FHIR IG Statistics: StructureDefinition/ISiKPatient
Resources that use this resource
Resources that this resource uses
Narrative
No narrative content found in resource
Source
{
"resourceType": "StructureDefinition",
"id": "ISiKPatient",
"url": "https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKPatient",
"version": "3.0.8",
"name": "ISiKPatient",
"status": "active",
"experimental": false,
"date": "2025-05-15",
"publisher": "gematik GmbH",
"description": "Dieses Profil beschreibt die Nutzung von administrativen Patientendaten in ISiK-Szenarien.",
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "Patient",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Patient",
"path": "Patient",
"constraint": [
{
"key": "isik-pat-1",
"severity": "error",
"human": "Falls die Geschlechtsangabe 'other' gewählt wird, muss die amtliche Differenzierung per Extension angegeben werden",
"expression": "gender.exists() and gender='other' implies gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de').exists()",
"source": "https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKPatient"
}
]
},
{
"id": "Patient.identifier",
"path": "Patient.identifier",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "$this"
}
],
"rules": "open"
},
"min": 1,
"mustSupport": true
},
{
"id": "Patient.identifier:VersichertenId-GKV",
"path": "Patient.identifier",
"sliceName": "VersichertenId-GKV",
"min": 0,
"max": "1",
"type": [
{
"code": "Identifier",
"profile": [
"http://fhir.de/StructureDefinition/identifier-kvid-10"
]
}
],
"patternIdentifier": {
"type": {
"coding": [
{
"code": "GKV",
"system": "http://fhir.de/CodeSystem/identifier-type-de-basis"
}
]
}
},
"mustSupport": true
},
{
"id": "Patient.identifier:VersichertenId-GKV.type",
"path": "Patient.identifier.type",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.identifier:VersichertenId-GKV.system",
"path": "Patient.identifier.system",
"mustSupport": true
},
{
"id": "Patient.identifier:VersichertenId-GKV.value",
"path": "Patient.identifier.value",
"mustSupport": true
},
{
"id": "Patient.identifier:Patientennummer",
"path": "Patient.identifier",
"sliceName": "Patientennummer",
"min": 1,
"max": "*",
"type": [
{
"code": "Identifier",
"profile": [
"http://fhir.de/StructureDefinition/identifier-pid"
]
}
],
"patternIdentifier": {
"type": {
"coding": [
{
"code": "MR",
"system": "http://terminology.hl7.org/CodeSystem/v2-0203"
}
]
}
},
"mustSupport": true
},
{
"id": "Patient.identifier:Patientennummer.type",
"path": "Patient.identifier.type",
"mustSupport": true
},
{
"id": "Patient.identifier:Patientennummer.system",
"path": "Patient.identifier.system",
"mustSupport": true
},
{
"id": "Patient.identifier:Patientennummer.value",
"path": "Patient.identifier.value",
"mustSupport": true
},
{
"id": "Patient.identifier:Versichertennummer_PKV",
"path": "Patient.identifier",
"sliceName": "Versichertennummer_PKV",
"min": 0,
"max": "1",
"type": [
{
"code": "Identifier",
"profile": [
"http://fhir.de/StructureDefinition/identifier-pkv"
]
}
],
"patternIdentifier": {
"type": {
"coding": [
{
"code": "PKV",
"system": "http://fhir.de/CodeSystem/identifier-type-de-basis"
}
]
}
},
"mustSupport": false
},
{
"id": "Patient.identifier:Versichertennummer_PKV.use",
"path": "Patient.identifier.use",
"mustSupport": true
},
{
"id": "Patient.identifier:Versichertennummer_PKV.type",
"path": "Patient.identifier.type",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.identifier:Versichertennummer_PKV.value",
"path": "Patient.identifier.value",
"mustSupport": true
},
{
"id": "Patient.identifier:Versichertennummer_PKV.assigner",
"path": "Patient.identifier.assigner",
"mustSupport": true
},
{
"id": "Patient.identifier:Versichertennummer_PKV.assigner.identifier.system",
"path": "Patient.identifier.assigner.identifier.system",
"mustSupport": true
},
{
"id": "Patient.identifier:Versichertennummer_PKV.assigner.identifier.value",
"path": "Patient.identifier.assigner.identifier.value",
"mustSupport": true
},
{
"id": "Patient.identifier:Versichertennummer_PKV.assigner.display",
"path": "Patient.identifier.assigner.display",
"mustSupport": true
},
{
"id": "Patient.active",
"path": "Patient.active",
"comment": "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.",
