ISiK Subscription Implementierungsleitfaden
Version 6.0.0-rc - STU1

Resource Profile: ISiKSubscription - Detailed Descriptions

Active as of 2025-12-17

Definitions for the ISiKSubscription resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. Subscription
Definition

The subscription resource is used to define a push-based subscription from a server to another system. Once a subscription is registered with the server, the server checks every resource that is created or updated, and if the resource matches the given criteria, it sends a message on the defined "channel" so that another system can take an appropriate action.

ShortServer push subscription criteria
Control0..*
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate NamesWebHook, Hook, Routing Rule
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
2. Subscription.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Shortserverseitige, interne ID des DatensatzesLogical id of this artifact
Comments

bedingtes Pflichtfeld/bedingtes MS: Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine id verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine idverfügen.


The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Control0..1
Typeidstring
Is Modifierfalse
Must Supporttrue
Summarytrue
4. Subscription.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Subscription.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Must Supportfalse
Summaryfalse
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. Subscription.status
Definition

The status of the subscription, which marks the server state for managing the subscription.

ShortStatusrequested | active | error | off
Comments

Bedeutung: Der Status der Subscription, der den Serverstatus der Subscription angibt. Neue Subscriptions werden immer mit dem Status requested an den Server übergeben. Der Server ändert im Anschluss den Status auf active oder im Fehlerfall auf error.


A client can only submit subscription resources in the requested or off state. Only the server can move a subscription from requested to active, and then to error. Either the server or the client can turn a subscription off.

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

Control1..1
BindingThe codes SHALL be taken from SubscriptionStatushttp://hl7.org/fhir/ValueSet/subscription-status|4.0.1
(required to http://hl7.org/fhir/ValueSet/subscription-status|4.0.0)

The status of a subscription.

Typecode
Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Subscription.reason
Definition

A description of why this subscription is defined.

ShortGrund der SubscriptionDescription of why this subscription was created
Comments

Bedeutung: Beschreibung wieso diese Subscription erstellt wurde.

Control1..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Subscription.criteria
Definition

When using topic-based subscriptions, the primary criteria is always the topic, indicated by its canonical URL.


The rules that the server should use to determine when to generate notifications for this subscription.

ShortCanonical URL des SubscriptionTopic welches man abonnieren möchte.Rule for server push
Comments

Enthält eines der in ISiK vereinbarten Subsription Topics.


The rules are search criteria (without the [base] part). Like Bundle.entry.request.url, it has no leading "/".

Control1..1
BindingUnless not suitable, these codes SHALL be taken from For codes, see ISiKSubscriptionTopic ValueSet
(extensible to https://gematik.de/fhir/isik/ValueSet/ISiKSubscriptionTopicVS)
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Subscription.criteria.extension:filterCriteria
Slice NamefilterCriteria
Definition

Criteria for topic-based filtering (filter-by).

ShortFilterkriterium.
Comments

Bedeutung: Filterkriterium für die Subscription. Dieses Feld ist optional und kann genutzt werden, um die Subscription auf bestimmte Events zu filtern.

Control0..*
This element is affected by the following invariants: ele-1
TypeExtension(Backported R5 FilterBy Criteria) (Extension Type: string)
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. Subscription.criteria.extension:filterCriteria.extension
Definition

An Extension


May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortExtensionAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..0*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Subscription.criteria.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 18. Subscription.criteria.extension:filterCriteria.url
    Definition

    Source of the definition for the extension code - a logical name or a URL.

    Shortidentifies the meaning of the extension
    Comments

    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

    Control1..1
    Typeuri
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    Fixed Valuehttp://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-filter-criteria
    20. Subscription.criteria.extension:filterCriteria.value[x]
    Definition

    Search-style filters to be applied to narrow the subscription topic stream. Keys can be either search parameters appropriate to the filtering resource or keys defined within the subscription topic.


    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    ShortFiltering critiera applied to eventsValue of extension
    Comments

    When multiple filters are applied, evaluates to true if all the conditions are met; otherwise it returns false. (i.e., logical AND).

    Control0..1
    Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. Subscription.channel
    Definition

    Details where to send notifications when resources are received that meet the criteria.

    ShortKommunikationskanalThe channel on which to report matches to the criteria
    Comments

    Bedeutung: Kommunikationskanal über den die Subscription Benachrichtigungen gesendet werden sollen.

