigner.identifier Short description An identifier intended for computation Definition An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Comments When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation\|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). Data type IdentifierIknr 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
id		0..1	string	There are no (further) constraints on this element Element id Patient.identifier:Versichertennummer_PKV.assigner.identifier.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Patient.identifier:Versichertennummer_PKV.assigner.identifier.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id Patient.identifier:Versichertennummer_PKV.assigner.identifier.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: N/A rim: Role.code or implied by context
type	Σ	0..1	CodeableConceptBindingPattern	There are no (further) constraints on this element Element id Patient.identifier:Versichertennummer_PKV.assigner.identifier.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. Data type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. IdentifierTypeDeBasis (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "XX" } ] } Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: CX.5 rim: Role.code or implied by context
system	S Σ	1..1	uriFixed Value	Element id Patient.identifier:Versichertennummer_PKV.assigner.identifier.system Short description Namensraum des Identifiers Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Comments Hier ist stets der Wert `http://fhir.de/sid/arge-ik/iknr` anzugeben. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value http://fhir.de/sid/arge-ik/iknr Mappings rim: n/a v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType
value	S Σ I	1..1	string	Element id Patient.identifier:Versichertennummer_PKV.assigner.identifier.value Short description IK-Nummer des Kostenträgers Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments IK-Nummer des Kostenträgers, aus dessen Nummernkreis die PKV-Nummer stammt. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ik-1: Eine IK muss eine numerische 9-stellige Zeichenkette (mit Prüfziffer) sein `matches('^[0-9]{9}$')` Examples General 123456 Mappings rim: n/a v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element id Patient.identifier:Versichertennummer_PKV.assigner.identifier.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. 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: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element id Patient.identifier:Versichertennummer_PKV.assigner.identifier.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` 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: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
display	S Σ	1..1	string	Element id Patient.identifier:Versichertennummer_PKV.assigner.display Short description Name des Kostenträgers Definition Plain text narrative that identifies the resource in addition to the resource reference. Comments Name des Kostenträgers, aus dessen Nummernkreis die PKV-Nummer stammt. 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
active	S Σ ?!	0..1	boolean	Element id Patient.active Short description Status des Datensatzes Definition Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death. Requirements Need to be able to mark a patient record as not to be used because it was created in error. Comments `true` = Der Datensatz befindet sich in Verwendung/kann verwendet werden `false`= Der Datensatz wurde storniert (z.B. bei Dubletten, Merge) oder archiviert Einschränkung der übergreifenden MS-Definition: Verfügt ein bestätigungsrelevantes System nicht über die Datenstruktur zur Hinterlegung des Aktivitätsstatus einer Patienten-Ressource, so MUSS dieses System die Information NICHT abbilden. Das System SOLL jedoch den Aktivitätsstatus hart kodieren in der Patienteninstanz (Patient.active auf 'true'), sodass Clients nicht missverständlich mit einer inaktiven Patient-Ressource interagieren. 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 cda: n/a
name	S Σ	1..*	HumanName	Element id Patient.name Short description A name associated with the patient Definition A name associated with the individual. Requirements Need to be able to track the patient by multiple names. Examples are your official name and a partner name. Comments A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns. Data type HumanName Sliced: Unordered, Open, by $this(Pattern) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XPN rim: EN (actually, PN) servd: ProviderName v2: PID-5, PID-9 rim: name cda: .patient.name
Name	S Σ I	1..1	HumannameDeBasisPattern	Element id Patient.name:Name Short description Offizieller Name Definition Personenname mit in Deutschland üblichen Erweiterungen Requirements Need to be able to track the patient by multiple names. Examples are your official name and a partner name. Comments Offizieller Name des Patienten, wie er z.B. in Ausweis oder Versicherungsdokumenten erscheint. Begründung Pflichtfeld: Der offizielle Name des Patienten ist unerlässlich, um Verwechlungen zu vermeiden und den Patienten im Versorgungskontext korrekt anzusprechen. Wenn kein Name vorliegt, MUSS die data-absent-reason-Extension eingesetzt werden. Weitere Hinweise: siehe Deutsche Basisprofile Data type HumannameDeBasis Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` hum-1: Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden `family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue()` hum-2: Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden `family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue()` hum-3: Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden `family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue()` hum-4: Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden `prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue())` Pattern { "use": "official" } Mappings rim: n/a v2: XPN rim: EN (actually, PN) servd: ProviderName v2: PID-5, PID-9 rim: name cda: .patient.name
id		0..1	string	There are no (further) constraints on this element Element id Patient.name:Name.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Patient.name:Name.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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 ?!	1..1	codeBindingPattern	Element id Patient.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 Hier ist stets der Wert `official` anzugeben. Begründung Pflichtfeld: 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())` Pattern official 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 Patient.name:Name.text Short description Text representation of the full name Definition Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts. Requirements A renderable, unencoded form. Comments Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: implied by XPN.11 rim: ./formatted
family	S Σ	1..1	string	Element id Patient.name:Name.family Short description Nachname Alternate names surname Definition Der vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt. 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
id		0..1	string	There are no (further) constraints on this element Element id Patient.name:Name.family.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 Patient.name:Name.family.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
namenszusatz	S I	0..1	Extension(string)	Element id Patient.name:Name.family.extension:namenszusatz Short description Namenszusatz Alternate names extensions, user content Definition Namenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst Comments Enthält ehem. Adelstitel wie z.B. 'Graf', 'Baronesse', 'Freiherr'... Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten. Data type Extension(string) Extension URL http://fhir.de/StructureDefinition/humanname-namenszusatz 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
nachname	S I	0..1	Extension(string)	Element id Patient.name:Name.family.extension:nachname Short description Nachname Alternate names extensions, user content Definition Nachname ohne Vor- und Zusätze. Dient z.B. der alphabetischen Einordnung des Namens. Comments Nachname ohne Vor- und Zusätze. Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten. Data type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/humanname-own-name 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 v2: FN.3 rim: ENXP where Qualifiers = (BR)
vorsatzwort	S I	0..1	Extension(string)	Element id Patient.name:Name.family.extension:vorsatzwort Short description Vorsatzwort Alternate names extensions, user content Definition Vorsatzwort wie z.B.: von, van, zu Vgl. auch VSDM-Spezifikation der Gematik (Versichertenstammdatenmanagement, "eGK") Comments Enthält Vorsätze, die vor dem Nachnamen stehen, z.B. 'von', 'van', 'zu'... Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten. Data type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/humanname-own-prefix 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 v2: FN.2 rim: ENXP where Qualifiers = (VV, R)
value		0..1	System.String	There are no (further) constraints on this element Element id Patient.name:Name.family.value Short description Primitive value for string Definition Primitive value for string Data type System.String Maximum string length 1048576
given	S Σ	1..*	string	Element id Patient.name:Name.given Short description Vorname Alternate names first name, middle name Definition Vorname der Person 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 Patient.name:Name.prefix Short description Präfix Definition Namensteile vor dem Vornamen, z.B. akademischer Titel. 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
id		0..1	string	There are no (further) constraints on this element Element id Patient.name:Name.prefix.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 Patient.name:Name.prefix.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
prefix-qualifier	S I	0..1	Extension(code)	Element id Patient.name:Name.prefix.extension:prefix-qualifier Short description Extension, um das Präfix als akademischen Titel zu qualifizieren Alternate names extensions, user content Definition Spezialisierung der Art des Präfixes, z.B. "AC" für Akademische Titel Comments Hier ist stets der Wert `AC` anzugeben. Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten. Data type Extension(code) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier 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: ENXP.qualifier
id		0..1	string	There are no (further) constraints on this element Element id Patient.name:Name.prefix.extension:prefix-qualifier.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..0	Extension	There are no (further) constraints on this element Element id Patient.name:Name.prefix.extension:prefix-qualifier.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
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id Patient.name:Name.prefix.extension:prefix-qualifier.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier Mappings rim: N/A
value[x]		1..1	BindingFixed Value	Element id Patient.name:Name.prefix.extension:prefix-qualifier.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Binding A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type. EntityNamePartQualifier (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value AC Mappings rim: n/a rim: N/A
valueCode			code	There are no (further) constraints on this element Data type code
value		0..1	System.String	There are no (further) constraints on this element Element id Patient.name:Name.prefix.value Short description Primitive value for string Definition Primitive value for string Data type System.String Maximum string length 1048576
suffix	Σ	0..*	string	There are no (further) constraints on this element Element id Patient.name:Name.suffix Short description Namensteile nach dem Nachnamen Definition Namensteile nach dem Nachnamen 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 Patient.name:Name.period Short description Time period when name was/is in use Definition Indicates the period of time when this name was valid for the named person. Requirements Allows names to be placed in historical context. 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
Geburtsname	S Σ I	0..1	HumannameDeBasisPattern	Element id Patient.name:Geburtsname Short description Geburtsname Definition Personenname mit in Deutschland üblichen Erweiterungen Requirements Need to be able to track the patient by multiple names. Examples are your official name and a partner name. Comments Familienname zum Zeitpunkt der Geburt, sofern abweichend vom offiziellen Namen. Data type HumannameDeBasis Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` hum-1: Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden `family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue()` hum-2: Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden `family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue()` hum-3: Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden `family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue()` hum-4: Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden `prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue())` Pattern { "use": "maiden" } Mappings rim: n/a v2: XPN rim: EN (actually, PN) servd: ProviderName v2: PID-5, PID-9 rim: name cda: .patient.name
