Generated Narrative: StructureDefinition ISiKPatient Name Flags Card. Type Description & Constraints Patient C 0..* Patient Information about an individual or animal receiving health care services This profile also imposes the profile TI Patient (1.1.1) Constraints: isik-pat-1 #xD; id S 0..1 id serverseitige, interne ID des Datensatzes #xD; meta #xD; versionId 0..1 id Eindeutiger Name der serverseitigen Version des Datensatzes #xD; lastUpdated 0..1 instant Zeitpunkt der letzten Änderung #xD; Slices for identifier S 1..* Identifier An identifier for this patient Slice: Unordered, Open by pattern:$this #xD; identifier:VersichertenId S 0..1 IdentifierKvid10 Lebenslange Krankenversichertennummer Required Pattern: At least the following #xD; type 1..1 CodeableConcept Description of identifier Fixed Value: (Complex) #xD; coding 1..* Coding Code defined by a terminology system Fixed Value: (Complex) #xD; system 1..1 uri Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis #xD; code 1..1 code Symbol in syntax defined by the system Fixed Value: KVZ10 #xD; type S 1..1 CodeableConcept Art des Identifiers #xD; system S 1..1 uri Namensraum der Versichertennummer #xD; value S 1..1 string Lebenslange Krankenversichertennummer #xD; identifier:VersichertenId-GKV S 0..1 IdentifierKvid10 Gesetzliche Krankenversichertennummer Required Pattern: At least the following #xD; type 1..1 CodeableConcept Description of identifier Fixed Value: (Complex) #xD; coding 1..* Coding Code defined by a terminology system Fixed Value: (Complex) #xD; system 1..1 uri Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis #xD; code 1..1 code Symbol in syntax defined by the system Fixed Value: GKV #xD; type S 1..1 CodeableConcept Art des Identifiers #xD; system S 1..1 uri Namensraum der Versichertennummer #xD; value S 1..1 string The value that is unique #xD; identifier:Patientennummer S 1..* IdentifierPid Organisationsinterner Patienten-Identifier (PID) Required Pattern: At least the following #xD; type 1..1 CodeableConcept Description of identifier Fixed Value: (Complex) #xD; coding 1..* Coding Code defined by a terminology system Fixed Value: (Complex) #xD; system 1..1 uri Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 #xD; code 1..1 code Symbol in syntax defined by the system Fixed Value: MR #xD; type S 1..1 CodeableConcept Art des Identifiers #xD; system S 1..1 uri Namensraum des Identifiers #xD; value S 1..1 string The value that is unique #xD; identifier:Versichertennummer_PKV 0..1 IdentifierPkv Private Krankenversichertennummer Required Pattern: At least the following #xD; type 1..1 CodeableConcept Description of identifier Fixed Value: (Complex) #xD; coding 1..* Coding Code defined by a terminology system Fixed Value: (Complex) #xD; system 1..1 uri Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/identifier-type-de-basis #xD; code 1..1 code Symbol in syntax defined by the system Fixed Value: PKV #xD; use S 0..1 code Verwendungszeck des Identifiers #xD; type S 1..1 CodeableConcept Art des Identifiers #xD; value S 1..1 string Private Krankenversichertennummer #xD; assigner S 1..1 Reference(Organization) Organization that issued id (may be just text) #xD; identifier #xD; system S 1..1 uri Namensraum des Identifiers #xD; value S 1..1 string IK-Nummer des Kostenträgers #xD; display S 1..1 string Name des Kostenträgers #xD; active S 0..1 boolean Status des Datensatzes #xD; Slices for name S 1..* HumanName A name associated with the patient Slice: Unordered, Open by pattern:$this #xD; name:Name S 1..1 HumannameDeBasis Offizieller Name Required Pattern: At least the following #xD; use 1..1 code usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official #xD; use S 1..1 code Verwendungszweck #xD; family S 1..1 string Nachname #xD; Slices for extension Content/Rules for all slices #xD; extension:namenszusatz S 0..1 HumannameNamenszusatz Namenszusatz #xD; extension:nachname S 0..1 OwnName(5.2.0) Nachname #xD; extension:vorsatzwort S 0..1 OwnPrefix(5.2.0) Voorvoegsel derived from person's own surname #xD; given S 1..* string Vorname #xD; prefix S 0..