Implementierungsleitfaden ISiK-Basismodul Stufe 3

Angehöriger (RelatedPerson)

Motivation

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

Kompatibilität

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

Profil

Name	Canonical
ISiKAngehoeriger	https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKAngehoeriger

RelatedPerson	I		RelatedPerson	Element Id RelatedPerson Short description A person that is related to a patient, but who is not a direct target of care Definition Information about a person that is involved in the care for a patient, but who is not the target of healthcare, nor has a formal responsibility in the care process. Data Type RelatedPerson Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` relatedp-de-1:Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden `gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()` Mappings rim:Entity. Role, or Act rim:role
identifier	Σ	0..*	Identifier	There are no (further) constraints on this element Element Id RelatedPerson.identifier Short description A human identifier for this person Definition Identifier for a person within a particular scope. Requirements People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:NK1-33 rim:.id
active	Σ ?!	0..1	boolean	There are no (further) constraints on this element Element Id RelatedPerson.active Short description Whether this related person's record is in active use Definition Whether this related person record is in active use. Requirements Need to be able to mark a related person record as not to be used, such as if it was created in error. Comments This element is labeled as a modifier because it may be used to mark that the resource was created in error. Meaning When Missing This resource is generally assumed to be active if no value is provided for the active element Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.status rim:.statusCode
patient	S Σ I	1..1	Reference(Patient)	There are no (further) constraints on this element Element Id RelatedPerson.patient Short description The patient this person is related to Definition The patient this person is related to. Requirements We need to know which patient this RelatedPerson is related to. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Patient) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:PID-3 rim:scoper[classCode=PSN\|ANM and determinerCode='INSTANCE']/playedRole[classCode='PAT']/id
reference	Σ I	1..1	string	There are no (further) constraints on this element Element Id RelatedPerson.patient.reference Short description Literal reference, Relative, internal or absolute URL Definition A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Comments Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
type	Σ	0..1	uriBinding	There are no (further) constraints on this element Element Id RelatedPerson.patient.type Short description Type the reference refers to (e.g. "Patient") Definition The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). Comments This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. Data Type uri Binding Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
identifier	Σ	0..1	Identifier	There are no (further) constraints on this element Element Id RelatedPerson.patient.identifier Short description Logical reference, when literal reference is not known Definition An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. Comments When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation\|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier rim:.identifier
display	Σ	0..1	string	There are no (further) constraints on this element Element Id RelatedPerson.patient.display Short description Text alternative for the resource Definition Plain text narrative that identifies the resource in addition to the resource reference. Comments This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
relationship	Σ	0..*	CodeableConceptBinding	There are no (further) constraints on this element Element Id RelatedPerson.relationship Short description The nature of the relationship Definition The nature of the relationship between a patient and the related person. Requirements We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding The nature of the relationship between a patient and the related person. PatientRelationshipType (preferred) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.class v2:NK1-3 rim:code
name	S Σ I	1..1	HumanName, deutsches Basisprofil	Element Id RelatedPerson.name Short description Personenname Definition Personenname mit in Deutschland üblichen Erweiterungen Requirements Related persons need to be identified by name, but it is uncommon to need details about multiple other names for that person. Comments Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts may or may not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely. Data Type HumanName, deutsches Basisprofil Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` hum-1:Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden `family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue()` hum-2:Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden `family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue()` hum-3:Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden `family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue()` hum-4:Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden `prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue())` Mappings rim:n/a v2:XPN rim:EN (actually, PN) servd:ProviderName v2:NK1-2 rim:name