id		0..1	string	There are no (further) constraints on this element Element id Patient.name:Geburtsname.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Patient.name:Geburtsname.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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 ?!	1..1	codeBindingPattern	Element id Patient.name:Geburtsname.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 Hier ist stets der Wert `maiden` anzugeben. Begründung Pflichtfeld: 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())` Pattern maiden 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 Patient.name:Geburtsname.text Short description Text representation of the full name Definition Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts. Requirements A renderable, unencoded form. Comments Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: implied by XPN.11 rim: ./formatted
family	S Σ	1..1	string	Element id Patient.name:Geburtsname.family Short description Nachname Alternate names surname Definition Der vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt. Comments Vollständiger Nachname bzw. Familienname des Patienten, einschließlich Vor- und Zusätze. Begründung Pflichtfeld: Ist der Nachname zum Zeitpunkt der Geburt nicht bekannt, sollte der gesamte Slice weggelassen werden. 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
id		0..1	string	There are no (further) constraints on this element Element id Patient.name:Geburtsname.family.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 Patient.name:Geburtsname.family.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
namenszusatz	S I	0..1	Extension(string)	Element id Patient.name:Geburtsname.family.extension:namenszusatz Short description Namenszusatz Alternate names extensions, user content Definition Namenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst Comments Enthält ehem. Adelstitel wie z.B. 'Graf', 'Baronesse', 'Freiherr'... Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten. Data type Extension(string) Extension URL http://fhir.de/StructureDefinition/humanname-namenszusatz 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
nachname	S I	0..1	Extension(string)	Element id Patient.name:Geburtsname.family.extension:nachname Short description Nachname Alternate names extensions, user content Definition Nachname ohne Vor- und Zusätze. Dient z.B. der alphabetischen Einordnung des Namens. Comments Nachname ohne Vor- und Zusätze. Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten. Data type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/humanname-own-name 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 v2: FN.3 rim: ENXP where Qualifiers = (BR)
vorsatzwort	S I	0..1	Extension(string)	Element id Patient.name:Geburtsname.family.extension:vorsatzwort Short description Vorsatzwort Alternate names extensions, user content Definition Vorsatzwort wie z.B.: von, van, zu Vgl. auch VSDM-Spezifikation der Gematik (Versichertenstammdatenmanagement, "eGK") Comments Enthält Vorsätze, die vor dem Nachnamen stehen, z.B. 'von', 'van', 'zu'... Begründung MS: Erforderlich für die verlustfreie Kommunikation von VSDM-Daten. Data type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/humanname-own-prefix 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 v2: FN.2 rim: ENXP where Qualifiers = (VV, R)
value		0..1	System.String	There are no (further) constraints on this element Element id Patient.name:Geburtsname.family.value Short description Primitive value for string Definition Primitive value for string Data type System.String Maximum string length 1048576
given	Σ	0..0	string	There are no (further) constraints on this element Element id Patient.name:Geburtsname.given Short description Vorname Alternate names first name, middle name Definition Vorname der Person Comments If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XPN.2 + XPN.3 rim: ./part[partType = GIV] servd: ./GivenNames
prefix	Σ	0..0	string	There are no (further) constraints on this element Element id Patient.name:Geburtsname.prefix Short description Namensteile vor dem Vornamen Definition Namensteile vor dem Vornamen, z.B. akademischer Titel. 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.5 rim: ./part[partType = PFX] servd: ./TitleCode
suffix	Σ	0..*	string	There are no (further) constraints on this element Element id Patient.name:Geburtsname.suffix Short description Namensteile nach dem Nachnamen Definition Namensteile nach dem Nachnamen 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 Patient.name:Geburtsname.period Short description Time period when name was/is in use Definition Indicates the period of time when this name was valid for the named person. Requirements Allows names to be placed in historical context. 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	Σ I	0..*	ContactPoint	There are no (further) constraints on this element Element id Patient.telecom Short description A contact detail for the individual Definition A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted. Requirements People have (primary) ways to contact them in some way such as phone, email. Comments A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone). Data type ContactPoint Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` 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: PID-13, PID-14, PID-40 rim: telecom cda: .telecom
id		0..1	string	There are no (further) constraints on this element Element id Patient.telecom.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Patient.telecom.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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	Σ I	1..1	codeBinding	There are no (further) constraints on this element Element id Patient.telecom.system Short description phone \| fax \| email \| pager \| url \| sms \| other Definition Telecommunications form for contact point - what communications system is required to make use of the contact. Comments Note that FHIR strings SHALL NOT exceed 1MB in size 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	Σ	1..1	string	There are no (further) constraints on this element Element id Patient.telecom.value Short description The actual contact point details Definition The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address). Requirements Need to support legacy numbers that are not in a tightly controlled format. Comments Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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 Patient.telecom.use Short description home \| work \| temp \| old \| mobile - purpose of this contact point Definition Identifies the purpose for the contact point. Requirements Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. Comments Applications can assume that a contact is current unless it explicitly says that it is temporary or old. Data type code Binding Use of contact point. ContactPointUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings 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 Patient.telecom.rank Short description Specify preferred order of use (1 = highest) Definition Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values. Comments Note that rank does not necessarily follow the order in which the contacts are represented in the instance. Data type positiveInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: n/a
period	Σ I	0..1	Period	There are no (further) constraints on this element Element id Patient.telecom.period Short description Time period when the contact point was/is in use Definition Time period when the contact point was/is in use. 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	S Σ	1..1	codeBinding	Element id Patient.gender Short description Administratives Geschlecht Definition Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes. Requirements Needed for identification of the individual, in combination with (at least) name and birth date. Comments Für die Geschlechtskennzeichen 'unbestimmt' und 'divers' ist der international vereinbarte code `other` zu verwenden. Zur weiteren Differenzierung kann dann die Extension `Geschlecht-Admnistrativ` verwendet werden. Begründung Pflichtfeld: Die Geschlechtsangabe ist für viele Versorgungsprozesse unerlässlich, z.B. Bettendisposition Ermittlung von Referenzwerten korrekte Anrede des Patienten Weitere Hinweise: siehe Deutsche Basisprofile 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: PID-8 rim: player[classCode=PSN\|ANM and determinerCode=INSTANCE]/administrativeGender cda: .patient.administrativeGenderCode
id		0..1	string	There are no (further) constraints on this element Element id Patient.gender.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	Element id Patient.gender.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
Geschlecht-Administrativ	S I	0..1	Extension(Coding)	Element id Patient.gender.extension:Geschlecht-Administrativ Short description Extension zur Differenzierung des Geschlechtskennzeichens Alternate names extensions, user content Definition Optional Extension Element - found in all resources. Comments Diese Extension darf nur in Verbindung mit dem Geschlechtskennzeichen `other` verwendet werden und dient der Differenzierung zwischen den in Deutschland möglichen Geschlechtskennzeichen `D` (divers) und `X`(unbestimmt) Data type Extension(Coding) Extension URL http://fhir.de/StructureDefinition/gender-amtlich-de Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
value		0..1	System.String	There are no (further) constraints on this element Element id Patient.gender.value Short description Primitive value for code Definition Primitive value for code Data type System.String Maximum string length 1048576
birthDate	S Σ	1..1	date	Element id Patient.birthDate Short description Geburtsdatum Definition The date of birth for the individual. Requirements Age of the individual drives many clinical processes. Comments Tages-, monats- oder jahresgenaues Geburtsdatum. Begründung Pflichtfeld: Das Geburstdatum dient - in Verbindung mit dem Namen - als wichtiges Such- und Unterscheidungskriterium. Weitere Hinweise: siehe Deutsche Basisprofile 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 v2: PID-7 rim: player[classCode=PSN\|ANM and determinerCode=INSTANCE]/birthTime cda: .patient.birthTime loinc: 21112-8
id		0..1	string	There are no (further) constraints on this element Element id Patient.birthDate.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 Patient.birthDate.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
Data-Absent-Reason	S I	0..1	Extension(code)	Element id Patient.birthDate.extension:Data-Absent-Reason Short description Begründung für fehlende Information Alternate names extensions, user content Definition Provides a reason why the expected value or elements in the element that is extended are missing. Comments ToDo Data type Extension(code) Extension URL http://hl7.org/fhir/StructureDefinition/data-absent-reason 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: ANY.nullFlavor
id		0..1	string	There are no (further) constraints on this element Element id Patient.birthDate.extension:Data-Absent-Reason.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..0	Extension	There are no (further) constraints on this element Element id Patient.birthDate.extension:Data-Absent-Reason.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
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id Patient.birthDate.extension:Data-Absent-Reason.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value http://hl7.org/fhir/StructureDefinition/data-absent-reason Mappings rim: N/A
value[x]	S	1..1	BindingFixed Value	Element id Patient.birthDate.extension:Data-Absent-Reason.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Binding Used to specify why the normally expected content of the data element is missing. DataAbsentReason (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value unknown Mappings rim: n/a rim: N/A
valueCode			code	There are no (further) constraints on this element Data type code
value		0..1	System.Date	There are no (further) constraints on this element Element id Patient.birthDate.value Short description Primitive value for date Definition Primitive value for date Data type System.Date
deceased[x]	Σ ?!	0..1		There are no (further) constraints on this element Element id Patient.deceased[x] Short description Indicates if the individual is deceased or not Definition Indicates if the individual is deceased or not. Requirements The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive. Comments If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: PID-30 (bool) and PID-29 (datetime) rim: player[classCode=PSN\|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN\|ANM and determinerCode=INSTANCE]/deceasedTime cda: n/a
deceasedBoolean			boolean	There are no (further) constraints on this element Data type boolean
deceasedDateTime			dateTime	There are no (further) constraints on this element Data type dateTime
address	S Σ	0..*	Address	Element id Patient.address Short description An address for the individual Definition An address for the individual. Requirements May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. Comments Patient may have multiple addresses with different uses or applicable periods. Data type Address Sliced: Unordered, Open, by $this(Pattern) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XAD rim: AD servd: Address v2: PID-11 rim: addr cda: .addr
