Implementierungsleitfaden ISiK-Subscriptions

ISiKSubscription (Subscription)

ISiKSubscription (Subscription)

ISiK Subscription

Motivation

Subscription ist eine FHIR Ressource, um als Client-System Benachrichtigungen über Events auf dem FHIR Server anzufragen. Der Subscription Mechanismus in FHIR R4 ist nicht geeignet, um alle relevanten Events (hier im Speziellen das Mergen von Patienten) zu unterstützen. Daher basiert das ISiK Subscription-Profil auf dem Subscriptions R5 Backport Profil von HL7.

Um als Subsystem über ein Subsription-Event informiert zu werden, KANN der FHIR Subscription Mechanismus gemäß des Subscriptions R5 Backport IGs von HL7 genutzt werden.

Kompatibilität

Das Profil ISiKSubscription basiert auf dem Backport-Subscription Profil. Der SubscriptionStatus, sowie das Subscription Notification Bundle werden unverändert direkt aus dem Subscriptions R5 Backport IG genutzt.

Hinweise zu Inkompatibilitäten können über die Portalseite gemeldet werden.

Bestätigungsrelevanz

Verbindlichkeit	SHALL

Metadaten

Canonical	https://gematik.de/fhir/isik/StructureDefinition/ISiKSubscription
Status	active
Version	5.0.0
Basis	http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-subscription