telecom	Σ I	0..*	ContactPoint	There are no (further) constraints on this element Element Id RelatedPerson.telecom Short description A contact detail for the person Definition A contact detail for the person, e.g. a telephone number or an email address. Requirements People have (primary) ways to contact them in some way such as phone, email. Comments Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification. Data Type ContactPoint Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint v2:NK1-5 / NK1-6 / NK1-40 rim:telecom
gender	Σ	0..1	codeBinding	There are no (further) constraints on this element Element Id RelatedPerson.gender Short description male \| female \| other \| unknown Definition Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes. Requirements Needed for identification of the person, in combination with (at least) name and birth date. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding The gender of a person used for administrative purposes. AdministrativeGender (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:NK1-15 rim:administrativeGender
extension	I	0..*	Extension	There are no (further) constraints on this element Element Id RelatedPerson.gender.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
Geschlecht-Administrativ	I	0..*	Extension(Coding)	Element Id RelatedPerson.gender.extension:Geschlecht-Administrativ Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. 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(Coding) Extension URL http://fhir.de/StructureDefinition/gender-amtlich-de Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
birthDate	Σ	0..1	date	There are no (further) constraints on this element Element Id RelatedPerson.birthDate Short description The date on which the related person was born Definition The date on which the related person was born. Data Type date Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:player.birthTime
address	S Σ	0..*	Address	Element Id RelatedPerson.address Short description Address where the related person can be contacted or visited Definition Address where the related person can be contacted or visited. Requirements Need to keep track where the related person can be contacted per postal mail or visited. Comments In order to differentiate between post box addresses and physical addresses, street names and house numbers, and to add city district names, vendors can opt to support the extensions as suggested in the German Address Base Profile http://fhir.de/StructureDefinition/address-de-basis. Such differentiations are however not required within the scope of this specification. Data Type Address Sliced: Unordered, Open, by $this(Pattern) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XAD rim:AD servd:Address v2:NK1-4 rim:addr
Strassenanschrift	S Σ I	0..*	Adresse, deutsches BasisprofilPattern	Element Id RelatedPerson.address:Strassenanschrift Short description Eine Adresse gemäß postalischer Konventionen Definition Eine Adresse gemäß postalischer Konventionen (im Gegensatz zu bspw. GPS-Koordinaten). Die Adresse kann sowohl zur Zustellung von Postsendungen oder zum Aufsuchen von Orten, die keine gültige Postadresse haben, verwendet werden. Die verwendeten Extensions in diesem Profil bilden die Struktur der Adresse ab, wie sie im VSDM-Format der elektronischen Versichertenkarte verwendet wird. Insbesondere bei ausländischen Adresse oder Adressen, die nicht durch Einlesen einer elektronischen Versichertenkarte erfasst wurden, sind abweichende Strukturen möglich. Die Verwendung der Extensions ist nicht verpflichtend. Requirements Need to keep track where the related person can be contacted per postal mail or visited. Comments Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource). Data Type Adresse, deutsches Basisprofil Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` add-1:Wenn die Extension 'Hausnummer' verwendet wird, muss auch Address.line gefüllt werden `line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty() or $this.hasValue())` add-2:Wenn die Extension 'Strasse' verwendet wird, muss auch Address.line gefüllt werden `line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() or $this.hasValue())` add-3:Wenn die Extension 'Postfach' verwendet wird, muss auch Address.line gefüllt werden `line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue())` add-4:Eine Postfach-Adresse darf nicht vom Type "physical" oder "both" sein. `line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()) or type='postal' or type.empty()` add-5:Wenn die Extension 'Adresszusatz' verwendet wird, muss auch Address.line gefüllt werden `line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty() or $this.hasValue())` add-6:Wenn die Extension 'Postfach' verwendet wird, dürfen die Extensions 'Strasse' und 'Hausnummer' nicht verwendet werden `line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty()))` add-7:Wenn die Extension 'Precinct' (Stadtteil) verwendet wird, dann muss diese Information auch als separates line-item abgebildet sein. `extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').empty() or all(line contains extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').value.ofType(string))` address-cnt-2or3-char:The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2. `country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))` Pattern { "type": "both" } Mappings rim:n/a v2:XAD rim:AD servd:Address v2:NK1-4 rim:addr
extension	I	0..*	Extension	There are no (further) constraints on this element Element Id RelatedPerson.address:Strassenanschrift.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
Stadtteil	S I	0..1	Extension(string)	There are no (further) constraints on this element Element Id RelatedPerson.address:Strassenanschrift.extension:Stadtteil Short description Stadt- oder Ortsteil Alternate names extensions, user content Definition A subsection of a municipality. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A rim:ADXP[partType=PRE]