Strassenanschrift	S Σ I	0..*	AddressDeBasisPattern	Element id Patient.address:Strassenanschrift Short description Straßenanschrift Definition Eine Adresse gemäß postalischer Konventionen (im Gegensatz zu bspw. GPS-Koordinaten). Die Adresse kann sowohl zur Zustellung von Postsendungen oder zum Aufsuchen von Orten, die keine gültige Postadresse haben, verwendet werden. Die verwendeten Extensions in diesem Profil bilden die Struktur der Adresse ab, wie sie im VSDM-Format der elektronischen Versichertenkarte verwendet wird. Insbesondere bei ausländischen Adresse oder Adressen, die nicht durch Einlesen einer elektronischen Versichertenkarte erfasst wurden, sind abweichende Strukturen möglich. Die Verwendung der Extensions ist nicht verpflichtend. Requirements May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. Comments Wohn- oder Aufenthaltsort des Patienten Data type AddressDeBasis Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` add-1: Wenn die Extension 'Hausnummer' verwendet wird, muss auch Address.line gefüllt werden `line.all($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: PID-11 rim: addr cda: .addr
id		0..1	string	There are no (further) constraints on this element Element id Patient.address:Strassenanschrift.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Patient.address:Strassenanschrift.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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 Patient.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 Patient.address:Strassenanschrift.use Short description home \| work \| temp \| old \| billing - purpose of this address Definition The purpose of this address. Requirements Allows an appropriate address to be chosen from a list of many. Comments Applications can assume that an address is current unless it explicitly says that it is temporary or old. Data type code Binding The use of an address. AddressUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General home Mappings rim: n/a v2: XAD.7 rim: unique(./use) servd: ./AddressPurpose
type	S Σ	1..1	codeBindingPattern	Element id Patient.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 Patient.address:Strassenanschrift.text Short description Text representation of the address Definition Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts. Requirements A renderable, unencoded form. Comments Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 137 Nowhere Street, Erewhon 9132 Mappings 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 Patient.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 Patient.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 Patient.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	S I	0..1	Extension(string)	Element id Patient.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	S I	0..1	Extension(string)	Element id Patient.address:Strassenanschrift.line.extension:Hausnummer Short description Hausnummer Alternate names extensions, user content Definition Hausnummer, sowie Zusätze (Appartmentnummer, Etage...) Bei Angabe einer Hausnummer in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. Comments 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	S I	0..1	Extension(string)	Element id Patient.address:Strassenanschrift.line.extension:Adresszusatz Short description Adresszusatz Alternate names extensions, user content Definition Zusätzliche Informationen, wie z.B. "3. Etage", "Appartment C" Bei Angabe einer Zusatzinformation in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. Comments 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 Patient.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 Patient.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 Patient.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 Patient.address:Strassenanschrift.district Short description District name (aka county) Alternate names County Definition The name of the administrative area (county). Comments District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General Madison Mappings 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 Patient.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 Patient.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 Patient.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 Patient.address:Strassenanschrift.period Short description Time period when address was/is in use Definition Time period when address was/is in use. Requirements Allows addresses to be placed in historical context. 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 Patient.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 May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. 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: PID-11 rim: addr cda: .addr
id		0..1	string	There are no (further) constraints on this element Element id Patient.address:Postfach.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Patient.address:Postfach.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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 Patient.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 Patient.address:Postfach.use Short description home \| work \| temp \| old \| billing - purpose of this address Definition The purpose of this address. Requirements Allows an appropriate address to be chosen from a list of many. Comments Applications can assume that an address is current unless it explicitly says that it is temporary or old. Data type code Binding The use of an address. AddressUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General home Mappings rim: n/a v2: XAD.7 rim: unique(./use) servd: ./AddressPurpose
type	S Σ	1..1	codeBindingPattern	Element id Patient.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 Patient.address:Postfach.text Short description Text representation of the address Definition Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts. Requirements A renderable, unencoded form. Comments 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 Patient.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 Patient.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 Patient.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 Patient.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 Patient.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 Patient.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	S I	0..1	Extension(string)	Element id Patient.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 Patient.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 Patient.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 Patient.address:Postfach.district Short description District name (aka county) Alternate names County Definition The name of the administrative area (county). Comments District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General Madison Mappings 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 Patient.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 Patient.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 Patient.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 Patient.address:Postfach.period Short description Time period when address was/is in use Definition Time period when address was/is in use. Requirements Allows addresses to be placed in historical context. 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
maritalStatus		0..1	CodeableConceptBinding	There are no (further) constraints on this element Element id Patient.maritalStatus Short description Marital (civil) status of a patient Definition This field contains a patient's most recent marital (civil) status. Requirements Most, if not all systems capture it. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding The domestic partnership status of a person. Marital Status Codes (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: PID-16 rim: player[classCode=PSN]/maritalStatusCode cda: .patient.maritalStatusCode
multipleBirth[x]		0..1		There are no (further) constraints on this element Element id Patient.multipleBirth[x] Short description Whether patient is part of a multiple birth Definition Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer). Requirements For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs. Comments Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: PID-24 (bool), PID-25 (integer) rim: player[classCode=PSN\|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN\|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber cda: n/a
multipleBirthBoolean			boolean	There are no (further) constraints on this element Data type boolean
multipleBirthInteger			integer	There are no (further) constraints on this element Data type integer
photo	I	0..*	Attachment	There are no (further) constraints on this element Element id Patient.photo Short description Image of the patient Definition Image of the patient. Requirements Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too. Comments Guidelines: Use id photos, not clinical photos. Limit dimensions to thumbnail. Keep byte count low to ease resource updates. Data type Attachment Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` 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\|ANM and determinerCode=INSTANCE]/desc cda: n/a
contact	I	0..*	BackboneElement	There are no (further) constraints on this element Element id Patient.contact Short description A contact party (e.g. guardian, partner, friend) for the patient Definition A contact party (e.g. guardian, partner, friend) for the patient. Requirements Need to track people you can contact about the patient. Comments Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` pat-1: SHALL at least contain a contact's details or a reference to an organization `name.exists() or telecom.exists() or address.exists() or organization.exists()` Mappings rim: n/a rim: player[classCode=PSN\|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON] cda: n/a
id		0..1	string	There are no (further) constraints on this element Element id Patient.contact.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Patient.contact.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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 Patient.contact.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements 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
relationship		0..*	CodeableConceptBinding	There are no (further) constraints on this element Element id Patient.contact.relationship Short description The kind of relationship Definition The nature of the relationship between the patient and the contact person. Requirements Used to determine which contact person is the most relevant to approach, depending on circumstances. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding The nature of the relationship between a patient and a contact person for that patient. PatientContactRelationship (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: NK1-7, NK1-3 rim: code cda: n/a
name		0..1	HumanName	There are no (further) constraints on this element Element id Patient.contact.name Short description A name associated with the contact person Definition A name associated with the contact person. Requirements Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person. 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 cda: n/a
telecom	I	0..*	ContactPoint	There are no (further) constraints on this element Element id Patient.contact.telecom Short description A contact detail for the person Definition A contact detail for the person, e.g. a telephone number or an email address. Requirements People have (primary) ways to contact them in some way such as phone, email. Comments Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification. Data type ContactPoint Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` 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 cda: n/a
address		0..1	Address	There are no (further) constraints on this element Element id Patient.contact.address Short description Address for the contact person Definition Address for the contact person. Requirements Need to keep track where the contact person can be contacted per postal mail or visited. Comments Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource). Data type Address 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 cda: n/a
gender		0..1	codeBinding	There are no (further) constraints on this element Element id Patient.contact.gender Short description male \| female \| other \| unknown Definition Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes. Requirements Needed to address the person correctly. 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: player[classCode=PSN\|ANM and determinerCode=INSTANCE]/administrativeGender cda: n/a
organization	I	0..1	Reference(Organization)	There are no (further) constraints on this element Element id Patient.contact.organization Short description Organization that is associated with the contact Definition Organization on behalf of which the contact is acting or for which the contact is working. Requirements For guardians or business related contacts, the organization is relevant. 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(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2: NK1-13, NK1-30, NK1-31, NK1-32, NK1-41 rim: scoper cda: n/a
period	I	0..1	Period	There are no (further) constraints on this element Element id Patient.contact.period Short description The period during which this contact person or organization is valid to be contacted relating to this patient Definition The period during which this contact person or organization is valid to be contacted relating to this patient. 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"] rim: effectiveTime cda: n/a