Inhalt

ISiKSubscription (Subscription)	I			There are no (further) constraints on this element Element id Subscription Short description Server push subscription criteria Alternate names WebHook, Hook, Routing Rule Definition The subscription resource is used to define a push-based subscription from a server to another system. Once a subscription is registered with the server, the server checks every resource that is created or updated, and if the resource matches the given criteria, it sends a message on the defined "channel" so that another system can take an appropriate action. Data type Constraints 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.exists() and ('#'+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(uri) = '#').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() Mappings rim: Entity. Role, or Act rim: N/A w5: infrastructure.exchange
id	Σ	0..1	id	There are no (further) constraints on this element Element id Subscription.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 id
meta	Σ	0..1	Meta	There are no (further) constraints on this element Element id Subscription.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())`
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id Subscription.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())`
language		0..1	codeBinding	There are no (further) constraints on this element Element id Subscription.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 IETF language tag CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
text		0..1	Narrative	There are no (further) constraints on this element Element id Subscription.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: Act.text?
contained	I	0..*	Resource	There are no (further) constraints on this element Element id Subscription.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 Constraints dom-r4b: Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic) Mappings rim: N/A
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Subscription.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 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
modifierExtension	?! I	0..*	Extension	There are no (further) constraints on this element Element id Subscription.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 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
status	S Σ ?!	1..1	codeBinding	Element id Subscription.status Short description Status Definition The status of the subscription, which marks the server state for managing the subscription. Comments Bedeutung: Der Status der Subscription, der den Serverstatus der Subscription angibt. Neue Subscriptions werden immer mit dem Status `requested` an den Server übergeben. Der Server ändert im Anschluss den Status auf `active` oder im Fehlerfall auf `error`. Data type code Binding The status of a subscription. SubscriptionStatus (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.status
contact	Σ	0..*	ContactPoint	There are no (further) constraints on this element Element id Subscription.contact Short description Contact details for source (e.g. troubleshooting) Definition Contact details for a human to contact about the subscription. The primary use of this for system administrator troubleshooting. Data type ContactPoint Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.subject[x] w5: FiveWs.subject
end	Σ	0..1	instant	There are no (further) constraints on this element Element id Subscription.end Short description When to automatically delete the subscription Definition The time for the server to turn the subscription off. Comments The server is permitted to deviate from this time but should observe it. Data type instant Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.done[x]
reason	S Σ	1..1	string	Element id Subscription.reason Short description Grund der Subscription Definition A description of why this subscription is defined. Comments Bedeutung: Beschreibung wieso diese Subscription erstellt wurde. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.why[x]
criteria	S Σ	1..1	stringBinding	Element id Subscription.criteria Short description Canonical URL des SubscriptionTopic welches man abonnieren möchte. Definition When using topic-based subscriptions, the primary criteria is always the topic, indicated by its canonical URL. Comments Enthält eines der in ISiK vereinbarten Subsription Topics. Data type string Binding ISiKSubscriptionTopicVS (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
id		0..1	string	There are no (further) constraints on this element Element id Subscription.criteria.id Short description xml:id (or equivalent in JSON) Definition unique id for the element within a resource (for internal references) Data type string
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Subscription.criteria.extension Short description Extension Definition An Extension Data type Extension Sliced: Unordered, Open, by url(Value) 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()`
filterCriteria	S Σ I	0..*	Extension(string)	Element id Subscription.criteria.extension:filterCriteria Short description Filterkriterium. Definition Search-style filters to be applied to narrow the subscription topic stream. Keys can be either search parameters appropriate to the filtering resource or keys defined within the subscription topic. Comments Bedeutung: Filterkriterium für die Subscription. Dieses Feld ist optional und kann genutzt werden, um die Subscription auf bestimmte Events zu filtern. Data type Extension(string) Extension URL http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-filter-criteria Constraints ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource `hasValue() or (children().count() > id.count()) or $this is Parameters` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
id		0..1	id	There are no (further) constraints on this element Element id Subscription.criteria.extension:filterCriteria.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 id Mappings rim: n/a
extension	I	0..0	Extension	There are no (further) constraints on this element Element id Subscription.criteria.extension:filterCriteria.extension Short description Extension Definition An Extension 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()`
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id Subscription.criteria.extension:filterCriteria.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/uv/subscriptions-backport/StructureDefinition/backport-filter-criteria Mappings rim: N/A
