Implementierungsleitfaden ISiK-Basismodul (4.0.1)

ISiKStandort

Dieses Profil dient der strukturierten Erfassung von Standortangaben eines Krankenhauses oder von Organisationseinheiten innerhalb eines Krankenhauses in ISiK-Szenarien.

Motivation

In FHIR wird die Organisation (Organization) vom Standort (Location) eindeutig abgegrenzt.

Die Abbildung von Standorten in einem Krankenhaus unterstützt u.a. die Raum- und Bettenbelegung in strukturierter Form.

Die Erfassung des Standortes in strukturierter Form soll u.a. ermöglichen:

Zuweisungen von Diensten an bestimmte Standorte im Rahmen des Terminmanagements
Die Raum- und Betten-Belegung in strukturierter Form (interdisziplinär) - u.a. für
- Patientenportale im Rahmen der Terminbuchung, z.B. um den Wunsch nach Einzelbett, bzw. 1 oder 2 Betten abzubilden
- KIS und weitere Subsysteme:
  - zur Patientenabholung und Information für den Transportdienst
  - Abbildung der Verfügbarkeit eines spezifischen Bettenstellplatzes (z.B. mit spezifischem Monitoring-Device)
Im Rahmen der Versorgung kann eine der folgenden Beispiel-Fragen beantworten werden:
- Handelt es sich um ein Isolationszimmer?
- Gibt es bestimmte Ausstattung, z.B. Beatmungsgeräte?
- etc.

Dafür werden Standort-Profile in unterschiedlicher Granularität definiert.

Kompatibilität

Für das Profil ISiKStandort wurde bis zum Zeitpunkt der Veröffentlichung kein Abgleich der Kompatibilität zu anderen Profilen (der KBV und der Medizininformatik-Initiative) durchgeführt.
Hinweise zu Inkompatibilitäten können über die Portalseite gemeldet werden.