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id RelatedPerson.address:Strassenanschrift.use Short description home \| work \| temp \| old \| billing - purpose of this address Definition The purpose of this address. Requirements Allows an appropriate address to be chosen from a list of many. Comments Applications can assume that an address is current unless it explicitly says that it is temporary or old. Data Type code Binding The use of an address. AddressUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General home Mappings rim:n/a v2:XAD.7 rim:unique(./use) servd:./AddressPurpose
type	S Σ	1..1	codeBindingFixed Value	There are no (further) constraints on this element Element Id RelatedPerson.address:Strassenanschrift.type Short description postal \| physical \| both Definition Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both. Comments The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource). Data Type code Binding The type of an address (physical / postal). AddressType (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value both Mappings rim:n/a v2:XAD.18 rim:unique(./use) vcard:address type parameter BDT:1202 (1=physical, 2=postal)
text	Σ	0..1	string	There are no (further) constraints on this element Element Id RelatedPerson.address:Strassenanschrift.text Short description Text representation of the address Definition Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts. Requirements A renderable, unencoded form. Comments Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 137 Nowhere Street, Erewhon 9132 Mappings rim:n/a v2:XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6 rim:./formatted vcard:address label parameter
line	S Σ	1..3	string	There are no (further) constraints on this element Element Id RelatedPerson.address:Strassenanschrift.line Short description Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung Definition Diese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, Postfach, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden. Bei Verwendung der Extensions, um Straße, Hausnnummer und Postleitzahl strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können. Comments 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())` Examples General 137 Nowhere Street Beipiel für Adresszeile mit Extensions für Straße und Hausnummer Musterweg 42 Mappings rim:n/a v2:XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address) rim:AD.part[parttype = AL] vcard:street servd:./StreetAddress (newline delimitted) KVDT:3107 + 3109 + 3115 oder 3123 BDT:3107 + 3109 + 3115 oder 3123
extension	I	0..*	Extension	There are no (further) constraints on this element Element Id RelatedPerson.address:Strassenanschrift.line.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
Strasse	S I	0..1	Extension(string)	There are no (further) constraints on this element Element Id RelatedPerson.address:Strassenanschrift.line.extension:Strasse Short description Strassenname (ohne Hausnummer) Alternate names extensions, user content Definition Strassenname (ohne Hausnummer) Bei Angabe einer Strasse in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A rim:ADXP[partType=STR] KVDT:3107 BDT:3107
Hausnummer	S I	0..1	Extension(string)	There are no (further) constraints on this element Element Id RelatedPerson.address:Strassenanschrift.line.extension:Hausnummer Short description Hausnummer Alternate names extensions, user content Definition Hausnummer, sowie Zusätze (Appartmentnummer, Etage...) Bei Angabe einer Hausnummer in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A rim:ADXP[partType=BNR] KVDT:3109 BDT:3109
Adresszusatz	S I	0..1	Extension(string)	There are no (further) constraints on this element Element Id RelatedPerson.address:Strassenanschrift.line.extension:Adresszusatz Short description Adresszusatz Alternate names extensions, user content Definition Zusätzliche Informationen, wie z.B. "3. Etage", "Appartment C" Bei Angabe einer Zusatzinformation in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A rim:ADXP[partType=ADL] KVDT:3115 BDT:3115
Postfach	I	0..0	Extension(string)	There are no (further) constraints on this element Element Id RelatedPerson.address:Strassenanschrift.line.extension:Postfach Short description Postfach Alternate names extensions, user content Definition Postfach-Adresse. Bei Angabe eines Postfaches in dieser Extension muss das Postfach auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. Eine Postfach-Adresse darf nicht in Verbindung mit Address.type "physical" oder "both" verwendet werden. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A rim:ADXP[partType=POB] KVDT:3123 BDT:3123
city	S Σ	1..1	string	There are no (further) constraints on this element Element Id RelatedPerson.address:Strassenanschrift.city Short description Name of city, town etc. Alternate names Municpality Definition The name of the city, town, suburb, village or other community or delivery center. 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())` Examples General Erewhon Mappings rim:n/a v2:XAD.3 rim:AD.part[parttype = CTY] vcard:locality servd:./Jurisdiction BDT:3113 oder 3122 (Postfach) KVDT:3113 oder 3122 (Postfach)
district	Σ	0..0	string	There are no (further) constraints on this element Element Id RelatedPerson.address:Strassenanschrift.district Short description District name (aka county) Alternate names County Definition The name of the administrative area (county). Comments District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General Madison Mappings rim:n/a v2:XAD.9 rim:AD.part[parttype = CNT \| CPA]