"mustSupport": true
},
{
"id": "Patient.name",
"path": "Patient.name",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "$this"
}
],
"rules": "open"
},
"comment": "In order to maintain the differntiations of name parts as given in the VSDM dataset or qualify prefixes as academic titles, vendors can opt to support the extensions specified in the German HumanName Base Profile https://simplifier.net/basisprofil-de-r4/humannamedebasis\r\nThis is however not required within the scope of this specification.",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.name:Name",
"path": "Patient.name",
"sliceName": "Name",
"min": 1,
"max": "1",
"type": [
{
"code": "HumanName",
"profile": [
"http://fhir.de/StructureDefinition/humanname-de-basis"
]
}
],
"patternHumanName": {
"use": "official"
},
"mustSupport": true
},
{
"id": "Patient.name:Name.use",
"path": "Patient.name.use",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.name:Name.family",
"path": "Patient.name.family",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.name:Name.family.extension:namenszusatz",
"path": "Patient.name.family.extension",
"sliceName": "namenszusatz",
"mustSupport": true
},
{
"id": "Patient.name:Name.family.extension:nachname",
"path": "Patient.name.family.extension",
"sliceName": "nachname",
"mustSupport": true
},
{
"id": "Patient.name:Name.family.extension:vorsatzwort",
"path": "Patient.name.family.extension",
"sliceName": "vorsatzwort",
"mustSupport": true
},
{
"id": "Patient.name:Name.given",
"path": "Patient.name.given",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.name:Name.prefix",
"path": "Patient.name.prefix",
"mustSupport": true
},
{
"id": "Patient.name:Name.prefix.extension:prefix-qualifier",
"path": "Patient.name.prefix.extension",
"sliceName": "prefix-qualifier",
"max": "1",
"mustSupport": true
},
{
"id": "Patient.name:Name.prefix.extension:prefix-qualifier.value[x]",
"path": "Patient.name.prefix.extension.value[x]",
"fixedCode": "AC"
},
{
"id": "Patient.name:Geburtsname",
"path": "Patient.name",
"sliceName": "Geburtsname",
"min": 0,
"max": "1",
"type": [
{
"code": "HumanName",
"profile": [
"http://fhir.de/StructureDefinition/humanname-de-basis"
]
}
],
"patternHumanName": {
"use": "maiden"
},
"mustSupport": true
},
{
"id": "Patient.name:Geburtsname.use",
"path": "Patient.name.use",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.name:Geburtsname.family",
"path": "Patient.name.family",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.name:Geburtsname.family.extension:namenszusatz",
"path": "Patient.name.family.extension",
"sliceName": "namenszusatz",
"mustSupport": true
},
{
"id": "Patient.name:Geburtsname.family.extension:nachname",
"path": "Patient.name.family.extension",
"sliceName": "nachname",
"mustSupport": true
},
{
"id": "Patient.name:Geburtsname.family.extension:vorsatzwort",
"path": "Patient.name.family.extension",
"sliceName": "vorsatzwort",
"mustSupport": true
},
{
"id": "Patient.name:Geburtsname.given",
"path": "Patient.name.given",
"max": "0"
},
{
"id": "Patient.name:Geburtsname.prefix",
"path": "Patient.name.prefix",
"max": "0"
},
{
"id": "Patient.telecom.system",
"path": "Patient.telecom.system",
"min": 1
},
{
"id": "Patient.telecom.value",
"path": "Patient.telecom.value",
"min": 1
},
{
"id": "Patient.gender",
"path": "Patient.gender",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.gender.extension:Geschlecht-Administrativ",
"path": "Patient.gender.extension",
"sliceName": "Geschlecht-Administrativ",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://fhir.de/StructureDefinition/gender-amtlich-de"
]
}
],
"mustSupport": true
},
{
"id": "Patient.birthDate",
"path": "Patient.birthDate",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.birthDate.extension:Data-Absent-Reason",
"path": "Patient.birthDate.extension",
"sliceName": "Data-Absent-Reason",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
]
}
],
"mustSupport": true
},
{
"id": "Patient.birthDate.extension:Data-Absent-Reason.value[x]",
"path": "Patient.birthDate.extension.value[x]",
"fixedCode": "unknown",
"mustSupport": true
},
{
"id": "Patient.address",
"path": "Patient.address",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "$this"
