{ "description": "Dieses Profil beschreibt eine PatientIn in der Medizininformatik-Initiative.", "_filename": "PatientIn (1).json", "package_name": "de.dit-connectathon.r4", "date": null, "derivation": "constraint", "publisher": null, "fhirVersion": "4.0.1", "name": "PatientIn", "abstract": false, "type": "Patient", "experimental": null, "resourceType": "StructureDefinition", "title": "Patient (Medizininformatik-Initiative)", "package_version": "0.1.0", "status": "active", "id": "02400d14-04ee-4d6e-92ab-2223888cb08b", "kind": "resource", "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient", "version": "1.0", "differential": { "element": [ { "id": "Patient", "path": "Patient", "constraint": [ { "key": "pat-de-1", "human": "Die amtliche Differenzierung der Geschlechtsangabe 'other' darf nur gefüllt sein, wenn das Geschlecht 'other' angegeben ist", "source": "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/Patient", "severity": "error", "expression": "gender='other' or gender.extension('http://fhir.de/StructureDefinition/gender-amtlich-de/0.2').empty()" } ] }, { "id": "Patient.id", "path": "Patient.id", "mustSupport": true }, { "id": "Patient.meta", "path": "Patient.meta", "mustSupport": true }, { "id": "Patient.meta.source", "path": "Patient.meta.source", "mustSupport": true }, { "id": "Patient.meta.profile", "path": "Patient.meta.profile", "mustSupport": true }, { "id": "Patient.identifier", "min": 1, "path": "Patient.identifier", "slicing": { "rules": "open", "discriminator": [ { "path": "$this", "type": "pattern" } ] }, "mustSupport": true }, { "id": "Patient.identifier:versichertenId_GKV", "max": "1", "path": "Patient.identifier", "type": [ { "code": "Identifier", "profile": [ "http://fhir.de/StructureDefinition/identifier-kvid-10" ] } ], "sliceName": "versichertenId_GKV", "mustSupport": true, "patternIdentifier": { "type": { "coding": [ { "code": "GKV", "system": "http://fhir.de/CodeSystem/identifier-type-de-basis" } ] } } }, { "id": "Patient.identifier:versichertenId_GKV.type", "path": "Patient.identifier.type", "mustSupport": true }, { "id": "Patient.identifier:versichertenId_GKV.type.coding", "min": 1, "path": "Patient.identifier.type.coding", "slicing": { "rules": "open", "discriminator": [ { "path": "system", "type": "value" } ] }, "mustSupport": true }, { "id": "Patient.identifier:versichertenId_GKV.type.coding:GKV-Type", "path": "Patient.identifier.type.coding", "sliceName": "GKV-Type", "mustSupport": true }, { "id": "Patient.identifier:versichertenId_GKV.type.coding:GKV-Type.system", "path": "Patient.identifier.type.coding.system", "mustSupport": true }, { "id": "Patient.identifier:versichertenId_GKV.type.coding:GKV-Type.code", "path": "Patient.identifier.type.coding.code", "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:versichertenId_GKV.assigner", "min": 1, "path": "Patient.identifier.assigner", "mustSupport": true }, { "id": "Patient.identifier:versichertenId_GKV.assigner.identifier", "min": 1, "path": "Patient.identifier.assigner.identifier", "type": [ { "code": "Identifier", "profile": [ "http://fhir.de/StructureDefinition/identifier-iknr" ] } ], "mustSupport": true }, { "id": "Patient.identifier:versichertenId_GKV.assigner.identifier.type", "path": "Patient.identifier.assigner.identifier.type", "mustSupport": true }, { "id": "Patient.identifier:versichertenId_GKV.assigner.identifier.type.coding", "min": 1, "path": "Patient.identifier.assigner.identifier.type.coding", "slicing": { "rules": "open", "discriminator": [ { "path": "system", "type": "value" } ] }, "mustSupport": true }, { "id": "Patient.identifier:versichertenId_GKV.assigner.identifier.type.coding:XX-Type", "path": "Patient.identifier.assigner.identifier.type.coding", "sliceName": "XX-Type", "mustSupport": true }, { "id": "Patient.identifier:versichertenId_GKV.assigner.identifier.type.coding:XX-Type.system", "path": "Patient.identifier.assigner.identifier.type.coding.system", "mustSupport": true }, { "id": "Patient.identifier:versichertenId_GKV.assigner.identifier.type.coding:XX-Type.code", "path": "Patient.identifier.assigner.identifier.type.coding.code", "mustSupport": true }, { "id": "Patient.identifier:versichertenId_GKV.assigner.identifier.system", "path": "Patient.identifier.assigner.identifier.system", "mustSupport": true }, { "id": "Patient.identifier:versichertenId_GKV.assigner.identifier.value", "path": "Patient.identifier.assigner.identifier.value", "mustSupport": true }, { "id": "Patient.identifier:pid", "path": "Patient.identifier", "type": [ { "code": "Identifier", "profile": [ "http://fhir.de/StructureDefinition/identifier-pid" ] } ], "sliceName": "pid", "mustSupport": true, "patternIdentifier": { "type": { "coding": [ { "code": "MR", "system": "http://terminology.hl7.org/CodeSystem/v2-0203" } ] } } }, { "id": "Patient.identifier:pid.type", "path": "Patient.identifier.type", "mustSupport": true }, { "id": "Patient.identifier:pid.type.coding", "min": 1, "path": "Patient.identifier.type.coding", "slicing": { "rules": "open", "discriminator": [ { "path": "system", "type": "value" } ] }, "mustSupport": true }, { "id": "Patient.identifier:pid.type.coding:MR-Type", "path": "Patient.identifier.type.coding", "sliceName": "MR-Type", "mustSupport": true }, { "id": "Patient.identifier:pid.type.coding:MR-Type.system", "path": "Patient.identifier.type.coding.system", "mustSupport": true }, { "id": "Patient.identifier:pid.type.coding:MR-Type.code", "path": "Patient.identifier.type.coding.code", "mustSupport": true }, { "id": "Patient.identifier:pid.system", "path": "Patient.identifier.system", "mustSupport": true }, { "id": "Patient.identifier:pid.value", "path": "Patient.identifier.value", "mustSupport": true }, { "id": "Patient.identifier:pid.assigner", "path": "Patient.identifier.assigner", "type": [ { "code": "Reference", "profile": [ "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference" ] } ], "mustSupport": true }, { "id": "Patient.identifier:pid.assigner.identifier.type.coding", "min": 1, "path": "Patient.identifier.assigner.identifier.type.coding", "slicing": { "rules": "open", "discriminator": [ { "path": "system", "type": "value" } ] }, "mustSupport": true }, { "id": "Patient.identifier:pid.assigner.identifier.type.coding:XX-Type", "max": "1", "min": 1, "path": "Patient.identifier.assigner.identifier.type.coding", "sliceName": "XX-Type", "mustSupport": true }, { "id": "Patient.identifier:pid.assigner.identifier.type.coding:XX-Type.system", "min": 1, "path": "Patient.identifier.assigner.identifier.type.coding.system", "fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203", "mustSupport": true }, { "id": "Patient.identifier:pid.assigner.identifier.type.coding:XX-Type.code", "min": 1, "path": "Patient.identifier.assigner.identifier.type.coding.code", "fixedCode": "XX", "mustSupport": true }, { "id": "Patient.identifier:pid.assigner.identifier.system", "path": "Patient.identifier.assigner.identifier.system", "constraint": [ { "key": "mii-pat-1", "human": "Entweder IKNR oder MII Core Location Identifier soll verwendet werden", "severity": "error", "expression": "$this = 'http://fhir.de/NamingSystem/arge-ik/iknr' or $this = 'https://www.medizininformatik-initiative.de/fhir/core/CodeSystem/core-location-identifier'" } ] }, { "id": "Patient.identifier:versicherungsnummer_pkv", "max": "1", "path": "Patient.identifier", "type": [ { "code": "Identifier", "profile": [ "http://fhir.de/StructureDefinition/identifier-pkv" ] } ], "sliceName": "versicherungsnummer_pkv", "mustSupport": true, "patternIdentifier": { "type": { "coding": [ { "code": "PKV", "system": "http://fhir.de/CodeSystem/identifier-type-de-basis" } ] } } }, { "id": "Patient.identifier:versicherungsnummer_pkv.use", "path": "Patient.identifier.use", "mustSupport": true }, { "id": "Patient.identifier:versicherungsnummer_pkv.type", "path": "Patient.identifier.type", "mustSupport": true }, { "id": "Patient.identifier:versicherungsnummer_pkv.type.coding", "min": 1, "path": "Patient.identifier.type.coding", "slicing": { "rules": "open", "discriminator": [ { "path": "system", "type": "value" } ] }, "mustSupport": true }, { "id": "Patient.identifier:versicherungsnummer_pkv.type.coding:PKV-Type", "path": "Patient.identifier.type.coding", "sliceName": "PKV-Type", "mustSupport": true }, { "id": "Patient.identifier:versicherungsnummer_pkv.type.coding:PKV-Type.system", "path": "Patient.identifier.type.coding.system", "mustSupport": true }, { "id": "Patient.identifier:versicherungsnummer_pkv.type.coding:PKV-Type.code", "path": "Patient.identifier.type.coding.code", "mustSupport": true }, { "id": "Patient.identifier:versicherungsnummer_pkv.value", "path": "Patient.identifier.value", "mustSupport": true }, { "id": "Patient.identifier:versicherungsnummer_pkv.assigner", "path": "Patient.identifier.assigner", "mustSupport": true }, { "id": "Patient.identifier:versicherungsnummer_pkv.assigner.identifier.system", "path": "Patient.identifier.assigner.identifier.system", "mustSupport": true }, { "id": "Patient.identifier:versicherungsnummer_pkv.assigner.identifier.value", "path": "Patient.identifier.assigner.identifier.value", "mustSupport": true }, { "id": "Patient.identifier:versicherungsnummer_pkv.assigner.display", "path": "Patient.identifier.assigner.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "mustSupport": true }, { "id": "Patient.name", "min": 1, "path": "Patient.name", "slicing": { "rules": "open", "discriminator": [ { "path": "$this", "type": "pattern" } ] }, "mustSupport": true }, { "id": "Patient.name:name", "max": "1", "min": 1, "path": "Patient.name", "type": [ { "code": "HumanName", "profile": [ "http://fhir.de/StructureDefinition/humanname-de-basis" ] } ], "sliceName": "name", "mustSupport": true, "patternHumanName": { "use": "official" } }, { "id": "Patient.name:name.use", "min": 1, "path": "Patient.name.use", "fixedCode": "official", "mustSupport": true }, { "id": "Patient.name:name.family", "min": 1, "path": "Patient.name.family", "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", "min": 1, "path": "Patient.name.given", "mustSupport": true }, { "id": "Patient.name:name.prefix", "path": "Patient.name.prefix", "mustSupport": true }, { "id": "Patient.name:name.prefix.extension:prefix-qualifier", "max": "1", "path": "Patient.name.prefix.extension", "sliceName": "prefix-qualifier", "mustSupport": true }, { "id": "Patient.name:geburtsname", "max": "1", "path": "Patient.name", "type": [ { "code": "HumanName", "profile": [ "http://fhir.de/StructureDefinition/humanname-de-basis" ] } ], "sliceName": "geburtsname", "mustSupport": true, "patternHumanName": { "use": "maiden" } }, { "id": "Patient.name:geburtsname.use", "min": 1, "path": "Patient.name.use", "fixedCode": "maiden", "mustSupport": true }, { "id": "Patient.name:geburtsname.family", "min": 1, "path": "Patient.name.family", "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", "max": "0", "path": "Patient.name.given" }, { "id": "Patient.name:geburtsname.prefix", "max": "0", "path": "Patient.name.prefix" }, { "id": "Patient.name:geburtsname.prefix.extension:prefix-qualifier", "max": "1", "path": "Patient.name.prefix.extension", "sliceName": "prefix-qualifier", "mustSupport": true }, { "id": "Patient.gender", "min": 1, "path": "Patient.gender", "mustSupport": true }, { "id": "Patient.gender.extension", "path": "Patient.gender.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "Patient.gender.extension:other-amtlich", "max": "1", "path": "Patient.gender.extension", "type": [ { "code": "Extension", "profile": [ "http://fhir.de/StructureDefinition/gender-amtlich-de" ] } ], "sliceName": "other-amtlich", "mustSupport": true }, { "id": "Patient.birthDate", "min": 1, "path": "Patient.birthDate", "mustSupport": true }, { "id": "Patient.birthDate.extension", "path": "Patient.birthDate.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "Patient.birthDate.extension:data-absent-reason", "path": "Patient.birthDate.extension", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/data-absent-reason" ] } ], "sliceName": "data-absent-reason", "mustSupport": true }, { "id": "Patient.deceased[x]", "path": "Patient.deceased[x]", "mustSupport": true }, { "id": "Patient.address", "max": "1", "min": 1, "path": "Patient.address", "slicing": { "rules": "open", "discriminator": [ { "path": "$this", "type": "pattern" } ] }, "mustSupport": true }, { "id": "Patient.address:Strassenanschrift", "max": "1", "path": "Patient.address", "type": [ { "code": "Address", "profile": [ "http://fhir.de/StructureDefinition/address-de-basis" ] } ], "sliceName": "Strassenanschrift", "mustSupport": true, "patternAddress": { "type": "both" } }, { "id": "Patient.address:Strassenanschrift.extension:Stadtteil", "path": "Patient.address.extension", "sliceName": "Stadtteil", "mustSupport": true }, { "id": "Patient.address:Strassenanschrift.type", "min": 1, "path": "Patient.address.type", "fixedCode": "both", "mustSupport": true }, { "id": "Patient.address:Strassenanschrift.line", "max": "1", "min": 1, "path": "Patient.address.line", "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", "max": "0", "path": "Patient.address.line.extension", "sliceName": "Postfach" }, { "id": "Patient.address:Strassenanschrift.city", "min": 1, "path": "Patient.address.city", "mustSupport": true }, { "id": "Patient.address:Strassenanschrift.city.extension", "path": "Patient.address.city.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "Patient.address:Strassenanschrift.city.extension:gemeindeschluessel", "max": "1", "path": "Patient.address.city.extension", "type": [ { "code": "Extension", "profile": [ "http://fhir.de/StructureDefinition/destatis/ags" ] } ], "sliceName": "gemeindeschluessel", "mustSupport": true }, { "id": "Patient.address:Strassenanschrift.postalCode", "min": 1, "path": "Patient.address.postalCode", "mustSupport": true }, { "id": "Patient.address:Strassenanschrift.country", "min": 1, "path": "Patient.address.country", "constraint": [ { "key": "pat-cnt-2or3-char", "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.", "source": "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/Patient", "severity": "warning", "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'))" } ], "mustSupport": true }, { "id": "Patient.address:Postfach", "max": "1", "path": "Patient.address", "type": [ { "code": "Address", "profile": [ "http://fhir.de/StructureDefinition/address-de-basis" ] } ], "sliceName": "Postfach", "mustSupport": true, "patternAddress": { "type": "postal" } }, { "id": "Patient.address:Postfach.extension:Stadtteil", "path": "Patient.address.extension", "sliceName": "Stadtteil", "mustSupport": true }, { "id": "Patient.address:Postfach.type", "min": 1, "path": "Patient.address.type", "fixedCode": "postal", "mustSupport": true }, { "id": "Patient.address:Postfach.line", "max": "1", "min": 1, "path": "Patient.address.line", "mustSupport": true }, { "id": "Patient.address:Postfach.line.extension:Strasse", "max": "0", "path": "Patient.address.line.extension", "sliceName": "Strasse" }, { "id": "Patient.address:Postfach.line.extension:Hausnummer", "max": "0", "path": "Patient.address.line.extension", "sliceName": "Hausnummer" }, { "id": "Patient.address:Postfach.line.extension:Adresszusatz", "max": "0", "path": "Patient.address.line.extension", "sliceName": "Adresszusatz" }, { "id": "Patient.address:Postfach.line.extension:Postfach", "path": "Patient.address.line.extension", "sliceName": "Postfach", "mustSupport": true }, { "id": "Patient.address:Postfach.city", "min": 1, "path": "Patient.address.city", "mustSupport": true }, { "id": "Patient.address:Postfach.city.extension", "path": "Patient.address.city.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "Patient.address:Postfach.city.extension:gemeindeschluessel", "max": "1", "path": "Patient.address.city.extension", "type": [ { "code": "Extension", "profile": [ "http://fhir.de/StructureDefinition/destatis/ags" ] } ], "sliceName": "gemeindeschluessel", "mustSupport": true }, { "id": "Patient.address:Postfach.postalCode", "min": 1, "path": "Patient.address.postalCode", "mustSupport": true }, { "id": "Patient.address:Postfach.country", "min": 1, "path": "Patient.address.country", "constraint": [ { "key": "pat-cnt-2or3-char", "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.", "source": "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/Patient", "severity": "warning", "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'))" } ], "mustSupport": true }, { "id": "Patient.link", "path": "Patient.link", "mustSupport": true }, { "id": "Patient.link.other", "path": "Patient.link.other", "type": [ { "code": "Reference", "profile": [ "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference" ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy", "valueBoolean": false } ] } ], "mustSupport": true }, { "id": "Patient.link.type", "path": "Patient.link.type", "mustSupport": true } ] }, "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient" }