value[x]	S	0..1		There are no (further) constraints on this element Element id Subscription.criteria.extension:filterCriteria.value[x] Short description Filtering critiera applied to events Definition Search-style filters to be applied to narrow the subscription topic stream. Keys can be either search parameters appropriate to the filtering resource or keys defined within the subscription topic. Comments When multiple filters are applied, evaluates to true if all the conditions are met; otherwise it returns false. (i.e., logical AND). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueString			string	There are no (further) constraints on this element Data type string
value		0..1	System.String	There are no (further) constraints on this element Element id Subscription.criteria.value Short description Primitive value for string Definition The actual value Data type System.String Maximum string length 1048576
error	Σ	0..1	string	There are no (further) constraints on this element Element id Subscription.error Short description Latest error note Definition A record of the last error that occurred when the server processed a notification. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
channel	S Σ	1..1	BackboneElement	Element id Subscription.channel Short description Kommunikationskanal Definition Details where to send notifications when resources are received that meet the criteria. Comments Bedeutung: Kommunikationskanal über den die Subscription Benachrichtigungen gesendet werden sollen. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource `hasValue() or (children().count() > id.count()) or $this is Parameters`
id		0..1	string	There are no (further) constraints on this element Element id Subscription.channel.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 Subscription.channel.extension Short description Extension Definition An Extension Data type Extension Sliced: Unordered, Open, by url(Value) 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()`
heartbeatPeriod	S I	0..1	Extension(unsignedInt)	Element id Subscription.channel.extension:heartbeatPeriod Short description Heartbeat-Intervall Definition If present, a 'hearbeat' notification (keepalive) is sent via this channel with an the interval period equal to this elements integer value in seconds. If not present, a heartbeat notification is not sent. Comments Bedeutung: Intervall in dem der Server prüft, ob der Kommunikationskanal noch aktiv ist. Data type Extension(unsignedInt) Extension URL http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-heartbeat-period Constraints ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource `hasValue() or (children().count() > id.count()) or $this is Parameters` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
id		0..1	id	There are no (further) constraints on this element Element id Subscription.channel.extension:heartbeatPeriod.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 id Mappings rim: n/a
extension	I	0..0	Extension	There are no (further) constraints on this element Element id Subscription.channel.extension:heartbeatPeriod.extension Short description Extension Definition An Extension 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()`
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id Subscription.channel.extension:heartbeatPeriod.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/uv/subscriptions-backport/StructureDefinition/backport-heartbeat-period Mappings rim: N/A
value[x]	S	0..1		There are no (further) constraints on this element Element id Subscription.channel.extension:heartbeatPeriod.value[x] Short description Interval in seconds to send 'heartbeat' notification Definition If present, a 'hearbeat' notification (keepalive) is sent via this channel with an the interval period equal to this elements integer value in seconds. If not present, a heartbeat notification is not sent. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueUnsignedInt			unsignedInt	There are no (further) constraints on this element Data type unsignedInt
timeout	I	0..1	Extension(unsignedInt)	There are no (further) constraints on this element Element id Subscription.channel.extension:timeout Short description Timeout in seconds to attempt notification delivery Definition If present, the maximum amount of time a server will allow before failing a notification attempt. Data type Extension(unsignedInt) Extension URL http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-timeout Constraints ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource `hasValue() or (children().count() > id.count()) or $this is Parameters` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
maxCount	I	0..1	Extension(positiveInt)	There are no (further) constraints on this element Element id Subscription.channel.extension:maxCount Short description Maximum number of triggering resources included in notification bundles Definition If present, the maximum number of triggering resources that will be included in a notification bundle (e.g., a server will not include more than this number of trigger resources in a single notification). Note that this is not a strict limit on the number of entries in a bundle, as dependent resources can be included. Data type Extension(positiveInt) Extension URL http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-max-count Constraints ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource `hasValue() or (children().count() > id.count()) or $this is Parameters` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id Subscription.channel.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
type	S Σ	1..1	codeBinding	Element id Subscription.channel.type Short description Typ des Kommunikationskanals Definition The type of channel to send notifications on. Comments Bedeutung: Der Typ des Kommunikationskanals, über den Subscription-Benachrichtigungen gesendet werden sollen. In ISiK MUSS der Wert `rest-hook` unterstützt werden, weitere Werte KÖNNEN unterstützt werden. Data type code Binding The type of method used to execute a subscription. SubscriptionChannelType (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
id		0..1	string	There are no (further) constraints on this element Element id Subscription.channel.type.id Short description xml:id (or equivalent in JSON) Definition unique id for the element within a resource (for internal references) Data type string
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Subscription.channel.type.extension Short description Extension Definition An Extension Data type Extension Sliced: Unordered, Open, by url(Value) 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()`