Bestätigungsrelevanz

Verbindlichkeit	MAY

Metadaten

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

Inhalt

ISiKStandort (Location)	I		Location	There are no (further) constraints on this element Element id Location Short description Details and position information for a physical place Definition Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained, or accommodated. Data type Location 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()` Mappings rim: Entity. Role, or Act rim: .Role[classCode=SDLC]
id	Σ	0..1	string	There are no (further) constraints on this element Element id Location.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 Location.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 Location.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 Location.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 Location.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 Location.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 Location.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 Location.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	0..*	Identifier	Element id Location.identifier Short description Unique code or number identifying the location to its users Definition Unique code or number identifying the location to its users. Requirements Organization label locations in registries, need to keep track of those. Comments Motivation: entspricht https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/sd_mii_struktur_location 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 rim: .id
standortnummer-dkg	S Σ	0..1	IdentifierStandortnummerPattern	Element id Location.identifier:standortnummer-dkg Short description An identifier intended for computation Definition An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Requirements Organization label locations in registries, need to keep track of those. Comments Motivation : Entsprechend der Festlegung der DKG laut Basisprofile-DE 1.5.0 (https://simplifier.net/packages/de.basisprofil.r4/) Data type IdentifierStandortnummer Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://fhir.de/sid/dkgev/standortnummer" } 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 rim: .id
status	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id Location.status Short description active \| suspended \| inactive Definition The status property covers the general availability of the resource, not the current value which may be covered by the operationStatus, or by a schedule/slots if they are configured for the location. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Binding Indicates whether the location is still in use. LocationStatus (required) 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
operationalStatus	Σ	0..1	CodingBinding	There are no (further) constraints on this element Element id Location.operationalStatus Short description The operational status of the location (typically only for a bed/room) Definition The operational status covers operation values most relevant to beds (but can also apply to rooms/units/chairs/etc. such as an isolation unit/dialysis chair). This typically covers concepts such as contamination, housekeeping, and other activities like maintenance. Comments Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Data type Coding Binding The operational status if the location (where typically a bed/room). v2.0116 (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 subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding w5: FiveWs.status
name	S Σ	0..1	string	Element id Location.name Short description Name of the location as used by humans Definition Name of the location as used by humans. Does not need to be unique. Comments Motivation: Kein Name zwingend notwendig (z.B. für ein Zimmer), wenn über .identifier identifizierbar; weicht daher ab von https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/sd_mii_struktur_location 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: .name
alias		0..*	string	There are no (further) constraints on this element Element id Location.alias Short description A list of alternate names that the location is known as, or was known as, in the past Definition A list of alternate names that the location is known as, or was known as, in the past. Requirements Over time locations and organizations go through many changes and can be known by different names. For searching knowing previous names that the location was known by can be very useful. Comments There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the location. 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: .name
description	Σ	0..1	string	There are no (further) constraints on this element Element id Location.description Short description Additional details about the location that could be displayed as further information to identify the location beyond its name Definition Description of the Location, which helps in finding or referencing the place. Requirements Humans need additional information to verify a correct location has been identified. 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 rim: .playingEntity[classCode=PLC determinerCode=INSTANCE].desc
mode	S Σ	0..1	codeBindingPattern	Element id Location.mode Short description instance \| kind Definition Indicates whether a resource instance represents a specific location or a class of locations. Requirements When using a Location resource for scheduling or orders, we need to be able to refer to a class of Locations instead of a specific Location. Comments Motivation: Die Einschränkung auf "instance" erfolgt, da im ISiK-Kontext ausschließlich konkrete Standorte übertragen werden sollen. Hiermit wird zusätzlich die Kompatibilität zur MII-Spezifikation eines Standortes gewahrt https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/sd_mii_struktur_location Data type code Binding Indicates whether a resource instance represents a specific location or a class of locations. LocationMode (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern instance Mappings rim: n/a w5: FiveWs.class rim: .playingEntity[classCode=PLC].determinerCode
type	S Σ	0..*	CodeableConceptBinding	Element id Location.type Short description Type of function performed Definition Indicates the type of function performed at the location. Comments Motivation: Ein System muss den Typ eines Standorts zum Abruf bereitstellen, sofern diese Information verfügbar ist. Data type CodeableConcept Binding Indicates the type of function performed at the location. v3.ServiceDeliveryLocationRoleType (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 w5: FiveWs.class rim: .code
telecom	I	0..*	ContactPoint	There are no (further) constraints on this element Element id Location.telecom Short description Contact details of the location Definition The contact details of communication devices available at the location. This can include phone numbers, fax numbers, mobile numbers, email addresses and web sites. 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 rim: .telecom
address	S I	0..1	AddressDeBasis	Element id Location.address Short description Eine Adresse gemäß postalischer Konventionen Definition Eine Adresse gemäß postalischer Konventionen (im Gegensatz zu bspw. GPS-Koordinaten). Die Adresse kann sowohl zur Zustellung von Postsendungen oder zum Aufsuchen von Orten, die keine gültige Postadresse haben, verwendet werden. Die verwendeten Extensions in diesem Profil bilden die Struktur der Adresse ab, wie sie im VSDM-Format der elektronischen Versichertenkarte verwendet wird. Insbesondere bei ausländischen Adresse oder Adressen, die nicht durch Einlesen einer elektronischen Versichertenkarte erfasst wurden, sind abweichende Strukturen möglich. Die Verwendung der Extensions ist nicht verpflichtend. Requirements If locations can be visited, we need to keep track of their address. Comments Motivation: Bei Verfügbarkeit einer Adresse muss ein System diese Information bereitstellen. Darüber hinaus muss das abrufende System diese Information verarbeiten können. 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))` Examples Beispiel für einfache Adresse { "use": "home", "type": "postal", "line": [ "Musterweg 42" ], "city": "Musterhausen", "postalCode": "99999" } Mappings rim: n/a v2: XAD rim: AD servd: Address rim: .addr