}
],
"rules": "open"
},
"comment": "In order to differentiate between post box addresses and physical addresses, street names and house numbers, and to add city district names, vendors can opt to support the extensions as suggested in the German Address Base Profile http://fhir.de/StructureDefinition/address-de-basis.\r\nSuch differentiations are however not required within the scope of this specification.",
"mustSupport": true
},
{
"id": "Patient.address:Strassenanschrift",
"path": "Patient.address",
"sliceName": "Strassenanschrift",
"min": 0,
"max": "*",
"type": [
{
"code": "Address",
"profile": [
"http://fhir.de/StructureDefinition/address-de-basis"
]
}
],
"patternAddress": {
"type": "both"
},
"constraint": [
{
"key": "address-cnt-2or3-char",
"severity": "warning",
"human": "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.",
"expression": "country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))",
"source": "https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKPatient"
}
],
"mustSupport": true
},
{
"id": "Patient.address:Strassenanschrift.extension:Stadtteil",
"path": "Patient.address.extension",
"sliceName": "Stadtteil",
"mustSupport": true
},
{
"id": "Patient.address:Strassenanschrift.type",
"path": "Patient.address.type",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.address:Strassenanschrift.line",
"path": "Patient.address.line",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.address:Strassenanschrift.line.extension:Strasse",
"path": "Patient.address.line.extension",
"sliceName": "Strasse",
"mustSupport": true
},
{
"id": "Patient.address:Strassenanschrift.line.extension:Hausnummer",
"path": "Patient.address.line.extension",
"sliceName": "Hausnummer",
"mustSupport": true
},
{
"id": "Patient.address:Strassenanschrift.line.extension:Adresszusatz",
"path": "Patient.address.line.extension",
"sliceName": "Adresszusatz",
"mustSupport": true
},
{
"id": "Patient.address:Strassenanschrift.line.extension:Postfach",
"path": "Patient.address.line.extension",
"sliceName": "Postfach",
"max": "0"
},
{
"id": "Patient.address:Strassenanschrift.city",
"path": "Patient.address.city",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.address:Strassenanschrift.postalCode",
"path": "Patient.address.postalCode",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.address:Strassenanschrift.country",
"path": "Patient.address.country",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.address:Postfach",
"path": "Patient.address",
"sliceName": "Postfach",
"min": 0,
"max": "*",
"type": [
{
"code": "Address",
"profile": [
"http://fhir.de/StructureDefinition/address-de-basis"
]
}
],
"patternAddress": {
"type": "postal"
},
"constraint": [
{
"key": "address-cnt-2or3-char",
"severity": "warning",
"human": "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.",
"expression": "country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))",
"source": "https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKPatient"
}
],
"mustSupport": true
},
{
"id": "Patient.address:Postfach.type",
"path": "Patient.address.type",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.address:Postfach.line",
"path": "Patient.address.line",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.address:Postfach.line.extension:Strasse",
"path": "Patient.address.line.extension",
"sliceName": "Strasse",
"max": "0"
},
{
"id": "Patient.address:Postfach.line.extension:Hausnummer",
"path": "Patient.address.line.extension",
"sliceName": "Hausnummer",
"max": "0"
},
{
"id": "Patient.address:Postfach.line.extension:Adresszusatz",
"path": "Patient.address.line.extension",
"sliceName": "Adresszusatz",
"max": "0"
},
{
"id": "Patient.address:Postfach.line.extension:Postfach",
"path": "Patient.address.line.extension",
"sliceName": "Postfach",
"mustSupport": true
},
{
"id": "Patient.address:Postfach.city",
"path": "Patient.address.city",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.address:Postfach.postalCode",
"path": "Patient.address.postalCode",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.address:Postfach.country",
"path": "Patient.address.country",
"min": 1,
"mustSupport": true
}
]
}
}
FHIR