Standort (Location)
Die nachfolgenden Festlegungen spezifizieren die Abbildung von Minimalanforderungen für die Bereitstellung von Standortdaten im Rahmen von ISiK.
Motivation
In FHIR wird die Organisation (Organization) vom Standort (Location) eindeutig abgegrenzt.
Die Abbildung von Standorten in einem Krankenhaus unterstützt u.a. die Raum- und Bettenbelegung in strukturierter Form.
Die Erfassung des Standortes in strukturierter Form soll u.a. ermöglichen:
- Zuweisungen von Diensten an bestimmte Standorte im Rahmen des Terminmanagements
- Die Raum- und Betten-Belegung in strukturierter Form (interdisziplinär) - u.a. für
- Patientenportale im Rahmen der Terminbuchung, z.B. um den Wunsch nach Einzelbett, bzw. 1 oder 2 Betten abzubilden
- KIS und weitere Subsysteme:
- zur Patientenabholung und Information für den Transportdienst
- Abbildung der Verfügbarkeit eines spezifischen Bettenstellplatzes (z.B. mit spezifischem Monitoring-Device)
- Im Rahmen der Versorgung kann eine der folgenden Beispiel-Fragen beantworten werden:
- Handelt es sich um ein Isolationszimmer?
- Gibt es bestimmte Ausstattung, z.B. Beatmungsgeräte?
- etc.
Dafür werden Standort-Profile in unterschiedlicher Granularität definiert.
Normativer Status und Bestätigung
Diese Profile MÜSSEN im Rahmen der Bestätigung NICHT unterstützt werden. Falls ein Profil unterstützt wird, SOLLEN die hier definierten Festlegungen greifen.
Kompatibilität
Für das Profil ISiKStandort wurde bis zum Zeitpunkt der Veröffentlichung kein Abgleich der Kompatibilität zu anderen Profilen (der KBV und der Medizininformatik-Initiative) durchgeführt.
FHIR-Profile
Das Profil ISiKStandort soll auch den Standort eines Krankenhauses abbilden können.
Name | Canonical |
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ISiKStandort | https://gematik.de/fhir/isik/StructureDefinition/ISiKStandort |
Location | I | Location | There are no (further) constraints on this element Element idLocation Details and position information for a physical place DefinitionDetails and position information for a physical place where services are provided and resources and participants may be stored, found, contained, or accommodated.
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id | Σ | 0..1 | string | There are no (further) constraints on this element Element idLocation.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 idLocation.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 idLocation.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 idLocation.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 idLocation.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 idLocation.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 idLocation.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 idLocation.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 | 0..* | Identifier | Element idLocation.identifier Unique code or number identifying the location to its users DefinitionUnique code or number identifying the location to its users. Organization label locations in registries, need to keep track of those. Unordered, Open, by $this(Pattern) Constraints
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standortnummer-dkg | S Σ | 0..1 | Identifier-Profil für die StandortnummerPattern | Element idLocation.identifier:standortnummer-dkg An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Organization label locations in registries, need to keep track of those. Motivation : Entsprechend der Festlegung der DKG laut Basisprofile-DE 1.5.0 (https://simplifier.net/packages/de.basisprofil.r4/) Identifier-Profil für die Standortnummer Constraints
{ "system": "http://fhir.de/sid/dkgev/standortnummer" }
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status | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idLocation.status active | suspended | inactive DefinitionThe status property covers the general availability of the resource, not the current value which may be covered by the operationStatus, or by a schedule/slots if they are configured for the location. Note that FHIR strings SHALL NOT exceed 1MB in size Indicates whether the location is still in use.
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operationalStatus | Σ | 0..1 | CodingBinding | There are no (further) constraints on this element Element idLocation.operationalStatus The operational status of the location (typically only for a bed/room) DefinitionThe operational status covers operation values most relevant to beds (but can also apply to rooms/units/chairs/etc. such as an isolation unit/dialysis chair). This typically covers concepts such as contamination, housekeeping, and other activities like maintenance. Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. The operational status if the location (where typically a bed/room).
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name | S Σ | 0..1 | string | There are no (further) constraints on this element Element idLocation.name Name of the location as used by humans DefinitionName of the location as used by humans. Does not need to be unique. If the name of a location changes, consider putting the old name in the alias column so that it can still be located through searches.