* string Präfix #xD; Slices for extension Content/Rules for all slices #xD; extension:prefix-qualifier S 0..1 ENQualifier(5.2.0) Extension, um das Präfix als akademischen Titel zu qualifizieren #xD; value[x] 1..1 code Value of extension Fixed Value: AC #xD; name:Geburtsname S 0..1 HumannameDeBasis Geburtsname Required Pattern: At least the following #xD; use 1..1 code usual | official | temp | nickname | anonymous | old | maiden Fixed Value: maiden #xD; use S 1..1 code Verwendungszweck #xD; family S 1..1 string Nachname #xD; Slices for extension Content/Rules for all slices #xD; extension:namenszusatz S 0..1 HumannameNamenszusatz Namenszusatz #xD; extension:nachname S 0..1 OwnName(5.2.0) Nachname #xD; extension:vorsatzwort S 0..1 OwnPrefix(5.2.0) Voorvoegsel derived from person's own surname #xD; given 0..0 Vorname #xD; prefix 0..0 Namensteile vor dem Vornamen #xD; telecom S 0..* ContactPoint Angabe der Kontaktdaten #xD; system S 1..1 code Art der Kontaktdaten #xD; value S 1..1 string Wert der Kontaktdaten #xD; gender S 1..1 code Administratives Geschlecht #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:Geschlecht-Administrativ S 0..1 Coding Extension zur Differenzierung des Geschlechtskennzeichens URL: http://fhir.de/StructureDefinition/gender-amtlich-de Binding: GenderOtherDE ValueSet (required) #xD; birthDate S 1..1 date Geburtsdatum #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:Data-Absent-Reason S 0..1 (Complex) Begründung für fehlende Information URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason #xD; value[x] S 1..1 code Value of extension Fixed Value: unknown #xD; deceased[x] S 0..1 boolean, dateTime Indicates if the individual is deceased or not #xD; Slices for address S 0..* Address An address for the individual Slice: Unordered, Open by pattern:$this #xD; address:Strassenanschrift S<a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="This element has or is affected by constraints ( address-cnt-2or3-char )">C 0..* AddressDeBasis Straßenanschrift Constraints: <span style="font-weight:bold" title="The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2." class="constraint">address-cnt-2or3-char Required Pattern: At least the following #xD; type 1..1 code postal | physical | both Fixed Value: both #xD; Slices for extension Content/Rules for all slices #xD; extension:Stadtteil S 0..1 ADXPPrecinct(5.2.0) precinct #xD; type S 1..1 code Adresstyp #xD; line S 1..3 string Adresszeile #xD; Slices for extension Content/Rules for all slices #xD; extension:Strasse S 0..1 ADXPStreetName(5.2.0) Strassenname #xD; extension:Hausnummer S 0..1 ADXPHouseNumber(5.2.0) houseNumber #xD; extension:Adresszusatz S 0..1 ADXPAdditionalLocator(5.2.0) additionalLocator #xD; extension:Postfach 0..0 Postfachnummer #xD; city S 1..1 string Stadt #xD; postalCode S 1..1 string Postleitzahl #xD; country S 1..1 string Land #xD; address:Postfach S<a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="This element has or is affected by constraints ( address-cnt-2or3-char )">C 0..* AddressDeBasis Postfachadresse Constraints: <span style="font-weight:bold" title="The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2." class="constraint">address-cnt-2or3-char Required Pattern: At least the following #xD; type 1..1 code postal | physical | both Fixed Value: postal #xD; type S 1..1 code Adresstyp #xD; line S 1..3 string Adresszeile #xD; Slices for extension Content/Rules for all slices #xD; extension:Strasse 0..0 streetName #xD; extension:Hausnummer 0..0 houseNumber #xD; extension:Adresszusatz 0..0 additionalLocator #xD; extension:Postfach S 0..1 ADXPPostBox(5.2.0) Postfachnummer #xD; city S 1..1 string Stadt #xD; postalCode S 1..1 string Postleitzahl #xD; country S 1..1 string Land #xD; link S 0..* BackboneElement Link #xD; other S 1..1 Reference(Patient | RelatedPerson) The other patient or related person resource that the link refers to #xD; identifier S 0..1 Identifier Logical reference, when literal reference is not known #xD; type S 1..1 code replaced-by | replaces | refer | seealso #xD; Documentation for this format
Dieses Profil spezifiziert die Minimalanforderungen für die Bereitstellung von administrativen Patientendaten im Rahmen des Bestätigungsverfahrens der gematik. ### Motivation Der Austausch administrativer Patientendaten ist eine der grundlegenden Funktionalitäten beim Datenaustausch in der klinischen Versorgung. In FHIR werden sämtliche klinischen Ressourcen durch Verlinkung auf die Ressource 'Patient' in einen Patientenkontext gestellt. Die Herstellung des korrekten Patientenkontextes durch Suchen der Patientenressource anhand von Eigenschaften wie Aufnahmenummer, Name oder Geburtsdatum, die Anzeige der zutreffenden Suchergebnisse und der Auswahl bzw. Bestätigung des