    Control1..1
    TypeBackboneElement
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. Subscription.channel.extension:heartbeatPeriod
    Slice NameheartbeatPeriod
    Definition

    Interval in seconds to send 'heartbeat' notifications.

    ShortHeartbeat-Intervall
    Comments

    Bedeutung: Intervall in dem der Server prüft, ob der Kommunikationskanal noch aktiv ist.

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(Backport R5 Subscription Heartbeat Period) (Extension Type: unsignedInt)
    Is Modifierfalse
    Must Supporttrue
    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    26. Subscription.channel.extension:heartbeatPeriod.extension
    Definition

    An Extension


    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortExtensionAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..0*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on Subscription.channel.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 28. Subscription.channel.extension:heartbeatPeriod.url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed Valuehttp://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-heartbeat-period
      30. Subscription.channel.extension:heartbeatPeriod.value[x]
      Definition

      If present, a 'hearbeat' notification (keepalive) is sent via this channel with an the interval period equal to this elements integer value in seconds. If not present, a heartbeat notification is not sent.


      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortInterval in seconds to send 'heartbeat' notificationValue of extension
      Control0..1
      TypeunsignedInt, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, time
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      32. Subscription.channel.extension:timeout
      Slice Nametimeout
      Definition

      If present, the maximum amount of time a server will allow before failing a notification attempt.

      ShortTimeout in seconds to attempt notification delivery
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Backport R5 Subscription Timeout) (Extension Type: unsignedInt)
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      34. Subscription.channel.extension:maxCount
      Slice NamemaxCount
      Definition

      If present, the maximum number of triggering resources that will be included in a notification bundle (e.g., a server will not include more than this number of trigger resources in a single notification). Note that this is not a strict limit on the number of entries in a bundle, as dependent resources can be included.

      ShortMaximum number of triggering resources included in notification bundles
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Backported R5 Subscription MaxCount) (Extension Type: positiveInt)
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      36. Subscription.channel.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      38. Subscription.channel.type
      Definition

      The type of channel to send notifications on.

      ShortTyp des Kommunikationskanalsrest-hook | websocket | email | sms | message
      Comments

      Bedeutung: Der Typ des Kommunikationskanals, über den Subscription-Benachrichtigungen gesendet werden sollen.
      In ISiK MUSS der Wert rest-hook unterstützt werden, weitere Werte KÖNNEN unterstützt werden.

      Control1..1
      BindingThe codes SHALL be taken from SubscriptionChannelTypehttp://hl7.org/fhir/ValueSet/subscription-channel-type|4.0.1
      (required to http://hl7.org/fhir/ValueSet/subscription-channel-type|4.0.0)

      The type of method used to execute a subscription.

      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      40. Subscription.channel.type.extension:customChannelType
      Slice NamecustomChannelType
      Definition

      Additional channel types not defined before FHIR R5.

      ShortCustom Channel Type
      Comments

      Bedeutung: Custom Channel Type welcher in ISiK aktuell nicht unterstützt wird.

      Control0..0
      This element is affected by the following invariants: ele-1
      TypeExtension(Backported R5 Additional Channel Types) (Extension Type: Coding)
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      42. Subscription.channel.endpoint
      Definition

      The url that describes the actual end-point to send messages to.

      ShortEndpunktWhere the channel points to
      Comments

      Bedeutung: Adresse des Kommunikationskanals/ Endpunkts, an den Subscription-Benachrichtigungen gesendet werden sollen. Dies ist nur für rest-hook Subscriptions relevant.


      For rest-hook, and websocket, the end-point must be an http: or https: URL; for email, a mailto: url, for sms, a tel: url, and for message the endpoint can be in any form of url the server understands (usually, http: or mllp:). The URI is allowed to be relative; in which case, it is relative to the server end-point (since there may be more than one, clients should avoid using relative URIs).

      Control0..1
      Typeurl
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      44. Subscription.channel.payload
      Definition

      The mime type to send the payload in - either application/fhir+xml, or application/fhir+json. If the payload is not present, then there is no payload in the notification, just a notification. The mime type "text/plain" may also be used for Email and SMS subscriptions.

      ShortFormat der NutzdatenMIME type to send, or omit for no payload
      Comments

      Bedeutung: Format in dem Subscription Notifications versendet werden sollen (JSON oder XML).


      Sending the payload has obvious security implications. The server is responsible for ensuring that the content is appropriately secured.

