FHIR IG Statistics: StructureDefinition/ISiKKontaktGesundheitseinrichtung
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{
"resourceType": "StructureDefinition",
"id": "ISiKKontaktGesundheitseinrichtung",
"url": "https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKKontaktGesundheitseinrichtung",
"version": "3.0.8",
"name": "ISiKKontaktGesundheitseinrichtung",
"status": "active",
"experimental": false,
"date": "2025-05-15",
"publisher": "gematik GmbH",
"description": "Dieses Profil ermöglicht die Herstellung eines Fallbezuges welcher in der Mehrheit der ISiK Szenarien im Krankenhaus essentiell ist.",
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "Encounter",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Encounter",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Encounter",
"path": "Encounter",
"constraint": [
{
"key": "ISiK-enc-1",
"severity": "error",
"human": "Abgeschlossene, ambulante Kontakte sollten einen Start-Zeitpunkt angeben",
"expression": "status = 'finished' and class = 'AMB' implies period.start.exists()",
"source": "https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKKontaktGesundheitseinrichtung"
},
{
"key": "ISiK-enc-2",
"severity": "error",
"human": "Abgeschlossene, stationäre Kontakte sollten einen Start- und End-Zeitpunkt angeben",
"expression": "status = 'finished' and class = 'IMP' implies period.start.exists() and period.end.exists()",
"source": "https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKKontaktGesundheitseinrichtung"
},
{
"key": "ISiK-enc-3",
"severity": "error",
"human": "Geplante Kontakte sollten keinen Start- oder End-Zeitpunkt angeben",
"expression": "status = 'planned' implies period.exists().not()",
"source": "https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKKontaktGesundheitseinrichtung"
},
{
"key": "ISiK-enc-4",
"severity": "warning",
"human": "Geplante Kontakte sollten die Extensions für den geplanten Start- oder End-Zeitpunkt verwenden",
"expression": "status = 'planned' implies extension.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate').exists()",
"source": "https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKKontaktGesundheitseinrichtung"
},
{
"key": "ISiK-enc-5",
"severity": "error",
"human": "In-Durchführung befindliche Kontakte sollten einen Start-Zeitpunkt angeben",
"expression": "status = 'in-progress' implies period.start.exists()",
"source": "https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKKontaktGesundheitseinrichtung"
},
{
"key": "ISiK-enc-6",
"severity": "error",
"human": "Kontakte mit Abwesenheitsstatus sollten einen Start-Zeitpunkt angeben",
"expression": "status = 'onleave' implies period.start.exists()",
"source": "https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKKontaktGesundheitseinrichtung"
},
{
"key": "ISiK-enc-7",
"severity": "warning",
"human": "Kontakte mit unbekannten Status sollten einen Start-Zeitpunkt angeben",
"expression": "status = 'unknown' implies period.start.exists()",
"source": "https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKKontaktGesundheitseinrichtung"
},
{
"key": "ISiK-enc-8",
"severity": "error",
"human": "Die Rolle der assoziierten Diagnose(n) darf nicht 'Billing' sein",
"expression": "diagnosis.use.all(coding.code != 'billing')",
"source": "https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKKontaktGesundheitseinrichtung"
}
]
},
{
"id": "Encounter.extension",
"path": "Encounter.extension",
"mustSupport": true
},
{
"id": "Encounter.extension:Aufnahmegrund",
"path": "Encounter.extension",
"sliceName": "Aufnahmegrund",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://fhir.de/StructureDefinition/Aufnahmegrund"
]
}
],
"mustSupport": true
},
{
"id": "Encounter.extension:Aufnahmegrund.extension:ErsteUndZweiteStelle",
"path": "Encounter.extension.extension",
"sliceName": "ErsteUndZweiteStelle",
"mustSupport": true
},
{
"id": "Encounter.extension:Aufnahmegrund.extension:DritteStelle",
"path": "Encounter.extension.extension",
"sliceName": "DritteStelle",
"mustSupport": true
},
{
"id": "Encounter.extension:Aufnahmegrund.extension:VierteStelle",
"path": "Encounter.extension.extension",
"sliceName": "VierteStelle",
"mustSupport": true
},
{
"id": "Encounter.extension:plannedStartDate",
"path": "Encounter.extension",
"sliceName": "plannedStartDate",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate"
]
}
],
"mustSupport": true
},
{
"id": "Encounter.extension:plannedEndDate",
"path": "Encounter.extension",
"sliceName": "plannedEndDate",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate"
]
}
],
"mustSupport": true
},
{
"id": "Encounter.identifier",
"path": "Encounter.identifier",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "$this"
}
],
"rules": "open"
},
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.identifier:Aufnahmenummer",
"path": "Encounter.identifier",
"sliceName": "Aufnahmenummer",
"min": 0,
"max": "1",
"patternIdentifier": {
"type": {
"coding": [
{
"code": "VN",
"system": "http://terminology.hl7.org/CodeSystem/v2-0203"
}
]
}
},
"mustSupport": true
},
{
"id": "Encounter.identifier:Aufnahmenummer.type",