customChannelType	S Σ I	0..0	Extension(Coding)	Element id Subscription.channel.type.extension:customChannelType Short description Custom Channel Type Definition The type of channel to send notifications on. Comments Bedeutung: Custom Channel Type welcher in ISiK aktuell nicht unterstützt wird. Data type Extension(Coding) Extension URL http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-channel-type Constraints ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource `hasValue() or (children().count() > id.count()) or $this is Parameters` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
value		0..1	System.String	There are no (further) constraints on this element Element id Subscription.channel.type.value Short description Primitive value for code Definition Primitive value for code Data type System.String
endpoint	S Σ	0..1	url	Element id Subscription.channel.endpoint Short description Endpunkt Definition The url that describes the actual end-point to send messages to. Comments Bedeutung: Adresse des Kommunikationskanals/ Endpunkts, an den Subscription-Benachrichtigungen gesendet werden sollen. Dies ist nur für rest-hook Subscriptions relevant. Data type url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
payload	S Σ	1..1	codeBinding	Element id Subscription.channel.payload Short description Format der Nutzdaten Definition The mime type to send the payload in - either application/fhir+xml, or application/fhir+json. If the payload is not present, then there is no payload in the notification, just a notification. The mime type "text/plain" may also be used for Email and SMS subscriptions. Comments Bedeutung: Format in dem Subscription Notifications versendet werden sollen (JSON oder XML). Data type code Binding BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049) FhirMimeTypeVS (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
id		0..1	string	There are no (further) constraints on this element Element id Subscription.channel.payload.id Short description xml:id (or equivalent in JSON) Definition unique id for the element within a resource (for internal references) Data type string
extension	I	1..*	Extension	There are no (further) constraints on this element Element id Subscription.channel.payload.extension Short description Extension Definition An Extension Data type Extension Sliced: Unordered, Open, by url(Value) 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()`
content	S Σ I	1..1	Extension(code)	Element id Subscription.channel.payload.extension:content Short description Inhalt der Nutzdaten Definition How much of the resource content to deliver in the notification payload. The choices are an empty payload, only the resource id, or the full resource content. Comments Bedeutung: Welcher Ressourceninhalt in der Nutzlast der Benachrichtigung geliefert werden soll. Zur Auswahl stehen eine leere Nutzlast (`empty`), nur die Ressourcen-id (`id-only`) oder der gesamte Inhalt der Ressource (`full-resource`). Data type Extension(code) Extension URL http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-payload-content Constraints ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource `hasValue() or (children().count() > id.count()) or $this is Parameters` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
value		0..1	System.String	There are no (further) constraints on this element Element id Subscription.channel.payload.value Short description Primitive value for code Definition Primitive value for code Data type System.String
header	S Σ	0..*	string	Element id Subscription.channel.header Short description Falls eine REST-Enpunkt einen Authorization-Header benötigt, kann dieser hier gesetzt werden Definition Additional headers / information to send as part of the notification. Comments Bedeutung: http-Header welcher dazu genutzt werden kann einen Authorization-header zu setzen. Dies ist nur für rest-hook Subscriptions relevant. Hinweise: ACHTUNG: dieses Datenfeld muss bei READ-Interaktionen maskiert werden! Siehe R4 Subscriptions Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="ISiKSubscription" />
    <url value="https://gematik.de/fhir/isik/StructureDefinition/ISiKSubscription" />
    <version value="5.0.0" />
    <name value="ISiKSubscription" />
    <title value="ISiK Subscription" />
    <status value="active" />
    <experimental value="false" />
    <date value="2025-06-26" />
    <publisher value="gematik GmbH" />
    <description value="ISiK Subscription  \n### Motivation\n\nSubscription ist eine FHIR Ressource, um als Client-System Benachrichtigungen &#252;ber Events auf dem FHIR Server anzufragen. Der Subscription Mechanismus in FHIR R4 ist nicht geeignet, um alle relevanten Events (hier im Speziellen das Mergen von Patienten) zu unterst&#252;tzen. Daher basiert das ISiK Subscription-Profil auf dem [Subscriptions R5 Backport Profil von HL7](https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/StructureDefinition-backport-subscription.html).\n\nUm als Subsystem &#252;ber ein Subsription-Event informiert zu werden, KANN der FHIR Subscription Mechanismus gem&#228;&#223; des [Subscriptions R5 Backport IGs von HL7](https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/index.html) genutzt werden.\n\n### Kompatibilit&#228;t\n\nDas Profil ISiKSubscription basiert auf dem [Backport-Subscription Profil](https://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition-backport-subscription.html).\nDer [SubscriptionStatus](https://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition-backport-subscription-status-r4.html), sowie das [Subscription Notification Bundle](https://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition-backport-subscription-notification-r4.html) werden unver&#228;ndert direkt aus dem [Subscriptions R5 Backport IG](https://hl7.org/fhir/uv/subscriptions-backport/index.html) genutzt.  \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="Subscription" />
    <baseDefinition value="http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-subscription" />
    <derivation value="constraint" />
    <differential>
        <element id="Subscription.status">
            <path value="Subscription.status" />
            <short value="Status" />
            <comment value="**Bedeutung:** Der Status der Subscription, der den Serverstatus der Subscription angibt. \n  Neue Subscriptions werden immer mit dem Status `requested` an den Server &#252;bergeben. \n  Der Server &#228;ndert im Anschluss den Status auf `active` oder im Fehlerfall auf `error`." />