communication		0..*	BackboneElement	There are no (further) constraints on this element Element id Patient.communication Short description A language which may be used to communicate with the patient about his or her health Definition A language which may be used to communicate with the patient about his or her health. Requirements If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest. Comments If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: LanguageCommunication cda: patient.languageCommunication
id		0..1	string	There are no (further) constraints on this element Element id Patient.communication.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Patient.communication.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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 Patient.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 Patient.communication.language Short description The language which can be used to communicate with the patient about his or her health Definition The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English. Requirements Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect. Comments The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type. Data type CodeableConcept Binding A human language. CommonLanguages (preferred) 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 v2: PID-15, LAN-2 rim: player[classCode=PSN\|ANM and determinerCode=INSTANCE]/languageCommunication/code cda: .languageCode
preferred		0..1	boolean	There are no (further) constraints on this element Element id Patient.communication.preferred Short description Language preference indicator Definition Indicates whether or not the patient prefers this language (over other languages he masters up a certain level). Requirements People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method. Comments This language is specifically identified for communicating healthcare information. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: PID-15 rim: preferenceInd cda: .preferenceInd
generalPractitioner	I	0..*	Reference(Organization \| Practitioner \| PractitionerRole)	There are no (further) constraints on this element Element id Patient.generalPractitioner Short description Patient's nominated primary care provider Alternate names careProvider Definition Patient's nominated care provider. Comments This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues. Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type. Data type Reference(Organization \| Practitioner \| PractitionerRole) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` 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: PD1-4 rim: subjectOf.CareEvent.performer.AssignedEntity cda: n/a
managingOrganization	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element id Patient.managingOrganization Short description Organization that is the custodian of the patient record Definition Organization that is the custodian of the patient record. Requirements Need to know who recognizes this patient record, manages and updates it. Comments There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association). Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` 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) rim: scoper cda: .providerOrganization
link	S Σ ?!	0..*	BackboneElement	Element id Patient.link Short description Link Definition Link to another patient resource that concerns the same actual patient. Requirements There are multiple use cases: Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and Distribution of patient information across multiple servers. Comments Dieses und untergeordnete Elemente KÖNNEN bei einem erfolgten Patient merge entsprechend der Festlegungen unter {{pagelink:Patient-merge}} befüllt werden. Da das Element der Unterstützung der Patient merge Notification dient, MUSS es im Rahmen des Bestätigungsverfahrens NICHT unterstützt werden (Stand: Stufe 4). 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: outboundLink cda: n/a
id		0..1	string	There are no (further) constraints on this element Element id Patient.link.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Patient.link.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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 Patient.link.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
other	S Σ I	1..1	Reference(Patient \| RelatedPerson)	There are no (further) constraints on this element Element id Patient.link.other Short description The other patient or related person resource that the link refers to Definition The other patient resource that the link refers to. Comments Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual. Data type Reference(Patient \| RelatedPerson) 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, MRG-1 rim: id cda: n/a
id		0..1	string	There are no (further) constraints on this element Element id Patient.link.other.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 Patient.link.other.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	Σ I	0..1	string	There are no (further) constraints on this element Element id Patient.link.other.reference Short description Literal reference, Relative, internal or absolute URL Definition A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Comments Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. Data type string 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 Patient.link.other.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	S Σ	0..1	Identifier	Element id Patient.link.other.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 Logischer Verweis auf Identifier[Patientennummer] 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 Patient.link.other.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
type	S Σ	1..1	codeBinding	There are no (further) constraints on this element Element id Patient.link.type Short description replaced-by \| replaces \| refer \| seealso Definition The type of link between this patient resource and another patient resource. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Binding The type of link between this patient resource and another patient resource. LinkType (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: typeCode cda: n/a

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="ISiKPatient" />
    <url value="https://gematik.de/fhir/isik/StructureDefinition/ISiKPatient" />
    <version value="4.0.1" />
    <name value="ISiKPatient" />
    <status value="active" />
    <experimental value="false" />
    <date value="2024-11-25" />
    <publisher value="gematik GmbH" />
    <description value="Dieses Profil spezifiziert die Minimalanforderungen f&#252;r die Bereitstellung von administrativen Patientendaten im Rahmen des Best&#228;tigungsverfahrens der gematik.\n### Motivation  \nDer Austausch administrativer Patientendaten ist eine der grundlegenden Funktionalit&#228;ten beim Datenaustausch in der klinischen Versorgung.  \nIn FHIR werden s&#228;mtliche klinischen Ressourcen durch Verlinkung auf die Ressource &#39;Patient&#39; in einen Patientenkontext gestellt.  \nDie Herstellung des korrekten Patientenkontextes durch Suchen der Patientenressource anhand von Eigenschaften wie Aufnahmenummer, Name oder Geburtsdatum, \ndie Anzeige der zutreffenden Suchergebnisse und der Auswahl bzw. Best&#228;tigung des richtigen Datensatzes durch den Anwender steht am Beginn der meisten klinischen Workflows.  \n\n### Kompatibilit&#228;t\nF&#252;r das Profil ISIKPatient wird eine Kompatibilit&#228;t mit folgenden Profilen angestrebt; allerdings kann nicht sichergestellt werden, dass Instanzen, die gegen ISIKPatient valide sind, auch valide sind gegen:\n\n* [Profil KBV_PR_Base_Patient der KBV Basisprofile](https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Patient)\n* [Profil Patient im International Patient Summary (IPS)](https://hl7.org/fhir/uv/ips/StructureDefinition-Patient-uv-ips.html)\n* [Profil Patient der MI-Initiative](https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient)  \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="Patient" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Patient" />
    <derivation value="constraint" />
    <differential>
        <element id="Patient">
            <path value="Patient" />
            <constraint>
                <key value="isik-pat-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/ISiKPatient" />
            </constraint>
        </element>
        <element id="Patient.identifier">
            <path value="Patient.identifier" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.identifier:VersichertenId">
            <path value="Patient.identifier" />
            <sliceName value="VersichertenId" />
            <short value="Lebenslange Krankenversichertennummer" />
            <comment value="Die als &#39;KVZ10&#39; kodierte Versichertennummer ist der 10-stellige, \n    unver&#228;nderbare Teil der Versichertennummer, \n    der lesbar auf die Elektronische Gesundheitskarte aufgedruckt ist.\n    Er gilt f&#252;r alle Krankenversichertennummern, \n    unabh&#228;ngig davon, ob es sich um GKV, PKV oder Sonderkostentr&#228;ger handelt.  \n    **Weitere Hinweise:** siehe [Deutschen Basisprofile](https://simplifier.net/guide/leitfaden-de-basis-r4/ig-markdown-LebenslangeKrankenversichertennummer10-stelligeKVID-Identifier?version=current)" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Identifier" />
                <profile value="http://fhir.de/StructureDefinition/identifier-kvid-10" />
            </type>
            <patternIdentifier>
                <type>
                    <coding>
                        <system value="http://fhir.de/CodeSystem/identifier-type-de-basis" />
                        <code value="KVZ10" />
                    </coding>
                </type>
            </patternIdentifier>
            <mustSupport value="true" />
        </element>
        <element id="Patient.identifier:VersichertenId.type">
            <path value="Patient.identifier.type" />
            <short value="Art des Identifiers" />
            <comment value="Hier ist stets der Code `KVZ10` \n    aus dem CodeSystem `http://fhir.de/CodeSystem/identifier-type-de-basis` anzugeben.  \n    **Begr&#252;ndung Pflichtfeld:** `type` dient der Unterscheidung verschiedener Identifier-Typen" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.identifier:VersichertenId.system">
            <path value="Patient.identifier.system" />
            <short value="Namensraum der Versichertennummer" />
            <comment value="Hier ist stets der Wert `http://fhir.de/sid/gkv/kvid-10` anzugeben.  \n    **Begr&#252;ndung Pflichtfeld:** `system` stellt in Kombination mit `value` die Eindeutigkeit eines Identifiers sicher." />
            <mustSupport value="true" />
        </element>
        <element id="Patient.identifier:VersichertenId.value">
            <path value="Patient.identifier.value" />
            <short value="Lebenslange Krankenversichertennummer" />
            <comment value="Der 10-stellige, unver&#228;nderbare Teil der Versichertennummer." />
            <mustSupport value="true" />
        </element>
        <element id="Patient.identifier:VersichertenId-GKV">
            <path value="Patient.identifier" />
            <sliceName value="VersichertenId-GKV" />
            <short value="Gesetzliche Krankenversichertennummer" />
            <comment value="**WARNUNG**: Die Verwendung der &#39;GKV&#39;-Kodierung einer Versichertennummer ist abgek&#252;ndigt,\n  da die lebenslangen Versichertennummer ab 2024 auch f&#252;r PKV oder Sonderkostentr&#228;ger eingef&#252;hrt wird. \n  Bitte statt dessen k&#252;nftig den &#39;VersichertenId&#39;-Slice verwenden." />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Identifier" />
                <profile value="http://fhir.de/StructureDefinition/identifier-kvid-10" />
            </type>
            <patternIdentifier>
                <type>
                    <coding>
                        <system value="http://fhir.de/CodeSystem/identifier-type-de-basis" />
                        <code value="GKV" />
                    </coding>
                </type>
            </patternIdentifier>
            <mustSupport value="true" />
        </element>
        <element id="Patient.identifier:VersichertenId-GKV.type">
            <path value="Patient.identifier.type" />
            <short value="Art des Identifiers" />
            <comment value="Hier ist stets der Code `GKV` \n    aus dem CodeSystem `http://fhir.de/CodeSystem/identifier-type-de-basis` anzugeben.  \n    **Begr&#252;ndung Pflichtfeld:** `type` dient der Unterscheidung verschiedener Identifier-Typen" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.identifier:VersichertenId-GKV.system">
            <path value="Patient.identifier.system" />
            <short value="Namensraum der Versichertennummer" />
            <comment value="Hier ist stets der Wert `http://fhir.de/sid/gkv/kvid-10` anzugeben.  \n    **Begr&#252;ndung Pflichtfeld:** `system` stellt in Kombination mit `value` die Eindeutigkeit eines Identifiers sicher." />
            <mustSupport value="true" />
        </element>
        <element id="Patient.identifier:VersichertenId-GKV.value">
            <path value="Patient.identifier.value" />