      Control10..1
      BindingThe codes SHALL be taken from FhirMimeTypeVShttp://hl7.org/fhir/ValueSet/mimetypes|4.0.1
      (required to https://gematik.de/fhir/isik/ValueSet/FhirMimeTypeVS)
      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      46. Subscription.channel.payload.extension
      Definition

      An Extension


      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortExtensionAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control10..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on Subscription.channel.payload.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 48. Subscription.channel.payload.extension:content
        Slice Namecontent
        Definition

        How much of the resource content to deliver in the notification payload. The choices are an empty payload, only the resource id, or the full resource content.

        ShortInhalt der Nutzdaten
        Comments

        Bedeutung: Welcher Ressourceninhalt in der Nutzlast der Benachrichtigung geliefert werden soll.
        Zur Auswahl stehen eine leere Nutzlast (empty), nur die Ressourcen-id (id-only) oder der gesamte Inhalt der Ressource (full-resource).

        Control1..1
        This element is affected by the following invariants: ele-1
        TypeExtension(Backport R5 Subscription Payload Content Information) (Extension Type: code)
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        50. Subscription.channel.header
        Definition

        Additional headers / information to send as part of the notification.

        ShortFalls eine REST-Enpunkt einen Authorization-Header benötigt, kann dieser hier gesetzt werdenUsage depends on the channel type
        Comments

        Bedeutung: http-Header welcher dazu genutzt werden kann einen Authorization-header zu setzen. Dies ist nur für rest-hook Subscriptions relevant.
        Hinweise: ACHTUNG: dieses Datenfeld muss bei READ-Interaktionen maskiert werden! Siehe R4 Subscriptions


        Exactly what these mean depend on the channel type. They can convey additional information to the recipient and/or meet security requirements; for example, support of multiple headers in the outgoing notifications for rest-hook type subscriptions.

        Control0..*
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

        Guidance on how to interpret the contents of this table can be foundhere

        0. Subscription
        2. Subscription.id
        Shortserverseitige, interne ID des Datensatzes
        Comments

        bedingtes Pflichtfeld/bedingtes MS: Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine id verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine idverfügen.

        Must Supporttrue
        4. Subscription.meta
        6. Subscription.meta.versionId
        ShortEindeutiger Name der serverseitigen Version des Datensatzes
        Comments

        Alle von einem Server bereitgestellten Ressourcen SOLLEN über eine versionID verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine versionIDverfügen.

        8. Subscription.meta.lastUpdated
        ShortZeitpunkt der letzten Änderung
        Comments

        Alle von einem Server bereitgestellten Ressourcen SOLLEN über ein lastUpdate verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über ein lastUpdateverfügen.

        10. Subscription.status
        ShortStatus
        Comments

        Bedeutung: Der Status der Subscription, der den Serverstatus der Subscription angibt. Neue Subscriptions werden immer mit dem Status requested an den Server übergeben. Der Server ändert im Anschluss den Status auf active oder im Fehlerfall auf error.

        Must Supporttrue
        12. Subscription.reason
        ShortGrund der Subscription
        Comments

        Bedeutung: Beschreibung wieso diese Subscription erstellt wurde.

        Must Supporttrue
        14. Subscription.criteria
        ShortCanonical URL des SubscriptionTopic welches man abonnieren möchte.
        Comments

        Enthält eines der in ISiK vereinbarten Subsription Topics.

        BindingUnless not suitable, these codes SHALL be taken from ISiKSubscriptionTopic ValueSet
        (extensible to https://gematik.de/fhir/isik/ValueSet/ISiKSubscriptionTopicVS)
        16. Subscription.criteria.extension:filterCriteria
        Slice NamefilterCriteria
        ShortFilterkriterium.
        Comments

        Bedeutung: Filterkriterium für die Subscription. Dieses Feld ist optional und kann genutzt werden, um die Subscription auf bestimmte Events zu filtern.

        18. Subscription.criteria.extension:filterCriteria.value[x]
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Must Supporttrue
        20. Subscription.channel
        ShortKommunikationskanal
        Comments

        Bedeutung: Kommunikationskanal über den die Subscription Benachrichtigungen gesendet werden sollen.

        Must Supporttrue
        22. Subscription.channel.extension:heartbeatPeriod
        Slice NameheartbeatPeriod
        ShortHeartbeat-Intervall
        Comments

        Bedeutung: Intervall in dem der Server prüft, ob der Kommunikationskanal noch aktiv ist.