"path": "Encounter.identifier.type",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.identifier:Aufnahmenummer.type.coding",
"path": "Encounter.identifier.type.coding",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "$this"
}
],
"rules": "open"
},
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.identifier:Aufnahmenummer.type.coding:vn-type",
"path": "Encounter.identifier.type.coding",
"sliceName": "vn-type",
"min": 1,
"max": "1",
"patternCoding": {
"code": "VN",
"system": "http://terminology.hl7.org/CodeSystem/v2-0203"
},
"mustSupport": true
},
{
"id": "Encounter.identifier:Aufnahmenummer.type.coding:vn-type.system",
"path": "Encounter.identifier.type.coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.identifier:Aufnahmenummer.type.coding:vn-type.code",
"path": "Encounter.identifier.type.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.identifier:Aufnahmenummer.system",
"path": "Encounter.identifier.system",
"min": 1
},
{
"id": "Encounter.identifier:Aufnahmenummer.value",
"path": "Encounter.identifier.value",
"min": 1
},
{
"id": "Encounter.status",
"path": "Encounter.status",
"short": "planned | in-progress | onleave | finished | cancelled +",
"definition": "planned | in-progress | onleave | finished | cancelled +.",
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://fhir.de/ValueSet/EncounterStatusDe",
"description": "Eingeschränkter Status vgl. FHIR R5"
}
},
{
"id": "Encounter.class",
"path": "Encounter.class",
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://fhir.de/ValueSet/EncounterClassDE"
}
},
{
"id": "Encounter.type",
"path": "Encounter.type",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "$this"
}
],
"rules": "open"
},
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.type:Kontaktebene",
"path": "Encounter.type",
"sliceName": "Kontaktebene",
"min": 1,
"max": "1",
"patternCodeableConcept": {
"coding": [
{
"code": "abteilungskontakt",
"system": "http://fhir.de/CodeSystem/Kontaktebene"
}
]
},
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://fhir.de/ValueSet/kontaktebene-de",
"description": "Kontaktebene"
}
},
{
"id": "Encounter.type:KontaktArt",
"path": "Encounter.type",
"sliceName": "KontaktArt",
"min": 0,
"max": "1",
"patternCodeableConcept": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/kontaktart-de"
}
]
},
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://fhir.de/ValueSet/kontaktart-de"
}
},
{
"id": "Encounter.serviceType",
"path": "Encounter.serviceType",
"mustSupport": true
},
{
"id": "Encounter.serviceType.coding",
"path": "Encounter.serviceType.coding",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "$this"
}
],
"rules": "open"
},
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.serviceType.coding:Fachabteilungsschluessel",
"path": "Encounter.serviceType.coding",
"sliceName": "Fachabteilungsschluessel",
"min": 0,
"max": "1",
"patternCoding": {
"system": "http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel"
},
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel"
}
},
{
"id": "Encounter.serviceType.coding:ErweiterterFachabteilungsschluessel",
"path": "Encounter.serviceType.coding",
"sliceName": "ErweiterterFachabteilungsschluessel",
"min": 0,
"max": "1",
"patternCoding": {
"system": "http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel-erweitert"
},
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://fhir.de/ValueSet/dkgev/Fachabteilungsschluessel-erweitert"
}
},
{
"id": "Encounter.subject",
"path": "Encounter.subject",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.subject.reference",
"path": "Encounter.subject.reference",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.period",
"path": "Encounter.period",
"mustSupport": true
},
{
"id": "Encounter.period.start",
"path": "Encounter.period.start",
"mustSupport": true
},
{
"id": "Encounter.period.end",
"path": "Encounter.period.end",
"mustSupport": true
},
{
"id": "Encounter.diagnosis",
"path": "Encounter.diagnosis",
"mustSupport": true
},
{
"id": "Encounter.diagnosis.condition",
"path": "Encounter.diagnosis.condition",
"mustSupport": true
},
{
"id": "Encounter.diagnosis.condition.reference",
"path": "Encounter.diagnosis.condition.reference",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.diagnosis.use",
"path": "Encounter.diagnosis.use",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.diagnosis.use.coding",
"path": "Encounter.diagnosis.use.coding",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "$this"
}
],
"rules": "open"
},
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.diagnosis.use.coding:Diagnosetyp",
"path": "Encounter.diagnosis.use.coding",
"sliceName": "Diagnosetyp",
"min": 1,
"max": "1",
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://fhir.de/ValueSet/DiagnoseTyp"
}
},
{
"id": "Encounter.diagnosis.use.coding:DiagnosesubTyp",
"path": "Encounter.diagnosis.use.coding",
"sliceName": "DiagnosesubTyp",
"min": 0,
"max": "*",
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://fhir.de/ValueSet/Diagnosesubtyp"
}
},
{
"id": "Encounter.diagnosis.rank",
"path": "Encounter.diagnosis.rank",
