PersonImGesundheitsberuf (Practitioner)
Motivation
Das Profil ISIKPersonImGesundheitsberuf bildet alle denkbaren medizinischen Leistungserbringer und Fachexperten ab. In den ISiK-FHIR-Profilen können PersonImGesundheitsberuf bspw. als Ausführende einer Prozedur auftreten, im Element performer
der Procedure Ressource, oder als die Person, die eine Diagnose stellt, im Element asserter
der Condition Ressource.
In FHIR werden PersonImGesundheitsberuf mit der Practitioner
-Ressource repräsentiert.
Kompatibilität
Für das Profil ISIKPersonImGesundheitsberuf wird eine Kompatibilität mit folgenden Profilen angestrebt; allerdings kann nicht sichergestellt werden, dass Instanzen, die gegen ISIKPatient valide sind, auch valide sind gegen:
- Profil KBV_PR_Base_Practitioner der KBV Basisprofile.
- Profil HiGHmed_IC_Practitioner, MI Initiative - HiGHmed Use Case Infection Control der Medizininformatik Initiative
Hinweise zu Inkompatibilitäten können über die Portalseite gemeldet werden..
Profil
Practitioner | I | Practitioner | Element idPractitioner A person with a formal responsibility in the provisioning of healthcare or related services DefinitionA person who is directly or indirectly involved in the provisioning of healthcare.
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id | Σ | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idPractitioner.meta Metadata about the resource DefinitionThe 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.
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implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idPractitioner.implicitRules A set of rules under which this content was created DefinitionA 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. 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.
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language | 0..1 | codeBinding | There are no (further) constraints on this element Element idPractitioner.language Language of the resource content DefinitionThe base language in which the resource is written. 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). A human language.
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text | 0..1 | Narrative | There are no (further) constraints on this element Element idPractitioner.text Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA 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. 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.
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contained | 0..* | Resource | There are no (further) constraints on this element Element idPractitioner.contained Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese 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. 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.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPractitioner.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | ?! I | 0..* | Extension | There are no (further) constraints on this element Element idPractitioner.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay 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). 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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identifier | S Σ | 1..* | Identifier | Element idPractitioner.identifier An identifier for the person as this agent DefinitionAn identifier that applies to this person in this role. Often, specific identities are assigned for the agent. Unordered, Open, by $this(Pattern) Constraints
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Arztnummer | S Σ | 0..* | Identifier-Profil für die Abbildung einer lebenslangen ArztnummerPattern | Element idPractitioner.identifier:Arztnummer An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Often, specific identities are assigned for the agent. Identifier-Profil für die Abbildung einer lebenslangen Arztnummer Constraints
{ "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "LANR" } ] } }
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id | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.identifier:Arztnummer.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPractitioner.identifier:Arztnummer.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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use | Σ ?! | 0..1 | codeBindingFixed Value | There are no (further) constraints on this element Element idPractitioner.identifier:Arztnummer.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known .
official
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type | Σ | 1..1 | CodeableConceptBindingPattern | There are no (further) constraints on this element Element idPractitioner.identifier:Arztnummer.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
{ "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "LANR" } ] }
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idPractitioner.identifier:Arztnummer.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR
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value | Σ I | 1..1 | string | There are no (further) constraints on this element Element idPractitioner.identifier:Arztnummer.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
General 123456 Mappings
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element idPractitioner.identifier:Arztnummer.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. 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.
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assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element idPractitioner.identifier:Arztnummer.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
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id | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.identifier:Arztnummer.assigner.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPractitioner.identifier:Arztnummer.assigner.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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reference | Σ I | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.identifier:Arztnummer.assigner.reference Literal reference, Relative, internal or absolute URL DefinitionA 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. 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.
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type | Σ | 0..1 | uriBinding | There are no (further) constraints on this element Element idPractitioner.identifier:Arztnummer.assigner.type Type the reference refers to (e.g. "Patient") DefinitionThe 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). 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. Aa resource (or, for logical models, the URI of the logical model).
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identifier | Σ | 0..1 | Identifier | There are no (further) constraints on this element Element idPractitioner.identifier:Arztnummer.assigner.identifier Logical reference, when literal reference is not known DefinitionAn 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. 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).
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id | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.identifier:Arztnummer.assigner.identifier.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPractitioner.identifier:Arztnummer.assigner.identifier.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idPractitioner.identifier:Arztnummer.assigner.identifier.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known .
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type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idPractitioner.identifier:Arztnummer.assigner.identifier.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idPractitioner.identifier:Arztnummer.assigner.identifier.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
http://fhir.de/sid/arge-ik/iknr
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value | Σ | 1..1 | string | There are no (further) constraints on this element Element idPractitioner.identifier:Arztnummer.assigner.identifier.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
General 123456 Mappings
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element idPractitioner.identifier:Arztnummer.assigner.identifier.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. 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.