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alias | 0..* | string | There are no (further) constraints on this element Element idLocation.alias A list of alternate names that the location is known as, or was known as, in the past DefinitionA list of alternate names that the location is known as, or was known as, in the past. Over time locations and organizations go through many changes and can be known by different names. For searching knowing previous names that the location was known by can be very useful. There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the location.
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description | Σ | 0..1 | string | There are no (further) constraints on this element Element idLocation.description Additional details about the location that could be displayed as further information to identify the location beyond its name DefinitionDescription of the Location, which helps in finding or referencing the place. Humans need additional information to verify a correct location has been identified. Note that FHIR strings SHALL NOT exceed 1MB in size
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mode | S Σ | 0..1 | codeBindingPattern | Element idLocation.mode instance | kind DefinitionIndicates whether a resource instance represents a specific location or a class of locations. When using a Location resource for scheduling or orders, we need to be able to refer to a class of Locations instead of a specific Location. This is labeled as a modifier because whether or not the location is a class of locations changes how it can be used and understood. Indicates whether a resource instance represents a specific location or a class of locations.
{ "coding": [ { "system": "http://hl7.org/fhir/location-mode", "code": "instance" } ] }
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type | S Σ | 0..* | CodeableConceptBinding | Element idLocation.type Type of function performed DefinitionIndicates the type of function performed at the location. Motivation: Ein System muss den Typ eines Standorts zum Abruf bereitstellen, sofern diese Information verfügbar ist. Indicates the type of function performed at the location.
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telecom | I | 0..* | ContactPoint | There are no (further) constraints on this element Element idLocation.telecom Contact details of the location DefinitionThe contact details of communication devices available at the location. This can include phone numbers, fax numbers, mobile numbers, email addresses and web sites.
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address | S I | 0..1 | Adresse, deutsches Basisprofil | Element idLocation.address 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. If locations can be visited, we need to keep track of their address. 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
Beispiel für einfache Adresse { "use": "home", "type": "postal", "line": [ "Musterweg 42" ], "city": "Musterhausen", "postalCode": "99999" } Mappings
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physicalType | S Σ | 1..1 | CodeableConcept | Element idLocation.physicalType Physical form of the location DefinitionPhysical form of the location, e.g. building, room, vehicle, road. For purposes of showing relevant locations in queries, we need to categorize locations. Motivation: entspricht der MII Vorgabe - siehe https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/sd_mii_struktur_location. Ein System muss den physikalischen Typ eines Standorts zum Abruf bereitstellen, da ansonsten der Typus des Standorts nicht maschinenlesbar definiert ist. Physical form of the location.
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position | S | 0..1 | BackboneElement | Element idLocation.position The absolute geographic location DefinitionThe absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML). For mobile applications and automated route-finding knowing the exact location of the Location is required. Motivation: Ein System muss die Geodaten eines Standorts zum Abruf bereitstellen, sofern diese Information verfügbar ist.
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id | 0..1 | string | There are no (further) constraints on this element Element idLocation.position.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 idLocation.position.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 idLocation.position.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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longitude | 1..1 | decimal | There are no (further) constraints on this element Element idLocation.position.longitude Longitude with WGS84 datum DefinitionLongitude. The value domain and the interpretation are the same as for the text of the longitude element in KML (see notes below). Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)
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latitude | 1..1 | decimal | There are no (further) constraints on this element Element idLocation.position.latitude Latitude with WGS84 datum DefinitionLatitude. The value domain and the interpretation are the same as for the text of the latitude element in KML (see notes below). Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)
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altitude | 0..1 | decimal | There are no (further) constraints on this element Element idLocation.position.altitude Altitude with WGS84 datum DefinitionAltitude. The value domain and the interpretation are the same as for the text of the altitude element in KML (see notes below). Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)
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managingOrganization | S Σ I | 1..1 | Reference(Organization) | There are no (further) constraints on this element Element idLocation.managingOrganization Organization responsible for provisioning and upkeep DefinitionThe organization responsible for the provisioning and upkeep of the location. Need to know who manages the location. This can also be used as the part of the organization hierarchy where this location provides services. These services can be defined through the HealthcareService resource.
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partOf | S I | 0..1 | Reference(Location) | Element idLocation.partOf Another Location this one is physically a part of DefinitionAnother Location of which this Location is physically a part of. For purposes of location, display and identification, knowing which locations are located within other locations is important. Motivation: Ein System muss die organisationale Zugehörigkeit eines Standorts zum Abruf bereitstellen, sofern diese Information verfügbar ist.