            <mustSupport value="true" />
        </element>
        <element id="Subscription.reason">
            <path value="Subscription.reason" />
            <short value="Grund der Subscription" />
            <comment value="**Bedeutung:** Beschreibung wieso diese Subscription erstellt wurde." />
            <mustSupport value="true" />
        </element>
        <element id="Subscription.criteria">
            <path value="Subscription.criteria" />
            <short value="Canonical URL des SubscriptionTopic welches man abonnieren m&#246;chte." />
            <comment value="Enth&#228;lt eines der in ISiK vereinbarten Subsription Topics." />
            <binding>
                <strength value="extensible" />
                <valueSet value="https://gematik.de/fhir/isik/ValueSet/ISiKSubscriptionTopicVS" />
            </binding>
        </element>
        <element id="Subscription.criteria.extension:filterCriteria">
            <path value="Subscription.criteria.extension" />
            <sliceName value="filterCriteria" />
            <short value="Filterkriterium." />
            <comment value="**Bedeutung:** Filterkriterium f&#252;r die Subscription. Dieses Feld ist optional und kann genutzt werden, um die Subscription auf bestimmte Events zu filtern." />
        </element>
        <element id="Subscription.criteria.extension:filterCriteria.value[x]">
            <path value="Subscription.criteria.extension.value[x]" />
            <mustSupport value="true" />
        </element>
        <element id="Subscription.channel">
            <path value="Subscription.channel" />
            <short value="Kommunikationskanal" />
            <comment value="**Bedeutung:** Kommunikationskanal &#252;ber den die Subscription Benachrichtigungen gesendet werden sollen." />
            <mustSupport value="true" />
        </element>
        <element id="Subscription.channel.extension:heartbeatPeriod">
            <path value="Subscription.channel.extension" />
            <sliceName value="heartbeatPeriod" />
            <short value="Heartbeat-Intervall" />
            <comment value="**Bedeutung:** Intervall in dem der Server pr&#252;ft, ob der Kommunikationskanal noch aktiv ist." />
            <mustSupport value="true" />
        </element>
        <element id="Subscription.channel.extension:heartbeatPeriod.value[x]">
            <path value="Subscription.channel.extension.value[x]" />
            <mustSupport value="true" />
        </element>
        <element id="Subscription.channel.type">
            <path value="Subscription.channel.type" />
            <short value="Typ des Kommunikationskanals" />
            <comment value="**Bedeutung:** Der Typ des Kommunikationskanals, &#252;ber den Subscription-Benachrichtigungen gesendet werden sollen.  \n    In ISiK MUSS der Wert `rest-hook` unterst&#252;tzt werden, weitere Werte K&#214;NNEN unterst&#252;tzt werden." />
            <mustSupport value="true" />
        </element>
        <element id="Subscription.channel.type.extension:customChannelType">
            <path value="Subscription.channel.type.extension" />
            <sliceName value="customChannelType" />
            <short value="Custom Channel Type" />
            <comment value="**Bedeutung:** Custom Channel Type welcher in ISiK aktuell nicht unterst&#252;tzt wird." />
            <max value="0" />
        </element>
        <element id="Subscription.channel.endpoint">
            <path value="Subscription.channel.endpoint" />
            <short value="Endpunkt" />
            <comment value="**Bedeutung:** Adresse des Kommunikationskanals/ Endpunkts, an den Subscription-Benachrichtigungen gesendet werden sollen. Dies ist nur f&#252;r rest-hook Subscriptions relevant." />
            <mustSupport value="true" />
        </element>
        <element id="Subscription.channel.payload">
            <path value="Subscription.channel.payload" />
            <short value="Format der Nutzdaten" />
            <comment value="**Bedeutung:** Format in dem Subscription Notifications versendet werden sollen (JSON oder XML)." />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="https://gematik.de/fhir/isik/ValueSet/FhirMimeTypeVS" />
            </binding>
        </element>
        <element id="Subscription.channel.payload.extension:content">
            <path value="Subscription.channel.payload.extension" />
            <sliceName value="content" />
            <short value="Inhalt der Nutzdaten" />
            <comment value="**Bedeutung:** Welcher Ressourceninhalt in der Nutzlast der Benachrichtigung geliefert werden soll.  \n      Zur Auswahl stehen eine leere Nutzlast (`empty`), nur die Ressourcen-id (`id-only`) oder der gesamte Inhalt der Ressource (`full-resource`)." />
        </element>
        <element id="Subscription.channel.header">
            <path value="Subscription.channel.header" />
            <short value="Falls eine REST-Enpunkt einen Authorization-Header ben&#246;tigt, kann dieser hier gesetzt werden" />
            <comment value="**Bedeutung:** http-Header welcher dazu genutzt werden kann einen Authorization-header zu setzen. Dies ist nur f&#252;r rest-hook Subscriptions relevant.  \n    **Hinweise:** ACHTUNG: dieses Datenfeld muss bei READ-Interaktionen maskiert werden! Siehe [R4 Subscriptions](https://hl7.org/fhir/R4/subscription.html)" />
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "id": "ISiKSubscription",
    "url": "https://gematik.de/fhir/isik/StructureDefinition/ISiKSubscription",
    "version": "5.0.0",
    "name": "ISiKSubscription",
    "title": "ISiK Subscription",
    "status": "active",
    "experimental": false,
    "date": "2025-06-26",
    "publisher": "gematik GmbH",
    "description": "ISiK Subscription  \n### Motivation\n\nSubscription ist eine FHIR Ressource, um als Client-System Benachrichtigungen über Events auf dem FHIR Server anzufragen. Der Subscription Mechanismus in FHIR R4 ist nicht geeignet, um alle relevanten Events (hier im Speziellen das Mergen von Patienten) zu unterstützen. Daher basiert das ISiK Subscription-Profil auf dem [Subscriptions R5 Backport Profil von HL7](https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/StructureDefinition-backport-subscription.html).\n\nUm als Subsystem über ein Subsription-Event informiert zu werden, KANN der FHIR Subscription Mechanismus gemäß des [Subscriptions R5 Backport IGs von HL7](https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/index.html) genutzt werden.\n\n### Kompatibilität\n\nDas Profil ISiKSubscription basiert auf dem [Backport-Subscription Profil](https://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition-backport-subscription.html).\nDer [SubscriptionStatus](https://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition-backport-subscription-status-r4.html), sowie das [Subscription Notification Bundle](https://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition-backport-subscription-notification-r4.html) werden unverändert direkt aus dem [Subscriptions R5 Backport IG](https://hl7.org/fhir/uv/subscriptions-backport/index.html) genutzt.  \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": "Subscription",