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assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element idPractitioner.identifier:Arztnummer.assigner.identifier.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
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display | Σ | 1..1 | string | There are no (further) constraints on this element Element idPractitioner.identifier:Arztnummer.assigner.display Text alternative for the resource DefinitionPlain text narrative that identifies the resource in addition to the resource reference. 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.
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EFN | S Σ | 0..1 | Identifier-Profil für die Abbildung der Einheitlichen Fortbildungsnummer (EFN)Pattern | Element idPractitioner.identifier:EFN An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Often, specific identities are assigned for the agent. In bestimmten KIS wird keine EFN geführt, da diese aus Compliance-Gründen getrennt in HR-Systemen vorgehalten wird (Hinweis kam von Stakeholder), daher soll der entsprechende Test im Test-System mit "warningOnly" ausgegeben werden. Identifier-Profil für die Abbildung der Einheitlichen Fortbildungsnummer (EFN) Constraints
{ "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "DN" } ] } }
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id | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.identifier:EFN.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPractitioner.identifier:EFN.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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use | Σ ?! | 0..1 | codeBindingFixed Value | There are no (further) constraints on this element Element idPractitioner.identifier:EFN.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known .
official
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type | Σ | 1..1 | CodeableConceptBindingPattern | There are no (further) constraints on this element Element idPractitioner.identifier:EFN.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
{ "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "DN" } ] }
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idPractitioner.identifier:EFN.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
http://fhir.de/sid/bundesaerztekammer/efn
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value | Σ | 1..1 | string | There are no (further) constraints on this element Element idPractitioner.identifier:EFN.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
General 123456 Mappings
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element idPractitioner.identifier:EFN.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. 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.
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assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element idPractitioner.identifier:EFN.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
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id | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.identifier:EFN.assigner.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPractitioner.identifier:EFN.assigner.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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reference | Σ I | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.identifier:EFN.assigner.reference Literal reference, Relative, internal or absolute URL DefinitionA 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. 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.
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type | Σ | 0..1 | uriBinding | There are no (further) constraints on this element Element idPractitioner.identifier:EFN.assigner.type Type the reference refers to (e.g. "Patient") DefinitionThe 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). 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. Aa resource (or, for logical models, the URI of the logical model).
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identifier | Σ | 0..1 | Identifier | There are no (further) constraints on this element Element idPractitioner.identifier:EFN.assigner.identifier Logical reference, when literal reference is not known DefinitionAn 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. 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).
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id | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.identifier:EFN.assigner.identifier.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPractitioner.identifier:EFN.assigner.identifier.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idPractitioner.identifier:EFN.assigner.identifier.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known .
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type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idPractitioner.identifier:EFN.assigner.identifier.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idPractitioner.identifier:EFN.assigner.identifier.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
http://fhir.de/sid/arge-ik/iknr
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value | Σ | 1..1 | string | There are no (further) constraints on this element Element idPractitioner.identifier:EFN.assigner.identifier.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
General 123456 Mappings
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element idPractitioner.identifier:EFN.assigner.identifier.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. 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.
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assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element idPractitioner.identifier:EFN.assigner.identifier.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
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display | Σ | 1..1 | string | There are no (further) constraints on this element Element idPractitioner.identifier:EFN.assigner.display Text alternative for the resource DefinitionPlain text narrative that identifies the resource in addition to the resource reference. 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.
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TelematikId | S Σ | 0..1 | Identifier-Profil für die Telematik-IDPattern | Element idPractitioner.identifier:TelematikId An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Often, specific identities are assigned for the agent. Identifier-Profil für die Telematik-ID Constraints
{ "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "PRN" } ] } }
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id | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.identifier:TelematikId.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPractitioner.identifier:TelematikId.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idPractitioner.identifier:TelematikId.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known .
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type | Σ | 1..1 | CodeableConceptBindingPattern | There are no (further) constraints on this element Element idPractitioner.identifier:TelematikId.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
{ "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "PRN" } ] }
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idPractitioner.identifier:TelematikId.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
https://gematik.de/fhir/sid/telematik-id
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value | Σ | 1..1 | string | There are no (further) constraints on this element Element idPractitioner.identifier:TelematikId.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
General 123456 Mappings
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element idPractitioner.identifier:TelematikId.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. 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.
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assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element idPractitioner.identifier:TelematikId.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
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active | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idPractitioner.active Whether this practitioner's record is in active use DefinitionWhether this practitioner's record is in active use. Need to be able to mark a practitioner record as not to be used because it was created in error. If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role. This resource is generally assumed to be active if no value is provided for the active element
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name | S Σ | 1..* | HumanName | Element idPractitioner.name The name(s) associated with the practitioner DefinitionThe name(s) associated with the practitioner. The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display. The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate. In general, select the value to be used in the ResourceReference.display based on this:
Unordered, Open, by $this(Pattern) Constraints
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Name | S Σ I | 1..1 | HumanName, deutsches BasisprofilPattern | Element idPractitioner.name:Name Personenname DefinitionPersonenname mit in Deutschland üblichen Erweiterungen The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display. 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. HumanName, deutsches Basisprofil Constraints
{ "use": "official" }
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id | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.name:Name.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPractitioner.name:Name.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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use | S Σ ?! | 1..1 | codeBindingFixed ValuePattern | Element idPractitioner.name:Name.use usual | official | temp | nickname | anonymous | old | maiden DefinitionIdentifies the purpose for this name. Allows the appropriate name for a particular context of use to be selected from among a set of names. Applications can assume that a name is current unless it explicitly says that it is temporary or old. The use of a human name.