state	Σ	0..1	stringBinding	There are no (further) constraints on this element Element Id RelatedPerson.address:Strassenanschrift.state Short description Bundesland Alternate names Province, Territory Definition Name (oder Kürzel) des Bundeslandes. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Binding ValueSetISO31662DE (preferred) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XAD.4 rim:AD.part[parttype = STA] vcard:region servd:./Region
postalCode	S Σ	1..1	string	There are no (further) constraints on this element Element Id RelatedPerson.address:Strassenanschrift.postalCode Short description Postleitzahl Alternate names Zip Definition Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen 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())` Examples General 9132 Mappings rim:n/a v2:XAD.5 rim:AD.part[parttype = ZIP] vcard:code servd:./PostalIdentificationCode BDT:3112 oder 3121 (Postfach) KVDT:3112 oder 3121 (Postfach)
country	S Σ	1..1	stringBinding	There are no (further) constraints on this element Element Id RelatedPerson.address:Strassenanschrift.country Short description Staat Definition Staat (vorzugsweise als 2-Stelliger ISO-Ländercode). Es obliegt abgeleiteten Profilen, hier die Verwendung der ISO-Ländercodes verbindlich vorzuschreiben Comments ISO 3166 3 letter codes can be used in place of a human readable country name. Data Type string Binding Iso3166-1-2 (preferred) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XAD.6 rim:AD.part[parttype = CNT] vcard:country servd:./Country BDT:3114 oder 3124 (Postfach), abweichendes CodeSystem KVDT:3114 oder 3124 (Postfach), abweichendes CodeSystem
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id RelatedPerson.address:Strassenanschrift.period Short description Time period when address was/is in use Definition Time period when address was/is in use. Requirements Allows addresses to be placed in historical context. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Examples General { "start": "2010-03-23", "end": "2010-07-01" } Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:XAD.12 / XAD.13 + XAD.14 rim:./usablePeriod[type="IVL<TS>"] servd:./StartDate and ./EndDate
start	Σ I	0..1	dateTime	There are no (further) constraints on this element Element Id RelatedPerson.address:Strassenanschrift.period.start Short description Starting time with inclusive boundary Definition The start of the period. The boundary is inclusive. Comments If the low element is missing, the meaning is that the low boundary is not known. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:DR.1 rim:./low BDT:8226
end	Σ I	0..1	dateTime	There are no (further) constraints on this element Element Id RelatedPerson.address:Strassenanschrift.period.end Short description End time with inclusive boundary, if not ongoing Definition The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time. Comments The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. Meaning When Missing If the end of the period is missing, it means that the period is ongoing Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:DR.2 rim:./high BDT:8227
Postfach	S Σ I	0..*	Adresse, deutsches BasisprofilPattern	Element Id RelatedPerson.address:Postfach 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 Need to keep track where the related person can be contacted per postal mail or visited. Comments Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource). Data Type Adresse, deutsches Basisprofil Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` add-1:Wenn die Extension 'Hausnummer' verwendet wird, muss auch Address.line gefüllt werden `line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty() or $this.hasValue())` add-2:Wenn die Extension 'Strasse' verwendet wird, muss auch Address.line gefüllt werden `line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() or $this.hasValue())` add-3:Wenn die Extension 'Postfach' verwendet wird, muss auch Address.line gefüllt werden `line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue())` add-4:Eine Postfach-Adresse darf nicht vom Type "physical" oder "both" sein. `line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()) or type='postal' or type.empty()` add-5:Wenn die Extension 'Adresszusatz' verwendet wird, muss auch Address.line gefüllt werden `line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty() or $this.hasValue())` add-6:Wenn die Extension 'Postfach' verwendet wird, dürfen die Extensions 'Strasse' und 'Hausnummer' nicht verwendet werden `line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty()))` add-7:Wenn die Extension 'Precinct' (Stadtteil) verwendet wird, dann muss diese Information auch als separates line-item abgebildet sein. `extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').empty() or all(line contains extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').value.ofType(string))` address-cnt-2or3-char:The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2. `country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))` Pattern { "type": "postal" } Mappings rim:n/a v2:XAD rim:AD servd:Address v2:NK1-4 rim:addr
extension	I	0..*	Extension	There are no (further) constraints on this element Element Id RelatedPerson.address:Postfach.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
Stadtteil	I	0..1	Extension(string)	There are no (further) constraints on this element Element Id RelatedPerson.address:Postfach.extension:Stadtteil Short description Stadt- oder Ortsteil Alternate names extensions, user content Definition A subsection of a municipality. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A rim:ADXP[partType=PRE]