    "baseDefinition": "http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-subscription",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Subscription.status",
                "path": "Subscription.status",
                "short": "Status",
                "comment": "**Bedeutung:** Der Status der Subscription, der den Serverstatus der Subscription angibt. \n  Neue Subscriptions werden immer mit dem Status `requested` an den Server übergeben. \n  Der Server ändert im Anschluss den Status auf `active` oder im Fehlerfall auf `error`.",
                "mustSupport": true
            },
            {
                "id": "Subscription.reason",
                "path": "Subscription.reason",
                "short": "Grund der Subscription",
                "comment": "**Bedeutung:** Beschreibung wieso diese Subscription erstellt wurde.",
                "mustSupport": true
            },
            {
                "id": "Subscription.criteria",
                "path": "Subscription.criteria",
                "short": "Canonical URL des SubscriptionTopic welches man abonnieren möchte.",
                "comment": "Enthält eines der in ISiK vereinbarten Subsription Topics.",
                "binding": {
                    "strength": "extensible",
                    "valueSet": "https://gematik.de/fhir/isik/ValueSet/ISiKSubscriptionTopicVS"
                }
            },
            {
                "id": "Subscription.criteria.extension:filterCriteria",
                "path": "Subscription.criteria.extension",
                "sliceName": "filterCriteria",
                "short": "Filterkriterium.",
                "comment": "**Bedeutung:** Filterkriterium für die Subscription. Dieses Feld ist optional und kann genutzt werden, um die Subscription auf bestimmte Events zu filtern."
            },
            {
                "id": "Subscription.criteria.extension:filterCriteria.value[x]",
                "path": "Subscription.criteria.extension.value[x]",
                "mustSupport": true
            },
            {
                "id": "Subscription.channel",
                "path": "Subscription.channel",
                "short": "Kommunikationskanal",
                "comment": "**Bedeutung:** Kommunikationskanal über den die Subscription Benachrichtigungen gesendet werden sollen.",
                "mustSupport": true
            },
            {
                "id": "Subscription.channel.extension:heartbeatPeriod",
                "path": "Subscription.channel.extension",
                "sliceName": "heartbeatPeriod",
                "short": "Heartbeat-Intervall",
                "comment": "**Bedeutung:** Intervall in dem der Server prüft, ob der Kommunikationskanal noch aktiv ist.",
                "mustSupport": true
            },
            {
                "id": "Subscription.channel.extension:heartbeatPeriod.value[x]",
                "path": "Subscription.channel.extension.value[x]",
                "mustSupport": true
            },
            {
                "id": "Subscription.channel.type",
                "path": "Subscription.channel.type",
                "short": "Typ des Kommunikationskanals",
                "comment": "**Bedeutung:** Der Typ des Kommunikationskanals, über den Subscription-Benachrichtigungen gesendet werden sollen.  \n    In ISiK MUSS der Wert `rest-hook` unterstützt werden, weitere Werte KÖNNEN unterstützt werden.",
                "mustSupport": true
            },
            {
                "id": "Subscription.channel.type.extension:customChannelType",
                "path": "Subscription.channel.type.extension",
                "sliceName": "customChannelType",
                "short": "Custom Channel Type",
                "comment": "**Bedeutung:** Custom Channel Type welcher in ISiK aktuell nicht unterstützt wird.",
                "max": "0"
            },
            {
                "id": "Subscription.channel.endpoint",
                "path": "Subscription.channel.endpoint",
                "short": "Endpunkt",
                "comment": "**Bedeutung:** Adresse des Kommunikationskanals/ Endpunkts, an den Subscription-Benachrichtigungen gesendet werden sollen. Dies ist nur für rest-hook Subscriptions relevant.",
                "mustSupport": true
            },
            {
                "id": "Subscription.channel.payload",
                "path": "Subscription.channel.payload",
                "short": "Format der Nutzdaten",
                "comment": "**Bedeutung:** Format in dem Subscription Notifications versendet werden sollen (JSON oder XML).",
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "https://gematik.de/fhir/isik/ValueSet/FhirMimeTypeVS"
                }
            },
            {
                "id": "Subscription.channel.payload.extension:content",
                "path": "Subscription.channel.payload.extension",
                "sliceName": "content",
                "short": "Inhalt der Nutzdaten",
                "comment": "**Bedeutung:** Welcher Ressourceninhalt in der Nutzlast der Benachrichtigung geliefert werden soll.  \n      Zur Auswahl stehen eine leere Nutzlast (`empty`), nur die Ressourcen-id (`id-only`) oder der gesamte Inhalt der Ressource (`full-resource`)."
            },
            {
                "id": "Subscription.channel.header",
                "path": "Subscription.channel.header",
                "short": "Falls eine REST-Enpunkt einen Authorization-Header benötigt, kann dieser hier gesetzt werden",
                "comment": "**Bedeutung:** http-Header welcher dazu genutzt werden kann einen Authorization-header zu setzen. Dies ist nur für rest-hook Subscriptions relevant.  \n    **Hinweise:** ACHTUNG: dieses Datenfeld muss bei READ-Interaktionen maskiert werden! Siehe [R4 Subscriptions](https://hl7.org/fhir/R4/subscription.html)",
                "mustSupport": true
            }
        ]
    }
}