official
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.name:Name.text Text representation of the full name DefinitionSpecifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts. A renderable, unencoded form. Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
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family | S Σ | 1..1 | string | There are no (further) constraints on this element Element idPractitioner.name:Name.family Familienname Alternate namessurname DefinitionDer vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt. Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
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id | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.name:Name.family.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPractitioner.name:Name.family.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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namenszusatz | I | 0..1 | Extension(string) | There are no (further) constraints on this element Element idPractitioner.name:Name.family.extension:namenszusatz Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") Alternate namesextensions, user content DefinitionNamenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst Die Extension wurde erstellt aufgrund der Anforderung, die auf der eGK vorhandenen Patientenstammdaten in FHIR abbilden zu können. Auf der eGK werden die Namensbestandteile "Namenszusatz" und "Vorsatzwort" getrennt vom Nachnamen gespeichert. Anhand der Liste der zulässigen Namenszusätze ist deutlich erkennbar, dass es sich hierbei sinngemäß um Adelstitel handelt. Das Vorsatzwort kann durch die Core-Extension own-prefix (Canonical: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix) abgebildet werden, für den Namenszusatz ergibt sich jedoch die Notwendikeit einer nationalen Extension, da in andern Ländern Adelstitel entweder gar nicht oder als reguläres Namenspräfix erfasst werden. http://fhir.de/StructureDefinition/humanname-namenszusatz Constraints
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nachname | I | 0..1 | Extension(string) | There are no (further) constraints on this element Element idPractitioner.name:Name.family.extension:nachname Nachname ohne Vor- und Zusätze Alternate namesextensions, user content DefinitionNachname ohne Vor- und Zusätze. Dient z.B. der alphabetischen Einordnung des Namens. If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's "maiden name". http://hl7.org/fhir/StructureDefinition/humanname-own-name Constraints
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vorsatzwort | I | 0..1 | Extension(string) | There are no (further) constraints on this element Element idPractitioner.name:Name.family.extension:vorsatzwort Vorsatzwort Alternate namesextensions, user content DefinitionVorsatzwort wie z.B.: von, van, zu Vgl. auch VSDM-Spezifikation der Gematik (Versichertenstammdatenmanagement, "eGK") An example of a voorvoegsel is the "van" in "Ludwig van Beethoven". Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to specify it as a separate sub-component. http://hl7.org/fhir/StructureDefinition/humanname-own-prefix Constraints
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value | 0..1 | System.String | There are no (further) constraints on this element Element idPractitioner.name:Name.family.value Primitive value for string DefinitionPrimitive value for string System.String Maximum string length1048576 | |
given | S Σ | 1..* | string | There are no (further) constraints on this element Element idPractitioner.name:Name.given Vorname Alternate namesfirst name, middle name DefinitionVorname der Person If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
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prefix | S Σ | 0..* | string | There are no (further) constraints on this element Element idPractitioner.name:Name.prefix Namensteile vor dem Vornamen DefinitionNamensteile vor dem Vornamen, z.B. akademischer Titel. Note that FHIR strings SHALL NOT exceed 1MB in size
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id | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.name:Name.prefix.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPractitioner.name:Name.prefix.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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prefix-qualifier | I | 0..1 | Extension(code) | There are no (further) constraints on this element Element idPractitioner.name:Name.prefix.extension:prefix-qualifier LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV Alternate namesextensions, user content DefinitionSpezialisierung der Art des Präfixes, z.B. "AC" für Akademische Titel Used to indicate additional information about the name part and how it should be used. http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier Constraints
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value | 0..1 | System.String | There are no (further) constraints on this element Element idPractitioner.name:Name.prefix.value Primitive value for string DefinitionPrimitive value for string System.String Maximum string length1048576 | |
suffix | Σ | 0..* | string | There are no (further) constraints on this element Element idPractitioner.name:Name.suffix Namensteile nach dem Nachnamen DefinitionNamensteile nach dem Nachnamen Note that FHIR strings SHALL NOT exceed 1MB in size
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element idPractitioner.name:Name.period Time period when name was/is in use DefinitionIndicates the period of time when this name was valid for the named person. Allows names to be placed in historical context. 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.