richtigen Datensatzes durch den Anwender steht am Beginn der meisten klinischen Workflows. ### Kompatibilität Für das Profil ISIKPatient wird eine Kompatibilität mit folgenden Profilen angestrebt; allerdings kann nicht sichergestellt werden, dass Instanzen, die gegen ISIKPatient valide sind, auch valide sind gegen: * [Profil KBV_PR_Base_Patient der KBV Basisprofile](https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Patient) * [Profil Patient im International Patient Summary (IPS)](https://hl7.org/fhir/uv/ips/StructureDefinition-Patient-uv-ips.html) * [Profil Patient der MI-Initiative](https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient) * [Profil TIPatient der gematik](https://gematik.de/fhir/ti/StructureDefinition/ti-patient) Es ist zu beachten, dass das Profil ISiKPatient NICHT unmittelbar kompatibel mit folgenden Profilen ist: * [Profil EPAPatient der gematik](https://gematik.de/fhir/epa/StructureDefinition/epa-patient): In ISiK ist die Angabe einer KVNR nicht verpflichtend, da in vielen Use Cases bereits eine PID ausreichend ist. Außerdem ist in ISiK keine verpflichtende Versionierung über meta.versionId vorgesehen.
Information about an individual or animal receiving health care services
Demographics and other administrative information about an individual or animal receiving care or other health-related services.
If the resource is contained in another resource, it SHALL NOT contain nested Resources
not(parent::f:contained and f:contained)
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()
not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
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()
not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
If a resource is contained in another resource, it SHALL NOT have a security label
When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.
A resource should have narrative for robust management
Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden
gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()
serverseitige, interne ID des Datensatzes
The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
**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 `id`verfügen.
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.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
Additional content defined by implementations
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.
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.
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
Eindeutiger Name der serverseitigen Version des Datensatzes
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.
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 `versionID`verfügen.
When the resource last changed - e.g. when the version changed.
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 `lastUpdate`verfügen.
Identifies where the resource comes from
A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) 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.
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.
Profiles this resource claims to conform to
A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url).
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.
Security Labels applied to this resource
Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
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.
Security Labels from the Healthcare Privacy and Security Classification System.
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.
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.
Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
A set of rules under which this content was created
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.
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.
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
The 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).
Text summary of the resource, for human interpretation
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.
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.
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.
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.
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.
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).
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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Patients are almost always assigned specific numerical identifiers.