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hoursOfOperation | S | 0..* | BackboneElement | Element idLocation.hoursOfOperation What days/times during a week is this location usually open DefinitionWhat days/times during a week is this location usually open. Motivation: Ein System muss die Betriebszeiten eines Standorts zum Abruf bereitstellen, sofern diese Information verfügbar ist.
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id | 0..1 | string | There are no (further) constraints on this element Element idLocation.hoursOfOperation.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 idLocation.hoursOfOperation.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 idLocation.hoursOfOperation.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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daysOfWeek | 0..* | codeBinding | There are no (further) constraints on this element Element idLocation.hoursOfOperation.daysOfWeek mon | tue | wed | thu | fri | sat | sun DefinitionIndicates which days of the week are available between the start and end Times. Note that FHIR strings SHALL NOT exceed 1MB in size The days of the week.
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allDay | 0..1 | boolean | There are no (further) constraints on this element Element idLocation.hoursOfOperation.allDay The Location is open all day DefinitionThe Location is open all day.
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openingTime | 0..1 | time | There are no (further) constraints on this element Element idLocation.hoursOfOperation.openingTime Time that the Location opens DefinitionTime that the Location opens.
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closingTime | 0..1 | time | There are no (further) constraints on this element Element idLocation.hoursOfOperation.closingTime Time that the Location closes DefinitionTime that the Location closes.
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availabilityExceptions | 0..1 | string | There are no (further) constraints on this element Element idLocation.availabilityExceptions Description of availability exceptions DefinitionA description of when the locations opening ours are different to normal, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as detailed in the opening hours Times. Note that FHIR strings SHALL NOT exceed 1MB in size
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endpoint | I | 0..* | Reference(Endpoint) | There are no (further) constraints on this element Element idLocation.endpoint Technical endpoints providing access to services operated for the location DefinitionTechnical endpoints providing access to services operated for the location. Organizations may have different systems at different locations that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose. 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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Folgende FHIRPath-Constraints sind im Profil zu beachten:
Terminology Bindings
Folgendes Profil dient der Abbildung eines Raums:
Name | Canonical |
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ISiKStandortRaum | https://gematik.de/fhir/isik/StructureDefinition/ISiKStandortRaum |
Location | I | Location | There are no (further) constraints on this element Element idLocation Details and position information for a physical place DefinitionDetails and position information for a physical place where services are provided and resources and participants may be stored, found, contained, or accommodated.
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id | Σ | 0..1 | string | There are no (further) constraints on this element Element idLocation.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 idLocation.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 idLocation.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 idLocation.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 idLocation.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 idLocation.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 idLocation.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 idLocation.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 | 0..* | Identifier | There are no (further) constraints on this element Element idLocation.identifier Unique code or number identifying the location to its users DefinitionUnique code or number identifying the location to its users. Organization label locations in registries, need to keep track of those. Unordered, Open, by $this(Pattern) Constraints
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standortnummer-dkg | S Σ | 0..1 | Identifier-Profil für die StandortnummerPattern | There are no (further) constraints on this element Element idLocation.identifier:standortnummer-dkg An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Organization label locations in registries, need to keep track of those. Motivation : Entsprechend der Festlegung der DKG laut Basisprofile-DE 1.5.0 (https://simplifier.net/packages/de.basisprofil.r4/) Identifier-Profil für die Standortnummer Constraints
{ "system": "http://fhir.de/sid/dkgev/standortnummer" }
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status | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idLocation.status active | suspended | inactive DefinitionThe status property covers the general availability of the resource, not the current value which may be covered by the operationStatus, or by a schedule/slots if they are configured for the location. Note that FHIR strings SHALL NOT exceed 1MB in size Indicates whether the location is still in use.
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operationalStatus | S Σ | 0..1 | CodingBinding | Element idLocation.operationalStatus The operational status of the location (typically only for a bed/room) DefinitionThe operational status covers operation values most relevant to beds (but can also apply to rooms/units/chairs/etc. such as an isolation unit/dialysis chair). This typically covers concepts such as contamination, housekeeping, and other activities like maintenance. Motivation: Entsprechend der Bedarfsmeldung im Rahmen der AG zur Ausbaustufe 4 muss ein System den Belegungsstatus eines Raums zum Abruf bereitstellen, sofern diese Information verfügbar ist. Dies dient z.B. der Markierung als 'Isoliert'. The operational status if the location (where typically a bed/room).