            <comment value="Enth&#228;lt den eigentlichen Wert des Identifiers.  \n    **Begr&#252;ndung Pflichtfeld:** Ist der Wert nicht bekannt, sollte der gesamte Slice weggelassen werden." />
            <mustSupport value="true" />
        </element>
        <element id="Patient.identifier:Patientennummer">
            <path value="Patient.identifier" />
            <sliceName value="Patientennummer" />
            <short value="Organisationsinterner Patienten-Identifier (PID)" />
            <comment value="Organisationsintere Patienten-Identifier werden von z.B. von KIS-Systemen vergeben \n  und dienen innerhalb einer Einreichtung meist als prim&#228;res Identifikationsmerkmal f&#252;r Patienten, \n  u.A. in der HL7 V2-Kommunikation.  \n  **Weitere Hinweise:** siehe [Deutschen Basisprofile](https://simplifier.net/guide/leitfaden-de-basis-r4/ig-markdown-OrganisationsinternerPatienten-Identifier?version=current)" />
            <min value="1" />
            <max value="*" />
            <type>
                <code value="Identifier" />
                <profile value="http://fhir.de/StructureDefinition/identifier-pid" />
            </type>
            <patternIdentifier>
                <type>
                    <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
                        <code value="MR" />
                    </coding>
                </type>
            </patternIdentifier>
            <mustSupport value="true" />
        </element>
        <element id="Patient.identifier:Patientennummer.type">
            <path value="Patient.identifier.type" />
            <short value="Art des Identifiers" />
            <comment value="Hier ist stets der Code `MR` \n    aus dem CodeSystem `http://terminology.hl7.org/CodeSystem/v2-0203` anzugeben.  \n    **Begr&#252;ndung Pflichtfeld:** `type` dient der Unterscheidung verschiedener Identifier-Typen" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.identifier:Patientennummer.system">
            <path value="Patient.identifier.system" />
            <short value="Namensraum des Identifiers" />
            <comment value="Hier ist stets der eindeutige Name (URL) des Namensraums anzugeben, \n    aus dem der Identifier stammt. \n    Hinweise zur Festlegung der URLs f&#252;r lokale Namensr&#228;ume sind in den \n    [Deutschen Basisprofilen](https://simplifier.net/guide/leitfaden-de-basis-r4/ig-markdown-Terminologie-Namensraeume?version=current) beschrieben.  \n    **Begr&#252;ndung Pflichtfeld:** `system` stellt in Kombination mit `value` die Eindeutigkeit eines Identifiers sicher." />
            <mustSupport value="true" />
        </element>
        <element id="Patient.identifier:Patientennummer.value">
            <path value="Patient.identifier.value" />
            <comment value="Enth&#228;lt den eigentlichen Wert des Identifiers.  \n    **Begr&#252;ndung Pflichtfeld:** Ist der Wert nicht bekannt, sollte der gesamte Slice weggelassen werden." />
            <mustSupport value="true" />
        </element>
        <element id="Patient.identifier:Versichertennummer_PKV">
            <path value="Patient.identifier" />
            <sliceName value="Versichertennummer_PKV" />
            <short value="Private Krankenversichertennummer" />
            <comment value="F&#252;r Privatpatienten, die noch nicht &#252;ber eine lebenslange, unver&#228;nderliche Krankenversichertennummer (KVNR) verf&#252;gen,\n  k&#246;nnen bis auf weiteres noch die versicherungsspezifischen PKV-Nummern angegeben werden. \n  Da bei diesen der Bezeichner des vom Kostentr&#228;ger verwendeten Namensraums mest nicht ermittelt werden kann,\n  ist statt dessen der Name des Kostentr&#228;gers in `assigner` anzugeben.  \n  **Weitere Hinweise:** siehe [Deutsche Basisprofile](https://simplifier.net/guide/leitfaden-de-basis-r4/ig-markdown-PrivateKrankenversichertennummer-Identifier?version=current)" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Identifier" />
                <profile value="http://fhir.de/StructureDefinition/identifier-pkv" />
            </type>
            <patternIdentifier>
                <type>
                    <coding>
                        <system value="http://fhir.de/CodeSystem/identifier-type-de-basis" />
                        <code value="PKV" />
                    </coding>
                </type>
            </patternIdentifier>
            <mustSupport value="false" />
        </element>
        <element id="Patient.identifier:Versichertennummer_PKV.use">
            <path value="Patient.identifier.use" />
            <short value="Verwendungszeck des Identifiers" />
            <comment value="Hier ist stets der Wert `secondary` anzugeben." />
            <mustSupport value="true" />
        </element>
        <element id="Patient.identifier:Versichertennummer_PKV.type">
            <path value="Patient.identifier.type" />
            <short value="Art des Identifiers" />
            <comment value="Hier ist stets der Code `PKV` \n    aus dem CodeSystem `http://fhir.de/CodeSystem/identifier-type-de-basis` anzugeben.  \n    **Begr&#252;ndung Pflichtfeld:** `type` dient der Unterscheidung verschiedener Identifier-Typen" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.identifier:Versichertennummer_PKV.value">
            <path value="Patient.identifier.value" />
            <short value="Private Krankenversichertennummer" />
            <comment value="Enth&#228;lt den eigentlichen Wert des Identifiers.  \n    **Begr&#252;ndung Pflichtfeld:** Ist der Wert nicht bekannt, sollte der gesamte Slice weggelassen werden." />
            <mustSupport value="true" />
        </element>
        <element id="Patient.identifier:Versichertennummer_PKV.assigner">
            <path value="Patient.identifier.assigner" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.identifier:Versichertennummer_PKV.assigner.identifier.system">
            <path value="Patient.identifier.assigner.identifier.system" />
            <short value="Namensraum des Identifiers" />
            <comment value="Hier ist stets der Wert `http://fhir.de/sid/arge-ik/iknr` anzugeben." />
            <mustSupport value="true" />
        </element>
        <element id="Patient.identifier:Versichertennummer_PKV.assigner.identifier.value">
            <path value="Patient.identifier.assigner.identifier.value" />
            <short value="IK-Nummer des Kostentr&#228;gers" />
            <comment value="IK-Nummer des Kostentr&#228;gers, aus dessen Nummernkreis die PKV-Nummer stammt." />
            <mustSupport value="true" />
        </element>
        <element id="Patient.identifier:Versichertennummer_PKV.assigner.display">
            <path value="Patient.identifier.assigner.display" />
            <short value="Name des Kostentr&#228;gers" />
            <comment value="Name des Kostentr&#228;gers, aus dessen Nummernkreis die PKV-Nummer stammt." />
            <mustSupport value="true" />
        </element>
        <element id="Patient.active">
            <path value="Patient.active" />
            <short value="Status des Datensatzes" />
            <comment value="`true` = Der Datensatz befindet sich in Verwendung/kann verwendet werden  \n  `false`= Der Datensatz wurde storniert (z.B. bei Dubletten, Merge) oder archiviert  \n  **Einschr&#228;nkung der &#252;bergreifenden MS-Definition:**  \n  Verf&#252;gt ein best&#228;tigungsrelevantes System nicht &#252;ber die Datenstruktur zur Hinterlegung des Aktivit&#228;tsstatus einer Patienten-Ressource, \n  so MUSS dieses System die Information NICHT abbilden. \n  Das System SOLL jedoch den Aktivit&#228;tsstatus hart kodieren in der Patienteninstanz \n  (Patient.active auf &#39;true&#39;), sodass Clients nicht missverst&#228;ndlich mit einer inaktiven \n  Patient-Ressource interagieren." />
            <mustSupport value="true" />
        </element>
        <element id="Patient.name">
            <path value="Patient.name" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.name:Name">
            <path value="Patient.name" />
            <sliceName value="Name" />
            <short value="Offizieller Name" />
            <comment value="Offizieller Name des Patienten, wie er z.B. in Ausweis oder Versicherungsdokumenten erscheint. \n  **Begr&#252;ndung Pflichtfeld:** Der offizielle Name des Patienten ist unerl&#228;sslich, um Verwechlungen zu vermeiden und den Patienten im Versorgungskontext korrekt anzusprechen.\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" />
            <max value="1" />
            <type>
                <code value="HumanName" />
                <profile value="http://fhir.de/StructureDefinition/humanname-de-basis" />
            </type>
            <patternHumanName>
                <use value="official" />
            </patternHumanName>
            <mustSupport value="true" />
        </element>
        <element id="Patient.name:Name.use">
            <path value="Patient.name.use" />
            <short value="Verwendungszweck" />
            <comment value="Hier ist stets der Wert `official` anzugeben.  \n      **Begr&#252;ndung Pflichtfeld:** Dient als Unterscheidungs- und Auswahlkriterium" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.name:Name.family">
            <path value="Patient.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." />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.name:Name.family.extension:namenszusatz">
            <path value="Patient.name.family.extension" />
            <sliceName value="namenszusatz" />
            <short value="Namenszusatz" />
            <comment value="Enth&#228;lt ehem. Adelstitel wie z.B. &#39;Graf&#39;, &#39;Baronesse&#39;, &#39;Freiherr&#39;...  \n        **Begr&#252;ndung MS:** Erforderlich f&#252;r die verlustfreie Kommunikation von VSDM-Daten." />
            <mustSupport value="true" />
        </element>
        <element id="Patient.name:Name.family.extension:nachname">
            <path value="Patient.name.family.extension" />
            <sliceName value="nachname" />
            <short value="Nachname" />
            <comment value="Nachname ohne Vor- und Zus&#228;tze.  \n        **Begr&#252;ndung MS:** Erforderlich f&#252;r die verlustfreie Kommunikation von VSDM-Daten." />
            <mustSupport value="true" />
        </element>
        <element id="Patient.name:Name.family.extension:vorsatzwort">
            <path value="Patient.name.family.extension" />
            <sliceName value="vorsatzwort" />
            <short value="Vorsatzwort" />
            <comment value="Enth&#228;lt Vors&#228;tze, die vor dem Nachnamen stehen, z.B. &#39;von&#39;, &#39;van&#39;, &#39;zu&#39;...  \n        **Begr&#252;ndung MS:** Erforderlich f&#252;r die verlustfreie Kommunikation von VSDM-Daten." />
            <mustSupport value="true" />
        </element>
        <element id="Patient.name:Name.given">
            <path value="Patient.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." />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.name:Name.prefix">
            <path value="Patient.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="Patient.name:Name.prefix.extension:prefix-qualifier">
            <path value="Patient.name.prefix.extension" />
            <sliceName value="prefix-qualifier" />
            <short value="Extension, um das Pr&#228;fix als akademischen Titel zu qualifizieren" />
            <comment value="Hier ist stets der Wert `AC` anzugeben.  \n        **Begr&#252;ndung MS:** Erforderlich f&#252;r die verlustfreie Kommunikation von VSDM-Daten." />
            <mustSupport value="true" />
        </element>
        <element id="Patient.name:Name.prefix.extension:prefix-qualifier.value[x]">
            <path value="Patient.name.prefix.extension.value[x]" />
            <fixedCode value="AC" />
        </element>
        <element id="Patient.name:Geburtsname">
            <path value="Patient.name" />
            <sliceName value="Geburtsname" />
            <short value="Geburtsname" />
            <comment value="Familienname zum Zeitpunkt der Geburt, sofern abweichend vom offiziellen Namen." />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="HumanName" />
                <profile value="http://fhir.de/StructureDefinition/humanname-de-basis" />
            </type>
            <patternHumanName>
                <use value="maiden" />
            </patternHumanName>
            <mustSupport value="true" />
        </element>
        <element id="Patient.name:Geburtsname.use">
            <path value="Patient.name.use" />
            <short value="Verwendungszweck" />
            <comment value="Hier ist stets der Wert `maiden` anzugeben.  \n      **Begr&#252;ndung Pflichtfeld:** Dient als Unterscheidungs- und Auswahlkriterium" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.name:Geburtsname.family">
            <path value="Patient.name.family" />
            <short value="Nachname" />
            <comment value="Vollst&#228;ndiger Nachname bzw. Familienname des Patienten, einschlie&#223;lich Vor- und Zus&#228;tze.  \n      **Begr&#252;ndung Pflichtfeld:** Ist der Nachname zum Zeitpunkt der Geburt nicht bekannt, sollte der gesamte Slice weggelassen werden." />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.name:Geburtsname.family.extension:namenszusatz">
            <path value="Patient.name.family.extension" />
            <sliceName value="namenszusatz" />
            <short value="Namenszusatz" />