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id RelatedPerson.address:Postfach.use Short description home \| work \| temp \| old \| billing - purpose of this address Definition The purpose of this address. Requirements Allows an appropriate address to be chosen from a list of many. Comments Applications can assume that an address is current unless it explicitly says that it is temporary or old. Data Type code Binding The use of an address. AddressUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General home Mappings rim:n/a v2:XAD.7 rim:unique(./use) servd:./AddressPurpose
type	S Σ	1..1	codeBindingFixed Value	There are no (further) constraints on this element Element Id RelatedPerson.address:Postfach.type Short description postal \| physical \| both Definition Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both. Comments The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource). Data Type code Binding The type of an address (physical / postal). AddressType (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value postal Mappings rim:n/a v2:XAD.18 rim:unique(./use) vcard:address type parameter BDT:1202 (1=physical, 2=postal)
text	Σ	0..1	string	There are no (further) constraints on this element Element Id RelatedPerson.address:Postfach.text Short description Text representation of the address Definition Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts. Requirements A renderable, unencoded form. Comments Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 137 Nowhere Street, Erewhon 9132 Mappings rim:n/a v2:XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6 rim:./formatted vcard:address label parameter
line	S Σ	1..3	string	There are no (further) constraints on this element Element Id RelatedPerson.address:Postfach.line Short description Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung Definition Diese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, Postfach, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden. Bei Verwendung der Extensions, um Straße, Hausnnummer und Postleitzahl strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können. Comments 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())` Examples General 137 Nowhere Street Beipiel für Adresszeile mit Extensions für Straße und Hausnummer Musterweg 42 Mappings rim:n/a v2:XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address) rim:AD.part[parttype = AL] vcard:street servd:./StreetAddress (newline delimitted) KVDT:3107 + 3109 + 3115 oder 3123 BDT:3107 + 3109 + 3115 oder 3123
extension	I	0..*	Extension	There are no (further) constraints on this element Element Id RelatedPerson.address:Postfach.line.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
Strasse	I	0..0	Extension(string)	There are no (further) constraints on this element Element Id RelatedPerson.address:Postfach.line.extension:Strasse Short description Strassenname (ohne Hausnummer) Alternate names extensions, user content Definition Strassenname (ohne Hausnummer) Bei Angabe einer Strasse in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A rim:ADXP[partType=STR] KVDT:3107 BDT:3107
Hausnummer	I	0..0	Extension(string)	There are no (further) constraints on this element Element Id RelatedPerson.address:Postfach.line.extension:Hausnummer Short description Hausnummer Alternate names extensions, user content Definition Hausnummer, sowie Zusätze (Appartmentnummer, Etage...) Bei Angabe einer Hausnummer in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A rim:ADXP[partType=BNR] KVDT:3109 BDT:3109
Adresszusatz	I	0..0	Extension(string)	There are no (further) constraints on this element Element Id RelatedPerson.address:Postfach.line.extension:Adresszusatz Short description Adresszusatz Alternate names extensions, user content Definition Zusätzliche Informationen, wie z.B. "3. Etage", "Appartment C" Bei Angabe einer Zusatzinformation in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A rim:ADXP[partType=ADL] KVDT:3115 BDT:3115
Postfach	S I	0..1	Extension(string)	There are no (further) constraints on this element Element Id RelatedPerson.address:Postfach.line.extension:Postfach Short description Postfach Alternate names extensions, user content Definition Postfach-Adresse. Bei Angabe eines Postfaches in dieser Extension muss das Postfach auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. Eine Postfach-Adresse darf nicht in Verbindung mit Address.type "physical" oder "both" verwendet werden. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension(string) Extension URL http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A rim:ADXP[partType=POB] KVDT:3123 BDT:3123
city	S Σ	1..1	string	There are no (further) constraints on this element Element Id RelatedPerson.address:Postfach.city Short description Name of city, town etc. Alternate names Municpality Definition The name of the city, town, suburb, village or other community or delivery center. 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())` Examples General Erewhon Mappings rim:n/a v2:XAD.3 rim:AD.part[parttype = CTY] vcard:locality servd:./Jurisdiction BDT:3113 oder 3122 (Postfach) KVDT:3113 oder 3122 (Postfach)
district	Σ	0..0	string	There are no (further) constraints on this element Element Id RelatedPerson.address:Postfach.district Short description District name (aka county) Alternate names County Definition The name of the administrative area (county). Comments District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General Madison Mappings rim:n/a v2:XAD.9 rim:AD.part[parttype = CNT \| CPA]
state	Σ	0..1	stringBinding	There are no (further) constraints on this element Element Id RelatedPerson.address:Postfach.state Short description Bundesland Alternate names Province, Territory Definition Name (oder Kürzel) des Bundeslandes. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Binding ValueSetISO31662DE (preferred) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XAD.4 rim:AD.part[parttype = STA] vcard:region servd:./Region