        Must Supporttrue
        24. Subscription.channel.extension:heartbeatPeriod.value[x]
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Must Supporttrue
        26. Subscription.channel.type
        ShortTyp des Kommunikationskanals
        Comments

        Bedeutung: Der Typ des Kommunikationskanals, über den Subscription-Benachrichtigungen gesendet werden sollen.
        In ISiK MUSS der Wert rest-hook unterstützt werden, weitere Werte KÖNNEN unterstützt werden.

        Must Supporttrue
        28. Subscription.channel.type.extension:customChannelType
        Slice NamecustomChannelType
        ShortCustom Channel Type
        Comments

        Bedeutung: Custom Channel Type welcher in ISiK aktuell nicht unterstützt wird.

        Control0..0
        30. Subscription.channel.endpoint
        ShortEndpunkt
        Comments

        Bedeutung: Adresse des Kommunikationskanals/ Endpunkts, an den Subscription-Benachrichtigungen gesendet werden sollen. Dies ist nur für rest-hook Subscriptions relevant.

        Must Supporttrue
        32. Subscription.channel.payload
        ShortFormat der Nutzdaten
        Comments

        Bedeutung: Format in dem Subscription Notifications versendet werden sollen (JSON oder XML).

        BindingThe codes SHALL be taken from FhirMimeTypeVS
        (required to https://gematik.de/fhir/isik/ValueSet/FhirMimeTypeVS)
        Must Supporttrue
        34. Subscription.channel.payload.extension:content
        Slice Namecontent
        ShortInhalt der Nutzdaten
        Comments

        Bedeutung: Welcher Ressourceninhalt in der Nutzlast der Benachrichtigung geliefert werden soll.
        Zur Auswahl stehen eine leere Nutzlast (empty), nur die Ressourcen-id (id-only) oder der gesamte Inhalt der Ressource (full-resource).

        36. Subscription.channel.header
        ShortFalls eine REST-Enpunkt einen Authorization-Header benötigt, kann dieser hier gesetzt werden
        Comments

        Bedeutung: http-Header welcher dazu genutzt werden kann einen Authorization-header zu setzen. Dies ist nur für rest-hook Subscriptions relevant.
        Hinweise: ACHTUNG: dieses Datenfeld muss bei READ-Interaktionen maskiert werden! Siehe R4 Subscriptions

        Must Supporttrue

        Guidance on how to interpret the contents of this table can be foundhere

        0. Subscription
        Definition

        The subscription resource is used to define a push-based subscription from a server to another system. Once a subscription is registered with the server, the server checks every resource that is created or updated, and if the resource matches the given criteria, it sends a message on the defined "channel" so that another system can take an appropriate action.

        ShortServer push subscription criteria
        Control0..*
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Alternate NamesWebHook, Hook, Routing Rule
        Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
        dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty())
        dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
        dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
        dom-6: A resource should have narrative for robust management (text.`div`.exists())
        2. Subscription.id
        Definition

        The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

        Shortserverseitige, interne ID des Datensatzes
        Comments

        bedingtes Pflichtfeld/bedingtes MS: Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine id verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine idverfügen.

        Control0..1
        Typeid
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        4. Subscription.meta
        Definition

        The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

        ShortMetadata about the resource
        Control0..1
        TypeMeta
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        6. Subscription.meta.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        8. Subscription.meta.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on Subscription.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 10. Subscription.meta.versionId
          Definition

          The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

          ShortEindeutiger Name der serverseitigen Version des Datensatzes
          Comments

          Alle von einem Server bereitgestellten Ressourcen SOLLEN über eine versionID verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine versionIDverfügen.

          Control0..1
          Typeid
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          12. Subscription.meta.lastUpdated
          Definition

          When the resource last changed - e.g. when the version changed.

          ShortZeitpunkt der letzten Änderung
          Comments

          Alle von einem Server bereitgestellten Ressourcen SOLLEN über ein lastUpdate verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über ein lastUpdateverfügen.

