Patient

Information about an individual or animal receiving health care services

SubjectOfCare Client Resident

Patient

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

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

Patient.meta

Metadata about the resource

Meta

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

Patient.identifier:VersichertenId

Lebenslange Krankenversichertennummer

IdentifierKvid10

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

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

{
  "type": {
    "coding": [
      {
        "system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
        "code": "KVZ10"
      }
    ]
  }
}

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

Patient.identifier:VersichertenId-GKV

Gesetzliche Krankenversichertennummer

IdentifierKvid10

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

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

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

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

Patient.identifier:Patientennummer

Organisationsinterner Patienten-Identifier (PID)

IdentifierPid

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

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

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

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

Patient.identifier:Versichertennummer_PKV

Private Krankenversichertennummer

IdentifierPkv

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

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

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

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

Patient.identifier:Versichertennummer_PKV.assigner

Organization that issued id (may be just text)

Reference(Organization)

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

• 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

Patient.identifier:Versichertennummer_PKV.assigner.identifier

An identifier intended for computation

IdentifierIknr

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

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

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

Patient.name:Name

Offizieller Name

HumannameDeBasis

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

• 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())

{
  "use": "official"
}

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

Patient.name:Name.family

Nachname

surname

string

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

• v2: XPN.1/FN.1
• rim: ./part[partType = FAM]
• servd: ./FamilyName

Patient.name:Name.prefix

Präfix

string

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

• v2: XPN.5
• rim: ./part[partType = PFX]
• servd: ./TitleCode

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

Extension, um das Präfix als akademischen Titel zu qualifizieren

extensions, user content

Extension(code)

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

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

• 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()

• rim: ENXP.qualifier

Patient.name:Name.prefix.extension:prefix-qualifier.value[x]

Value of extension

EntityNamePartQualifier (required)

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

AC

• rim: N/A

Patient.name:Geburtsname

Geburtsname

HumannameDeBasis

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

• 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())

{
  "use": "maiden"
}

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

Patient.name:Geburtsname.family

Nachname

surname

string

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

• v2: XPN.1/FN.1
• rim: ./part[partType = FAM]
• servd: ./FamilyName

Patient.telecom

A contact detail for the individual

ContactPoint

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

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

Patient.gender

Administratives Geschlecht

code

AdministrativeGender (required)

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

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

Patient.birthDate

Geburtsdatum

date

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

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

Patient.birthDate.extension:Data-Absent-Reason

Begründung für fehlende Information

extensions, user content

Extension(code)

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

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

• 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()

• rim: ANY.nullFlavor

Patient.birthDate.extension:Data-Absent-Reason.value[x]

Value of extension

DataAbsentReason (required)

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

unknown

• rim: N/A

Patient.address:Strassenanschrift

Straßenanschrift

AddressDeBasis

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

• 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'))

{
  "type": "both"
}

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

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