postalCode	S Σ	1..1	string	There are no (further) constraints on this element Element Id RelatedPerson.address:Postfach.postalCode Short description Postleitzahl Alternate names Zip Definition Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen 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())` Examples General 9132 Mappings rim:n/a v2:XAD.5 rim:AD.part[parttype = ZIP] vcard:code servd:./PostalIdentificationCode BDT:3112 oder 3121 (Postfach) KVDT:3112 oder 3121 (Postfach)
country	S Σ	1..1	stringBinding	There are no (further) constraints on this element Element Id RelatedPerson.address:Postfach.country Short description Staat Definition Staat (vorzugsweise als 2-Stelliger ISO-Ländercode). Es obliegt abgeleiteten Profilen, hier die Verwendung der ISO-Ländercodes verbindlich vorzuschreiben Comments ISO 3166 3 letter codes can be used in place of a human readable country name. Data Type string Binding Iso3166-1-2 (preferred) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:XAD.6 rim:AD.part[parttype = CNT] vcard:country servd:./Country BDT:3114 oder 3124 (Postfach), abweichendes CodeSystem KVDT:3114 oder 3124 (Postfach), abweichendes CodeSystem
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id RelatedPerson.address:Postfach.period Short description Time period when address was/is in use Definition Time period when address was/is in use. Requirements Allows addresses to be placed in historical context. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Examples General { "start": "2010-03-23", "end": "2010-07-01" } Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:XAD.12 / XAD.13 + XAD.14 rim:./usablePeriod[type="IVL<TS>"] servd:./StartDate and ./EndDate
start	Σ I	0..1	dateTime	There are no (further) constraints on this element Element Id RelatedPerson.address:Postfach.period.start Short description Starting time with inclusive boundary Definition The start of the period. The boundary is inclusive. Comments If the low element is missing, the meaning is that the low boundary is not known. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:DR.1 rim:./low BDT:8226
end	Σ I	0..1	dateTime	There are no (further) constraints on this element Element Id RelatedPerson.address:Postfach.period.end Short description End time with inclusive boundary, if not ongoing Definition The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time. Comments The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. Meaning When Missing If the end of the period is missing, it means that the period is ongoing Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:DR.2 rim:./high BDT:8227
photo	I	0..*	Attachment	There are no (further) constraints on this element Element Id RelatedPerson.photo Short description Image of the person Definition Image of the person. Requirements Many EHR systems have the capability to capture an image of persons. Fits with newer social media usage too. Comments When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as "Signed Procedure Consent". Data Type Attachment Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` att-1:If the Attachment has data, it SHALL have a contentType `data.empty() or contentType.exists()` Mappings rim:n/a v2:ED/RP rim:ED v2:OBX-5 - needs a profile rim:player[classCode='PSN' and determinerCode='INSTANCE']/desc
period	I	0..1	Period	There are no (further) constraints on this element Element Id RelatedPerson.period Short description Period of time that this relationship is considered valid Definition The period of time during which this relationship is or was active. If there are no dates defined, then the interval is unknown. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] w5:FiveWs.done[x] rim:.effectiveTime
communication		0..*	BackboneElement	There are no (further) constraints on this element Element Id RelatedPerson.communication Short description A language which may be used to communicate with about the patient's health Definition A language which may be used to communicate with about the patient's health. Requirements If a related person does not speak the local language, interpreters may be required, so languages spoken and proficiency is an important things to keep track of both for patient and other persons of interest. Comments If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple RelatedPerson.Communication associations. If the RelatedPerson does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:LanguageCommunication
language		1..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id RelatedPerson.communication.language Short description The language which can be used to communicate with the patient about his or her health Definition The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English. Requirements Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect. Comments The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type. Data Type CodeableConcept Binding A human language. CommonLanguages (preferred) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:player[classCode=PSN\|ANM and determinerCode=INSTANCE]/languageCommunication/code
preferred		0..1	boolean	There are no (further) constraints on this element Element Id RelatedPerson.communication.preferred Short description Language preference indicator Definition Indicates whether or not the patient prefers this language (over other languages he masters up a certain level). Requirements People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method. Comments This language is specifically identified for communicating healthcare information. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:preferenceInd