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Geburtsname | Σ I | 0..1 | HumanName, deutsches BasisprofilPattern | Element idPractitioner.name:Geburtsname Personenname DefinitionPersonenname mit in Deutschland üblichen Erweiterungen The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display. 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. HumanName, deutsches Basisprofil Constraints
{ "use": "maiden" }
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id | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.name:Geburtsname.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPractitioner.name:Geburtsname.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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use | S Σ ?! | 1..1 | codeBindingFixed ValuePattern | Element idPractitioner.name:Geburtsname.use usual | official | temp | nickname | anonymous | old | maiden DefinitionIdentifies the purpose for this name. Allows the appropriate name for a particular context of use to be selected from among a set of names. Applications can assume that a name is current unless it explicitly says that it is temporary or old. The use of a human name.
maiden
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.name:Geburtsname.text Text representation of the full name DefinitionSpecifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts. A renderable, unencoded form. Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
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family | Σ | 1..1 | string | There are no (further) constraints on this element Element idPractitioner.name:Geburtsname.family Familienname Alternate namessurname DefinitionDer vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt. Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
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id | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.name:Geburtsname.family.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPractitioner.name:Geburtsname.family.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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namenszusatz | I | 0..1 | Extension(string) | There are no (further) constraints on this element Element idPractitioner.name:Geburtsname.family.extension:namenszusatz Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, "eGK") Alternate namesextensions, user content DefinitionNamenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst Die Extension wurde erstellt aufgrund der Anforderung, die auf der eGK vorhandenen Patientenstammdaten in FHIR abbilden zu können. Auf der eGK werden die Namensbestandteile "Namenszusatz" und "Vorsatzwort" getrennt vom Nachnamen gespeichert. Anhand der Liste der zulässigen Namenszusätze ist deutlich erkennbar, dass es sich hierbei sinngemäß um Adelstitel handelt. Das Vorsatzwort kann durch die Core-Extension own-prefix (Canonical: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix) abgebildet werden, für den Namenszusatz ergibt sich jedoch die Notwendikeit einer nationalen Extension, da in andern Ländern Adelstitel entweder gar nicht oder als reguläres Namenspräfix erfasst werden. http://fhir.de/StructureDefinition/humanname-namenszusatz Constraints
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nachname | I | 0..1 | Extension(string) | There are no (further) constraints on this element Element idPractitioner.name:Geburtsname.family.extension:nachname Nachname ohne Vor- und Zusätze Alternate namesextensions, user content DefinitionNachname ohne Vor- und Zusätze. Dient z.B. der alphabetischen Einordnung des Namens. If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's "maiden name". http://hl7.org/fhir/StructureDefinition/humanname-own-name Constraints
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vorsatzwort | I | 0..1 | Extension(string) | There are no (further) constraints on this element Element idPractitioner.name:Geburtsname.family.extension:vorsatzwort Vorsatzwort Alternate namesextensions, user content DefinitionVorsatzwort wie z.B.: von, van, zu Vgl. auch VSDM-Spezifikation der Gematik (Versichertenstammdatenmanagement, "eGK") An example of a voorvoegsel is the "van" in "Ludwig van Beethoven". Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to specify it as a separate sub-component. http://hl7.org/fhir/StructureDefinition/humanname-own-prefix Constraints
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value | 0..1 | System.String | There are no (further) constraints on this element Element idPractitioner.name:Geburtsname.family.value Primitive value for string DefinitionPrimitive value for string System.String Maximum string length1048576 | |
given | Σ | 0..0 | string | There are no (further) constraints on this element Element idPractitioner.name:Geburtsname.given Vorname Alternate namesfirst name, middle name DefinitionVorname der Person If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
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prefix | Σ | 0..0 | string | There are no (further) constraints on this element Element idPractitioner.name:Geburtsname.prefix Namensteile vor dem Vornamen DefinitionNamensteile vor dem Vornamen, z.B. akademischer Titel. Note that FHIR strings SHALL NOT exceed 1MB in size
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suffix | Σ | 0..* | string | There are no (further) constraints on this element Element idPractitioner.name:Geburtsname.suffix Namensteile nach dem Nachnamen DefinitionNamensteile nach dem Nachnamen Note that FHIR strings SHALL NOT exceed 1MB in size
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element idPractitioner.name:Geburtsname.period Time period when name was/is in use DefinitionIndicates the period of time when this name was valid for the named person. Allows names to be placed in historical context. 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.
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telecom | Σ I | 0..* | ContactPoint | There are no (further) constraints on this element Element idPractitioner.telecom A contact detail for the practitioner (that apply to all roles) DefinitionA contact detail for the practitioner, e.g. a telephone number or an email address. Need to know how to reach a practitioner independent to any roles the practitioner may have. 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 to help with identification. These typically will have home numbers, or mobile numbers that are not role specific.
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id | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.telecom.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPractitioner.telecom.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ I | 1..1 | codeBinding | There are no (further) constraints on this element Element idPractitioner.telecom.system phone | fax | email | pager | url | sms | other DefinitionTelecommunications form for contact point - what communications system is required to make use of the contact. Note that FHIR strings SHALL NOT exceed 1MB in size Telecommunications form for contact point.