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name | S Σ | 0..1 | string | There are no (further) constraints on this element Element idLocation.name Name of the location as used by humans DefinitionName of the location as used by humans. Does not need to be unique. If the name of a location changes, consider putting the old name in the alias column so that it can still be located through searches.
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alias | 0..* | string | There are no (further) constraints on this element Element idLocation.alias A list of alternate names that the location is known as, or was known as, in the past DefinitionA list of alternate names that the location is known as, or was known as, in the past. Over time locations and organizations go through many changes and can be known by different names. For searching knowing previous names that the location was known by can be very useful. There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the location.
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description | Σ | 0..1 | string | There are no (further) constraints on this element Element idLocation.description Additional details about the location that could be displayed as further information to identify the location beyond its name DefinitionDescription of the Location, which helps in finding or referencing the place. Humans need additional information to verify a correct location has been identified. Note that FHIR strings SHALL NOT exceed 1MB in size
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mode | S Σ | 0..1 | codeBindingPattern | There are no (further) constraints on this element Element idLocation.mode instance | kind DefinitionIndicates whether a resource instance represents a specific location or a class of locations. When using a Location resource for scheduling or orders, we need to be able to refer to a class of Locations instead of a specific Location. This is labeled as a modifier because whether or not the location is a class of locations changes how it can be used and understood. Indicates whether a resource instance represents a specific location or a class of locations.
{ "coding": [ { "system": "http://hl7.org/fhir/location-mode", "code": "instance" } ] }
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type | S Σ | 0..* | CodeableConceptBinding | There are no (further) constraints on this element Element idLocation.type Type of function performed DefinitionIndicates the type of function performed at the location. Motivation: Ein System muss den Typ eines Standorts zum Abruf bereitstellen, sofern diese Information verfügbar ist. Indicates the type of function performed at the location.
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telecom | I | 0..* | ContactPoint | There are no (further) constraints on this element Element idLocation.telecom Contact details of the location DefinitionThe contact details of communication devices available at the location. This can include phone numbers, fax numbers, mobile numbers, email addresses and web sites.
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address | S I | 0..1 | Adresse, deutsches Basisprofil | There are no (further) constraints on this element Element idLocation.address 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. If locations can be visited, we need to keep track of their address. 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
Beispiel für einfache Adresse { "use": "home", "type": "postal", "line": [ "Musterweg 42" ], "city": "Musterhausen", "postalCode": "99999" } Mappings
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physicalType | S Σ | 1..1 | CodeableConceptPattern | Element idLocation.physicalType Physical form of the location DefinitionPhysical form of the location, e.g. building, room, vehicle, road. For purposes of showing relevant locations in queries, we need to categorize locations. Motivation: entspricht der MII Vorgabe - siehe https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/sd_mii_struktur_location. Ein System muss den physikalischen Typ eines Standorts zum Abruf bereitstellen, da ansonsten der Typus des Standorts nicht maschinenlesbar definiert ist. Physical form of the location.
{ "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/location-physical-type", "code": "ro", "display": "Room" } ] }
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position | S | 0..1 | BackboneElement | There are no (further) constraints on this element Element idLocation.position The absolute geographic location DefinitionThe absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML). For mobile applications and automated route-finding knowing the exact location of the Location is required. Motivation: Ein System muss die Geodaten eines Standorts zum Abruf bereitstellen, sofern diese Information verfügbar ist.
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id | 0..1 | string | There are no (further) constraints on this element Element idLocation.position.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 idLocation.position.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 idLocation.position.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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longitude | 1..1 | decimal | There are no (further) constraints on this element Element idLocation.position.longitude Longitude with WGS84 datum DefinitionLongitude. The value domain and the interpretation are the same as for the text of the longitude element in KML (see notes below). Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)
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latitude | 1..1 | decimal | There are no (further) constraints on this element Element idLocation.position.latitude Latitude with WGS84 datum DefinitionLatitude. The value domain and the interpretation are the same as for the text of the latitude element in KML (see notes below). Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)
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altitude | 0..1 | decimal | There are no (further) constraints on this element Element idLocation.position.altitude Altitude with WGS84 datum DefinitionAltitude. The value domain and the interpretation are the same as for the text of the altitude element in KML (see notes below). Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)
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managingOrganization | S Σ I | 1..1 | Reference(Organization) | There are no (further) constraints on this element Element idLocation.managingOrganization Organization responsible for provisioning and upkeep DefinitionThe organization responsible for the provisioning and upkeep of the location. Need to know who manages the location. This can also be used as the part of the organization hierarchy where this location provides services. These services can be defined through the HealthcareService resource.