physicalType	S Σ	1..1	CodeableConcept	Element id Location.physicalType Short description Physical form of the location Definition Physical form of the location, e.g. building, room, vehicle, road. Requirements For purposes of showing relevant locations in queries, we need to categorize locations. Comments Motivation: entspricht der MII Vorgabe - siehe https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/sd_mii_struktur_location. Ein System muss den physikalischen Typ eines Standorts zum Abruf bereitstellen, da ansonsten der Typus des Standorts nicht maschinenlesbar definiert ist. Data type CodeableConcept Binding Physical form of the location. LocationType (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD w5: FiveWs.class rim: .playingEntity [classCode=PLC].code
position	S	0..1	BackboneElement	Element id Location.position Short description The absolute geographic location Definition The absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML). Requirements For mobile applications and automated route-finding knowing the exact location of the Location is required. Comments Motivation: Ein System muss die Geodaten eines Standorts zum Abruf bereitstellen, sofern diese Information verfügbar ist. 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: .playingEntity [classCode=PLC determinerCode=INSTANCE].positionText
id		0..1	string	There are no (further) constraints on this element Element id Location.position.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 Location.position.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 Location.position.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
longitude		1..1	decimal	There are no (further) constraints on this element Element id Location.position.longitude Short description Longitude with WGS84 datum Definition Longitude. The value domain and the interpretation are the same as for the text of the longitude element in KML (see notes below). Comments Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger) Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: (RIM Opted not to map the sub-elements of GPS location, is now an OBS)
latitude		1..1	decimal	There are no (further) constraints on this element Element id Location.position.latitude Short description Latitude with WGS84 datum Definition Latitude. The value domain and the interpretation are the same as for the text of the latitude element in KML (see notes below). Comments Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger) Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: (RIM Opted not to map the sub-elements of GPS location, is now an OBS)
altitude		0..1	decimal	There are no (further) constraints on this element Element id Location.position.altitude Short description Altitude with WGS84 datum Definition Altitude. The value domain and the interpretation are the same as for the text of the altitude element in KML (see notes below). Comments Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger) Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: (RIM Opted not to map the sub-elements of GPS location, is now an OBS)
managingOrganization	S Σ I	1..1	Reference(Organization)	Element id Location.managingOrganization Short description Organization responsible for provisioning and upkeep Definition The organization responsible for the provisioning and upkeep of the location. Requirements Need to know who manages the location. Comments Motivation: entspricht https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/sd_mii_struktur_location 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: .scopingEntity[classCode=ORG determinerKind=INSTANCE]
partOf	S I	0..1	Reference(Location)	Element id Location.partOf Short description Another Location this one is physically a part of Definition Another Location of which this Location is physically a part of. Requirements For purposes of location, display and identification, knowing which locations are located within other locations is important. Comments Motivation: Ein System muss die organisationale Zugehörigkeit eines Standorts zum Abruf bereitstellen, sofern diese Information verfügbar ist. Data type Reference(Location) 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: .inboundLink[typeCode=PART].source[classCode=SDLC]
hoursOfOperation	S	0..*	BackboneElement	Element id Location.hoursOfOperation Short description What days/times during a week is this location usually open Definition What days/times during a week is this location usually open. Comments Motivation: Ein System muss die Betriebszeiten eines Standorts zum Abruf bereitstellen, sofern diese Information verfügbar ist. 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: .effectiveTime
id		0..1	string	There are no (further) constraints on this element Element id Location.hoursOfOperation.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 Location.hoursOfOperation.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 Location.hoursOfOperation.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
daysOfWeek		0..*	codeBinding	There are no (further) constraints on this element Element id Location.hoursOfOperation.daysOfWeek Short description mon \| tue \| wed \| thu \| fri \| sat \| sun Definition Indicates which days of the week are available between the start and end Times. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Binding The days of the week. DaysOfWeek (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .effectiveTime
allDay		0..1	boolean	There are no (further) constraints on this element Element id Location.hoursOfOperation.allDay Short description The Location is open all day Definition The Location is open all day. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .effectiveTime
openingTime		0..1	time	There are no (further) constraints on this element Element id Location.hoursOfOperation.openingTime Short description Time that the Location opens Definition Time that the Location opens. Data type time Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .effectiveTime
closingTime		0..1	time	There are no (further) constraints on this element Element id Location.hoursOfOperation.closingTime Short description Time that the Location closes Definition Time that the Location closes. Data type time Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .effectiveTime
availabilityExceptions		0..1	string	There are no (further) constraints on this element Element id Location.availabilityExceptions Short description Description of availability exceptions Definition A description of when the locations opening ours are different to normal, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as detailed in the opening hours Times. 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
endpoint	I	0..*	Reference(Endpoint)	There are no (further) constraints on this element Element id Location.endpoint Short description Technical endpoints providing access to services operated for the location Definition Technical endpoints providing access to services operated for the location. Requirements Organizations may have different systems at different locations that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose. 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(Endpoint) 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)