            <comment value="Enth&#228;lt ehem. Adelstitel wie z.B. &#39;Graf&#39;, &#39;Baronesse&#39;, &#39;Freiherr&#39;...  \n        **Begr&#252;ndung MS:** Erforderlich f&#252;r die verlustfreie Kommunikation von VSDM-Daten." />
            <mustSupport value="true" />
        </element>
        <element id="Patient.name:Geburtsname.family.extension:nachname">
            <path value="Patient.name.family.extension" />
            <sliceName value="nachname" />
            <short value="Nachname" />
            <comment value="Nachname ohne Vor- und Zus&#228;tze.  \n        **Begr&#252;ndung MS:** Erforderlich f&#252;r die verlustfreie Kommunikation von VSDM-Daten." />
            <mustSupport value="true" />
        </element>
        <element id="Patient.name:Geburtsname.family.extension:vorsatzwort">
            <path value="Patient.name.family.extension" />
            <sliceName value="vorsatzwort" />
            <short value="Vorsatzwort" />
            <comment value="Enth&#228;lt Vors&#228;tze, die vor dem Nachnamen stehen, z.B. &#39;von&#39;, &#39;van&#39;, &#39;zu&#39;...  \n        **Begr&#252;ndung MS:** Erforderlich f&#252;r die verlustfreie Kommunikation von VSDM-Daten." />
            <mustSupport value="true" />
        </element>
        <element id="Patient.name:Geburtsname.given">
            <path value="Patient.name.given" />
            <max value="0" />
        </element>
        <element id="Patient.name:Geburtsname.prefix">
            <path value="Patient.name.prefix" />
            <max value="0" />
        </element>
        <element id="Patient.telecom.system">
            <path value="Patient.telecom.system" />
            <min value="1" />
        </element>
        <element id="Patient.telecom.value">
            <path value="Patient.telecom.value" />
            <min value="1" />
        </element>
        <element id="Patient.gender">
            <path value="Patient.gender" />
            <short value="Administratives Geschlecht" />
            <comment value="F&#252;r die Geschlechtskennzeichen &#39;unbestimmt&#39; und &#39;divers&#39; ist der international vereinbarte code `other` zu verwenden.\n    Zur weiteren Differenzierung kann dann die Extension `Geschlecht-Admnistrativ` verwendet werden.\n    **Begr&#252;ndung Pflichtfeld:** Die Geschlechtsangabe ist f&#252;r viele Versorgungsprozesse unerl&#228;sslich, z.B.  \n* Bettendisposition\n* Ermittlung von Referenzwerten\n* korrekte Anrede des Patienten  \n    **Weitere Hinweise:** siehe [Deutsche Basisprofile](https://simplifier.net/guide/leitfaden-de-basis-r4/ig-markdown-Ressourcen-Patient?version=current#ig-markdown-Ressourcen-Patient-Geschlecht)" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.gender.extension">
            <path value="Patient.gender.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <ordered value="false" />
                <rules value="open" />
            </slicing>
        </element>
        <element id="Patient.gender.extension:Geschlecht-Administrativ">
            <path value="Patient.gender.extension" />
            <sliceName value="Geschlecht-Administrativ" />
            <short value="Extension zur Differenzierung des Geschlechtskennzeichens" />
            <comment value="Diese Extension darf nur in Verbindung mit dem Geschlechtskennzeichen `other` verwendet werden\n      und dient der Differenzierung zwischen den in Deutschland m&#246;glichen Geschlechtskennzeichen `D` (divers) und `X`(unbestimmt)" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://fhir.de/StructureDefinition/gender-amtlich-de" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Patient.birthDate">
            <path value="Patient.birthDate" />
            <short value="Geburtsdatum" />
            <comment value="Tages-, monats- oder jahresgenaues Geburtsdatum.  \n    **Begr&#252;ndung Pflichtfeld:** Das Geburstdatum dient - in Verbindung mit dem Namen - als wichtiges Such- und Unterscheidungskriterium.  \n    **Weitere Hinweise:** siehe [Deutsche Basisprofile](https://simplifier.net/guide/leitfaden-de-basis-r4/ig-markdown-Ressourcen-Patient?version=current#ig-markdown-Ressourcen-Patient-Geburtsdatum)" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.birthDate.extension:Data-Absent-Reason">
            <path value="Patient.birthDate.extension" />
            <sliceName value="Data-Absent-Reason" />
            <short value="Begr&#252;ndung f&#252;r fehlende Information" />
            <comment value="ToDo" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://hl7.org/fhir/StructureDefinition/data-absent-reason" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Patient.birthDate.extension:Data-Absent-Reason.value[x]">
            <path value="Patient.birthDate.extension.value[x]" />
            <fixedCode value="unknown" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.address">
            <path value="Patient.address" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <mustSupport value="true" />
        </element>
        <element id="Patient.address:Strassenanschrift">
            <path value="Patient.address" />
            <sliceName value="Strassenanschrift" />
            <short value="Stra&#223;enanschrift" />
            <comment value="Wohn- oder Aufenthaltsort des Patienten" />
            <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/ISiKPatient" />
            </constraint>
            <mustSupport value="true" />
        </element>
        <element id="Patient.address:Strassenanschrift.extension:Stadtteil">
            <path value="Patient.address.extension" />
            <sliceName value="Stadtteil" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.address:Strassenanschrift.type">
            <path value="Patient.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="Patient.address:Strassenanschrift.line">
            <path value="Patient.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="Patient.address:Strassenanschrift.line.extension:Strasse">
            <path value="Patient.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." />
            <mustSupport value="true" />
        </element>
        <element id="Patient.address:Strassenanschrift.line.extension:Hausnummer">
            <path value="Patient.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." />
            <mustSupport value="true" />
        </element>
        <element id="Patient.address:Strassenanschrift.line.extension:Adresszusatz">
            <path value="Patient.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." />
            <mustSupport value="true" />
        </element>
        <element id="Patient.address:Strassenanschrift.line.extension:Postfach">
            <path value="Patient.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="Patient.address:Strassenanschrift.city">
            <path value="Patient.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="Patient.address:Strassenanschrift.postalCode">
            <path value="Patient.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="Patient.address:Strassenanschrift.country">
            <path value="Patient.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="Patient.address:Postfach">
            <path value="Patient.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/ISiKPatient" />
            </constraint>
            <mustSupport value="true" />
        </element>
        <element id="Patient.address:Postfach.type">
            <path value="Patient.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="Patient.address:Postfach.line">
            <path value="Patient.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="Patient.address:Postfach.line.extension:Strasse">
            <path value="Patient.address.line.extension" />
            <sliceName value="Strasse" />
            <max value="0" />
        </element>
        <element id="Patient.address:Postfach.line.extension:Hausnummer">
            <path value="Patient.address.line.extension" />
            <sliceName value="Hausnummer" />
            <max value="0" />
        </element>
        <element id="Patient.address:Postfach.line.extension:Adresszusatz">
            <path value="Patient.address.line.extension" />
            <sliceName value="Adresszusatz" />
            <max value="0" />
        </element>
        <element id="Patient.address:Postfach.line.extension:Postfach">
            <path value="Patient.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." />
            <mustSupport value="true" />
        </element>
        <element id="Patient.address:Postfach.city">
            <path value="Patient.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="Patient.address:Postfach.postalCode">
            <path value="Patient.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="Patient.address:Postfach.country">
            <path value="Patient.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="Patient.link">
            <path value="Patient.link" />
            <short value="Link" />
            <comment value="Dieses und untergeordnete Elemente K&#214;NNEN bei einem erfolgten Patient merge entsprechend der Festlegungen unter {{pagelink:Patient-merge}} bef&#252;llt werden. \n  Da das Element der Unterst&#252;tzung der Patient merge Notification dient, \n  MUSS es im Rahmen des Best&#228;tigungsverfahrens NICHT unterst&#252;tzt werden (Stand: Stufe 4)." />
            <mustSupport value="true" />
        </element>
        <element id="Patient.link.other">
            <path value="Patient.link.other" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.link.other.identifier">
            <path value="Patient.link.other.identifier" />
            <comment value="Logischer Verweis auf Identifier[Patientennummer]" />
            <mustSupport value="true" />
        </element>
        <element id="Patient.link.type">
            <path value="Patient.link.type" />
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "id": "ISiKPatient",
    "url": "https://gematik.de/fhir/isik/StructureDefinition/ISiKPatient",
    "version": "4.0.1",
    "name": "ISiKPatient",
    "status": "active",
    "experimental": false,
    "date": "2024-11-25",
    "publisher": "gematik GmbH",
    "description": "Dieses Profil spezifiziert die Minimalanforderungen für die Bereitstellung von administrativen Patientendaten im Rahmen des Bestätigungsverfahrens der gematik.\n### Motivation  \nDer Austausch administrativer Patientendaten ist eine der grundlegenden Funktionalitäten beim Datenaustausch in der klinischen Versorgung.  \nIn FHIR werden sämtliche klinischen Ressourcen durch Verlinkung auf die Ressource 'Patient' in einen Patientenkontext gestellt.  \nDie Herstellung des korrekten Patientenkontextes durch Suchen der Patientenressource anhand von Eigenschaften wie Aufnahmenummer, Name oder Geburtsdatum, \ndie Anzeige der zutreffenden Suchergebnisse und der Auswahl bzw. Bestätigung des richtigen Datensatzes durch den Anwender steht am Beginn der meisten klinischen Workflows.  \n\n### Kompatibilität\nFür das Profil ISIKPatient wird eine Kompatibilität mit folgenden Profilen angestrebt; allerdings kann nicht sichergestellt werden, dass Instanzen, die gegen ISIKPatient valide sind, auch valide sind gegen:\n\n* [Profil KBV_PR_Base_Patient der KBV Basisprofile](https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Patient)\n* [Profil Patient im International Patient Summary (IPS)](https://hl7.org/fhir/uv/ips/StructureDefinition-Patient-uv-ips.html)\n* [Profil Patient der MI-Initiative](https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient)  \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": "Patient",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Patient",
                "path": "Patient",
                "constraint":  [
                    {
                        "key": "isik-pat-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/ISiKPatient"
                    }
                ]
            },
            {
                "id": "Patient.identifier",
                "path": "Patient.identifier",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:VersichertenId",
                "path": "Patient.identifier",
                "sliceName": "VersichertenId",
                "short": "Lebenslange Krankenversichertennummer",
                "comment": "Die als 'KVZ10' kodierte Versichertennummer ist der 10-stellige, \n    unveränderbare Teil der Versichertennummer, \n    der lesbar auf die Elektronische Gesundheitskarte aufgedruckt ist.\n    Er gilt für alle Krankenversichertennummern, \n    unabhängig davon, ob es sich um GKV, PKV oder Sonderkostenträger handelt.  \n    **Weitere Hinweise:** siehe [Deutschen Basisprofile](https://simplifier.net/guide/leitfaden-de-basis-r4/ig-markdown-LebenslangeKrankenversichertennummer10-stelligeKVID-Identifier?version=current)",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Identifier",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/identifier-kvid-10"
                        ]
                    }
                ],
                "patternIdentifier": {
                    "type": {
                        "coding":  [
                            {
                                "code": "KVZ10",
                                "system": "http://fhir.de/CodeSystem/identifier-type-de-basis"
                            }
                        ]
                    }
                },
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:VersichertenId.type",
                "path": "Patient.identifier.type",
