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FHIR IG Statistics: StructureDefinition/ISiKPatient

Packagede.gematik.isik-basismodul-stufe1
Resource TypeStructureDefinition
IdISiKPatient
FHIR VersionR4
Sourcehttps://simplifier.net/resolve?scope=de.gematik.isik-basismodul-stufe1@1.0.10&canonical=https://gematik.de/fhir/ISiK/StructureDefinition/ISiKPatient
URLhttps://gematik.de/fhir/ISiK/StructureDefinition/ISiKPatient
Version1.0.10
Statusactive
Date2023-06-28
NameISiKPatient
Realmde
DescriptionDieses Profil beschreibt die Nutzung von administrativen Patientendaten in ISiK-Szenarien.
TypePatient
Kindresource

Resources that use this resource

CapabilityStatement
basis-serverISiK CapabilityStatement Basis Server
StructureDefinition
ISiKBerichtSubSystemeISiKBerichtSubSysteme
EBI_PR_PatientEBI_PR_Patient

Resources that this resource uses

StructureDefinition
address-de-basisAdresse, deutsches Basisprofil
gender-amtlich-deDifferenzierung des administrativen Geschlechts 'other'
humanname-de-basisHumanName, deutsches Basisprofil
identifier-kvid-10Identifier-Profil für die 10-stellige Krankenversichertennummer
identifier-pidIdentifier-Profil für die Abbildung einer Patienten-ID
identifier-pkvIdentifier-Profil für die Abbildung einer Privatversichertennummer

Narrative

No narrative content found in resource


Source

{
  "resourceType": "StructureDefinition",
  "id": "ISiKPatient",
  "url": "https://gematik.de/fhir/ISiK/StructureDefinition/ISiKPatient",
  "version": "1.0.10",
  "name": "ISiKPatient",
  "status": "active",
  "experimental": false,
  "date": "2023-06-28",
  "publisher": "gematik GmbH",
  "description": "Dieses Profil beschreibt die Nutzung von administrativen Patientendaten in ISiK-Szenarien.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "cda",
      "uri": "http://hl7.org/v3/cda",
      "name": "CDA (R2)"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    },
    {
      "identity": "loinc",
      "uri": "http://loinc.org",
      "name": "LOINC code for the element"
    }
  ],
  "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/StructureDefinition/ISiKPatient"
          }
        ]
      },
      {
        "id": "Patient.id",
        "path": "Patient.id",
        "mustSupport": true
      },
      {
        "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",
        "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"
        },
        "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,
        "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/StructureDefinition/ISiKPatient"
          }
        ],
        "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"
        },
        "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,
        "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/StructureDefinition/ISiKPatient"
          }
        ],
        "mustSupport": true
      }
    ]
  }
}