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="ISiKStandort" />
    <url value="https://gematik.de/fhir/isik/StructureDefinition/ISiKStandort" />
    <version value="4.0.1" />
    <name value="ISiKStandort" />
    <status value="active" />
    <experimental value="false" />
    <date value="2024-11-25" />
    <publisher value="gematik GmbH" />
    <description value="Dieses Profil dient der strukturierten Erfassung von Standortangaben eines \nKrankenhauses oder von Organisationseinheiten innerhalb eines Krankenhauses in ISiK-Szenarien.  \n### Motivation\nIn FHIR wird die Organisation (Organization) vom Standort (Location) eindeutig abgegrenzt.\n\nDie Abbildung von Standorten in einem Krankenhaus unterst&#252;tzt u.a. die Raum- und Bettenbelegung in strukturierter Form. \n\nDie Erfassung des Standortes in strukturierter Form soll u.a. erm&#246;glichen:\n- Zuweisungen von Diensten an bestimmte Standorte im Rahmen des Terminmanagements\n- Die Raum- und Betten-Belegung in strukturierter Form (interdisziplin&#228;r) - u.a. f&#252;r \n    - Patientenportale im Rahmen der Terminbuchung, z.B. um den Wunsch nach Einzelbett, bzw. 1 oder 2 Betten abzubilden\n    - KIS und weitere Subsysteme:\n      - zur Patientenabholung und Information f&#252;r den Transportdienst\n      - Abbildung der Verf&#252;gbarkeit eines spezifischen Bettenstellplatzes (z.B. mit spezifischem Monitoring-Device) \n- Im Rahmen der Versorgung kann eine der folgenden Beispiel-Fragen beantworten werden:\n    - Handelt es sich um ein Isolationszimmer?\n    - Gibt es bestimmte Ausstattung, z.B. Beatmungsger&#228;te?\n    - etc.\n\nDaf&#252;r werden Standort-Profile in unterschiedlicher Granularit&#228;t definiert. \n\n### Kompatibilit&#228;t\nF&#252;r das Profil ISiKStandort wurde bis zum Zeitpunkt der Ver&#246;ffentlichung kein Abgleich der \nKompatibilit&#228;t zu anderen Profilen (der KBV und der Medizininformatik-Initiative) durchgef&#252;hrt.  \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="Location" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Location" />
    <derivation value="constraint" />
    <differential>
        <element id="Location.identifier">
            <path value="Location.identifier" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <comment value="Motivation: entspricht https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/sd_mii_struktur_location" />
            <mustSupport value="true" />
        </element>
        <element id="Location.identifier:standortnummer-dkg">
            <path value="Location.identifier" />
            <sliceName value="standortnummer-dkg" />
            <comment value="Motivation : Entsprechend der Festlegung der DKG laut Basisprofile-DE 1.5.0 (https://simplifier.net/packages/de.basisprofil.r4/)" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Identifier" />
                <profile value="http://fhir.de/StructureDefinition/identifier-standortnummer" />
            </type>
            <patternIdentifier>
                <system value="http://fhir.de/sid/dkgev/standortnummer" />
            </patternIdentifier>
            <mustSupport value="true" />
        </element>
        <element id="Location.name">
            <path value="Location.name" />
            <comment value="Motivation: Kein Name zwingend notwendig (z.B. f&#252;r ein Zimmer), wenn &#252;ber .identifier identifizierbar; weicht daher ab von https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/sd_mii_struktur_location" />
            <mustSupport value="true" />
        </element>
        <element id="Location.mode">
            <path value="Location.mode" />
            <comment value="Motivation: Die Einschr&#228;nkung auf &quot;instance&quot; erfolgt, da im  ISiK-Kontext ausschlie&#223;lich konkrete Standorte &#252;bertragen werden sollen. Hiermit wird zus&#228;tzlich die Kompatibilit&#228;t zur MII-Spezifikation eines Standortes gewahrt https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/sd_mii_struktur_location" />
            <patternCode value="instance" />
            <mustSupport value="true" />
        </element>
        <element id="Location.type">
            <path value="Location.type" />
            <comment value="Motivation: Ein System muss den Typ eines Standorts zum Abruf bereitstellen, sofern diese Information verf&#252;gbar ist." />
            <mustSupport value="true" />
        </element>