Die als 'KVZ10' kodierte Versichertennummer ist der 10-stellige, unveränderbare Teil der Versichertennummer, der lesbar auf die Elektronische Gesundheitskarte aufgedruckt ist. Er gilt für alle Krankenversichertennummern, unabhängig davon, ob es sich um GKV, PKV oder Sonderkostenträger handelt. Für eine Weiterverarbeitung einer Patient-Ressource in der ePA ist dieser Identifier im EPAPatient-Profil ein Pflichtfeld. **Weitere Hinweise:** siehe [Deutschen Basisprofile](https://simplifier.net/guide/leitfaden-de-basis-r4/ig-markdown-LebenslangeKrankenversichertennummer10-stelligeKVID-Identifier?version=current)
usual | official | temp | secondary | old (If known)
Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Identifies the purpose for this identifier, if known .
A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Hier ist stets der Code `KVZ10` aus dem CodeSystem `http://fhir.de/CodeSystem/identifier-type-de-basis` anzugeben. **Begründung Pflichtfeld:** `type` dient der Unterscheidung verschiedener Identifier-Typen
Allows users to make use of identifiers when the identifier system is not known.
Die type Codes 'GKV' und 'PKV' haben den Status 'retired', daher sollen diese nicht mehr verwendet werden
($this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='GKV') or $this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='PKV')).not()
A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Hier ist stets der Wert `http://fhir.de/sid/gkv/kvid-10` anzugeben. **Begründung Pflichtfeld:** `system` stellt in Kombination mit `value` die Eindeutigkeit eines Identifiers sicher.
There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Der 10-stellige, unveränderbare Teil der Versichertennummer.
Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
Time period when id is/was valid for use
Time period during which identifier is/was valid for use.
Role.effectiveTime or implied by context
Organization that issued id (may be just text)
Organization that issued/manages the identifier.
The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
**WARNUNG**: Die Verwendung der 'GKV'-Kodierung einer Versichertennummer ist abgekündigt, da die lebenslangen Versichertennummer ab 2024 auch für PKV oder Sonderkostenträger eingeführt wird. Bitte statt dessen künftig den 'VersichertenId'-Slice verwenden.
Hier ist stets der Code `GKV` aus dem CodeSystem `http://fhir.de/CodeSystem/identifier-type-de-basis` anzugeben. **Begründung Pflichtfeld:** `type` dient der Unterscheidung verschiedener Identifier-Typen
Enthält den eigentlichen Wert des Identifiers. **Begründung Pflichtfeld:** Ist der Wert nicht bekannt, sollte der gesamte Slice weggelassen werden.
Organisationsinterner Patienten-Identifier (PID)
Organisationsintere Patienten-Identifier werden von z.B. von KIS-Systemen vergeben und dienen innerhalb einer Einreichtung meist als primäres Identifikationsmerkmal für Patienten, u.A. in der HL7 V2-Kommunikation. **Weitere Hinweise:** siehe [Deutschen Basisprofile](https://simplifier.net/guide/leitfaden-de-basis-r4/ig-markdown-OrganisationsinternerPatienten-Identifier?version=current)
Hier ist stets der Code `MR` aus dem CodeSystem `http://terminology.hl7.org/CodeSystem/v2-0203` anzugeben. **Begründung Pflichtfeld:** `type` dient der Unterscheidung verschiedener Identifier-Typen
Hier ist stets der eindeutige Name (URL) des Namensraums anzugeben, aus dem der Identifier stammt. Hinweise zur Festlegung der URLs für lokale Namensräume sind in den [Deutschen Basisprofilen](https://simplifier.net/guide/leitfaden-de-basis-r4/ig-markdown-Terminologie-Namensraeume?version=current) beschrieben. **Begründung Pflichtfeld:** `system` stellt in Kombination mit `value` die Eindeutigkeit eines Identifiers sicher.