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value | Σ | 1..1 | string | There are no (further) constraints on this element Element idPractitioner.telecom.value The actual contact point details DefinitionThe actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address). Need to support legacy numbers that are not in a tightly controlled format. Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idPractitioner.telecom.use home | work | temp | old | mobile - purpose of this contact point DefinitionIdentifies the purpose for the contact point. Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose. Applications can assume that a contact is current unless it explicitly says that it is temporary or old. Use of contact point.
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rank | Σ | 0..1 | positiveInt | There are no (further) constraints on this element Element idPractitioner.telecom.rank Specify preferred order of use (1 = highest) DefinitionSpecifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values. Note that rank does not necessarily follow the order in which the contacts are represented in the instance.
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element idPractitioner.telecom.period Time period when the contact point was/is in use DefinitionTime period when the contact point was/is in use. 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.
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address | S Σ | 0..* | Address | Element idPractitioner.address Address(es) of the practitioner that are not role specific (typically home address) DefinitionAddress(es) of the practitioner that are not role specific (typically home address). Work addresses are not typically entered in this property as they are usually role dependent. The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations. 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. Unordered, Open, by $this(Pattern) Constraints
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Strassenanschrift | S Σ I | 0..* | Adresse, deutsches BasisprofilPattern | Element idPractitioner.address:Strassenanschrift Eine Adresse gemäß postalischer Konventionen DefinitionEine 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. The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations. 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). Adresse, deutsches Basisprofil Constraints
{ "type": "both" }
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id | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.address:Strassenanschrift.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPractitioner.address:Strassenanschrift.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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Stadtteil | S I | 0..1 | Extension(string) | Element idPractitioner.address:Strassenanschrift.extension:Stadtteil Stadt- oder Ortsteil Alternate namesextensions, user content DefinitionA subsection of a municipality. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct Constraints
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idPractitioner.address:Strassenanschrift.use home | work | temp | old | billing - purpose of this address DefinitionThe purpose of this address. Allows an appropriate address to be chosen from a list of many. Applications can assume that an address is current unless it explicitly says that it is temporary or old. The use of an address.
General home Mappings
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type | S Σ | 1..1 | codeBindingPattern | There are no (further) constraints on this element Element idPractitioner.address:Strassenanschrift.type postal | physical | both DefinitionDistinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both. 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). The type of an address (physical / postal).
both
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.address:Strassenanschrift.text Text representation of the address DefinitionSpecifies 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. A renderable, unencoded form. 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.
General 137 Nowhere Street, Erewhon 9132 Mappings
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line | S Σ | 1..3 | string | There are no (further) constraints on this element Element idPractitioner.address:Strassenanschrift.line Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung DefinitionDiese 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. Note that FHIR strings SHALL NOT exceed 1MB in size
General 137 Nowhere Street Beipiel für Adresszeile mit Extensions für Straße und Hausnummer Musterweg 42 Mappings
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id | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.address:Strassenanschrift.line.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPractitioner.address:Strassenanschrift.line.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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Strasse | S I | 0..1 | Extension(string) | Element idPractitioner.address:Strassenanschrift.line.extension:Strasse Strassenname (ohne Hausnummer) Alternate namesextensions, user content DefinitionStrassenname (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. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName Constraints
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Hausnummer | S I | 0..1 | Extension(string) | Element idPractitioner.address:Strassenanschrift.line.extension:Hausnummer Hausnummer Alternate namesextensions, user content DefinitionHausnummer, 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. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber Constraints
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Adresszusatz | S I | 0..1 | Extension(string) | Element idPractitioner.address:Strassenanschrift.line.extension:Adresszusatz Adresszusatz Alternate namesextensions, user content DefinitionZusätzliche 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. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator Constraints
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Postfach | I | 0..0 | Extension(string) | Element idPractitioner.address:Strassenanschrift.line.extension:Postfach Postfach Alternate namesextensions, user content DefinitionPostfach-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. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox Constraints
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value | 0..1 | System.String | There are no (further) constraints on this element Element idPractitioner.address:Strassenanschrift.line.value Primitive value for string DefinitionPrimitive value for string System.String Maximum string length1048576 | |
city | S Σ | 1..1 | string | There are no (further) constraints on this element Element idPractitioner.address:Strassenanschrift.city Name of city, town etc. Alternate namesMunicpality DefinitionThe name of the city, town, suburb, village or other community or delivery center. Note that FHIR strings SHALL NOT exceed 1MB in size
General Erewhon Mappings
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district | Σ | 0..0 | string | There are no (further) constraints on this element Element idPractitioner.address:Strassenanschrift.district District name (aka county) Alternate namesCounty DefinitionThe name of the administrative area (county). 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.