        <element id="Location.address">
            <path value="Location.address" />
            <comment value="Motivation: Bei Verf&#252;gbarkeit einer Adresse muss ein System diese Information bereitstellen. Dar&#252;ber hinaus muss das abrufende System diese Information verarbeiten k&#246;nnen." />
            <type>
                <code value="Address" />
                <profile value="http://fhir.de/StructureDefinition/address-de-basis" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Location.physicalType">
            <path value="Location.physicalType" />
            <comment value="Motivation: entspricht der MII Vorgabe -  siehe https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/sd_mii_struktur_location. Ein System muss den physikalischen Typ eines Standorts zum Abruf bereitstellen, da ansonsten der Typus des Standorts nicht maschinenlesbar definiert ist." />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Location.position">
            <path value="Location.position" />
            <comment value="Motivation: Ein System muss die Geodaten eines Standorts zum Abruf bereitstellen, sofern diese Information verf&#252;gbar ist." />
            <mustSupport value="true" />
        </element>
        <element id="Location.managingOrganization">
            <path value="Location.managingOrganization" />
            <comment value="Motivation: entspricht https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/sd_mii_struktur_location" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Location.partOf">
            <path value="Location.partOf" />
            <comment value="Motivation: Ein System muss die organisationale Zugeh&#246;rigkeit eines Standorts zum Abruf bereitstellen, sofern diese Information verf&#252;gbar ist." />
            <mustSupport value="true" />
        </element>
        <element id="Location.hoursOfOperation">
            <path value="Location.hoursOfOperation" />
            <comment value="Motivation: Ein System muss die Betriebszeiten eines Standorts zum Abruf bereitstellen, sofern diese Information verf&#252;gbar ist." />
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "id": "ISiKStandort",
    "url": "https://gematik.de/fhir/isik/StructureDefinition/ISiKStandort",
    "version": "4.0.1",
    "name": "ISiKStandort",
    "status": "active",
    "experimental": false,
    "date": "2024-11-25",
    "publisher": "gematik GmbH",
    "description": "Dieses Profil dient der strukturierten Erfassung von Standortangaben eines \nKrankenhauses oder von Organisationseinheiten innerhalb eines Krankenhauses in ISiK-Szenarien.  \n### Motivation\nIn FHIR wird die Organisation (Organization) vom Standort (Location) eindeutig abgegrenzt.\n\nDie Abbildung von Standorten in einem Krankenhaus unterstützt u.a. die Raum- und Bettenbelegung in strukturierter Form. \n\nDie Erfassung des Standortes in strukturierter Form soll u.a. ermöglichen:\n- Zuweisungen von Diensten an bestimmte Standorte im Rahmen des Terminmanagements\n- Die Raum- und Betten-Belegung in strukturierter Form (interdisziplinär) - u.a. für \n    - Patientenportale im Rahmen der Terminbuchung, z.B. um den Wunsch nach Einzelbett, bzw. 1 oder 2 Betten abzubilden\n    - KIS und weitere Subsysteme:\n      - zur Patientenabholung und Information für den Transportdienst\n      - Abbildung der Verfügbarkeit eines spezifischen Bettenstellplatzes (z.B. mit spezifischem Monitoring-Device) \n- Im Rahmen der Versorgung kann eine der folgenden Beispiel-Fragen beantworten werden:\n    - Handelt es sich um ein Isolationszimmer?\n    - Gibt es bestimmte Ausstattung, z.B. Beatmungsgeräte?\n    - etc.\n\nDafür werden Standort-Profile in unterschiedlicher Granularität definiert. \n\n### Kompatibilität\nFür das Profil ISiKStandort wurde bis zum Zeitpunkt der Veröffentlichung kein Abgleich der \nKompatibilität zu anderen Profilen (der KBV und der Medizininformatik-Initiative) durchgeführt.  \nHinweise zu Inkompatibilitäten können über die [Portalseite](https://service.gematik.de/servicedesk/customer/portal/16) gemeldet werden.\n",
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "Location",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Location",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Location.identifier",
                "path": "Location.identifier",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "comment": "Motivation: entspricht https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/sd_mii_struktur_location",