Für Privatpatienten, die noch nicht über eine lebenslange, unveränderliche Krankenversichertennummer (KVNR) verfügen, können bis auf weiteres noch die versicherungsspezifischen PKV-Nummern angegeben werden. Da bei diesen der Bezeichner des vom Kostenträger verwendeten Namensraums meist nicht ermittelt werden kann, ist statt dessen der Name des Kostenträgers in `assigner` anzugeben. **Achtung:** Dieser Slice dient NICHT zur Abbildung einer 10-stelligen PKV-VersichertenId nach § 362 SGB V. Diese sind durch den Slice 'VersichertenId' abzubilden, da die Nummernkreise dieser Identifier identisch sind. **Weitere Hinweise:** siehe [Deutsche Basisprofile](https://simplifier.net/guide/leitfaden-de-basis-r4/ig-markdown-PrivateKrankenversichertennummer-Identifier?version=current) Der Identifier kann jedoch zusätzlich zur KVNR verwendet werden, wenn für eine Zusatzversicherung eine separate, versicherungsspezifische PKV-Nummer vorliegt.
Hier ist stets der Wert `secondary` anzugeben.
Hier ist stets der Code `PKV` aus dem CodeSystem `http://fhir.de/CodeSystem/identifier-type-de-basis` anzugeben. **Begründung Pflichtfeld:** `type` dient der Unterscheidung verschiedener Identifier-Typen
Identifier.system is always case sensitive.
Literal reference, Relative, internal or absolute URL
A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Type the reference refers to (e.g. "Patient")
The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Aa resource (or, for logical models, the URI of the logical model).
An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.
When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
CX / EI (occasionally, more often EI maps to a resource id or a URL)
II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Hier ist stets der Wert `http://fhir.de/sid/arge-ik/iknr` anzugeben.
IK-Nummer des Kostenträgers, aus dessen Nummernkreis die PKV-Nummer stammt.
Eine IK muss eine numerische 9-stellige Zeichenkette (mit Prüfziffer) sein
Plain text narrative that identifies the resource in addition to the resource reference.
Name des Kostenträgers, aus dessen Nummernkreis die PKV-Nummer stammt.
Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.
`true` = Der Datensatz befindet sich in Verwendung/kann verwendet werden `false`= Der Datensatz wurde storniert (z.B. bei Dubletten, Merge) oder archiviert **Einschränkung der übergreifenden MS-Definition:** Verfügt ein bestätigungsrelevantes System nicht über die Datenstruktur zur Hinterlegung des Aktivitätsstatus einer Patienten-Ressource, so MUSS dieses System die Information NICHT abbilden. Das System SOLL jedoch den Aktivitätsstatus hart kodieren in der Patienteninstanz (Patient.active auf 'true'), sodass Clients nicht missverständlich mit einer inaktiven Patient-Ressource interagieren.
Need to be able to mark a patient record as not to be used because it was created in error.
This resource is generally assumed to be active if no value is provided for the active element
This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
Offizieller Name des Patienten, wie er z.B. in Ausweis oder Versicherungsdokumenten erscheint. **Begründung Pflichtfeld:** Der offizielle Name des Patienten ist unerlässlich, um Verwechlungen zu vermeiden und den Patienten im Versorgungskontext korrekt anzusprechen. Wenn kein Name vorliegt, MUSS die [data-absent-reason-Extension](https://www.hl7.org/fhir/R4/extension-data-absent-reason.html) eingesetzt werden. **Weitere Hinweise:** siehe [Deutsche Basisprofile](https://simplifier.net/guide/leitfaden-de-basis-r4/ig-markdown-Ressourcen-Patient?version=current#ig-markdown-Ressourcen-Patient-Name)
Hier ist stets der Wert `official` anzugeben. **Begründung Pflichtfeld:** Dient als Unterscheidungs- und Auswahlkriterium
Allows the appropriate name for a particular context of use to be selected from among a set of names.
This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
XPN.7, but often indicated by which field contains the name
Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.
Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
Der vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt.
Vollständiger Nachname bzw. Familienname der Person, einschließlich Vor- und Zusätze. **Begründung Pflichtfeld:** Ein offizieller Name ist nur zulässig, wenn der Nachname und mindestens ein Vorname angegeben sind.
unique id for the element within a resource (for internal references)
exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
Namenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, "eGK") definiert. Beispiele: Gräfin, Prinz oder Fürst
Enthält ehem. Adelstitel wie z.B. 'Graf', 'Baronesse', 'Freiherr'... **Begründung MS:** Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.
The portion of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse.