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partOf | S I | 0..1 | Reference(Location) | There are no (further) constraints on this element Element idLocation.partOf Another Location this one is physically a part of DefinitionAnother Location of which this Location is physically a part of. For purposes of location, display and identification, knowing which locations are located within other locations is important. Motivation: Ein System muss die organisationale Zugehörigkeit eines Standorts zum Abruf bereitstellen, sofern diese Information verfügbar ist.
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hoursOfOperation | S | 0..* | BackboneElement | There are no (further) constraints on this element Element idLocation.hoursOfOperation What days/times during a week is this location usually open DefinitionWhat days/times during a week is this location usually open. Motivation: Ein System muss die Betriebszeiten eines Standorts zum Abruf bereitstellen, sofern diese Information verfügbar ist.
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id | 0..1 | string | There are no (further) constraints on this element Element idLocation.hoursOfOperation.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 idLocation.hoursOfOperation.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 idLocation.hoursOfOperation.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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daysOfWeek | 0..* | codeBinding | There are no (further) constraints on this element Element idLocation.hoursOfOperation.daysOfWeek mon | tue | wed | thu | fri | sat | sun DefinitionIndicates which days of the week are available between the start and end Times. Note that FHIR strings SHALL NOT exceed 1MB in size The days of the week.
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allDay | 0..1 | boolean | There are no (further) constraints on this element Element idLocation.hoursOfOperation.allDay The Location is open all day DefinitionThe Location is open all day.
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openingTime | 0..1 | time | There are no (further) constraints on this element Element idLocation.hoursOfOperation.openingTime Time that the Location opens DefinitionTime that the Location opens.
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closingTime | 0..1 | time | There are no (further) constraints on this element Element idLocation.hoursOfOperation.closingTime Time that the Location closes DefinitionTime that the Location closes.
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availabilityExceptions | 0..1 | string | There are no (further) constraints on this element Element idLocation.availabilityExceptions Description of availability exceptions DefinitionA description of when the locations opening ours are different to normal, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as detailed in the opening hours Times. Note that FHIR strings SHALL NOT exceed 1MB in size
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endpoint | I | 0..* | Reference(Endpoint) | There are no (further) constraints on this element Element idLocation.endpoint Technical endpoints providing access to services operated for the location DefinitionTechnical endpoints providing access to services operated for the location. Organizations may have different systems at different locations that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose. 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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Folgende FHIRPath-Constraints sind im Profil zu beachten:
Terminology Bindings
Path | Name | Strength | URL |
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Location.operationalStatus | erminology.hl7.org/CodeSystem/v2-0116 | required | http://terminology.hl7.org/CodeSystem/v2-0116 |
Folgendes Profil dient der Abbildung eines Bettenstellplatzes :
Name | Canonical |
---|---|
ISiKStandortBettenstellplatz | https://gematik.de/fhir/isik/StructureDefinition/ISiKStandortBettenstellplatz |
Location | I | Location | There are no (further) constraints on this element Element idLocation Details and position information for a physical place DefinitionDetails and position information for a physical place where services are provided and resources and participants may be stored, found, contained, or accommodated.
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id | Σ | 0..1 | string | There are no (further) constraints on this element Element idLocation.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 idLocation.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 idLocation.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 idLocation.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 idLocation.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 idLocation.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 idLocation.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 idLocation.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 | 0..* | Identifier | There are no (further) constraints on this element Element idLocation.identifier Unique code or number identifying the location to its users DefinitionUnique code or number identifying the location to its users. Organization label locations in registries, need to keep track of those. Unordered, Open, by $this(Pattern) Constraints
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standortnummer-dkg | S Σ | 0..1 | Identifier-Profil für die StandortnummerPattern | There are no (further) constraints on this element Element idLocation.identifier:standortnummer-dkg An identifier intended for computation DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Organization label locations in registries, need to keep track of those. Motivation : Entsprechend der Festlegung der DKG laut Basisprofile-DE 1.5.0 (https://simplifier.net/packages/de.basisprofil.r4/) Identifier-Profil für die Standortnummer Constraints
{ "system": "http://fhir.de/sid/dkgev/standortnummer" }
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status | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idLocation.status active | suspended | inactive DefinitionThe status property covers the general availability of the resource, not the current value which may be covered by the operationStatus, or by a schedule/slots if they are configured for the location. Note that FHIR strings SHALL NOT exceed 1MB in size Indicates whether the location is still in use.