                "mustSupport": true
            },
            {
                "id": "Location.identifier:standortnummer-dkg",
                "path": "Location.identifier",
                "sliceName": "standortnummer-dkg",
                "comment": "Motivation : Entsprechend der Festlegung der DKG laut Basisprofile-DE 1.5.0 (https://simplifier.net/packages/de.basisprofil.r4/) ",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Identifier",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/identifier-standortnummer"
                        ]
                    }
                ],
                "patternIdentifier": {
                    "system": "http://fhir.de/sid/dkgev/standortnummer"
                },
                "mustSupport": true
            },
            {
                "id": "Location.name",
                "path": "Location.name",
                "comment": "Motivation: Kein Name zwingend notwendig (z.B. für ein Zimmer), wenn über .identifier identifizierbar; weicht daher ab von https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/sd_mii_struktur_location",
                "mustSupport": true
            },
            {
                "id": "Location.mode",
                "path": "Location.mode",
                "comment": "Motivation: Die Einschränkung auf \"instance\" erfolgt, da im  ISiK-Kontext ausschließlich konkrete Standorte übertragen werden sollen. Hiermit wird zusätzlich die Kompatibilität zur MII-Spezifikation eines Standortes gewahrt https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/sd_mii_struktur_location",
                "patternCode": "instance",
                "mustSupport": true
            },
            {
                "id": "Location.type",
                "path": "Location.type",
                "comment": "Motivation: Ein System muss den Typ eines Standorts zum Abruf bereitstellen, sofern diese Information verfügbar ist.",
                "mustSupport": true
            },
            {
                "id": "Location.address",
                "path": "Location.address",
                "comment": "Motivation: Bei Verfügbarkeit einer Adresse muss ein System diese Information bereitstellen. Darüber hinaus muss das abrufende System diese Information verarbeiten können.",
                "type":  [
                    {
                        "code": "Address",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/address-de-basis"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Location.physicalType",
                "path": "Location.physicalType",
                "comment": "Motivation: entspricht der MII Vorgabe -  siehe https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/sd_mii_struktur_location. Ein System muss den physikalischen Typ eines Standorts zum Abruf bereitstellen, da ansonsten der Typus des Standorts nicht maschinenlesbar definiert ist.",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Location.position",
                "path": "Location.position",
                "comment": "Motivation: Ein System muss die Geodaten eines Standorts zum Abruf bereitstellen, sofern diese Information verfügbar ist.",
                "mustSupport": true
            },
            {
                "id": "Location.managingOrganization",
                "path": "Location.managingOrganization",
                "comment": "Motivation: entspricht https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/sd_mii_struktur_location",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Location.partOf",
                "path": "Location.partOf",
                "comment": "Motivation: Ein System muss die organisationale Zugehörigkeit eines Standorts zum Abruf bereitstellen, sofern diese Information verfügbar ist.",
                "mustSupport": true
            },
            {
                "id": "Location.hoursOfOperation",
                "path": "Location.hoursOfOperation",
                "comment": "Motivation: Ein System muss die Betriebszeiten eines Standorts zum Abruf bereitstellen, sofern diese Information verfügbar ist.",
                "mustSupport": true
            }
        ]
    }
}

ISiKStandort

ISiKStandort

Motivation

Kompatibilität

Bestätigungsrelevanz

Metadaten

Inhalt

Constraints/Invarianten

Terminology-Bindings