                "short": "Art des Identifiers",
                "comment": "Hier ist stets der Code `KVZ10` \n    aus dem CodeSystem `http://fhir.de/CodeSystem/identifier-type-de-basis` anzugeben.  \n    **Begründung Pflichtfeld:** `type` dient der Unterscheidung verschiedener Identifier-Typen",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:VersichertenId.system",
                "path": "Patient.identifier.system",
                "short": "Namensraum der Versichertennummer",
                "comment": "Hier ist stets der Wert `http://fhir.de/sid/gkv/kvid-10` anzugeben.  \n    **Begründung Pflichtfeld:** `system` stellt in Kombination mit `value` die Eindeutigkeit eines Identifiers sicher.",
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:VersichertenId.value",
                "path": "Patient.identifier.value",
                "short": "Lebenslange Krankenversichertennummer",
                "comment": "Der 10-stellige, unveränderbare Teil der Versichertennummer.",
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:VersichertenId-GKV",
                "path": "Patient.identifier",
                "sliceName": "VersichertenId-GKV",
                "short": "Gesetzliche Krankenversichertennummer",
                "comment": "**WARNUNG**: Die Verwendung der 'GKV'-Kodierung einer Versichertennummer ist abgekündigt,\n  da die lebenslangen Versichertennummer ab 2024 auch für PKV oder Sonderkostenträger eingeführt wird. \n  Bitte statt dessen künftig den 'VersichertenId'-Slice verwenden.",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Identifier",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/identifier-kvid-10"
                        ]
                    }
                ],
                "patternIdentifier": {
                    "type": {
                        "coding":  [
                            {
                                "code": "GKV",
                                "system": "http://fhir.de/CodeSystem/identifier-type-de-basis"
                            }
                        ]
                    }
                },
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:VersichertenId-GKV.type",
                "path": "Patient.identifier.type",
                "short": "Art des Identifiers",
                "comment": "Hier ist stets der Code `GKV` \n    aus dem CodeSystem `http://fhir.de/CodeSystem/identifier-type-de-basis` anzugeben.  \n    **Begründung Pflichtfeld:** `type` dient der Unterscheidung verschiedener Identifier-Typen",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:VersichertenId-GKV.system",
                "path": "Patient.identifier.system",
                "short": "Namensraum der Versichertennummer",
                "comment": "Hier ist stets der Wert `http://fhir.de/sid/gkv/kvid-10` anzugeben.  \n    **Begründung Pflichtfeld:** `system` stellt in Kombination mit `value` die Eindeutigkeit eines Identifiers sicher.",
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:VersichertenId-GKV.value",
                "path": "Patient.identifier.value",
                "comment": "Enthält den eigentlichen Wert des Identifiers.  \n    **Begründung Pflichtfeld:** Ist der Wert nicht bekannt, sollte der gesamte Slice weggelassen werden.",
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:Patientennummer",
                "path": "Patient.identifier",
                "sliceName": "Patientennummer",
                "short": "Organisationsinterner Patienten-Identifier (PID)",
                "comment": "Organisationsintere Patienten-Identifier werden von z.B. von KIS-Systemen vergeben \n  und dienen innerhalb einer Einreichtung meist als primäres Identifikationsmerkmal für Patienten, \n  u.A. in der HL7 V2-Kommunikation.  \n  **Weitere Hinweise:** siehe [Deutschen Basisprofile](https://simplifier.net/guide/leitfaden-de-basis-r4/ig-markdown-OrganisationsinternerPatienten-Identifier?version=current)",
                "min": 1,
                "max": "*",
                "type":  [
                    {
                        "code": "Identifier",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/identifier-pid"
                        ]
                    }
                ],
                "patternIdentifier": {
                    "type": {
                        "coding":  [
                            {
                                "code": "MR",
                                "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                            }
                        ]
                    }
                },
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:Patientennummer.type",
                "path": "Patient.identifier.type",
                "short": "Art des Identifiers",
                "comment": "Hier ist stets der Code `MR` \n    aus dem CodeSystem `http://terminology.hl7.org/CodeSystem/v2-0203` anzugeben.  \n    **Begründung Pflichtfeld:** `type` dient der Unterscheidung verschiedener Identifier-Typen",
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:Patientennummer.system",
                "path": "Patient.identifier.system",
                "short": "Namensraum des Identifiers",
                "comment": "Hier ist stets der eindeutige Name (URL) des Namensraums anzugeben, \n    aus dem der Identifier stammt. \n    Hinweise zur Festlegung der URLs für lokale Namensräume sind in den \n    [Deutschen Basisprofilen](https://simplifier.net/guide/leitfaden-de-basis-r4/ig-markdown-Terminologie-Namensraeume?version=current) beschrieben.  \n    **Begründung Pflichtfeld:** `system` stellt in Kombination mit `value` die Eindeutigkeit eines Identifiers sicher.",
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:Patientennummer.value",
                "path": "Patient.identifier.value",
                "comment": "Enthält den eigentlichen Wert des Identifiers.  \n    **Begründung Pflichtfeld:** Ist der Wert nicht bekannt, sollte der gesamte Slice weggelassen werden.",
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:Versichertennummer_PKV",
                "path": "Patient.identifier",
                "sliceName": "Versichertennummer_PKV",
                "short": "Private Krankenversichertennummer",
                "comment": "Für Privatpatienten, die noch nicht über eine lebenslange, unveränderliche Krankenversichertennummer (KVNR) verfügen,\n  können bis auf weiteres noch die versicherungsspezifischen PKV-Nummern angegeben werden. \n  Da bei diesen der Bezeichner des vom Kostenträger verwendeten Namensraums mest nicht ermittelt werden kann,\n  ist statt dessen der Name des Kostenträgers in `assigner` anzugeben.  \n  **Weitere Hinweise:** siehe [Deutsche Basisprofile](https://simplifier.net/guide/leitfaden-de-basis-r4/ig-markdown-PrivateKrankenversichertennummer-Identifier?version=current)",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Identifier",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/identifier-pkv"
                        ]
                    }
                ],
                "patternIdentifier": {
                    "type": {
                        "coding":  [
                            {
                                "code": "PKV",
                                "system": "http://fhir.de/CodeSystem/identifier-type-de-basis"
                            }
                        ]
                    }
                },
                "mustSupport": false
            },
            {
                "id": "Patient.identifier:Versichertennummer_PKV.use",
                "path": "Patient.identifier.use",
                "short": "Verwendungszeck des Identifiers",
                "comment": "Hier ist stets der Wert `secondary` anzugeben.",
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:Versichertennummer_PKV.type",
                "path": "Patient.identifier.type",
                "short": "Art des Identifiers",
                "comment": "Hier ist stets der Code `PKV` \n    aus dem CodeSystem `http://fhir.de/CodeSystem/identifier-type-de-basis` anzugeben.  \n    **Begründung Pflichtfeld:** `type` dient der Unterscheidung verschiedener Identifier-Typen",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:Versichertennummer_PKV.value",
                "path": "Patient.identifier.value",
                "short": "Private Krankenversichertennummer",
                "comment": "Enthält den eigentlichen Wert des Identifiers.  \n    **Begründung Pflichtfeld:** Ist der Wert nicht bekannt, sollte der gesamte Slice weggelassen werden.",
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:Versichertennummer_PKV.assigner",
                "path": "Patient.identifier.assigner",
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:Versichertennummer_PKV.assigner.identifier.system",
                "path": "Patient.identifier.assigner.identifier.system",
                "short": "Namensraum des Identifiers",
                "comment": "Hier ist stets der Wert `http://fhir.de/sid/arge-ik/iknr` anzugeben.",
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:Versichertennummer_PKV.assigner.identifier.value",
                "path": "Patient.identifier.assigner.identifier.value",
                "short": "IK-Nummer des Kostenträgers",
                "comment": "IK-Nummer des Kostenträgers, aus dessen Nummernkreis die PKV-Nummer stammt.",
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:Versichertennummer_PKV.assigner.display",
                "path": "Patient.identifier.assigner.display",
                "short": "Name des Kostenträgers",
                "comment": "Name des Kostenträgers, aus dessen Nummernkreis die PKV-Nummer stammt.",
                "mustSupport": true
            },
            {
                "id": "Patient.active",
                "path": "Patient.active",
                "short": "Status des Datensatzes",
                "comment": "\n  `true` = Der Datensatz befindet sich in Verwendung/kann verwendet werden  \n  `false`= Der Datensatz wurde storniert (z.B. bei Dubletten, Merge) oder archiviert  \n  **Einschränkung der übergreifenden MS-Definition:**  \n  Verfügt ein bestätigungsrelevantes System nicht über die Datenstruktur zur Hinterlegung des Aktivitätsstatus einer Patienten-Ressource, \n  so MUSS dieses System die Information NICHT abbilden. \n  Das System SOLL jedoch den Aktivitätsstatus hart kodieren in der Patienteninstanz \n  (Patient.active auf 'true'), sodass Clients nicht missverständlich mit einer inaktiven \n  Patient-Ressource interagieren.",
                "mustSupport": true
            },
            {
                "id": "Patient.name",
                "path": "Patient.name",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.name:Name",
                "path": "Patient.name",
                "sliceName": "Name",
                "short": "Offizieller Name",
                "comment": "Offizieller Name des Patienten, wie er z.B. in Ausweis oder Versicherungsdokumenten erscheint. \n  **Begründung Pflichtfeld:** Der offizielle Name des Patienten ist unerlässlich, um Verwechlungen zu vermeiden und den Patienten im Versorgungskontext korrekt anzusprechen.\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,
                "max": "1",
                "type":  [
                    {
                        "code": "HumanName",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/humanname-de-basis"
                        ]
                    }
                ],
                "patternHumanName": {
                    "use": "official"
                },
                "mustSupport": true
            },
            {
                "id": "Patient.name:Name.use",
                "path": "Patient.name.use",
                "short": "Verwendungszweck",
                "comment": "Hier ist stets der Wert `official` anzugeben.  \n      **Begründung Pflichtfeld:** Dient als Unterscheidungs- und Auswahlkriterium",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.name:Name.family",
                "path": "Patient.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.",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.name:Name.family.extension:namenszusatz",
                "path": "Patient.name.family.extension",
                "sliceName": "namenszusatz",
                "short": "Namenszusatz",
                "comment": "Enthält ehem. Adelstitel wie z.B. 'Graf', 'Baronesse', 'Freiherr'...  \n        **Begründung MS:** Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.",
                "mustSupport": true
            },
            {
                "id": "Patient.name:Name.family.extension:nachname",
                "path": "Patient.name.family.extension",
                "sliceName": "nachname",
                "short": "Nachname",
                "comment": "Nachname ohne Vor- und Zusätze.  \n        **Begründung MS:** Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.",
                "mustSupport": true
            },
            {
                "id": "Patient.name:Name.family.extension:vorsatzwort",
                "path": "Patient.name.family.extension",
                "sliceName": "vorsatzwort",
                "short": "Vorsatzwort ",
                "comment": "Enthält Vorsätze, die vor dem Nachnamen stehen, z.B. 'von', 'van', 'zu'...  \n        **Begründung MS:** Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.",
                "mustSupport": true
            },
            {