ISiK Subscription

Constraints/Invarianten

Terminology-Bindings

Element	Staerke	ValueSet
Subscription.criteria	extensible	https://gematik.de/fhir/isik/ValueSet/ISiKSubscriptionTopicVS
Subscription.channel.payload	required	https://gematik.de/fhir/isik/ValueSet/FhirMimeTypeVS

Anmerkungen zu Must-Support-Feldern

Feldname	Kurzbeschreibung	Hinweise
Subscription.status	Status	Bedeutung: Der Status der Subscription, der den Serverstatus der Subscription angibt. Neue Subscriptions werden immer mit dem Status `requested` an den Server übergeben. Der Server ändert im Anschluss den Status auf `active` oder im Fehlerfall auf `error`.
Subscription.reason	Grund der Subscription	Bedeutung: Beschreibung wieso diese Subscription erstellt wurde.
Subscription.criteria.extension:filterCriteria.value[x]
Subscription.channel	Kommunikationskanal	Bedeutung: Kommunikationskanal über den die Subscription Benachrichtigungen gesendet werden sollen.
Subscription.channel.extension:heartbeatPeriod	Heartbeat-Intervall	Bedeutung: Intervall in dem der Server prüft, ob der Kommunikationskanal noch aktiv ist.
Subscription.channel.extension:heartbeatPeriod.value[x]
Subscription.channel.type	Typ des Kommunikationskanals	Bedeutung: Der Typ des Kommunikationskanals, über den Subscription-Benachrichtigungen gesendet werden sollen. In ISiK MUSS der Wert `rest-hook` unterstützt werden, weitere Werte KÖNNEN unterstützt werden.
Subscription.channel.endpoint	Endpunkt	Bedeutung: Adresse des Kommunikationskanals/ Endpunkts, an den Subscription-Benachrichtigungen gesendet werden sollen. Dies ist nur für rest-hook Subscriptions relevant.
Subscription.channel.payload	Format der Nutzdaten	Bedeutung: Format in dem Subscription Notifications versendet werden sollen (JSON oder XML).
Subscription.channel.header	Falls eine REST-Enpunkt einen Authorization-Header benötigt, kann dieser hier gesetzt werden	Bedeutung: http-Header welcher dazu genutzt werden kann einen Authorization-header zu setzen. Dies ist nur für rest-hook Subscriptions relevant. Hinweise: ACHTUNG: dieses Datenfeld muss bei READ-Interaktionen maskiert werden! Siehe R4 Subscriptions

Interaktionen

Interaktion	Verbindlichkeit
read	SHALL
create	SHALL
update	SHALL
delete	SHALL
search-type	SHALL