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

Anmerkungen zu den Must-Support-Feldern

`RelatedPerson.name`

Bedeutung: Name der angehörigen Person

Hinweise: Siehe Beschreibung der Deutschen Basisprofile

`RelatedPerson.patient`

Bedeutung: Referenz zum verwandten Patient

`RelatedPerson.address.type`

Bedeutung: Die Art der Adresse (physisch / postalisch)

Hinweise: Siehe Beschreibung der Deutschen Basisprofile

`RelatedPerson.address.line`

Bedeutung: Enthält Straßenname, Hausnummer, Richtung, Postfach und ähnliche Adressinformationen

Hinweise: Siehe Beschreibung der Deutschen Basisprofile

`RelatedPerson.address.city`

Bedeutung: Enthält Name der Stadt oder des Ortes

Hinweise: Siehe Beschreibung der Deutschen Basisprofile

`RelatedPerson.address.postalCode`

Bedeutung: Postleitzahl für das Gebiet

Hinweise: Siehe Beschreibung der Deutschen Basisprofile

`RelatedPerson.address.country`

Bedeutung: Land (kann z. B. ein ISO 3166-Code mit 2 oder 3 Buchstaben sein)

Hinweise: Siehe Beschreibung der Deutschen Basisprofile

Interaktionen

Für die Ressource RelatedPerson MUSS die REST-Interaktion "READ" implementiert werden.

Folgende Suchparameter sind für das Bestätigungsverfahren relevant, auch in Kombination:

Der Suchparameter "_id" MUSS unterstützt werden:

Beispiele:

GET [base]/RelatedPerson?_id=103270

Anwendungshinweise: Weitere Informationen zur Suche nach "_id" finden sich in der FHIR-Basisspezifikation - Abschnitt "Parameters for all resources".
Der Suchparameter "patient" MUSS unterstützt werden:

Beispiele:

GET [base]/RelatedPerson?patient=Patient/123

Anwendungshinweise: Weitere Informationen zur Suche nach "RelatedPerson.patient" finden sich in der FHIR-Basisspezifikation - Abschnitt "Reference Search".
Die Suche nach einem beliebigen Bestandteil des Namens KANN unterstützt werden:

Beispiele:

GET [base]/RelatedPerson?name=Heidi

GET [base]/RelatedPerson?name=Alpenzauber

Anwendungshinweise: Weitere Informationen zur Suche nach "RelatedPerson.name" finden sich in der FHIR-Basisspezifikation - Abschnitt "String Search".
Der Suchparameter "address" KANN unterstützt werden:

Beispiele

GET [base]/RelatedPerson?address=Berlin

Anwendungshinweise: Weitere Informationen zur Suche nach "RelatedPerson.address" finden sich in der FHIR-Basisspezifikation - Abschnitt "String Search".
1. Der Suchparameter "address-city" KANN unterstützt werden:
Beispiele:

GET [base]/RelatedPerson?address-city=Berlin

Anwendungshinweise: Weitere Informationen zur Suche nach "RelatedPerson.address.city" finden sich in der FHIR-Basisspezifikation - Abschnitt "String Search".
Der Suchparameter "address-country" KANN unterstützt werden:

Beispiele:

GET [base]/RelatedPerson?address-country=DE

Anwendungshinweise: Weitere Informationen zur Suche nach "RelatedPerson.address.country" finden sich in der FHIR-Basisspezifikation - Abschnitt "String Search".
Der Suchparameter "address-postalcode" KANN unterstützt werden:

Beispiele:

GET [base]/RelatedPerson?address-postalcode=10117

Anwendungshinweise: Weitere Informationen zur Suche nach "RelatedPerson.address.postalCode" finden sich in der FHIR-Basisspezifikation - Abschnitt "String Search".

Beispiele

Valides Minimalbeispiel für das Profil ISiKAngehoeriger:

{
    "resourceType": "RelatedPerson",
    "id": "ISiKAngehoerigerMustermann",
    "meta": {
        "profile":  [
            "https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKAngehoeriger"
        ]
    },
    "patient": {
        "reference": "Patient/PatientinMusterfrau"
    },
    "name":  [
        {
            "family": "Mustermann",
            "given":  [
                "Maxine"
            ]
        }
    ],
    "address":  [
        {
            "type": "both",
            "line":  [
                "Milchstr. 42"
            ],
            "city": "Beispielstadt",
            "postalCode": "78143",
            "country": "DE"
        }
    ]
}