          Control0..1
          Typeinstant
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          14. Subscription.meta.source
          Definition

          A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

          ShortIdentifies where the resource comes from
          Comments

          In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

          This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

          Control0..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          16. Subscription.meta.profile
          Definition

          A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

          ShortProfiles this resource claims to conform to
          Comments

          It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

          Control0..*
          Typecanonical(StructureDefinition)
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          18. Subscription.meta.security
          Definition

          Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

          ShortSecurity Labels applied to this resource
          Comments

          The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

          Control0..*
          BindingUnless not suitable, these codes SHALL be taken from All Security Labels
          (extensible to http://hl7.org/fhir/ValueSet/security-labels|4.0.1)

          Security Labels from the Healthcare Privacy and Security Classification System.

          TypeCoding
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          20. Subscription.meta.tag
          Definition

          Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

          ShortTags applied to this resource
          Comments

          The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

          Control0..*
          BindingFor example codes, see CommonTags
          (example to http://hl7.org/fhir/ValueSet/common-tags|4.0.1)

          Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

          TypeCoding
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          22. Subscription.implicitRules
          Definition

          A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

          ShortA set of rules under which this content was created
          Comments

          Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

          Control0..1
          Typeuri
          Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supportfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          24. Subscription.language
          Definition

          The base language in which the resource is written.

          ShortLanguage of the resource content
          Comments

          Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

          Control0..1
          BindingThe codes SHOULD be taken from CommonLanguages
          (preferred to http://hl7.org/fhir/ValueSet/languages)

          IETF language tag

          Additional BindingsPurpose
          AllLanguagesMax Binding
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          26. Subscription.text
          Definition

          A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

          ShortText summary of the resource, for human interpretation
          Comments

          Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

          Control0..1
          TypeNarrative
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Alternate Namesnarrative, html, xhtml, display
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          28. Subscription.contained
          Definition

          These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

          ShortContained, inline Resources
          Comments

          This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

          Control0..*
          TypeResource
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Alternate Namesinline resources, anonymous resources, contained resources
          Invariantsdom-r4b: Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems (($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic))
          30. Subscription.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          32. Subscription.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
          Must Supportfalse
          Summaryfalse
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          34. Subscription.status
          Definition

          The status of the subscription, which marks the server state for managing the subscription.

          ShortStatus
          Comments

          Bedeutung: Der Status der Subscription, der den Serverstatus der Subscription angibt. Neue Subscriptions werden immer mit dem Status requested an den Server übergeben. Der Server ändert im Anschluss den Status auf active oder im Fehlerfall auf error.

          Control1..1
          BindingThe codes SHALL be taken from SubscriptionStatus
          (required to http://hl7.org/fhir/ValueSet/subscription-status|4.0.0)

          The status of a subscription.

          Typecode
          Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          36. Subscription.contact
          Definition

          Contact details for a human to contact about the subscription. The primary use of this for system administrator troubleshooting.

          ShortContact details for source (e.g. troubleshooting)
          Control0..*
          TypeContactPoint
          Is Modifierfalse
          Must Supportfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          38. Subscription.end
          Definition

          The time for the server to turn the subscription off.

          ShortWhen to automatically delete the subscription
          Comments

          The server is permitted to deviate from this time but should observe it.

          Control0..1
          Typeinstant
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supportfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          40. Subscription.reason
          Definition

          A description of why this subscription is defined.

          ShortGrund der Subscription
          Comments

          Bedeutung: Beschreibung wieso diese Subscription erstellt wurde.

          Control1..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          42. Subscription.criteria
          Definition

          When using topic-based subscriptions, the primary criteria is always the topic, indicated by its canonical URL.

          ShortCanonical URL des SubscriptionTopic welches man abonnieren möchte.
          Comments

          Enthält eines der in ISiK vereinbarten Subsription Topics.

          Control1..1
          BindingUnless not suitable, these codes SHALL be taken from ISiKSubscriptionTopic ValueSet
          (extensible to https://gematik.de/fhir/isik/ValueSet/ISiKSubscriptionTopicVS)
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          44. Subscription.criteria.id
          Definition

          unique id for the element within a resource (for internal references)

          Shortxml:id (or equivalent in JSON)
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          46. Subscription.criteria.extension
          Definition

          An Extension

          ShortExtension
          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on Subscription.criteria.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 48. Subscription.criteria.extension:filterCriteria
            Slice NamefilterCriteria
            Definition

            Criteria for topic-based filtering (filter-by).

            ShortFilterkriterium.
            Comments

            Bedeutung: Filterkriterium für die Subscription. Dieses Feld ist optional und kann genutzt werden, um die Subscription auf bestimmte Events zu filtern.