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operationalStatus | S Σ | 0..1 | CodingBinding | Element idLocation.operationalStatus The operational status of the location (typically only for a bed/room) DefinitionThe operational status covers operation values most relevant to beds (but can also apply to rooms/units/chairs/etc. such as an isolation unit/dialysis chair). This typically covers concepts such as contamination, housekeeping, and other activities like maintenance. Motivation: Entsprechend der Bedarfsmeldung im Rahmen der AG zur Ausbaustufe 4 muss ein System den Belegungsstatus eines Bettenstellplatz zum Abruf bereitstellen, sofern diese Information verfügbar ist. Dies dient z.B. der Markierung als 'Isoliert'. Im Sinne der Interoperabilität ist das ValueSet verpflichtend. The operational status if the location (where typically a bed/room).
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name | S Σ | 0..1 | string | There are no (further) constraints on this element Element idLocation.name Name of the location as used by humans DefinitionName of the location as used by humans. Does not need to be unique. If the name of a location changes, consider putting the old name in the alias column so that it can still be located through searches.
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alias | 0..* | string | There are no (further) constraints on this element Element idLocation.alias A list of alternate names that the location is known as, or was known as, in the past DefinitionA list of alternate names that the location is known as, or was known as, in the past. Over time locations and organizations go through many changes and can be known by different names. For searching knowing previous names that the location was known by can be very useful. There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the location.
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description | Σ | 0..1 | string | There are no (further) constraints on this element Element idLocation.description Additional details about the location that could be displayed as further information to identify the location beyond its name DefinitionDescription of the Location, which helps in finding or referencing the place. Humans need additional information to verify a correct location has been identified. Note that FHIR strings SHALL NOT exceed 1MB in size
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mode | S Σ | 0..1 | codeBindingPattern | There are no (further) constraints on this element Element idLocation.mode instance | kind DefinitionIndicates whether a resource instance represents a specific location or a class of locations. When using a Location resource for scheduling or orders, we need to be able to refer to a class of Locations instead of a specific Location. This is labeled as a modifier because whether or not the location is a class of locations changes how it can be used and understood. Indicates whether a resource instance represents a specific location or a class of locations.
{ "coding": [ { "system": "http://hl7.org/fhir/location-mode", "code": "instance" } ] }
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type | S Σ | 0..* | CodeableConceptBinding | There are no (further) constraints on this element Element idLocation.type Type of function performed DefinitionIndicates the type of function performed at the location. Motivation: Ein System muss den Typ eines Standorts zum Abruf bereitstellen, sofern diese Information verfügbar ist. Indicates the type of function performed at the location.
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telecom | I | 0..* | ContactPoint | There are no (further) constraints on this element Element idLocation.telecom Contact details of the location DefinitionThe contact details of communication devices available at the location. This can include phone numbers, fax numbers, mobile numbers, email addresses and web sites.
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address | S I | 0..1 | Adresse, deutsches Basisprofil | There are no (further) constraints on this element Element idLocation.address 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. If locations can be visited, we need to keep track of their address. 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
Beispiel für einfache Adresse { "use": "home", "type": "postal", "line": [ "Musterweg 42" ], "city": "Musterhausen", "postalCode": "99999" } Mappings
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physicalType | S Σ | 1..1 | CodeableConceptPattern | Element idLocation.physicalType Physical form of the location DefinitionPhysical form of the location, e.g. building, room, vehicle, road. For purposes of showing relevant locations in queries, we need to categorize locations. Motivation: entspricht der MII Vorgabe - siehe https://simplifier.net/medizininformatikinitiative-modulstrukturdaten/sd_mii_struktur_location. Ein System muss den physikalischen Typ eines Standorts zum Abruf bereitstellen, da ansonsten der Typus des Standorts nicht maschinenlesbar definiert ist. Physical form of the location.
{ "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/location-physical-type", "code": "bd", "display": "Bed" } ] }
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position | S | 0..1 | BackboneElement | There are no (further) constraints on this element Element idLocation.position The absolute geographic location DefinitionThe absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML). For mobile applications and automated route-finding knowing the exact location of the Location is required. Motivation: Ein System muss die Geodaten eines Standorts zum Abruf bereitstellen, sofern diese Information verfügbar ist.