General Madison Mappings
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state | Σ | 0..1 | stringBinding | There are no (further) constraints on this element Element idPractitioner.address:Strassenanschrift.state Bundesland Alternate namesProvince, Territory DefinitionName (oder Kürzel) des Bundeslandes. Note that FHIR strings SHALL NOT exceed 1MB in size ValueSetISO31662DE (preferred) Constraints
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postalCode | S Σ | 1..1 | string | There are no (further) constraints on this element Element idPractitioner.address:Strassenanschrift.postalCode Postleitzahl Alternate namesZip DefinitionPostleitzahl gemäß der im jeweiligen Land gültigen Konventionen Note that FHIR strings SHALL NOT exceed 1MB in size
General 9132 Mappings
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country | S Σ | 1..1 | stringBinding | There are no (further) constraints on this element Element idPractitioner.address:Strassenanschrift.country Staat DefinitionStaat (vorzugsweise als 2-Stelliger ISO-Ländercode). Es obliegt abgeleiteten Profilen, hier die Verwendung der ISO-Ländercodes verbindlich vorzuschreiben ISO 3166 3 letter codes can be used in place of a human readable country name.
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element idPractitioner.address:Strassenanschrift.period Time period when address was/is in use DefinitionTime period when address was/is in use. Allows addresses to be placed in historical context. 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.
General { "start": "2010-03-23", "end": "2010-07-01" } Mappings
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Postfach | S Σ I | 0..* | Adresse, deutsches BasisprofilPattern | Element idPractitioner.address:Postfach Eine Adresse gemäß postalischer Konventionen DefinitionEine 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. The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations. 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). Adresse, deutsches Basisprofil Constraints
{ "type": "postal" }
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id | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.address:Postfach.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPractitioner.address:Postfach.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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Stadtteil | I | 0..1 | Extension(string) | There are no (further) constraints on this element Element idPractitioner.address:Postfach.extension:Stadtteil Stadt- oder Ortsteil Alternate namesextensions, user content DefinitionA subsection of a municipality. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct Constraints
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idPractitioner.address:Postfach.use home | work | temp | old | billing - purpose of this address DefinitionThe purpose of this address. Allows an appropriate address to be chosen from a list of many. Applications can assume that an address is current unless it explicitly says that it is temporary or old. The use of an address.
General home Mappings
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type | S Σ | 1..1 | codeBindingPattern | There are no (further) constraints on this element Element idPractitioner.address:Postfach.type postal | physical | both DefinitionDistinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both. 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). The type of an address (physical / postal).
postal
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.address:Postfach.text Text representation of the address DefinitionSpecifies 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. A renderable, unencoded form. 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.
General 137 Nowhere Street, Erewhon 9132 Mappings
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line | S Σ | 1..3 | string | There are no (further) constraints on this element Element idPractitioner.address:Postfach.line Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung DefinitionDiese 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. Note that FHIR strings SHALL NOT exceed 1MB in size
General 137 Nowhere Street Beipiel für Adresszeile mit Extensions für Straße und Hausnummer Musterweg 42 Mappings
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id | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.address:Postfach.line.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPractitioner.address:Postfach.line.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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Strasse | I | 0..0 | Extension(string) | Element idPractitioner.address:Postfach.line.extension:Strasse Strassenname (ohne Hausnummer) Alternate namesextensions, user content DefinitionStrassenname (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. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName Constraints
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Hausnummer | I | 0..0 | Extension(string) | Element idPractitioner.address:Postfach.line.extension:Hausnummer Hausnummer Alternate namesextensions, user content DefinitionHausnummer, 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. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber Constraints
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Adresszusatz | I | 0..0 | Extension(string) | Element idPractitioner.address:Postfach.line.extension:Adresszusatz Adresszusatz Alternate namesextensions, user content DefinitionZusätzliche 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. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator Constraints
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Postfach | S I | 0..1 | Extension(string) | Element idPractitioner.address:Postfach.line.extension:Postfach Postfach Alternate namesextensions, user content DefinitionPostfach-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. 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. http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox Constraints
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value | 0..1 | System.String | There are no (further) constraints on this element Element idPractitioner.address:Postfach.line.value Primitive value for string DefinitionPrimitive value for string System.String Maximum string length1048576 | |
city | S Σ | 1..1 | string | There are no (further) constraints on this element Element idPractitioner.address:Postfach.city Name of city, town etc. Alternate namesMunicpality DefinitionThe name of the city, town, suburb, village or other community or delivery center. Note that FHIR strings SHALL NOT exceed 1MB in size
General Erewhon Mappings
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district | Σ | 0..0 | string | There are no (further) constraints on this element Element idPractitioner.address:Postfach.district District name (aka county) Alternate namesCounty DefinitionThe name of the administrative area (county). 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.
General Madison Mappings
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state | Σ | 0..1 | stringBinding | There are no (further) constraints on this element Element idPractitioner.address:Postfach.state Bundesland Alternate namesProvince, Territory DefinitionName (oder Kürzel) des Bundeslandes. Note that FHIR strings SHALL NOT exceed 1MB in size ValueSetISO31662DE (preferred) Constraints
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postalCode | S Σ | 1..1 | string | There are no (further) constraints on this element Element idPractitioner.address:Postfach.postalCode Postleitzahl Alternate namesZip DefinitionPostleitzahl gemäß der im jeweiligen Land gültigen Konventionen Note that FHIR strings SHALL NOT exceed 1MB in size
General 9132 Mappings
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country | S Σ | 1..1 | stringBinding | There are no (further) constraints on this element Element idPractitioner.address:Postfach.country Staat DefinitionStaat (vorzugsweise als 2-Stelliger ISO-Ländercode). Es obliegt abgeleiteten Profilen, hier die Verwendung der ISO-Ländercodes verbindlich vorzuschreiben ISO 3166 3 letter codes can be used in place of a human readable country name.