Nachname ohne Vor- und Zusätze. **Begründung MS:** Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.
Voorvoegsel derived from person's own surname
The prefix portion (e.g. voorvoegsel) of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse.
Enthält Vorsätze, die vor dem Nachnamen stehen, z.B. 'von', 'van', 'zu'... **Begründung MS:** Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.
Kann mehrfach verwendet werden, um den Rufnamen sowie weitere Vornamen, Mittelnamen oder Mittel-Initialen abzubilden. **Begründung Pflichtfeld:** Ein offizieller Name ist nur zulässig, wenn der Nachname und mindestens ein Vorname angegeben sind.
Given Names appear in the correct order for presenting the name
Namensteile vor dem Vornamen, z.B. akademischer Titel.
Präfix, z.B. akademischer Titel od. militärischer Rang
Prefixes appear in the correct order for presenting the name
Extension, um das Präfix als akademischen Titel zu qualifizieren
A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type.
Hier ist stets der Wert `AC` anzugeben. **Begründung MS:** Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.
Source of the definition for the extension code - a logical name or a URL.
The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R5/extensibility.html) for a list).
Suffixes appear in the correct order for presenting the name
Indicates the period of time when this name was valid for the named person.
Allows names to be placed in historical context.
Familienname zum Zeitpunkt der Geburt, sofern abweichend vom offiziellen Namen.
Hier ist stets der Wert `maiden` anzugeben. **Begründung Pflichtfeld:** Dient als Unterscheidungs- und Auswahlkriterium
Vollständiger Nachname bzw. Familienname des Patienten, einschließlich Vor- und Zusätze. **Begründung Pflichtfeld:** Ist der Nachname zum Zeitpunkt der Geburt nicht bekannt, sollte der gesamte Slice weggelassen werden.
If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV
Spezialisierung der Art des Präfixes, z.B. "AC" für Akademische Titel
Used to indicate additional information about the name part and how it should be used.
A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.
Angabe der Kontaktdaten des Patienten, z.B. Telefonnummer oder E-Mail-Adresse. **Bedingtes MS:** Kontaktdaten sind im Kontext der Terminplanung unerlässlich, z.B. für Terminvereinbarungen oder Rückfragen. Das Must-Support gilt ausschließlich für Systeme, die Kontaktdaten persistieren.
People have (primary) ways to contact them in some way such as phone, email.
Telecommunications form for contact point - what communications system is required to make use of the contact.
Hier ist der Art der Kontaktdaten anzugeben, z.B. `phone` für Telefonnummer oder `email` für E-Mail-Adresse. **Begründung Pflichtfeld:** Dient der Unterscheidung verschiedener Kontaktarten
Telecommunications form for contact point.
The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).
Enthält den eigentlichen Wert der Kontaktdaten, z.B. die Telefonnummer oder E-Mail-Adresse. **Begründung Pflichtfeld:** Ohne diese Angabe sind die Kontaktdaten nicht nutzbar.
Need to support legacy numbers that are not in a tightly controlled format.
home | work | temp | old | mobile - purpose of this contact point
Identifies the purpose for the contact point.
Applications can assume that a contact is current unless it explicitly says that it is temporary or old.
Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.
This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
Specify preferred order of use (1 = highest)
Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.
Note that rank does not necessarily follow the order in which the contacts are represented in the instance.
Time period when the contact point was/is in use
Time period when the contact point was/is in use.
Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.
Für die Geschlechtskennzeichen 'unbestimmt' und 'divers' ist der international vereinbarte code `other` zu verwenden. Zur weiteren Differenzierung kann dann die Extension `Geschlecht-Admnistrativ` verwendet werden. **Begründung Pflichtfeld:** Die Geschlechtsangabe ist für viele Versorgungsprozesse unerlässlich, z.B. * Bettendisposition * Ermittlung von Referenzwerten * korrekte Anrede des Patienten **Weitere Hinweise:** siehe [Deutsche Basisprofile](https://simplifier.net/guide/leitfaden-de-basis-r4/ig-markdown-Ressourcen-Patient?version=current#ig-markdown-Ressourcen-Patient-Geschlecht)
Needed for identification of the individual, in combination with (at least) name and birth date.