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id | 0..1 | string | There are no (further) constraints on this element Element idLocation.position.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 idLocation.position.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 idLocation.position.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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longitude | 1..1 | decimal | There are no (further) constraints on this element Element idLocation.position.longitude Longitude with WGS84 datum DefinitionLongitude. The value domain and the interpretation are the same as for the text of the longitude element in KML (see notes below). Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)
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latitude | 1..1 | decimal | There are no (further) constraints on this element Element idLocation.position.latitude Latitude with WGS84 datum DefinitionLatitude. The value domain and the interpretation are the same as for the text of the latitude element in KML (see notes below). Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)
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altitude | 0..1 | decimal | There are no (further) constraints on this element Element idLocation.position.altitude Altitude with WGS84 datum DefinitionAltitude. The value domain and the interpretation are the same as for the text of the altitude element in KML (see notes below). Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)
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managingOrganization | S Σ I | 1..1 | Reference(Organization) | There are no (further) constraints on this element Element idLocation.managingOrganization Organization responsible for provisioning and upkeep DefinitionThe organization responsible for the provisioning and upkeep of the location. Need to know who manages the location. This can also be used as the part of the organization hierarchy where this location provides services. These services can be defined through the HealthcareService resource.
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partOf | S I | 0..1 | Reference(Location) | There are no (further) constraints on this element Element idLocation.partOf Another Location this one is physically a part of DefinitionAnother Location of which this Location is physically a part of. For purposes of location, display and identification, knowing which locations are located within other locations is important. Motivation: Ein System muss die organisationale Zugehörigkeit eines Standorts zum Abruf bereitstellen, sofern diese Information verfügbar ist.
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hoursOfOperation | S | 0..* | BackboneElement | There are no (further) constraints on this element Element idLocation.hoursOfOperation What days/times during a week is this location usually open DefinitionWhat days/times during a week is this location usually open. Motivation: Ein System muss die Betriebszeiten eines Standorts zum Abruf bereitstellen, sofern diese Information verfügbar ist.
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id | 0..1 | string | There are no (further) constraints on this element Element idLocation.hoursOfOperation.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 idLocation.hoursOfOperation.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 idLocation.hoursOfOperation.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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daysOfWeek | 0..* | codeBinding | There are no (further) constraints on this element Element idLocation.hoursOfOperation.daysOfWeek mon | tue | wed | thu | fri | sat | sun DefinitionIndicates which days of the week are available between the start and end Times. Note that FHIR strings SHALL NOT exceed 1MB in size The days of the week.
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allDay | 0..1 | boolean | There are no (further) constraints on this element Element idLocation.hoursOfOperation.allDay The Location is open all day DefinitionThe Location is open all day.
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openingTime | 0..1 | time | There are no (further) constraints on this element Element idLocation.hoursOfOperation.openingTime Time that the Location opens DefinitionTime that the Location opens.
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closingTime | 0..1 | time | There are no (further) constraints on this element Element idLocation.hoursOfOperation.closingTime Time that the Location closes DefinitionTime that the Location closes.
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availabilityExceptions | 0..1 | string | There are no (further) constraints on this element Element idLocation.availabilityExceptions Description of availability exceptions DefinitionA description of when the locations opening ours are different to normal, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as detailed in the opening hours Times. Note that FHIR strings SHALL NOT exceed 1MB in size
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endpoint | I | 0..* | Reference(Endpoint) | There are no (further) constraints on this element Element idLocation.endpoint Technical endpoints providing access to services operated for the location DefinitionTechnical endpoints providing access to services operated for the location. Organizations may have different systems at different locations that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose. 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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Folgende FHIRPath-Constraints sind im Profil zu beachten:
Hinweis: Ein einzelnes Bett als Gegenstand kann als FHIR-Ressource 'Device' abgebildet werden, das einen Bettenstellplatz referenziert.
Terminology Bindings
Path | Name | Strength | URL |
---|---|---|---|
Location.operationalStatus | erminology.hl7.org/CodeSystem/v2-0116 | required | http://terminology.hl7.org/CodeSystem/v2-0116 |
Interaktionen
Sofern die Ressourcen zum Standort unterstützt werden, SOLL die REST-Interaktion "READ" implementiert werden. Ebenso SOLL die REST-Interaktion "UPDATE" implementiert werden. Letztere dient insbesondere dem Synchronisieren des Status (.operationalStatus) der abgeleiteten Ressourcen ISiKStandortRaum und ISiKStandortBettenstellplatz - u.a. zur Kennzeichnung als "Frei", "Besetzt", "Kontaminiert", "Isoliert", in "Reinigung" etc.