Parameter	Typ	Verbindlichkeit	Hinweise
_id	token	SHALL	Beispiel: `GET [base]/[Resourcetype]?_id=103270` Anwendungshinweis: Der Parameter `_id` wird selten alleinstehend verwendet, da sich zum Abruf einer Ressource anhand der `id` die `READ`-Interaktion besser anbietet. Der Parameter kann jedoch verwendet werden, um den Abruf einer Ressource bspw. mit einem `_include` weiterer Ressourcen zu verbinden, z.B. zum Abruf eines Encounters in Verbindung mit dem zugehörigen Patienten: `GET [base]/Encounter?_id=103270&_include=Encounter:patient` Weitere Details siehe FHIR-Kernspezifikation, Abschnitt Parameters for all resources. Dieser Suchparameter ist für die Umsetzung des IHE PDQm Profils verpflichtend.
_tag	token	SHALL	Beispiel: `GET [base]/[Resourcetype]?_tag=https://example.org/codes\|needs-review` Anwendungshinweis: Weitere Details siehe FHIR-Kernspezifikation, Abschnitt Parameters for all resources sowie Abschnitt Tags.
_count	number	SHALL	Beispiel: `GET [base]/[Resourcetype]?_count=100` Anwendungshinweis: Weitere Details siehe FHIR-Kernspezifikation, Abschnitt Page Count.
_has	string	MAY	Beispiel: Suche nach allen Patienten, die eine Observation mit dem Code '1234-5' haben `GET [base]/Patient?_has:Observation:patient:code=1234-5` Beispiel: Suche nach allen Encountern, bei denen die Diagnose 'A12.3' gestellt wurde `GET [base]/Encounter?_has:Condition:encounter:code=A12.3` Anwendungshinweis: Weitere Details siehe FHIR-Kernspezifikation, Abschnitt Reverse Chaining.
criteria	string	SHALL	Beispiel: `GET [base]/Subscription?criteria=https://gematik.de/fhir/isik/SubscriptionTopic/patient-merge` Anwendungshinweis: Dient dazu eine Subscription zu finden, die auf ein bestimmtes SubscriptionTopic verweist. Weitere Details siehe FHIR-Kernspezifikation.
status	token	SHALL	Beispiel: `GET [base]/Subscription?status=requested` Anwendungshinweis: Weitere Details siehe FHIR-Kernspezifikation.
url	uri	SHALL	Beispiel: `GET [base]/Subscription?url=http://example.org/fhir/` Anwendungshinweis: Dient dazu eine Subscription zu finden, die auf einen REST-Endpoint verweist welcher die Subscription Notifications empfangen soll. Weitere Details siehe FHIR-Kernspezifikation.

(Reverse-)Include

Name	Spezifikation	Verbindlichkeit
status	http://hl7.org/fhir/uv/subscriptions-backport/OperationDefinition/backport-subscription-status	SHALL
events	http://hl7.org/fhir/uv/subscriptions-backport/OperationDefinition/backport-subscription-events	SHALL

Command 'pagelink' could not render: Page not found.

Beispiele

Subscription

id : PatientMergeSubscriptionExample

meta

profile : https://gematik.de/fhir/isik/StructureDefinition/ISiKSubscription

status : requested

reason : Patient merge subscription

criteria : https://gematik.de/fhir/isik/SubscriptionTopic/patient-merge

channel

type : rest-hook

endpoint : http://localhost:8081/fhir/Bundle

payload : application/fhir+json

extension

url : http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-payload-content

value : full-resource

header : Authorization: Bearer xxxxxxxxxx

<Subscription xmlns="http://hl7.org/fhir">
    <id value="PatientMergeSubscriptionExample" />
    <meta>
        <profile value="https://gematik.de/fhir/isik/StructureDefinition/ISiKSubscription" />
    </meta>
    <status value="requested" />
    <reason value="Patient merge subscription" />
    <criteria value="https://gematik.de/fhir/isik/SubscriptionTopic/patient-merge" />
    <channel>
        <type value="rest-hook" />
        <endpoint value="http://localhost:8081/fhir/Bundle" />
        <payload value="application/fhir+json">
            <extension url="http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-payload-content">
                <valueCode value="full-resource" />
            </extension>
        </payload>
        <header value="Authorization: Bearer xxxxxxxxxx" />
    </channel>
</Subscription>

{
    "resourceType": "Subscription",
    "id": "PatientMergeSubscriptionExample",
    "meta": {
        "profile":  [
            "https://gematik.de/fhir/isik/StructureDefinition/ISiKSubscription"
        ]
    },
    "channel": {
        "type": "rest-hook",
        "endpoint": "http://localhost:8081/fhir/Bundle",
        "payload": "application/fhir+json",
        "_payload": {
            "extension":  [
                {
                    "url": "http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-payload-content",
                    "valueCode": "full-resource"
                }
            ]
        },
        "header":  [
            "Authorization: Bearer xxxxxxxxxx"
        ]
    },
    "status": "requested",
    "reason": "Patient merge subscription",
    "criteria": "https://gematik.de/fhir/isik/SubscriptionTopic/patient-merge"
}

PatientMergeSubscriptionExample