The gender of a person used for administrative purposes.
player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender
Extension zur Differenzierung des Geschlechtskennzeichens
Optional Extension Element - found in all resources.
Diese Extension darf nur in Verbindung mit dem Geschlechtskennzeichen `other` verwendet werden und dient der Differenzierung zwischen den in Deutschland möglichen Geschlechtskennzeichen `D` (divers) und `X`(unbestimmt)
Tages-, monats- oder jahresgenaues Geburtsdatum. **Begründung Pflichtfeld:** Das Geburstdatum dient - in Verbindung mit dem Namen - als wichtiges Such- und Unterscheidungskriterium. **Weitere Hinweise:** siehe [Deutsche Basisprofile](https://simplifier.net/guide/leitfaden-de-basis-r4/ig-markdown-Ressourcen-Patient?version=current#ig-markdown-Ressourcen-Patient-Geburtsdatum)
Age of the individual drives many clinical processes.
player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime
Provides a reason why the expected value or elements in the element that is extended are missing.
Indicates if the individual is deceased or not
Indicates if the individual is deceased or not.
**Einschränkung der übergreifenden MS-Definition:** Die Implementierung dieses Elements ist für Server optional. Die Kennzeichnung als Must-Support erfolgt, da es sich um ein als Modifier-Element markiertes Feld in der Kernspezifikation handelt. **WICHTIGER Hinweis für Implementierer:** * Alle server-seitigen Implementierungen SOLLEN in der Lage sein, die systemintern möglichen Statuswerte korrekt in FHIR abzubilden. * Alle client-seitigen Implementierungen SOLLEN in der Lage sein, sämtliche Status-Codes zu interpretieren und dem Anwender in angemessener Form darstellen zu können.
The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.
This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.
player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime
May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.
The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2.
country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
home | work | temp | old | billing - purpose of this address
Applications can assume that an address is current unless it explicitly says that it is temporary or old.
Allows an appropriate address to be chosen from a list of many.
This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.
Hier ist stets der Wert `both` anzugeben. **Begründung Pflichtfeld:** Dient als Unterscheidungs- und Auswahlkriterium
The type of an address (physical / postal).
Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.
Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6
Diese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, Postfach, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden. Bei Verwendung der Extensions, um Straße, Hausnnummer und Postleitzahl strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können.
Diese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden. Bei Verwendung der Extensions, um Straße, Hausnnummer und Postleitzahl strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können. **Begründung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar. **Begründung für Reduktion der max. Kardinalität:** Die maximale Kardinalität wurde in Übereinstimmung mit der DIN-Norm 5008 (Schreib- und Gestaltungsregeln für die Text- und Informationsverarbeitung) auf 3 beschränkt.
The order in which lines should appear in an address label
Beipiel für Adresszeile mit Extensions für Straße und Hausnummer
XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)
Strassenname (ohne Hausnummer). Bei Angabe einer Strasse in dieser Extension muss diese auch in Address.line angegeben werden, um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. **Begründung MS:** Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.
The number of a building, house or lot alongside the street. Also known as "primary street number". This does not number the street but rather the building.
Hausnummer, sowie Zusätze (Appartmentnummer, Etage...). Bei Angabe einer Hausnummer in dieser Extension muss diese auch in Address.line angegeben werden, um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. **Begründung MS:** Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.
This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., "3rd floor, Appt. 342"). This can also be a designator pointing away from the location, rather than specifying a smaller location within some larger one (e.g., Dutch "t.o." means "opposite to" for house boats located across the street facing houses).
Zusätzliche Informationen, wie z.B. '3. Etage', 'Appartment C'. Bei Angabe einer Zusatzinformation in dieser Extension muss diese auch in Address.line angegeben werden, um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. **Begründung MS:** Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.
A numbered box located in a post station.