"mustSupport": true
},
{
"id": "Encounter.account",
"path": "Encounter.account",
"mustSupport": true
},
{
"id": "Encounter.account.reference",
"path": "Encounter.account.reference",
"mustSupport": true
},
{
"id": "Encounter.account.identifier",
"path": "Encounter.account.identifier",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.hospitalization",
"path": "Encounter.hospitalization",
"mustSupport": true
},
{
"id": "Encounter.hospitalization.extension:Wahlleistung",
"path": "Encounter.hospitalization.extension",
"sliceName": "Wahlleistung",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension",
"profile": [
"http://fhir.de/StructureDefinition/Wahlleistung"
]
}
],
"mustSupport": true
},
{
"id": "Encounter.hospitalization.admitSource",
"path": "Encounter.hospitalization.admitSource",
"mustSupport": true,
"binding": {
"strength": "extensible",
"valueSet": "http://fhir.de/ValueSet/dgkev/Aufnahmeanlass"
}
},
{
"id": "Encounter.hospitalization.dischargeDisposition",
"path": "Encounter.hospitalization.dischargeDisposition",
"mustSupport": true
},
{
"id": "Encounter.hospitalization.dischargeDisposition.extension:Entlassungsgrund",
"path": "Encounter.hospitalization.dischargeDisposition.extension",
"sliceName": "Entlassungsgrund",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://fhir.de/StructureDefinition/Entlassungsgrund"
]
}
],
"mustSupport": true
},
{
"id": "Encounter.location",
"path": "Encounter.location",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "physicalType"
}
],
"rules": "open"
},
"mustSupport": true
},
{
"id": "Encounter.location.physicalType",
"path": "Encounter.location.physicalType",
"binding": {
"strength": "extensible",
"valueSet": "https://gematik.de/fhir/isik/v3/Basismodul/ValueSet/ISiKLocationPhysicalType"
}
},
{
"id": "Encounter.location:Zimmer",
"path": "Encounter.location",
"sliceName": "Zimmer",
"min": 0,
"max": "1",
"mustSupport": true
},
{
"id": "Encounter.location:Zimmer.location",
"path": "Encounter.location.location",
"mustSupport": true
},
{
"id": "Encounter.location:Zimmer.location.identifier",
"path": "Encounter.location.location.identifier",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.location:Zimmer.location.display",
"path": "Encounter.location.location.display",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.location:Zimmer.physicalType",
"path": "Encounter.location.physicalType",
"comment": "Die Kodierung in diesem Slice entstammt folgendem Valueset - gelistet unter .location.(All slices.)physicalType: https://gematik.de/fhir/isik/v3/Basismodul/ValueSet/ISiKLocationPhysicalType",
"min": 1,
"patternCodeableConcept": {
"coding": [
{
"code": "ro",
"system": "http://terminology.hl7.org/CodeSystem/location-physical-type"
}
]
},
"mustSupport": true
},
{
"id": "Encounter.location:Bett",
"path": "Encounter.location",
"sliceName": "Bett",
"min": 0,
"max": "1",
"mustSupport": true
},
{
"id": "Encounter.location:Bett.location",
"path": "Encounter.location.location",
"mustSupport": true
},
{
"id": "Encounter.location:Bett.location.identifier",
"path": "Encounter.location.location.identifier",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.location:Bett.location.display",
"path": "Encounter.location.location.display",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.location:Bett.physicalType",
"path": "Encounter.location.physicalType",
"comment": "Die Kodierung in diesem Slice entstammt folgendem Valueset - gelistet unter .location.(All slices.)physicalType: https://gematik.de/fhir/isik/v3/Basismodul/ValueSet/ISiKLocationPhysicalType",
"min": 1,
"patternCodeableConcept": {
"coding": [
{
"code": "bd",
"system": "http://terminology.hl7.org/CodeSystem/location-physical-type"
}
]
},
"mustSupport": true
},
{
"id": "Encounter.location:Station",
"path": "Encounter.location",
"sliceName": "Station",
"min": 0,
"max": "1",
"mustSupport": true
},
{
"id": "Encounter.location:Station.location",
"path": "Encounter.location.location",
"mustSupport": true
},
{
"id": "Encounter.location:Station.location.identifier",
"path": "Encounter.location.location.identifier",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.location:Station.location.display",
"path": "Encounter.location.location.display",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.location:Station.physicalType",
"path": "Encounter.location.physicalType",
"comment": "Die Kodierung in diesem Slice entstammt folgendem Valueset - gelistet unter .location.(All slices.)physicalType: https://gematik.de/fhir/isik/v3/Basismodul/ValueSet/ISiKLocationPhysicalType",
"min": 1,
"patternCodeableConcept": {
"coding": [
{
"code": "wa",
"system": "http://terminology.hl7.org/CodeSystem/location-physical-type"
}
]
},
"mustSupport": true
},
{
"id": "Encounter.serviceProvider",
"path": "Encounter.serviceProvider",
"mustSupport": true
},
{
"id": "Encounter.serviceProvider.identifier",
"path": "Encounter.serviceProvider.identifier",
"min": 1,
"mustSupport": true
},
{
"id": "Encounter.serviceProvider.display",
"path": "Encounter.serviceProvider.display",
"min": 1,
"mustSupport": true
}
]
}
}
FHIR