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(Backported R5 FilterBy Criteria) (Extension Type: string)
            Is Modifierfalse
            Must Supporttrue
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            50. Subscription.criteria.extension:filterCriteria.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typeid
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            52. Subscription.criteria.extension:filterCriteria.extension
            Definition

            An Extension

            ShortExtension
            Control0..0
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on Subscription.criteria.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 54. Subscription.criteria.extension:filterCriteria.url
              Definition

              Source of the definition for the extension code - a logical name or a URL.

              Shortidentifies the meaning of the extension
              Comments

              The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

              Control1..1
              Typeuri
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              Fixed Valuehttp://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-filter-criteria
              56. Subscription.criteria.extension:filterCriteria.value[x]
              Definition

              Search-style filters to be applied to narrow the subscription topic stream. Keys can be either search parameters appropriate to the filtering resource or keys defined within the subscription topic.

              ShortFiltering critiera applied to events
              Comments

              When multiple filters are applied, evaluates to true if all the conditions are met; otherwise it returns false. (i.e., logical AND).

              Control0..1
              Typestring
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              58. Subscription.criteria.value
              Definition

              The actual value

              ShortPrimitive value for string
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              Max Length:1048576
              60. Subscription.error
              Definition

              A record of the last error that occurred when the server processed a notification.

              ShortLatest error note
              Control0..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supportfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              62. Subscription.channel
              Definition

              Details where to send notifications when resources are received that meet the criteria.

              ShortKommunikationskanal
              Comments

              Bedeutung: Kommunikationskanal über den die Subscription Benachrichtigungen gesendet werden sollen.

              Control1..1
              TypeBackboneElement
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
              64. Subscription.channel.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              66. Subscription.channel.extension
              Definition

              An Extension

              ShortExtension
              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on Subscription.channel.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 68. Subscription.channel.extension:heartbeatPeriod
                Slice NameheartbeatPeriod
                Definition

                Interval in seconds to send 'heartbeat' notifications.

                ShortHeartbeat-Intervall
                Comments

                Bedeutung: Intervall in dem der Server prüft, ob der Kommunikationskanal noch aktiv ist.

                Control0..1
                This element is affected by the following invariants: ele-1
                TypeExtension(Backport R5 Subscription Heartbeat Period) (Extension Type: unsignedInt)
                Is Modifierfalse
                Must Supporttrue
                Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                70. Subscription.channel.extension:heartbeatPeriod.id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                ShortUnique id for inter-element referencing
                Control0..1
                Typeid
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                72. Subscription.channel.extension:heartbeatPeriod.extension
                Definition

                An Extension

                ShortExtension
                Control0..0
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on Subscription.channel.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 74. Subscription.channel.extension:heartbeatPeriod.url
                  Definition

                  Source of the definition for the extension code - a logical name or a URL.

                  Shortidentifies the meaning of the extension
                  Comments

                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                  Control1..1
                  Typeuri
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  Fixed Valuehttp://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-heartbeat-period
                  76. Subscription.channel.extension:heartbeatPeriod.value[x]
                  Definition

                  If present, a 'hearbeat' notification (keepalive) is sent via this channel with an the interval period equal to this elements integer value in seconds. If not present, a heartbeat notification is not sent.

                  ShortInterval in seconds to send 'heartbeat' notification
                  Control0..1
                  TypeunsignedInt
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  78. Subscription.channel.extension:timeout
                  Slice Nametimeout
                  Definition

                  If present, the maximum amount of time a server will allow before failing a notification attempt.

                  ShortTimeout in seconds to attempt notification delivery
                  Control0..1
                  This element is affected by the following invariants: ele-1
                  TypeExtension(Backport R5 Subscription Timeout) (Extension Type: unsignedInt)
                  Is Modifierfalse
                  Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  80. Subscription.channel.extension:maxCount
                  Slice NamemaxCount
                  Definition

                  If present, the maximum number of triggering resources that will be included in a notification bundle (e.g., a server will not include more than this number of trigger resources in a single notification). Note that this is not a strict limit on the number of entries in a bundle, as dependent resources can be included.

                  ShortMaximum number of triggering resources included in notification bundles
                  Control0..1
                  This element is affected by the following invariants: ele-1
                  TypeExtension(Backported R5 Subscription MaxCount) (Extension Type: positiveInt)
                  Is Modifierfalse
                  Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  82. Subscription.channel.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  84. Subscription.channel.type
                  Definition

                  The type of channel to send notifications on.