                "id": "Patient.name:Name.given",
                "path": "Patient.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.",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.name:Name.prefix",
                "path": "Patient.name.prefix",
                "short": "Präfix",
                "comment": "Präfix, z.B. akademischer Titel od. militärischer Rang",
                "mustSupport": true
            },
            {
                "id": "Patient.name:Name.prefix.extension:prefix-qualifier",
                "path": "Patient.name.prefix.extension",
                "sliceName": "prefix-qualifier",
                "short": "Extension, um das Präfix als akademischen Titel zu qualifizieren",
                "comment": "Hier ist stets der Wert `AC` anzugeben.  \n        **Begründung MS:** Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.",
                "mustSupport": true
            },
            {
                "id": "Patient.name:Name.prefix.extension:prefix-qualifier.value[x]",
                "path": "Patient.name.prefix.extension.value[x]",
                "fixedCode": "AC"
            },
            {
                "id": "Patient.name:Geburtsname",
                "path": "Patient.name",
                "sliceName": "Geburtsname",
                "short": "Geburtsname",
                "comment": "Familienname zum Zeitpunkt der Geburt, sofern abweichend vom offiziellen Namen.",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "HumanName",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/humanname-de-basis"
                        ]
                    }
                ],
                "patternHumanName": {
                    "use": "maiden"
                },
                "mustSupport": true
            },
            {
                "id": "Patient.name:Geburtsname.use",
                "path": "Patient.name.use",
                "short": "Verwendungszweck",
                "comment": "Hier ist stets der Wert `maiden` anzugeben.  \n      **Begründung Pflichtfeld:** Dient als Unterscheidungs- und Auswahlkriterium",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.name:Geburtsname.family",
                "path": "Patient.name.family",
                "short": "Nachname",
                "comment": "Vollständiger Nachname bzw. Familienname des Patienten, einschließlich Vor- und Zusätze.  \n      **Begründung Pflichtfeld:** Ist der Nachname zum Zeitpunkt der Geburt nicht bekannt, sollte der gesamte Slice weggelassen werden.",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.name:Geburtsname.family.extension:namenszusatz",
                "path": "Patient.name.family.extension",
                "sliceName": "namenszusatz",
                "short": "Namenszusatz",
                "comment": "Enthält ehem. Adelstitel wie z.B. 'Graf', 'Baronesse', 'Freiherr'...  \n        **Begründung MS:** Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.",
                "mustSupport": true
            },
            {
                "id": "Patient.name:Geburtsname.family.extension:nachname",
                "path": "Patient.name.family.extension",
                "sliceName": "nachname",
                "short": "Nachname",
                "comment": "Nachname ohne Vor- und Zusätze.  \n        **Begründung MS:** Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.",
                "mustSupport": true
            },
            {
                "id": "Patient.name:Geburtsname.family.extension:vorsatzwort",
                "path": "Patient.name.family.extension",
                "sliceName": "vorsatzwort",
                "short": "Vorsatzwort ",
                "comment": "Enthält Vorsätze, die vor dem Nachnamen stehen, z.B. 'von', 'van', 'zu'...  \n        **Begründung MS:** Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.",
                "mustSupport": true
            },
            {
                "id": "Patient.name:Geburtsname.given",
                "path": "Patient.name.given",
                "max": "0"
            },
            {
                "id": "Patient.name:Geburtsname.prefix",
                "path": "Patient.name.prefix",
                "max": "0"
            },
            {
                "id": "Patient.telecom.system",
                "path": "Patient.telecom.system",
                "min": 1
            },
            {
                "id": "Patient.telecom.value",
                "path": "Patient.telecom.value",
                "min": 1
            },
            {
                "id": "Patient.gender",
                "path": "Patient.gender",
                "short": "Administratives Geschlecht ",
                "comment": "Für die Geschlechtskennzeichen 'unbestimmt' und 'divers' ist der international vereinbarte code `other` zu verwenden.\n    Zur weiteren Differenzierung kann dann die Extension `Geschlecht-Admnistrativ` verwendet werden.\n    **Begründung Pflichtfeld:** Die Geschlechtsangabe ist für viele Versorgungsprozesse unerlässlich, z.B.  \n* Bettendisposition\n* Ermittlung von Referenzwerten\n* korrekte Anrede des Patienten  \n    **Weitere Hinweise:** siehe [Deutsche Basisprofile](https://simplifier.net/guide/leitfaden-de-basis-r4/ig-markdown-Ressourcen-Patient?version=current#ig-markdown-Ressourcen-Patient-Geschlecht)",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.gender.extension",
                "path": "Patient.gender.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "ordered": false,
                    "rules": "open"
                }
            },
            {
                "id": "Patient.gender.extension:Geschlecht-Administrativ",
                "path": "Patient.gender.extension",
                "sliceName": "Geschlecht-Administrativ",
                "short": "Extension zur Differenzierung des Geschlechtskennzeichens ",
                "comment": "Diese Extension darf nur in Verbindung mit dem Geschlechtskennzeichen `other` verwendet werden\n      und dient der Differenzierung zwischen den in Deutschland möglichen Geschlechtskennzeichen `D` (divers) und `X`(unbestimmt)",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/gender-amtlich-de"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Patient.birthDate",
                "path": "Patient.birthDate",
                "short": "Geburtsdatum ",
                "comment": "Tages-, monats- oder jahresgenaues Geburtsdatum.  \n    **Begründung Pflichtfeld:** Das Geburstdatum dient - in Verbindung mit dem Namen - als wichtiges Such- und Unterscheidungskriterium.  \n    **Weitere Hinweise:** siehe [Deutsche Basisprofile](https://simplifier.net/guide/leitfaden-de-basis-r4/ig-markdown-Ressourcen-Patient?version=current#ig-markdown-Ressourcen-Patient-Geburtsdatum)",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.birthDate.extension:Data-Absent-Reason",
                "path": "Patient.birthDate.extension",
                "sliceName": "Data-Absent-Reason",
                "short": "Begründung für fehlende Information",
                "comment": "ToDo",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Patient.birthDate.extension:Data-Absent-Reason.value[x]",
                "path": "Patient.birthDate.extension.value[x]",
                "fixedCode": "unknown",
                "mustSupport": true
            },
            {
                "id": "Patient.address",
                "path": "Patient.address",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "mustSupport": true
            },
            {
                "id": "Patient.address:Strassenanschrift",
                "path": "Patient.address",
                "sliceName": "Strassenanschrift",
                "short": "Straßenanschrift",
                "comment": "Wohn- oder Aufenthaltsort des Patienten",
                "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/ISiKPatient"
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Patient.address:Strassenanschrift.extension:Stadtteil",
                "path": "Patient.address.extension",
                "sliceName": "Stadtteil",
                "mustSupport": true
            },
            {
                "id": "Patient.address:Strassenanschrift.type",
                "path": "Patient.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": "Patient.address:Strassenanschrift.line",
                "path": "Patient.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": "Patient.address:Strassenanschrift.line.extension:Strasse",
                "path": "Patient.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.",
                "mustSupport": true
            },
            {
                "id": "Patient.address:Strassenanschrift.line.extension:Hausnummer",
                "path": "Patient.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.",
                "mustSupport": true
            },
            {
                "id": "Patient.address:Strassenanschrift.line.extension:Adresszusatz",
                "path": "Patient.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.",
                "mustSupport": true
            },
            {
                "id": "Patient.address:Strassenanschrift.line.extension:Postfach",
                "path": "Patient.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": "Patient.address:Strassenanschrift.city",
                "path": "Patient.address.city",
                "short": "Stadt",
                "comment": "**Begründung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar.",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.address:Strassenanschrift.postalCode",
                "path": "Patient.address.postalCode",
                "short": "Postleitzahl ",
                "comment": "**Begründung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar.",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.address:Strassenanschrift.country",
                "path": "Patient.address.country",
                "short": "Land",
                "comment": "**Begründung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar.",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.address:Postfach",
                "path": "Patient.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/ISiKPatient"
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Patient.address:Postfach.type",
                "path": "Patient.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": "Patient.address:Postfach.line",
                "path": "Patient.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": "Patient.address:Postfach.line.extension:Strasse",
                "path": "Patient.address.line.extension",
                "sliceName": "Strasse",
                "max": "0"
            },
            {
                "id": "Patient.address:Postfach.line.extension:Hausnummer",
                "path": "Patient.address.line.extension",
                "sliceName": "Hausnummer",
                "max": "0"
            },
            {
                "id": "Patient.address:Postfach.line.extension:Adresszusatz",
                "path": "Patient.address.line.extension",
                "sliceName": "Adresszusatz",
                "max": "0"
            },
            {
                "id": "Patient.address:Postfach.line.extension:Postfach",
                "path": "Patient.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.",
                "mustSupport": true
            },
            {
                "id": "Patient.address:Postfach.city",
                "path": "Patient.address.city",
                "short": "Stadt",
                "comment": "**Begründung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar.",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.address:Postfach.postalCode",
                "path": "Patient.address.postalCode",
                "short": "Postleitzahl ",
                "comment": "**Begründung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar.",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.address:Postfach.country",
                "path": "Patient.address.country",
                "short": "Land",
                "comment": "**Begründung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar.",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.link",
                "path": "Patient.link",
                "short": "Link",
                "comment": "Dieses und untergeordnete Elemente KÖNNEN bei einem erfolgten Patient merge entsprechend der Festlegungen unter {{pagelink:Patient-merge}} befüllt werden. \n  Da das Element der Unterstützung der Patient merge Notification dient, \n  MUSS es im Rahmen des Bestätigungsverfahrens NICHT unterstützt werden (Stand: Stufe 4).",
                "mustSupport": true
            },
            {
                "id": "Patient.link.other",
                "path": "Patient.link.other",
                "mustSupport": true
            },
            {
                "id": "Patient.link.other.identifier",
                "path": "Patient.link.other.identifier",
                "comment": "Logischer Verweis auf Identifier[Patientennummer]",
                "mustSupport": true
            },
            {
                "id": "Patient.link.type",
                "path": "Patient.link.type",
                "mustSupport": true
            }
        ]
    }
}

ISiKPatient

Constraints/Invarianten

Name	Schweregrad	Beschreibung	Ausdruck
isik-pat-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'))