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element idPractitioner.address:Postfach.period Time period when address was/is in use DefinitionTime period when address was/is in use. Allows addresses to be placed in historical context. 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.
General { "start": "2010-03-23", "end": "2010-07-01" } Mappings
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gender | S Σ | 0..1 | codeBinding | There are no (further) constraints on this element Element idPractitioner.gender male | female | other | unknown DefinitionAdministrative Gender - the gender that the person is considered to have for administration and record keeping purposes. Needed to address the person correctly. Note that FHIR strings SHALL NOT exceed 1MB in size The gender of a person used for administrative purposes.
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id | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.gender.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPractitioner.gender.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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Geschlecht-Administrativ | S I | 0..1 | Extension(Coding) | Element idPractitioner.gender.extension:Geschlecht-Administrativ Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. http://fhir.de/StructureDefinition/gender-amtlich-de Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.gender.extension:Geschlecht-Administrativ.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..0 | Extension | There are no (further) constraints on this element Element idPractitioner.gender.extension:Geschlecht-Administrativ.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idPractitioner.gender.extension:Geschlecht-Administrativ.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. 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. http://fhir.de/StructureDefinition/gender-amtlich-de
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value[x] | S I | 1..1 | Binding | There are no (further) constraints on this element Element idPractitioner.gender.extension:Geschlecht-Administrativ.value[x] Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list).
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valueCoding | Coding | There are no (further) constraints on this element Data type | ||
value | 0..1 | System.String | There are no (further) constraints on this element Element idPractitioner.gender.value Primitive value for code DefinitionPrimitive value for code System.String Maximum string length1048576 | |
birthDate | Σ | 0..1 | date | There are no (further) constraints on this element Element idPractitioner.birthDate The date on which the practitioner was born DefinitionThe date of birth for the practitioner. Needed for identification.
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id | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.birthDate.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPractitioner.birthDate.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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Data-Absent-Reason | S I | 0..1 | Extension(code) | Element idPractitioner.birthDate.extension:Data-Absent-Reason unknown | asked | temp | notasked | masked | unsupported | astext | error Alternate namesextensions, user content DefinitionProvides a reason why the expected value or elements in the element that is extended are missing. 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. http://hl7.org/fhir/StructureDefinition/data-absent-reason Constraints
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value | 0..1 | System.Date | There are no (further) constraints on this element Element idPractitioner.birthDate.value Primitive value for date DefinitionPrimitive value for date System.Date | |
photo | I | 0..* | Attachment | There are no (further) constraints on this element Element idPractitioner.photo Image of the person DefinitionImage of the person. Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too. 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".
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qualification | 0..* | BackboneElement | There are no (further) constraints on this element Element idPractitioner.qualification Certification, licenses, or training pertaining to the provision of care DefinitionThe official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality.
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id | 0..1 | string | There are no (further) constraints on this element Element idPractitioner.qualification.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPractitioner.qualification.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idPractitioner.qualification.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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). 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. 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.
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identifier | 0..* | Identifier | There are no (further) constraints on this element Element idPractitioner.qualification.identifier An identifier for this qualification for the practitioner DefinitionAn identifier that applies to this person's qualification in this role. Often, specific identities are assigned for the qualification.
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code | 1..1 | CodeableConcept | Element idPractitioner.qualification.code Coded representation of the qualification DefinitionCoded representation of the qualification. Zur Kodierung der Qualifikation ist das entsprechende ValueSet der KBV zu empfehlen. Specific qualification the practitioner has to provide a service.
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period | I | 0..1 | Period | There are no (further) constraints on this element Element idPractitioner.qualification.period Period during which the qualification is valid DefinitionPeriod during which the qualification is valid. Qualifications are often for a limited period of time, and can be revoked. 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.
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issuer | I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element idPractitioner.qualification.issuer Organization that regulates and issues the qualification DefinitionOrganization that regulates and issues the qualification. 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.
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communication | 0..* | CodeableConceptBinding | There are no (further) constraints on this element Element idPractitioner.communication A language the practitioner can use in patient communication DefinitionA language the practitioner can use in patient communication. Knowing which language a practitioner speaks can help in facilitating communication with patients. The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems code this but instead have it as free text. Hence CodeableConcept instead of code as the data type. A human language.
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Constraints
Folgende FHIRPath-Constraints sind im Profil zu beachten:
key | severity | human | expression |
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prac-de-1 | error | Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist | gender='other' or gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').empty() |
Terminology Bindings
Anmerkungen zu den Must-Support-Feldern
Practitioner.identifier:ANR
Bedeutung: Lebenslange Arztnummer. Im Krankenhaus ist die lebenslange Arztnummer der Ärzte bekannt und MUSS zur eindeutigen Identifikation eines Arztes bereitgestellt werden.