Interaktionen zum Standort werden derzeit für das Bestätigungsverfahren nicht festgelegt.
Auf folgende Suchparameter sei aufgrund der Relevanz hingewiesen - diese SOLLEN implementiert werden, falls die oben genannten Ressourcen unterstützt werden:
Der Suchparameter "identifier" SOLL unterstützt werden:
Beispiele:
GET [base]/Location?identifier=http://fhir.krankenhaus.example|260120196
GET [base]/Location?identifier=345678975
Anwendungshinweise: Weitere Informationen zur Suche nach "Location.identifier" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".
Der Suchparameter "operational-status" SOLL unterstützt werden:
Beispiel zur Suche freier Standorte:
GET [base]/Location?operational-status=Unoccupied
Anwendungshinweise: Weitere Informationen zur Suche nach "Location.operational-status" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".
Der Suchparameter "organization" SOLL unterstützt werden:
Beispiel zur Suche von Standorten einer Organisation:
GET [base]/Location?organization=AbteilungAllgemeinchirurgieOrganisationBeispiel
Anwendungshinweise: Weitere Informationen zur Suche nach "Location.organization" finden sich in der FHIR-Basisspezifikation - Abschnitt "Reference Search".
Der Suchparameter "partof" SOLL unterstützt werden:
Beispiel zur Suche nach Standort-Zugehörigkeit eines Raums (Zu welcher Abteilung gehört dieser Raum?):
GET [base]/Location?partof=RaumStandortBeispiel
Anwendungshinweise: Weitere Informationen zur Suche nach "Location.partof" finden sich in der FHIR-Basisspezifikation - Abschnitt "Reference Search".
Der Suchparameter "address" KANN unterstützt werden:
Beispiele
GET [base]/Location?address=Berlin
Anwendungshinweise: Weitere Informationen zur Suche nach "Location.address" finden sich in der FHIR-Basisspezifikation - Abschnitt "String Search".
Der Suchparameter "type" KANN unterstützt werden:
Beispiel zur Suche nach Typ eines Standorts:
GET [base]/Location?type=bed
Anwendungshinweise: Weitere Informationen zur Suche nach "Location.type" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".
Der Suchparameter "contains" KANN unterstützt werden:
Beispiel zur Suche nach Standort-Zugehörigkeit eines Raums:
GET [base]/Location?contains=KoordinatenBeispielGeoJSON
Anwendungshinweise: Weitere Informationen zur Suche nach "Location.contains" finden sich in der FHIR-Basisspezifikation - Abschnitt "String Search".
Der Suchparameter "near" KANN unterstützt werden:
Beispiel zur Suche nach Standort nahe (100m) Koordinaten:
GET [base]/Location?contains=52.525851|13.37774|100|m
Anwendungshinweise: Weitere Informationen zur Suche nach "Location.near" finden sich in der FHIR-Basisspezifikation - Abschnitt "String Search".
Anmerkungen zu Must-Support-Feldern
Zu beachten sind die die Comment-Felder der einzelnen (Sub-)Elemente im Profil.
Beispiele
Ein Minimalbeispiel zum Standort Bettenstellplatz:
{ "resourceType": "Location", "id": "BettenstellplatzStandortBeispiel", "meta": { "profile": [ "https://gematik.de/fhir/isik/StructureDefinition/ISiKStandortBettenstellplatz" ] }, "physicalType": { "coding": [ { "code": "bd", "system": "http://terminology.hl7.org/CodeSystem/location-physical-type", "display": "Bed" } ] }, "managingOrganization": { "reference": "Organization/AbteilungAllgemeinchirurgieOrganisationBeispiel" }, "partOf": { "reference": "Location/RaumStandortBeispiel" } }
Ein Minimalbeispiel zum Standort Raum:
{ "resourceType": "Location", "id": "RaumStandortBeispiel", "meta": { "profile": [ "https://gematik.de/fhir/isik/StructureDefinition/ISiKStandort" ] }, "physicalType": { "coding": [ { "code": "ro", "system": "http://terminology.hl7.org/CodeSystem/location-physical-type", "display": "Room" } ] }, "managingOrganization": { "reference": "Organization/AbteilungAllgemeinchirurgieOrganisationBeispiel" } }