Postfach-Adresse. Bei Angabe eines Postfaches in dieser Extension muss das Postfach auch in Address.line angegeben werden, um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden. Eine Postfach-Adresse darf nicht in Verbindung mit Address.type `physical` oder `both` verwendet werden. **Begründung MS:** Erforderlich für die verlustfreie Kommunikation von VSDM-Daten.
The name of the city, town, suburb, village or other community or delivery center.
**Begründung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar.
The name of the administrative area (county).
District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.
Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen
Staat (vorzugsweise als 2-Stelliger ISO-Ländercode). Es obliegt abgeleiteten Profilen, hier die Verwendung der ISO-Ländercodes verbindlich vorzuschreiben
Allows addresses to be placed in historical context.
Adresse, die nur für postalische Zustellung genutzt werden kann.
Hier ist stets der Wert `postal` anzugeben. **Begründung Pflichtfeld:** Dient als Unterscheidungs- und Auswahlkriterium
Diese Komponente enthält die Postfachadresse als String der Form 'Postfach: 12345'. Bei Verwendung der Postfach-Extension, um die Postfachnummer strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können. **Begründung Pflichtfeld:** Ohne diese Angabe ist die Adresse nicht zustellbar. **Begründung für Reduktion der max. Kardinalität:** Die maximale Kardinalität wurde in Übereinstimmung mit der DIN-Norm 5008 (Schreib- und Gestaltungsregeln für die Text- und Informationsverarbeitung) auf 3 beschränkt.
This field contains a patient's most recent marital (civil) status.
The domestic partnership status of a person.
Whether patient is part of a multiple birth
Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).
Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).
For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.
player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber
Guidelines: * Use id photos, not clinical photos. * Limit dimensions to thumbnail. * Keep byte count low to ease resource updates.
Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.
player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc
A contact party (e.g. guardian, partner, friend) for the patient
A contact party (e.g. guardian, partner, friend) for the patient.
Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.
Need to track people you can contact about the patient.
SHALL at least contain a contact's details or a reference to an organization
name.exists() or telecom.exists() or address.exists() or organization.exists()
exists(f:name) or exists(f:telecom) or exists(f:address) or exists(f:organization)
player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]
Extensions that cannot be ignored even if unrecognized
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).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
The nature of the relationship between the patient and the contact person.
Used to determine which contact person is the most relevant to approach, depending on circumstances.
The nature of the relationship between a patient and a contact person for that patient.
A name associated with the contact person
A name associated with the contact person.
Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.
A contact detail for the person, e.g. a telephone number or an email address.
Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.
Need to keep track where the contact person can be contacted per postal mail or visited.
Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.
Organization that is associated with the contact
Organization on behalf of which the contact is acting or for which the contact is working.
For guardians or business related contacts, the organization is relevant.
The period during which this contact person or organization is valid to be contacted relating to this patient
The period during which this contact person or organization is valid to be contacted relating to this patient.
A language which may be used to communicate with the patient about his or her health
A language which may be used to communicate with the patient about his or her health.
If no language is specified, this *implies* that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.
If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.
The language which can be used to communicate with the patient about his or her health
The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English.
The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.
Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.
player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code
Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).
This language is specifically identified for communicating healthcare information.
People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.
Patient's nominated primary care provider
This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues. Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.
Organization that is the custodian of the patient record
Organization that is the custodian of the patient record.
There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).
Need to know who recognizes this patient record, manages and updates it.
Link to another patient resource that concerns the same actual patient.
Dieses und untergeordnete Elemente KÖNNEN bei einem erfolgten Patient merge entsprechend der Festlegungen unter {{pagelink:Patient-merge}} befüllt werden. Da das Element der Unterstützung der Patient merge Notification dient, MUSS es im Rahmen des Bestätigungsverfahrens NICHT unterstützt werden (Stand: Stufe 4).
There are multiple use cases: * Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and * Distribution of patient information across multiple servers.
This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'
The other patient or related person resource that the link refers to
The other patient resource that the link refers to.
Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.
Logical reference, when literal reference is not known
An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Logischer Verweis auf Identifier[Patientennummer]
This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
replaced-by | replaces | refer | seealso
The type of link between this patient resource and another patient resource.