Hinweise: Siehe Beschreibung der Deutschen Basisprofile
Während die Deutschen Basisprofile hier die Abkürzung LANR verwenden, ist im KBV-Kontext das Akronym ANR gebräuchlich. Die Bezeichnung des Slices hat jedoch keinerlei Auswirkungen auf die Kompatibilität.
Practitioner.name:name
Bedeutung: Vollständiger Name. Der Name des Arztes MUSS in konkreten Anwendungen angezeigt werden können. Es MUSS nach dem Namen des Arztes gesucht werden können.
Practitioner.address:Strassenanschrift
Bedeutung: Straßenanschrift. Ist die Adresse bekannt, unter der ein Arzt erreichbar ist, MUSS sie bereitgestellt werden.
Practitioner.address:Postfach
Bedeutung: Postfachanschrift. Ist die Postfachadresse bekannt, unter der ein Arzt erreichbar ist, MUSS sie bereitgestellt werden.
Practitioner.gender
Bedeutung: Administratives Geschlecht. Ist das Geschlecht des Arztes bekannt, MUSS es bereitgestellt werden.
Practitioner.birthDate
Bedeutung: Geburtsdatum. Ist das Geburtsdatum des Arztes bekannt, MUSS es bereitgestellt werden.
Interaktionen
Für die Ressource Practitioner 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]/Practitioner?_id=1234567890
Anwendungshinweise: Weitere Informationen zur Suche nach "_id" finden sich in der FHIR-Basisspezifikation - Abschnitt "Parameters for all resources".
Der Suchparameter "identifier" MUSS unterstützt werden:
Beispiele:
GET [base]/Practitioner?identifier=42
Anwendungshinweise: Weitere Informationen zur Suche nach "Practitioner.identifier" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".
Der Suchparameter "given" MUSS unterstützt werden:
Beispiele:
GET [base]/Practitioner?given=Heidi
Anwendungshinweise: Weitere Informationen zur Suche nach "Practitioner.name.given" finden sich in der FHIR-Basisspezifikation - Abschnitt "String Search".
Der Suchparameter "family" MUSS unterstützt werden:
Beispiele:
GET [base]/Practitioner?family=Alpenzauber
Anwendungshinweise: Weitere Informationen zur Suche nach "Practitioner.name.family" finden sich in der FHIR-Basisspezifikation - Abschnitt "String Search".
Der Suchparameter "name" KANN unterstützt werden:
Beispiele:
GET [base]/Practitioner?name=Heidi
GET [base]/Practitioner?name=Alpenzauber
Anwendungshinweise: Weitere Informationen zur Suche nach "Practitioner.name" finden sich in der FHIR-Basisspezifikation - Abschnitt "String Search".
Der Suchparameter "address" KANN unterstützt werden:
Beispiele:
GET [base]/Practitioner?address=Berlin
Anwendungshinweise: Weitere Informationen zur Suche nach "Practitioner.address" finden sich in der FHIR-Basisspezifikation - Abschnitt "String Search".
Der Suchparameter "gender" KANN unterstützt werden:
Beispiele:
GET [base]/Practitioner?gender=female
Anwendungshinweise: Weitere Informationen zur Suche nach "Practitioner.gender" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".
Beispiele
Valides Minimalbeispiel PersonImGesundheitsberuf:
{ "resourceType": "Practitioner", "id": "PractitionerWalterArzt", "meta": { "source": "http://krankenhaus.de", "profile": [ "https://gematik.de/fhir/isik/StructureDefinition/ISiKPersonImGesundheitsberuf" ] }, "name": [ { "use": "official", "text": "Walter Arzt", "family": "Arzt", "_family": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name", "valueString": "Arzt" } ] }, "given": [ "Walter" ] }, { "use": "maiden", "text": "Gross", "family": "Gross", "_family": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name", "valueString": "Gross" } ] } } ], "identifier": [ { "type": { "coding": [ { "code": "LANR", "system": "http://terminology.hl7.org/CodeSystem/v2-0203" } ] }, "system": "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR", "value": "123456789" }, { "type": { "coding": [ { "code": "DN", "system": "http://terminology.hl7.org/CodeSystem/v2-0203" } ] }, "system": "http://fhir.de/sid/bundesaerztekammer/efn", "value": "123456789123456" } ], "active": true, "address": [ { "type": "both", "line": [ "Schmiedegasse 16" ], "_line": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber", "valueString": "16" }, { "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName", "valueString": "Schmiedegasse" } ] } ], "city": "Potsdam", "postalCode": "14469", "country": "DE" } ], "gender": "male", "qualification": [ { "code": { "coding": [ { "version": "http://snomed.info/sct/900000000000207008/version/20200131", "code": "112247003", "system": "http://snomed.info/sct", "display": "Medical doctor (occupation)" } ] } } ], "_birthDate": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason", "valueCode": "masked" } ] } }