                  ShortTyp des Kommunikationskanals
                  Comments

                  Bedeutung: Der Typ des Kommunikationskanals, über den Subscription-Benachrichtigungen gesendet werden sollen.
                  In ISiK MUSS der Wert rest-hook unterstützt werden, weitere Werte KÖNNEN unterstützt werden.

                  Control1..1
                  BindingThe codes SHALL be taken from SubscriptionChannelType
                  (required to http://hl7.org/fhir/ValueSet/subscription-channel-type|4.0.0)

                  The type of method used to execute a subscription.

                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  86. Subscription.channel.type.id
                  Definition

                  unique id for the element within a resource (for internal references)

                  Shortxml:id (or equivalent in JSON)
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  88. Subscription.channel.type.extension
                  Definition

                  An Extension

                  ShortExtension
                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on Subscription.channel.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 90. Subscription.channel.type.extension:customChannelType
                    Slice NamecustomChannelType
                    Definition

                    Additional channel types not defined before FHIR R5.

                    ShortCustom Channel Type
                    Comments

                    Bedeutung: Custom Channel Type welcher in ISiK aktuell nicht unterstützt wird.

                    Control0..0
                    This element is affected by the following invariants: ele-1
                    TypeExtension(Backported R5 Additional Channel Types) (Extension Type: Coding)
                    Is Modifierfalse
                    Must Supporttrue
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    92. Subscription.channel.type.value
                    Definition

                    Primitive value for code

                    ShortPrimitive value for code
                    Control0..1
                    Typecode
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    94. Subscription.channel.endpoint
                    Definition

                    The url that describes the actual end-point to send messages to.

                    ShortEndpunkt
                    Comments

                    Bedeutung: Adresse des Kommunikationskanals/ Endpunkts, an den Subscription-Benachrichtigungen gesendet werden sollen. Dies ist nur für rest-hook Subscriptions relevant.

                    Control0..1
                    Typeurl
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    96. Subscription.channel.payload
                    Definition

                    The mime type to send the payload in - either application/fhir+xml, or application/fhir+json. If the payload is not present, then there is no payload in the notification, just a notification. The mime type "text/plain" may also be used for Email and SMS subscriptions.

                    ShortFormat der Nutzdaten
                    Comments

                    Bedeutung: Format in dem Subscription Notifications versendet werden sollen (JSON oder XML).

                    Control1..1
                    BindingThe codes SHALL be taken from FhirMimeTypeVS
                    (required to https://gematik.de/fhir/isik/ValueSet/FhirMimeTypeVS)
                    Typecode
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    98. Subscription.channel.payload.id
                    Definition

                    unique id for the element within a resource (for internal references)

                    Shortxml:id (or equivalent in JSON)
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    100. Subscription.channel.payload.extension
                    Definition

                    An Extension

                    ShortExtension
                    Control1..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on Subscription.channel.payload.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 102. Subscription.channel.payload.extension:content
                      Slice Namecontent
                      Definition

                      How much of the resource content to deliver in the notification payload. The choices are an empty payload, only the resource id, or the full resource content.

                      ShortInhalt der Nutzdaten
                      Comments

                      Bedeutung: Welcher Ressourceninhalt in der Nutzlast der Benachrichtigung geliefert werden soll.
                      Zur Auswahl stehen eine leere Nutzlast (empty), nur die Ressourcen-id (id-only) oder der gesamte Inhalt der Ressource (full-resource).

                      Control1..1
                      This element is affected by the following invariants: ele-1
                      TypeExtension(Backport R5 Subscription Payload Content Information) (Extension Type: code)
                      Is Modifierfalse
                      Must Supporttrue
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      104. Subscription.channel.payload.value
                      Definition

                      Primitive value for code

                      ShortPrimitive value for code
                      Control0..1
                      Typecode
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      106. Subscription.channel.header
                      Definition

                      Additional headers / information to send as part of the notification.

                      ShortFalls eine REST-Enpunkt einen Authorization-Header benötigt, kann dieser hier gesetzt werden
                      Comments

                      Bedeutung: http-Header welcher dazu genutzt werden kann einen Authorization-header zu setzen. Dies ist nur für rest-hook Subscriptions relevant.
                      Hinweise: ACHTUNG: dieses Datenfeld muss bei READ-Interaktionen maskiert werden! Siehe R4 Subscriptions

                      Control0..*
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supporttrue
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))